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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35. -5 -36 BOX 16 01813 09/04/2014 09:31 8458782019 SffERLITAAKLER, MD, MS, FAAF Col issidner of Health LORETTA MOLINARI, RN, KSN Associate Commijsjongr. of Health PATTERSON PLANNING DEPARTMENT OF HEALTH I Geneva Road. Brewster, New Ybik 10509 PAGE 01/02 ROBERT J. 'BONDI COV71tv Ereeudve ROBERT MORRIS, PE Director ofEnvirommental Health ADDITION ARPL1C_AT10N RESIDENTIAL ONLY' STRM 2.2 WN TAX MALP # 3 NAME PHONIL. PCHD# MAILING AUDWS DESCRIMON'OF ADDITION .NUMBER OFFXISMG'BEDROONS--�l— PROPOSED #.OFBEDROOMS-.O-- "ON CERT. OF OCCUPANCY OR CER11FICALTION' FROM BUILDING INSPEC70W *,*Any addition vvhich,is c6tsidered a bedrborn requires for-mat appTval-of plans (Construction permit) prepared by a Professional Erqin&r or Registerid Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the - following to-Puftiani County Health Dept., I Geneva Rd, .Brewster, NY 10509, Phone: (845) 278-6130. I. artified check or money order for Sioo.W6 to scale; all,-livoing arw hicluding b show.n and dim6nsioited and use of each room -specified). (See Secdon 3.c of Bulletin RA-1) . -- , - .. . .. . I . .. . • . 3. Two sets of prbposed floor plats (ftwn to scale = with mine, street and tax map Non -professional -sketche s are acceptable and preferred. (See Section 3.d of Bulletin HA-1) .4 Copy of survey, showin --all weU ;ind septic locations on. the subject prop rty to the best 9 e of y9ur knowledge. Include date of installation )mown. Contact this office with any -questions., C S. Copy of Certificate of Occupancy from the Town or Certification from the Wldiidg Departm6nt with legal bedroom count of &relling. CP DU COMMENT'S Efivirunifterttal Health (W) 2794130 Fax ("S-) 2�79-7921 Water Supply Section (84$)=51,36 Fax {845) *225 -5418 Na * rsing Services (845) 278-6558 Fax (945) 27.8;6026 NurtligHome Cam Fax (W)278-6085 -VVTC (845) 278-15678 Early Intirveftion I Preschool (345) 228-2947 Fax (845)-2,2$-1580 D m VTANS APPROVED f0r, BMI!c)w COUNT 0�,Nj,j. I qce- , 4f Colo 1-14 0 5--.3 TO Tl 1 ES W 110? 14:; 1'(.DOi1 FOR APPROVAI I o,x ZU14 is DEPARTMENT OF H&LfA, r� 0 AHE- V*T. Watr, e5,'AJ 4FFAj F991 IWluLATiof 1. "9 6{ouuetz Ll • i' L- ,J T i rl •� ,.Ula\.'Y 'G'c:f;yjr E:IANS APPROVED FOR BEUPOOM COUNT O-.-Q%, 3 ft- rv�(�v ff"�P a� +3liuorts �jk�3f f -3� All Lei. ?E 1:: \'I' HEVISIONJAT.T` °t,;1'V ?;;; TO THESE. liia' �r iT; :'r' ii l: tiilltliI'TTED'IY) Ti;: PCDOH FOR APPItfJV4l RN: tR'Ci.7:t; ;i: '�'T►,T; �� llA'T Y C ip k4- i ,i I i � COQ151.�11��I11.b7F.� ,• {� f w I YFP,&MWCl Fq,,- 1,w.14, jFlt& 1 g To vulT TIV c"P'14TI-4-1 m �u'1 HF.r�N.5�6,cN W�Ti�k�LK f b&T. v opr .4o "u;, 1 1 F woi4i B FW-' . 4 xb Is , Ft.o, 4 aa. T NEw Noft, f t - ' II {� a e 'I r Tam �P EUf�/ss 2x'}- _I,.1 1. LZ-f - — ��II I II -I -o �•�5•iq- ��a� r��1�u��P Location Map Site Data, Tax Map Na: 35. -5 -36 Zone: R -4 Total Acreage: 55.52 ACf Use: Residential GENERAL NOTES t. This Is to certify that t indicated on this plan c Engineering, Surveying, , over-. The estem . was r rules and regulations of New York State Departr 2. Existing site features w based upon aerial pho photogrommetrically car �S TS AS -8"l T MEASUREMENTS STANCE A REMARKS N0. A B 1 79 58' . JuNCnav eox Z 85' 65' JUNCTION BOX 3 90' 71' JUNCnonr Box 4 96' 77' JUNCTION eox 5 101' 83' JUNCnoN eox 6 106' 89' JUNCTION eox 7 112' 95' JUNCTION BOX 8 117' 102' JUNCTION 80X 9 123' 109' JUNCTION BOX 10 129' 116' JUNCnoN Box 11 134' 131' END OF AesoRPnoN TRENCH . 12 - . ° 12�7!... _. 124' EiVO, OF- ABSORPToN TRENCH n?ENCH 13 120' 115' ENO OF ABSORPTION TRENCH 21 2 23' 2 14 113' 119' END of AesoRPnoN TRENCH 15 107' 102' END OF ABSORPTON TRENCH 16 96' 91, ENO OF ABSORPTION TRENCH 17 90' 81' END OF ABSORPTON TRENCH 18 84' 161 ' ENO OF ABSORPTION TRENCH' 19 77' 75' END OF ABSORPTION !. This Is i � !ndlcote � ; . L Englnee rules o �. New Yol�' 2. Exlsting'' � hosed � eau DRA WI PROJEC' NO DATE SCALE n?ENCH 20 7 71 6 69 E END OF ABSORPTON TRENCH 21 2 23' 2 27' 1 1,250 GAL SEP11C TANK � !ndlcote � ; . L Englnee rules o �. New Yol�' 2. Exlsting'' � hosed � eau DRA WI PROJEC' NO DATE SCALE ALLEN BEALS, M.D., J.D. Commissioner.of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 September 18, 2014 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Insite Engineering John Watson, P.E. 3 Garrett Place Carmel, NY 10512 Re: Proposed SSTS Repair Winding Glades LLC Ballyhack Road (T) Patterson, TM 35. -5 -36 Dear Mr. Contelmo: MARYELLEN ODELL 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. Please provide a 1,250 gallon septic tank for a four bedroom residence. 2. The SSTS profile needs to show nine junction boxes, not ten. 3. The SSTS tank and trenches need to maintain a ten foot separation from the driveway. 4. Prior to the repair,_a licensed septic contractor will need to sign the permit. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Sincerely, Gene D. Reed Principal Environmental Health Engineering Aide GDR:cml /NS/ TE F!l/G /NER /NG, SURVEY /NG. & .. L4NDSCAPEA4CH/TECTURE, P.C. July 25, 2014 Mr. Joe Paravati, P.E. Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS Repair for Winding Glades, LLC Ballyhack Road Town of Patterson Tar; Map No. 35. -5 -36 Dear Mr. Paravati, Enclosed please find the following for your review: 6 Construction Drawings, dated July 25, 2014 (2 copies). • Repair Permit application, dated July 25, 2014. 