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Home My WebLink About1790DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -4 -129 BOX 16 9 , " I 'Id. 17-2 a 4 = I go ti ro ,1.� f `. ills fco L -. 1 , m 01790 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT V�eil",ocatlon ` " Street AdilresS: ` °' "" - ; - TownTVillage: ` '7 Tax Grid # Map Block 4 Lots) J2A Well Owner: Name: Address: lov Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion x Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock _ Other Casing Details Total length ft. Length below grade ft. Diameter n. Weight per foot lb /ft. Materials: X Steel _ Plastic _ Other Joints: _ Welded X Threaded —Other Seal: >6 Cement grout _ Bentonite Other Drive shoe: X Yes No Liner: Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes—No Hours Second Well Yield Test _ Bailed _ Pumped Compressed Air Hours Yield gpm Depth Data Measure from land surface - static (specify ft) / t During yield test(ft) Depth of completed well in feet 145�� / 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 If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type ,Su Capacity Depth 15V' Model'Z t N jU412 Voltage 2.30 HP 1 0 Tank Type 302 Volume __O( e 40 j Clf Date Well omple a e Putnam County Certification No. Date of port Well Driller (signature) Ivv rr;: bxact location of well with distances to at least two permanent landmarks to be providdw a separate slfeet/plan. k,VIF l�� ' to �f �5a Well Driller's N e Address: p Signature: Date::/ Q White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - We 1 Tiller Form WC -97 AM COUNTY DEPARTMENT OF HEALTH 7 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT it F - 11 - 02 Located at 9 C 00AHt-ir9D 1DrJ_avg5 Owner /Applicant Name Formerly vJ*mkRct\ 1-�DM6 Town or Village Tax Map 'b ; co" ` Subdivision Name Subd. Lot # Block 4 Lot 1 1 Mailing Address i.�oVJ ®o® 0"a Zip `45DA Date Construction Permit Issued by PCHD Or' Separate Sewerage System built by \^ff oAoAt'�\ V�Omo) Address � 4LkAfJV4 MD Consisting of _iMt Gallon Septic Tank and 60'J L)P NP6 1 Other Requirements: Water Supply: _ Public Supply From. ,� or: Private Supply Drilled by Barg ,))Nd Wei— Address I o g`A K SL � Ai 100 Address Buildirig"Type f , Dni�o Has erosion coritrol'beeii completed? a Number of Bedrooms Has garbage grinder been installed? of 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 regulations of the Putnan iCounty D iartr�en ^of Health. Date: O S Certified by ___, Address �10S0 K qL b9 License # P.E._ R.A. 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 a sul ject t,91 modification or change when, in the judgment of the Public Health Director, such revocatro o trcan r cnan rs necessary. By: Title: Date: 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 N6TE: Exact location of well with distances to at least two permaneAt landinark's to be provid4o i sepa-rate slfeet/plan. A04" Well Driller's Name Address- le6�� .Z . Iff-Kelffico Signature: Date: r:Orange �- ' I driller White copy: HD File; Yellow copy - Building Inspector; Pink copy - O�vde;! copy y _ Form WC-97 Address:.--.