9 $150 application fee The proposed Subsurface Sewage Treatment System (SSTS) Repair is located on Ballyhack Road in Patterson. The location map on Drawing CD -1 depicts the subject property and its surroundings as well as the SSTS repair location. The 55.52. t acre property is identified as Tax Map number 35. -5 -36 and is zoned residential. It is proposed to repair the existing subsurface sewage treatment system which services the existing house currently under renovation located on the eastern portion of the subject property. The subject pro1Ect includes the removal of an existing 1,000 gallon severely deteriorated metal septic tank and abandonment of an existing 4' diameter dr yw ell. The SSTS repair,plan proposes the 16stNIdti6n of'342 feet of 2' -wide absorption trenches and a precast concrete 1,000 gallon septic tank -to.. service the existing 4 bedroom dwelling. It should be noted that soil testing was completed in the vicinity of the proposed absorption_ trenches as part of a previous subdivision application. If you have any questions or comments regarding this information, please do not hesitate to contact our office. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By: _ J. ont I o, P.E. Senior Principa ngineer JJC /mjg Enclosure cc: B.Benoit (w /enclosures) Insite File No. 13126.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.insite- eng.com 072514jp.doc /NS/ TE" ' WENGINEER August 17, 2015 Mr. Joseph Paravati, Jr., P.E. Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS for Winding Glades, LLC Ballyhack Road Town of Patterson Tax Map # 13 -3 -92 Dear Mr. Paravati: As you are aware, our office has observed the installed components of the SSTS repair for the recently renovated house on the Winding Glades Property during construction, and prior to backfill. Based on our observations, the SSTS repair was installed in general conformance with the approved SSTS repair plans. Attached is copy of the as -built drawing with the swing ties for all of the system components. It is our understanding that this certification letter closes out the repair permit with your Department. Should you have any questions or comments regarding this information, please feel free to contact our office. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By J . Co Imo, P.E. Senior Principal Engineer JJC /zmp /dju Enclosures cc: B. Benoit (w /enclosures) Insite File No. 13126.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.insite-eng.com 081715jp.doc Putnam County Department of Health - Division of Environmental Health Services SSTS Repair - Final Site Inspection / Date: - y to /jr Inspected by. rD 1� Installer: TydlGl& �� Street Locatio : Owner: 4 CI- _ - Town, = '�f' - Regan Permit #:�`��f3,a -/ : . 'M. 1. Was System inspected? Yes ❑ No ❑ If not, explain: 2. Type of System: Conventional : M Alternate ❑ Comments: 3. Septic Tank Yes No N/A Comments a. Septic tank size - 1,000.. ... other ..... t / V b. Septic tank installed level ....................... 4. Distribution Box a. All outlets at same elevation (water tested) ... 5. Junction Box - properly set ........................... V 6. Trenches ,i en L4 a. System completely opened for inspection b. Length required Length installed_1 c. Pipe slope checked .................. :............... d. Installed according to plan ..................... e. Size of gravel' /.- 1 %z "diameter clean ......... f Deptlh'of gravel iri a<ench l T' minimum ......... g. Ends capped .... ............................... 7. Pump or Dosed Systems 8. Sewage System Area a. SSTS Area located as per approved plans b. Fill section - c. Distance from water course /wetlands 9. Overall Workmanship a. Boxes properly grouted and installed correctly ........... b. Backfill material contains stones <4" diameter ......... I V1 c. Curtain drain & standpipes installed according to plan d. Curtain drain outfall protected & dir to exist watercourse e. Erosion control provided ............................ RFSI Rev - 010515 PUTNAN�I COUNTY HEALTH DEPARTMENT DIVISION OF ENVi' ''1RONMENTAL HEALTH SERVICES A. -E TREATMENT SYSTEM. REPAIR. ..��..u.;_:�'�.OP.OSAL. FOR:.SE.IIllAIa ES NO InteW.,al Use Only PERMIT # ❑ Repair Permit issued in last 5 years ❑ Not in Watershed ❑ Repair within Boyd's Comers, W. Branch or Croti6&Falis Res. Delegated ❑ Repair within 200 ft. of a watercourse or DEC - mapped wet,nd ❑ Joint Review SITE LOCATION 3Z ^� a�.c -�I�QC �c AoaD TOWN P/f•►Tetsot,/ -5 --3 OWNER'S NAME W „� r�,N G �-ADES . �--�L PHONE # - -. MAILING ADDRESS MR SOW`S \sLA,,4D [RDP►t�s y N1�ST►(, r71- 0&35'S APPLICANT W %t4 T>%N 4 Ca LFhbeS, LLC- Name & Relationship (i.e., owner, tenant, contractor) DATE --t ZS 1 FACILITY TYPE Le PCHD COMPLAINT # PROPOSED INSTALLER % �a%�- (,/CEry5 ONL,y/ PHONE # - ADDRESS ,,/1A REGISTRATION /LICENSE # 'i8D Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. SEE I:NCL0S19.6 ce"S,— r"e- ricvyj ®rzf�W'nl4S — (��c�Ai2 CdntS/S'i S �r /NSi ��- Ti�N AY4 5vrLP -It 0 N •12r._nrUk 4,7S l N Aft A Woe e !!&y ► - TES T i N ci XJy&5 100 S 4-Y V-3 11 NG S C:.D I, as owner,agree to the conditions stated on this form SIGNATU TITLE Bg 1ve?.V DATE? 2 /J (owner) -- OVJV��✓ • •-� I, the septic installl; a r om�ty,�acitkz the conditions of this permit-for the septic system--repair SIGNATURE �� �fi TITLE DATE (installer) 6 % 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved Proposal Denied ❑ t fliqlIq t.� `f l �. Zepair ector's Signature & Title, Date Expiration Date proposal is in compliance with applicable codes Yes No COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 ALLEN. BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director. of Environmental Health DEPARTMENT OF HEALTH :1 Geneva Road, Brewster, New York 10509 November 17, 2014 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Insite Engineering Zac Pearson, P.E. 3 Garrett Place Carmel, NY 10512 Dear Mr. Pearson: 1101ARYELLEN ODELL . County Executive. Re: Addition — Approval — Winding Glades LLC No Increase in Number of Bedrooms 32 — 84 Ballyhack Road (T) Patterson, T.M. 35 -5 -36 This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated November 17, 2014. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The legal bedroom count is four. In the future an additional bedroom can be added, but it must be,approved by this Department first::. - 3. The area of the existing sewage disposal system and its expansion area must be maintained. 4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc.. . . 5. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 6. This approval is valid for two (2) years and expires on November 17, 2016. Any permits or variances required under the jurisdiction of the Town of Patterson are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43157. Respectfully, JJ e h S. Paravati Jr. P.� p istant Public Health Engineer. . JSP:cml cc: BI (T) Patterson ALLEN BEALS, M.D., J.D.. Commissioner of Health ....:. _ RO13ERT -- *MO — RIS;..P:E:;.:T"H'-.. Director. of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 November 17, 2014 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Insite Engineering Zac Pearson, P:E. 3 Garrett Place Carmel, NY 10512 Dear Mr. Pearson: MARYELLEN ODELL County Executive Re: Addition — Approval — Winding Glades LLC No Increase in Number of Bedrooms 32 — 84 Ballyhack Road (T) Patterson, T.M. 35 -5 -36 This Department has received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated November 17, 2014. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The legal bedroom count is four. In the future an additional bedroom can be added, but it must be approved by this Department first. area-of-tlze-existing sewage-disposal syke in-arid-its,exp.—tision- area-must be-.. maintained. 4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc.. . . 5. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 6. This approval is valid for two (2) years and expires on November 17, 2016. Any permits or variances required under the jurisdiction of the Town of Patterson are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43157. Respectfully, J S. Paravati, Jr., P.E. istant Public Health Engineer. JSP:cml cc: BI (T) Patterson 7 PATTERSON PLANNING PAGE 02102 09/04/2014 09::z-, 8458782019 SKERLITA AMLER, MD, MS, FAAP LORETTA MOUNAW, RK, bgri Associate Commissioner ofHeafth DEPARTMENT OF HEALTH I Geneva Road. 13rqMter, New York'I 0509 ROBERT J. BONIk ROBERT MORRIS, PE. Director of Environmental Health romn Xmid Bedro_Qm_Coutlt & Provosed AddidoA Statui (Owner's Name) Tax Map-# Address: Town:. Year Built: Lea .. According to records mailftined by the.Tqwxi, the above -noted dwelling.' is'. in. compliance with Town- Code. - Is not M compliance o with Town Code, 'Ile Legal Bedr6om Cbunt Thts in onjvfion S,.6eA6bWn6d-.firorn, bal Ceitificate of Occupancy Other The 'plans for the propose.•iddition are considered: New Construction Addition to existing h,6W,.Only. TcgdpVvt and/or re..:b'uild allowed. under Town R4ilations_ D 6- Envtronmenial Health '(W) 278-6130. fix (945) 279-7921 Water Supply Section • (m) 223-5 r86 Fax (945) 226-5414 Nur3ft Services ("5)27&658 Fax *(M. )279-6M6 - Nursing Home Care Fax (845) 27z6085 WIC (845) 279-6675 Early 14tervention i Pmehool (945) 22$ r2847' Fax (9,45) 225 -1580 — - - - - - - -. _ ... . -. __A- LLEN- ._,BEALS9 A : _ -AK EL EN ODELL Commissioner of Health 'E County Executive ROBERT MORRIS, P.E., MPHW O Director of Environmental Health DEPARTMENT OF HEALTH .1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 October 24, 2014 Insite Engineering Zac Pearson, P.E. 3 Garrett Place Carmel, NY 10512 Re: Proposed Addition — Winding Glades, LLC 32 -84 Ballyhack Road (T) Patterson, TM 35 -5 -36 Dear Mr. Pearson: The application for the above referenced project is incomplete. Please provide the following: • All rooms are to be labeled. Review of your application will continue once the above documentation is received. Please do not hesitate to contact us if any questions arise. Sincerely, seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml Lzl�l A vouuc04 L IIa D i-E L:JT: JI FO O JSt . � El� s al6' s SIR. W UU Z c I r N_ TT E 3 °(oS E W p W_ 71\11 O PUTNAM COUNTY DEPARTMENT OF HEALTH �' DIVISION DF ENVIR®N1 EN'TAL HEALTH SERVICES 'f "-- . , CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT #= P= £ Located at (LOP-ice Town or Village Fk ,- e2sbry Owner /Applicant Name W , 4-o o t4 G C, i...ft D sS , 0--c- Tax Map 3 S. - Block �' Lot Formerly��7 A Subdivision Name ►J' � � Subd. Lot # N ! A Mailing Address q 1�.A ASot-�`S 1 SLAoa D Vo Nb 4 M1yS -n C- C=T Zip c7�3 SJ Date Construction Permit Issued by PCHD -+ - I i -- I LA 20 I Separate Sewerage System built by 12 r Ty"r-> P Address I Consisting of lif o oo Gallon Septic Tank and Z L����+2 1=•F�r c9 r= i► >� 5vt��T /a ^F Other Requirements: P4 & Water Supply: Public Supply From Address or: K Private Supply Drilled byX,s� i�4 A/-e-1-L- Address erosion.control_been completed? Number of Bedrooms / Has garbage grinder been installed? N 0 I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: dS 01 1 `f Certified b P.E. R.A. (Den Professional) Address �v►s- {a �%vetx ivr, 3 v, N I [Cos : License # 6 l9 S 0 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 revocation, modification or change is necessary. B Title: AO Date: A6 Wh to opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 Dec 10 1411:37a Tyndall Septic Systems 8452795989 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVBION OF ENVIRONMENTAL BEALTH SERVICES p.1 GUA.RA.KEE OF Sf7BSURFACE SE -WAGE TREATT IW NT SYSTEM 1 ►►��►eac, C,t a 5 , Z,LC. 35% Owner or Purchaser of Building Tax Map Block Lot �.