--. q 4 pIZI, oy Map ro Block 4 Lot(s) Well Owner: Name: 6A� Address: Use of Well: 1-primary 2-secondary Residential Business Industrial Public Supply Air 6ond/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 X Open hole in bedrock Other Casing Details Total length ft. Length below grade ft. Diameter in. Weight per foot I b/ft. Materials: Steel Plastic Other Joints: Welded )C* Threaded Other Seal: >e_ Cement grout '- —Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed _ Pumped _k Compressed Air Hours A�o Yield69& gpm Depth Data Measure from land su;Ta—ce-static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve analyses are AvdilAbld, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface AM? 4 le If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump/Storage Tank Information /" At Pump Type S,, Capacity1j_ Depth 160 Model -7 IF 14 t04 2– Voltage '2A 30 HT J � 0 Tank Type 3 02– Volume (k_ VA4 Date Well ompl( P, Putnam County—Certification No. Date of epor Well Driller (.signature) 3 Z�k3 N6TE: Exact location of well with distances to at least two permaneAt landinark's to be provid4o i sepa-rate slfeet/plan. A04" Well Driller's Name Address- le6�� .Z . Iff-Kelffico Signature: Date: r:Orange �- ' I driller White copy: HD File; Yellow copy - Building Inspector; Pink copy - O�vde;! copy y _ Form WC-97 BRUCE R- FOLEY LORMA MOLINARI• R.N., M.S.N. Public Health Director, N :, .. .. flea! Dlrrc y � _, r .., ...... _..._.....,.,. _.. ... "Dlnc!'or'ef `�a%1r "ni�Strvfcu _._.. _ _ DEPARTMENT OF ' HEALTH - 1 Gcncva ,Road . -- _ Brewster, New York '10509 Eartrcamcatal Hc4th (914)271.6130 Fuc(914) 27: -7921 Nurtlat. Scrrlces (9.14) 27: • 6558 •-• WIC (914)-271: 6671 .Flx (914) 271.6013 _..... _ —•� .. _ ... Esrly•Tctcr i06n- (914)17T -6014 Prucbml (914)271.6022 Fuc(914)27r -6641 R�911 ADDRESS -VERIFICATION FORM OWNERS NAME: TAX' MAP. NUMBER:_ . m _ ........ ..... __ .. E911 ADDRESS;,.. C d G .�iv dc✓gt;�'/� �iy.+t eJ� TOWN: AUTHORIZED TO. WIi_OFFICIAL:. (Signature) :DATE: 'The Putnam County Department of Health will not issue a Certificate 'of - Construction Compliance.unless the above form is. completed, i.e., a legal E911 address is. assigned by an authorized town official. This form, is to be submitted -- - 1vith the application for a Certificate of Construction Compliance. (E91 I VERFRK -- PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Building Constructed by Location - Street P�S (�H � Tax Map Block Lot PA- - ...._. - TownNillage D50Y DQp Subdivision Name Building Type. Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construt tiorr and °drairidge of the sewageireatment system serving tlie'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 parr-of said 9ysterh 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 siem The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system y _. J D Day Year Signature: d,115 j- - J eneral Contractor (Owner) - gignature NO *cn \ IJy�� Corporation Name (if corporation) Address: Q% U LAA04,*iM State N Zip Title:- 00NAm �kaKV? Corporation Name (if corporation) Address:- ou.t�v�oo� J State N I Zip WM Form GS -97 i r ON OF ENVIRONMEN'T'AL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYS PERMIT # P Located at ce / b In 4JODi N h t v e. Town or age )04�10y� ® � Subdivision name Subd. Lot # -4 Tax Map Block �_ Lot r 'Z Date Subdivision Approved _ % a1¢'-UZ Renewal Revision Owner /Applicant: Name Mailing Address Amount of Fee Enclosed —� Building Type R0; r dle �► a Date of Previous Approval Ca -=7 -0-2- Zip Lot Area 324 No. of Bedrooms - Design Flow GPD 806 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 12.E gallon septic tank and �O CI /, � Other Requirements: To be constructed by T a j,) Address Water Supply: _ Public Supply From Address oe: -lam Private` Supply Drilled by - - - "`T-� Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address R.A. Date 6--/-3-t7-4 License # S,r,1 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatments stem