►+S Fw�t,D�.yC LR�rJaKTrays foa�� 8; oauNF_.t) �TI�.,arJ - Building Constructed by To*n/Village 9AIJ- YNR<,K R-AZN WIA I Location - Sheet Subdivision Name I 83, 4 2•J W �A Building Type Subdivision Lot ;4 I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system servir g the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance tai & the standards, rules and regulations ofthe Putnam Cour ty Department of Health, and hereby guarantee to the owner, his sueoessors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate fora period of two years immediately following the date of approval of the "Certificate of Constriction Compliance" for the sewage'treatment system, or any repairs made by me to such system, except where the failure to _...... __ _......._. _operaate is rani�ed''dyfhe wiilfitl br tiegiigent �ioftlie occugaiit o �iie bi ildih- g'utiii gthe _ _.... system. The undersigned fffier agrees to accept as conclusive the determination of the -Public Health Director of the Putnam County Department of Heald: as to W.1hether or not the failure of the system I i 1 to operatg was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: 20) th �� Day 1 Yearo�q Signature: ,c_ �.� L Title: General Contactor er) - Signature Co Corporati Name (if corporation) i Address:.' Address:rsK: �r�a -Jr r State Zip State A s F_ eT % Zip i Form GS -97 { i Dec 1014111 376 Tyndall Septic Systems 8452795989 p.1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIV18ION OF ENVIRONMENTAL HEALTH SERVICES GUARAKEE OF SUBSU"ACE SE -WAGE TREA T 1WENT SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, constriction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance With the standards, rules and regulations ofthe Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for •a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage .treatment system, or any repairs trade by me to such system, except where the failure to- of the budding utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Healtul, as to Whether or not the failure of the systmn to operatg was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Mo 1th Day Year42 D 1 f Signature: Title: o4f ��- Geaeral Contractor er) - Signature L L Corporati M n Flame (if corporation) Address: ' ' • Address, State Zip Slate A ZiAS 1 � Form GS -91 Owner or Purchaser of Building TGx Map Block Lot vy AiNC2 (A"Cw mn GaMr $; yrui.•F.�) !/l7TEl�SovJ Building Comlructed by To*WVillaae 9AI- YHRC_a_ RAAD WIA Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, constriction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance With the standards, rules and regulations ofthe Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for •a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage .treatment system, or any repairs trade by me to such system, except where the failure to- of the budding utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Healtul, as to Whether or not the failure of the systmn to operatg was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Mo 1th Day Year42 D 1 f Signature: Title: o4f ��- Geaeral Contractor er) - Signature L L Corporati M n Flame (if corporation) Address: ' ' • Address, State Zip Slate A ZiAS 1 � Form GS -91 /NS/ TE ENGINEERING, SURVEYING & LANDSCAPEARCHITECTURE, P.C. 3 Garrett Place (845) 225 -9690 Carmel, New York 10512 Fax: (845) 225 -9717 TO: Putnam County Health Department 1 Geneva Road Brewster, NY 10509 WE ARE SENDING YOU ❑ Shop Drawings ❑ Copy of Letter . 1LETTE 'OF TRANSMITTAL ITTAL - Date: 3 -23 -15 Job No. 13126.100 Attn: Joseph Paravati, P.E. Re: Barn SSTS - Winding Glades Construction Compliance Application 32 -84 Ballyhack Road, Patterson TM# 35. -5 -36 ® Enclosed ❑ Under separate cover via ® Prints ❑ Plans ❑ Change Order ❑ the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 3 -16 -15 ' Bacteriological Test Results THESE ARE TRANSMITTED as checked below: ❑For approval ❑Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ® As requested ❑Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: As requested in your January 15, 2015 letter regarding the previously submitted construction compliance application, enclosed are results from a bacteriological test performed on a water sample taken from the recently renovated barn at the above noted property. Feel free to contact this office with any questions or comments you may have COPY TO: 13. Benoit SIGNED: M. Lourenco Matthew J. Gironda, CPESC Design Engineer IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE W032015p.doc ALLEN BEALS, M.D., J.D. Commissioner of Health r�-ROBERT MORRIS,- P.E..9 11RPH Director of JIM ironmental Health DEPARTMENT' OFD. HEALTH 1 Geneva Road, Brewster, New York 10.509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 January 15, 2015 Insite Engineering Matthew Gironda 3 Garrett Place Carmel, NY 10512 MARYEELLEN ®DELL County Executive: Re: Construction Compliance — Winding Glades 32 Ballyhack Road (T) Patterson, TM 35 -5 -36 Dear Mr. Gironda: This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. ..:......... ®W . A. water .test for bacteria -only s to be provided for - review::.. This office. will continue its review upon consideration of the above mentioned comments. Please feel .free to contact me at ext. 43157 if any questions arise. Sincerely, (oseph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cw NS/ T ENGINEERING, SURVEYING & LA NDSCA PE A RCHITEC TURE, P.C. — -. - ----4�;tETTERDF TRANSMITTAL--: 3 Garrett Place (845) 225 -9690 Carmel, New York 10512 Fax: (845) 225 -9717 TO: Putnam County Health Department 1 Geneva Road Brewster, NY 10509 Date: 12 -11 -14 Job No. 13126.100 Attn: Joseph Paravati, P.E. Re: Barn SSTS - Winding Glades Construction Compliance Application 32 Ballyhack Road, Patterson TM# 35. -5 -36 WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via ❑ Shop Drawings ® Prints ❑ Plans ❑ Samples ❑ Copy of Letter ❑ Change Order ❑ the following items: ❑ Specifications COPIES DATE I NO. DESCRIPTION 1 ... . ............. _ ....... ...._........... _.. .... .............. ... 1 12 -11 -14 ...... ._... ... _ ............ ..... ........... ..... _ ....... _ ... 12 -11 -14 CC -97 _ W. ..... _ ....... ...... .... .......... .................. _ .... ........ - - - - -- Certificate of Construction Compliance ... ..... .... j........._........._......_._._.....__............_..._...._...._._......._......._..._._..........__._....._.._..._._........._........_........................_..................................................._..._... ._......................._..... E911 Address Verification Form 3 ..._...._.. . ............... _.._.. ................ _....__... ....... 5 12 -1 -14 ._ ........... ..._-.........................._._......_. 12 -11 -14 -- - - - - -- ... ..._.........,__._...._...... ; AB -1 Guarantee of Subsurface Sewage Treatment System As Built Drawing 1 11 -26 -14 - $300.00 Certificate of Construction Compliance Fee THESE ARE TRANSMITTED as checked below: ®For approval ❑Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested []Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: The enclosed information is for your review and approval, please feel free to contact this office with any questions you may have. COPY TO: B. Benoit (w /enclosures) SIGNED: M. Lourenco (w /enclosures) fire ntelmo, P.E. Senior Principal Engineer IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lot121114jp.doc ALLEN SEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director ofEnvironmental Health September 10, 2014 Insite Engineering Jeffrey Contelmo 3 Garrett Place Carmel, NY 10512 Dear Mr. Contelmo: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL Counly.Fxecutive Re: Field Inspection — Winding Glades LLC Ballyhack Road (T) Patterson, TM 35. -5 -36 The above referenced separate sewage treatment system can be backfilled. There are no open comments to be addressed at this time in reference to this Department's open work inspection. If you have any further questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely,,.., Gene D. Reed Principal Environmental Health Engineering Aide GDR:cml r u t NA1v1 U v U.N T Y DJUAK'1'MN:N T OF HEALTH DIVISION OF ENVXRON1VIEPITAL HEALTH -SERVICES FINAL SM INSPECTION Date: ' 9 Inspected by: Street Location // ;z inisx k Owner J TM # 3 s`; - 5- -3 6. Subdivision Lot 1. Sewage System Area a. STS area located as per approved plans .......... :................ b.. Fill section- date of placement 3:1 barrier LVk Width . Avg.Dpth c. Natural soil not stripped...... ............. ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 1 00' from water course! wetlands ...... ....:.......................... lI. S a ste a. aptic tank m ,000 ..:..... 1, 250 ......... other ................. c. I O cmmirm�m from foundatiOIL ......... ............................... d. Diets b ' n 'Bo 1. Alt outlets at same elevation- water.teged ............. 2-. Protected below frost ................. ............................... 3 . Minimum 2 ft. Origiaal soil between box & trenches e. J �` Box - properly set .......... ............................... 6. 1. lengthrequired Length installed 1,2- G 2. Distance to watercourse measured - - IeO Ft.......... 3. Instilled according to plan...:....... 4. Slope of trench acceptable 1116 -1./32 "/foot............. 5. 10 ft. from properly line - 20 ft.- foundations.......... 6.. Depth of trench <30 inches from surface .................. 7.. Room allowed for expansion, 10.0% ......................... 9.. Size of gravel 3/4 - I1 x"" diameter clean ...............::... 9. Depth of gravel in-trench 12" minim"......:,........... 10. pipe ends. ed ......................................................... - 1 . Shze of pump ............... ............................... -2. Ova$ow tank.. ................ .............. .................. 3. karm, visnaUauiiio . ...:......... ............................... 4. Pump .gmfly- accessible, manhole to grade. .............. 5. F'ir'st boi¢ bafaed ........................... ....... .... ........... ............ 