has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified wr.Ajoved tiered ne a sary by the Public Health Director. Any revision or alteration of the approved plan requires a new per f scharge onAomestic sanitary sewa only. By: Title: Date: 1 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pr fessional Form CP -97 May 26, 2004 Robert Morris, P.E. Putnam County Health Department One Geneva Road Brewster, New York 10509 Harry W. Nichols Jr., P.E. Patterson Park - Suite 106 2050 Route 22 Brewster, NY 10509 Tel:. (845) 279-4.003_ Faz: (843)`279 -4567 _ Email: hnengineer@aol.com l Re: Individual SSTS Compliance — Wyndham Homes 9 Collinwood Drive Deerwood (Windsor Woods) Subdivision - Lot # 46 Town of Patterson, NY T. M. # 35.4-129 Dear Robert: Enclosed are the following: 1. Five (5) prints of Drawing S -46, "As -Built SSTS ", dated 05/11/04. 2. "Certificate of Construction Compliance for Sewage Treatment System ", dated 05/26/04. .._.._..._._._ 3.._..._...... Three- (3),copies-of "Guarantee of- S- 6bsur- -face Sewage- Tr- eatinent•Syst. ; . -- - dated 05/26/04. 4. Laboratory Report, dated 05/24/04. 5. "Well Completion Report", dated 03/25/04. 6. Application Fee in the amount of $300.00 payable to Putnam County Health Dept. 7. "E -911 Address Verification Form ", dated 05/07/04. If there are any questions concerning the enclosed, please call. Very truly yours, Harry W. lchols Jr., P.E. HWN:gav 03- 056.46 2004 04:32 PM HARRY W NICHOLS 914 279 4567 P.01 FUTNAIK COUNTY DEPARTMENT OF HEALTH DIII SION.OF ENVIRONMENTAL EMALTH SERVICES awimn FOR EMIAL N-RPE('.UM For:, Fill Date: T - 18-0 Trenches' PCHD Construction Permit # Located: Ca A 4 W99 (T). tK ) Owner/ApplicantXa&e- td11kAqtm16_Kw_t,,cTm -3,��, Block -f Lot Formerly: Subdiviioin N&'ine':`,pe C-1. &Join Subdivision Lot# issystea•ffil completed?' Date: It system complete? Date: Is syst= constructed as per plans? Is well drillc'd?; Date:. _,04 Is well located_ as perplaw?_ ru Are erosion control measures mi I certify that the systern (s),.as listed, at theaboye.preraises: has been'cowOOcted and I have inspected and -verified their rcdmpletioin''in .ic''Cordancd with the issued PCHD:, Construction 'Permit and approved plans j and' Standards, Rules and kelatidds:bf the -P utaam. County Departmerit of L Die:_ Soot b-v D ga T(rofession Address,. 1g, aa L. i.. 0 co=ents'.... FOR: OADAM 0 GrENE'' 0 MAY-18-2004-TUE 16:50 TEL-:.845-278-7921 Form FM•99 NAME:PUTNAM COUNTY DEPARTMENT OF I.. , 7� P. 1 P. 1 YML ENVIRONMBNTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 8<A - -`�,~~~��,_~��.,� Albert H. Padovani, Director LAB #: 93.401042 CLIENT #: 57197 STAT PROC PAGE: � ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WYNDHAM HOMES 8 COLLINWOOD DRIVE BREWSTER, NY 10509 DATE/TIME TAKEN: 05/18/04 12400P DATE/TIME REC'D: 05/18/04 12:30P REPORT DATE: 05/24/04 PHONE: (845)-279-2022 SAMPLING SITE: 9 COLLINWOOD DR ^ SAMPLE TYPE..: POTABLE : BREWSTER NY ' PRESERVATIVES: NONE COL'D 8Y: KAREN SAMPERI TEMPERATURE..: < 4C NOTES...: KITCHEN TAP ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 05/18/04 MF T. COLIFORM ABSENT /100 ML ABSENT 1008 05/18/04 LEAD (IMS) <1 ppb / 0-15 ppb 9101 05/18/04 NITRATE NITROG 0.92 MG/L 0 - 10 9139 05/18/04 NITRITE NITROG <0.01 MG/L N/A 9146 05/18/04 IRON (Fe) <0.060 MG/L 0-0.3 mg/l 2037 05/18/04 MANGANESE (Mn) 0.015 MG/L 0-0.3 mg/1 2037 05/18/04 SODIUM (Na) 25.7 MG/L N/A 05/18/04 pH 6.9 UNITS 6.5-8.5 9043 05/1B/04 HARDNESS,TOTAL 212 MG/L N/A 05/18/04 ALKALINITY (AS 72.0 MG/L N/A 05/18/04 TURBIDITY (TUR <1 NTU 0-5 NTU BACT THESE RESULTS INDICATE THAT THE WATE WAS NOT) OF A SATISFACTORYSANITARY QUALITY ACCORD E 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 10% of their than 15 ppb and a treatment must be potential. ublic 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 qf.Sodjjum. For those on a moderately restricted diet, a maxiium of 270 mg/L of Sodium is suggested. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-280O ` '- '`- ' ""- v^" 'Q 0 - Albert H. Padovani, Director LAB #: 93.�401042 CLIENT #: 57197 STAT PROC PAGE: 2 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ WYNDHAM HOMES 8 COLLINWOOD DRIVE BREWSTER, NY 10509 DATE/TIME TAKEN: 05/18/04 12:00P DATE/TIME REC'D: 05/18104 12:30P REPORT DATE: 05/24/04 PHONE: (845)-279-2O22 SAMPLING SITE: 9 COLLINWOOD DR SAMPLE TYPE..: POTABLE : B 'WSTER NY PRESERVATIVES: NONE COL'D BY: KAREN SAMPERI TEMPERATURE-f< 4C NOTES...: KITCHEN TAP COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~°~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 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. lid 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 MODERATELY HARD WATER: 70-140 .MG/L MG/L = MILLIGRAM PER LITER SUBMITTED BY: Alber Dird ELAP# 10323 To: Attention: j d -ter Gentlemen: We enclose (copies of k/ B/W Prints Reproducibles Specifications Memorandum Description: Harry W. Nichols Jr., P.E. Patterson Park, Suite 106 2050 Route 22 Telephone (&45) 2794003 Fax(945)279-4567 Date: (e — l`t —O�f Job No.: Project Reports Tracings Copy of letter Revision/Date No. � C .Lf C Sent Via: )--our Messenger Blueprinter Your Messenger Hand Delivery Copy to First Class Mail Special Delivery Very ly yours i H rTv ls Jr., RE, PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: zo o,1 Inspected by: f : i 6_612 Street Location Owner.6 1 ,..w,-zo r- gd To w 'wr.� y i . 7'iV".. ti-- Permit - TM # 3 :Y.. ' - /,2 q Subdivision Lot #` 1. Sewage System Area a. STS area.located as per approved plans ........................... b.. Fill section - date of placement 3:1 barrier Lgth. Width . Avg.Dpth c. Natural soi]. not stripped ................: .. ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 1 00' from water course / wetlands ....... ............................... II. Sewage System -- a. Septic tank size - 1,000 .......1,250. ......other ................ b. 'Septic tank installed level ........................... .................... c. 10' minimum from foundation .......... ............................... 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. Trenches 1: Length required 5-0 0 Length installed 2. Distance to watercourse measured •�- / o e�,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; 1. Size of pump chamber ................. ............................... 2. Overflow tank ......................... . ................... I............... 3. Alarm, visual/ audio ...:....:........... ............................... 4. Pump easily accessible, manhole to grade ................. 5. First box baffled .....:.................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... M. House/Building a. house located per approved plans . ............................... b. Number of bedrooms .......................... .....6 -r-7......... IV. Well 1 c, Well located as per approved plans . ............................... b. Distance from STS area measured I . ft ... �9.� /��a c. Casing. 18" above grade ................ ............. ................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship . a. Boxes properly grouted ................ ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dinto exist watercourse g. Footing drains discharge'away from STS area ............... h. Surface water protection adequate... .. ....:.......................... i. Erosion control provided ................................................ Rev. 2/02 W_ ` R Rua RYI pigs 'rte • r� • Elm- MAY-18-2004 04:32 PM HARRY W NICHOLS 914 279 4567 P.01 "PMAM COMM DEPARTMENT OF EWALTH DrMION.OF ENMONMENTAL HEALTH SERVICES ....4. REQ11BAT EOR EMUL INSPF'mols For:, Fill Date: Trenches' PCHD Construction Pern;Lft # Located: p 116 4 ww f! 1 U 4, _ (T) P6 tod;iR 4a V 5 a Owner/ApplicantNathe: A4 n It. rTm Block Lot Formerly:is -T, Or-., hJ2 Mk� q Subdivi-sionNarde.'' IJ ce &join cl Subdivision Lot 0 issyqeffi-fal completed?, Date: •s system complete? Date: TS system constructed as per plans? Ve t Is well drifted? Ze r Date:. Js well locattd-m per,plaa.O.- Are erosion control measures in plaoc? I certify that the systew(s),.as listed, at theabove premises has. been 'constructed and I have inspected and verified their C'dmpletion in 46pordanQ6 with the issued, PdEb" 'Gonstruction'Perirdt and approved plans and• the Standards, Rules and Regulatiods'of the Putnam County Departmerit of Health. bate: Certified b y D gn ProfessionaV. Addres $:-t- . �d, /V, Lie, Comments:.. FOR: O ADAM MAY-18-2004 'TUE 16:50 Form FIR. 9 9 NAME:PUTNAM COUNTY DEPARTMENT OF P. 11 I., , 4 e LORETTA MOLINARI _ Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 May 24,.2004 Harry Nichols, PE Patterson Park, Suite 106 2050 Route 22 Brewster, New York 10509 Dear Mr. Nichols: ROBERT J. BONDI County Executive Re: Field Inspection — G.J. Development Corp Deerwood Lane, (T) Patterson Lot # 46, TM# 35. -4 -129 The above referenced separate sewage treatment system can be backfilled. There are no open comments to be addressed at this time. - - If you have any further questions; please contact me at 845- 278 -6130, ext. 2261. GDR:cj Sincerely, ,190. �. 1 Gene D. Reed Sr. Environmental Health Engineering Aide a ` Harry W. Nichols Jr., P.E. Patterson Paris, Suite 106 2050 Route 22 Brewster, NY 10509 „ - - Telephone (845) 2794003 Fax(845)279-4567 Date: To: � C �.� Job No.; 3 -0 Sc/e , toe Project 'TT S Lti Q'QJ Attention: 1``arv► Gentlemen: We enclose (-�J copies of BIW Prints Reproducibles Reports .Tracings Specifications Memorandum Copy of letter Description: Revision/Date No. S�LL� �s -ii I It A-4t:l LCIf-4I Cl- -a -f -0 f� Sent Via: Our Messenger Your Messenger Copy to Bluepdnter. First Class Mail Hand Delivery Special Delivery Very t ly yours Hamr ': ols Jr., PIE. JJ Harry W. Nichols Jr., P.E. Fw' Patterson Paric, Suite 106 .2050 Route _..... • Brewster, NY 10509 Telephone (845) 27913003 Fax (845) 2794567 Date: To: Job No.: Project &en- tco� — ze ;$ .A Attention: Urea /� T a T1'yr� a I-t. Gentlemen: We enclose (� copies of i/ t3 W Prints Reproducibles Specifications Memorandum Description: Reports Tracings Copy of letter Revision/Date No. Sent Via: !/Our Messenger Blueprinter First Class Mail Special Delivery Your Messenger Hand Delivery Copy to Ve truly yours Harry Vi': 1 ols Jr., P.E. DI..IVN�ENSIOI�I CHART (in feet) Number A 6 I 19 6Z 2 54 IO2 3 52 98 4 S2 93 5 52 95 6 54 86 7 56 8 2 8 59 79 g 62 76 10 66 74 1 1 69 73 12 103 125 1 3 1 OZ 1 27 14 101 128 15 100 131 16 100 134 1 7 1 00 1„36 1 g 1 01 140 1 9 1 02 143 20 1 03 147 2. 1 1 04 150 189.50, x485° 54'05" W a a / / a 'Yl vy _ W o A - b Ul At 0 0 0 N �I! O� I I I I 'I ! ,n ZX - nN r -1 D 'P p rp N N O � i aY c ° m � 1 w b o / o z IV 14 Ad oD LPNE DtiER 771 t-