6. Cycle witnessed by H D.estimated flow /cycle........... IIL Hou d' ' a. house ocfb dedroomapproved plans .. ............................... b. Numb ed-roo ..................... ............................... IV. wen Weff Toaated as per approved plans .......:................ b. Distance from STS area measured •.,tide • 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 .h sh with inside of box ................... ......... d. B 4M material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h_ Surface water protection adequate.. ...- :......................... i. Erosion control provided ........ ............................... ..... Rev. 12/02 12/11/1014 THU 11:03 rAX INSITE ENG. [A 001/001 ALLEN BEALS, M.D. MARYELLEN ODELL -: „ Commissioner•o €f ltk ,�_ _ ...._. .. _ .... CountyExect 4jr ;�. .. _ ... ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 E911 ADDRESS VERIFICATION FORM O'WNER'S NAME: W k N -0 ro C, C, Lt'•PF- S, L -L-C. TAX MAP NUMBER: 3,G". —S -3 ES) 11 ADDRESS: Z f}L(� �CjCf� /3/� EwSiE�NY /oSo� TOWN: FR rm-\'Z-.S o,'a AUTHORIZED TOWN OFFICIAL.- 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 with the application for a Certificate of Construction Compliance. KLY 7/13 t:. PI vw- Nuironme i !Wo aio- esg Inc. Monday, March 16, 2015 Attn: Ms. Madelyne Hyatt Hyatt Pump Service 229 South Road Holmes, NY 12531 Project ID: WINDING GLADES Sample ID #s: BH82403 This laboratory is in compliance with the NELAC requirements of procedures used except where indicated. This report contains results for the parameters tested, under the sampling conditions described on the Chain Of Custody, as received by the laboratory. A scanned version of the COC form accompanies the analytical report and is an exact duplicate of the original. If you have any questions concerning this testing, please do not hesitate to contact Phoenix Client Services at ext. 200. Sincerely yours, .COL Phyllis Shiller Laboratory Director NELAC - #NY11301 CT Lab Registration #PH -0618 MA Lab Registration #MA -CT -007 ME Lab Registration #CT -007 NH. Lab Registration #213693 -A,B NJ Lab Registration #CT -003 NY Lab Registration #11301 PA Lab Registration #68 -03530 RI Lab Registration #63 VT Lab Registration #VT11301 587 East Middle Turnpike, P.O. Box 370, Manchester, CT 06040 Telephone (860) 645 -1102 Fax (860) 645 -0823 PHO yo U � Environmental Laboratories, Inc. NY '# 11301 s 587 East Middle Turnpike, P.O.Box 370, Manchester, CT 06045 Tel. (860) 645 -1102 Fax (860) 645 -0823 Analysis Report FOR: Attn: Ms. Madelyne Hyatt Hyatt Pump Service March 16, 2015 229 South Road Holmes, NY 12531 SamDle Information Matrix: DRINKING WATER Location Code: HYATT Rush Request: Standard P.O. #: Custody Information Date Time Collected by: 03/11/15 11:00 Received by: LB 03/11/15 16:30 Analyzed by: see "By" below Laboratory Data SDG ID: GBH82403 Phoenix ID: BH82403 Project ID: WINDING GLADES Client ID: BACTERIA PROFILE Parameter Result RL/ PQL Units DW MCL Sec Goal Date/Time By Reference Escherichia Coli Absent 0 /100 mis 0 03111/1520:40 RS SM9223B -04 Total Coliforms Absent 0 /100 mis 0 03/11/15 20:40 RS SW9223B Hardness (CaCO3) 241 0.1 mg /L 03/13/15 E200.7 Alkalinity -CaCO3 210 20 mg /L 03/12/15 RWR/KD13SM2320B -97 Chloride 120 15 mg /L 250 03/13/15 BS /EG E300.0 Color, Apparent < 1 1 Color Units 15 03/11/15 19:00 DH/KDB SM212OB -01 - - Nitrite as Nitrogen :, - < 0.004 0.004 mg /L ,1_ _ 03/12/15 is:a7 ,:BS E 300.0 . . Nitrate as Nitrogen 1.42 0.05 mg /L 10 03/12/15 16:47 BS /EG E300.0 Odor at 60 Degrees C < 1 1 T.O.N. 3 03/11/1518:00 O SM215OB -97 1 pH 7.71 0.10 pH Units 6.5 -8.5 03/12/15 08:49 RWR /KD13SM4500 -H B -00 1 Sulfate 14.7 3.0 mg /L 250 03/12115 BS /EG E300.0 Turbidity 1.66 0.20 NTU 5 03111/1519:59 SM213OB -01 Calcium 60.7 0.005 mg /L 03/13/15 LK E200.7 B Iron 0.289 0.002 mg /L 0.3 03/13/15 LK E200.7 Magnesium 21.7 0.01 mg /L 03/13/15 LK E200.7 Manganese 0.026 0.001 mg /L 0.05 03/13/15 LK E200.7 Sodium 62.2 0.50 mg /L 03/13/15 EK E200.7 Total Metal Digestion Completed 03/12/15 CB /CB E200.5/E200.7 A Page 1 of 2 Ver 1 I Project ID: WINDING GLADES Phoenix I.D.: BH82403 Client ID: BACTERIA. PROFILE. :. RL/ DW Sec Parameter Result PQL Units MCL Goal Date/Time By Reference 1 = This parameter is not certified by NY NELAC for this matrix. NY NELAC does not offer certification for all parameters at this time B = Present in blank, no bias suspected. RL /PQL = Reporting /Practical Quantitation Level ND =Not Detected BRL =Below Reporting Level (less than the reporting level, the lowest amount the laboratory can detect and report.) MCL =Maximum Contaminant Level MCLG = Maximum Contaminant Level Goal Comments: Maximum Contaminant Level (Lower of): 40 CFR Part 141; Public Health Law, Section 225 Part 5, Subpart 5 -1. The highest level of a contaminant that is allowed in drinking water. MCLs are enforceable standards. Secondary DW Maximum Contaminant Level Goal (MCLG): 40 CFR Part 143. The level of a contaminant in drinking water below which there is no known or expected risk to health. MCLGs are non - enforceable public health goals. The regulatory hold time for pH is immediately. This pH was performed in the laboratory and may be considered outside of hold - time. If there are any questions regarding this data, please call Phoenix Client Services at extension 200. This report must not be reproduced except in full as defined by the attached chain of custody. a Phyllis hiller, Laboratory Director March 16, 2015 Reviewed and Released by: Bobbi Aloisa, Vice President Page 2 of 2 Ver 1 - - PHOEA7X* —1 ACCq� C� 214 * Environmental Laboratories, Inc. <1 NY #��so� Y 587 East Middle Turnpike, P.O.Box 370, Manchester, CT 06045 QA/QC Report Tel. (860) 645 -1102 Fax (860) 645 -0823 March 16, 2015 QA/QC Data SDG I.D.: GBH82403 Sample Dup Dup LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank Result Result RPD % % RPD % % RPD Limits Limits QA/QC Batch 301431, QC Sample No: BH81110 (BH82403) ICP Metals - Aqueous Calcium 0.005 78.4 78.0 0.50 93.1 NC 75-125 20 Iron BRL 0.064 0.063 1.60 95.8 93.7 75-125 20 Magnesium BRL 28.4 28.5 0.40 94.1 NC 75 -125 20 Manganese BRL 0.004 0.004 NC 96.8 95.7 75 -125 20 Sodium BRL 91.0 91.9 1.00 96.1 NC 75-125 20 Page 1 of 2 1111P I rA 10EUft Environmental Laboratories, Inc. 587 East Middle Turnpike, P.O. Box 370, Manchester, CT 06045 QA/QC Report Tel. (860) 645 -1102 Fax (860) 645 -0823 March 16, 2015 QA/QC Data a NY .# 11301 SDG I.D.: GBH82403 If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD - Relative Percent Difference LCS - Laboratory _ Control Sample LCSD - Laboratory Control Sample Duplicate, MS - Matrix Spike Phyllis hiller, Laboratory Director. - - MS Dup - Matrix Spike Duplicate NC - No Criteria March 16, 2015 Intf - Interference Page 2 of 2 Sample Dup Dup LCS LCSD LCS MS MSD MS Rec RPD Parameter Blank Result Result RPD % % RPD % % RPD Limits Limits QA/QC Batch 301399, QC Sample No: BH81968 (BH82403) Alkalinity -CaCO3 BRL 30 30 NC 103 85 -115 20 QA/QC Batch 301393, QC Sample No: BH81968 (131-182403) pH 7.06 7.03 0.40 99.2 85 -115 20 QA/QC Batch 301571, QC Sample No: BH82290 (131-182403) Chloride BRL 95.0 85-115 20 Nitrate as Nitrogen BRL 2.21 2.25 1.80 97.7 99.0 85-115 20 Nitrite as Nitrogen BRL <0.01 <0.01 NC 108 106 85-115 20 Sulfate BRL 93.8 85 -115 20 QA/QC Batch 301584, QC Sample No: BH82989 (BH82403) Chloride BRL 393 398 1.30 96.2 101 85-115 20 Nitrate as Nitrogen BRL 2.31 2.31 0 106 103 85-115 20 Nitrite as Nitrogen BRL <0.05 <0.05 NC 102 102 85-115 20 Sulfate BRL <15 23.8 NC 93.2 105 85-115 20 If there are any questions regarding this data, please call Phoenix Client Services at extension 200. RPD - Relative Percent Difference LCS - Laboratory _ Control Sample LCSD - Laboratory Control Sample Duplicate, MS - Matrix Spike Phyllis hiller, Laboratory Director. - - MS Dup - Matrix Spike Duplicate NC - No Criteria March 16, 2015 Intf - Interference Page 2 of 2 Monday, March 16, 2015 Sample Criteria Exceedences Report Page' of 1 Criteria: None GBH82403 - HYATT State: NY RL Analysis SampNo Acode Phoenix Analyte Criteria Result RL Criteria Criteria Units "' No Data to Display "' Phoenix Laboratories does not assume responsibility for the data contained in this report. It is provided as an additicnal tool to identify requested criteria exceedences. All efforts are made to ensure the accuracy of the data (obtained from appropriate agencies). A lack of exceedence informal on does not necessarily suggest conformance to the criteria. It is ultimately the site professional's responsibility to determine appropriate compliance. c� ,a PHO Environmental Laboratories, Inc. d NY # 11301 587 East Middle Turnpike, P.O.Box 370, Manchester, CT 06045 Tel. (860) 645 -1102 Fax (860) 645 -0823 NY Temperature Narration March 16, 2015 SDG I.D.: GBH82403 The samples in this delivery group were received at 4°C. (Note acceptance criteria is above freezing up to 6 °C) Page 1 of 1 PUTNAM C 7UNTY DEPARTMEN' OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DES �AT,X SHEET =` SuRst RFACE"SEW"A"GE7TREATfAENT SY-S -T'EM- �_ r- .-- :.�..:.:,,-._ Lot -9 2 c� P�6US A tL&hq^ �y FrennJV5 C O,-- � Owner jejttjl,,, 4 Ro ,-A t_ t_ c- Address Po. lbw leg,, 3 , Located at (Street) (ash, k ."-L gm'A Tax Map 35, Block 5— Lot 17 (indicate nearest cross street) Municipality Mlel -.fa., Watershed 5.,1, Gr,,L SOIL PERCOLATION TEST DATA Date of Pre - soaking I Date of Percolation Test _; .91 r / 10 No ole Run No. Time Start - Stop1O') Elapse Time Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch 2 e: 1 9:.3v p 1wou o 2 24 ¢ i. s, 2 v.ou 10!:30 3a 0 3 3 10 3 0:.3i 30 26 2.3 3 t 0 4 5 3 vt v -r. WOO 3o 20 -30 4 5 1 2 3 4 5 NOTES: l.. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e.:_< 1 min for 1 -30 min/inch, 5 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 Pg. 1 of 2 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES __..w _�.... , 'I l✓T'I P..... ,.w..0 HOLE NO: 2 c > m.._._ HOLE 1�1t):..,. _ .:.Z.�_4,.....�. I Tt�LE Igo. G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered Al LA Indicate level at which mottling is observed AIZA Indicate level to which water level rises after being encountered AL11* - Deep hole observations made by: 5oa Pa-,,,j: Ra_(Pco,:�►T, eE. % ��V Wf56� ZcL , D i PUTNAM COUNTY DEPART4kLNT OF HEALT DIVISION OF ENVIRONMENTAL HEALTH SERVICES ) 0 ONSTRUCTION PERMIT FOR SEWAGE TREA`i'111V'` �YSTEM. PERMIT # Located at j-�igLL -'i 0Aa- (2e pT� Subdivision name N I A Subd. Lot # Date Subdivision Approved N ,A Owner /Applicant Name VA M-DiN C, e Mailing Address -4 O A so 0' 5 % 5 LAni D �2 e(ab Amount of Fee Enclosed )PS O 0 • c Ll Town or Village Tax Map_ " Block `� Lot ., Renewal Revision Date of Previous Approval myS-J jc- e i zip (!,65-;;S- Building Type ,W%d�- SA "zh Lot Area sz. No. of Bedrooms I Design Flow GPD Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1,000 gallon septic tank and 6` /4/35 ©n( 7-(Z"r-4 Other Requirements: 0 1 A To be constructed by -fGD - L, c 1- 5NS6'D (3 r4 L-Y Water Supply: "— Public Supply From Address , l Z S L-111 'el+rL -- Address ,-- :...__ -.rri,v te-Su l Dn.lcd b xi. ,.i.. G. V .l-� — _ _-. _ ..._ PP y i y. s� d. _ �.._.. �_.... _ .4ddress........ 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 Director /Commissioner 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: P.E. R.A. Date Address t �� 3 fl°U� a� w* License # 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 hen considered necessary by the Director /Commissioner. Any revision or alteration of the approved plan requires a new pe it.' A pro d f discharge of domestic sanitary sew ge only. By: Title: Date: White copy - HD Fi ; Yq low opy - Building Inspector; Pink copy - ne Ora a copy - Design Professional t,. Form CP -97 NS/TE ENGINEERING, SURVEYING & L —DSGAPEA- RCHI7`ECTURE, PC. - :� - -- ._...— June 18, 2014 Mr. Joseph Paravati, P. E. Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS for Winding Glades, LLC Ballyhack Road Town of Patterson Tax Map #1;3.3 -92 . Dear Mr. Paravati: In connection with a request for an SSTS permit application at the above referenced property enclosed are the following: • Five (5) copies of Construction Drawings, CD1 & CD 2 dated June, 2014. • Construction Permit for Sewage Treatment System Application, Form CP -97 • Application for Approval of Plans For a Wastewater Treatment System, Form PC -97 Y Two (2) copies of Floor Plans. • One (1) copy of Letter of Authorization, Form LA -97. s One (1) copy of Affidavit - Corporate Owner Application, Form CA -97 • One (1) copy of design data sheets • $500 Application Fee . The proposed SSTS shown on the enclosed construction drawings will service the existing barn currently under renovation located at the above referenced property. The barn renovation includes the ..installation ofa.full. convenience .bathroom;on.the.second.floo� of_the bam..The proposed .SSLSJias.:fzeen.,:_____ - -.:.' designed to for a 1 bedroom design flow (150 GPD), as discussed with Zac Pearson, P.E. of our office. Soil testing in the area of the proposed SSTS was completed and witnessed by your department for the previous owner of the property on July 1, 2010 and July 6, 2010 as a part of a prior subdivision application. The proposed SSTS is located in the area of the Lot #2 of the previous subdivision application. Please feel free to contact us with any questions you may have regarding this matter. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By: Jeo,4,y J. ontel o, P.E. SeniorlWcipal Engineer JJC /mjg Enclosures cc: B. Benoit (w /enclosures) Insite File No. 13126.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www insite -eng. com 061814jp.doc ' a �61 VI G 3 5' CA(znc,e- pooe.s 6�'- E r-1 KhMM COUi`M DEPARTMBff OF W", HOUSE PLANS APPROVED FOR BEDROOM . ALL SUBSE(! )Wf 41EVIS IIALTERATIONS TO THESE HOUSE ED TO THE FCDON FOR APPROVAL �— -11^ 1¢ 3s-s- 3(a. 8AQN F196T- f i.' 2 pLqN WINDING, C)LsAt as, L.L.C. 13A".YNAe,,4 CZpA'� ?ArrS" C t� , N Y �NSIT, ' TTVENGINEERING, SURVEY / IG & LANDSCAPEARCHITECTURE, P.C. 3 Garrett Place (845) 225 -c Carmel, New York 10512 Fax: (845) 225 -5 www.insite- eng.com a 4 Iv Ni-A bm, j I S-N V�, Th lua / t 1 SAW SAD f:Zme- RAN W N ON C) C4 LAbF -5.' ..L..C, PArrF-V. , NY /NS/ Tom' .. ENGINEERING, SURVEYING & LANDSCAPEARCHITECTURE, P.C. 3 Garrett Place (845) 225 -f Carmel, New York 10512 Fax: (845) 2254 www.insite- eng.com �- . /NS /TE ENGINEERING, SURVEYING & - NDSC . e' AR RE; July 8, 2014 Mr. Michael J. Budzinski, P.E. Director of Engineering Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS for Winding Glades, LLC Ballyhack Road Town of Patterson Tax Map # 13 -3 -92 Dear Mr. Budzinski: Enclosed please find five (5) copies of the following: • Existing Conditions / Overall Plan, Drawing CD -1, dated June 10, 2014. • Enlarged Barn SSTS Plan, Notes & Details, Drawing CD -2, last revised July 7, 2014. In response to your comment letter dated June 30, 2014 comment letter we offer the following: 1. The project plans have been revised to rotate the proposed septic tank slightly to provide only one (1) cleanout before and after the septic tank. Both of the proposed cleanouts are located outside of the proposed driveway. 2. The first floor of the barn is proposed to be open storage for vehicles, as there are two garage doors that will open to the west. The second floor is proposed to be open storage and work space, with a convenience bathroom. 3. A note has been added to Drawing CD -2, stating that a Putnam Profile Water Analysis is to be conducted on a water sample from the existing well. The results will be submitted with the compliance paperwork. - - Please feei-free to contact us with any questions you may have regarding this matter. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By: ffrey J. on Imo, P.E. Senior rincipal Engineer JJC /zmp Enclosures cc: B. Benoit (w /enclosures) Insite File No. 13126.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.insite - eng.com 070814mb.doc ALLEN BEALS, M.D., J.D. Commissioner of Health �1- Y��v ROBERT MORRIS, P.E., MPH Director of Environmental Health June 30, 2014 Insite Engineering Jeff Contelmo, P.E. 3 Garrett Place Carmel, NY 10512 Dear Mr. Contelmo: DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL County Executive Re: Proposed SSTS for Winding Glades at Ballyhack Road (T) Patterson, TM 35 -5 -36 This Department has received and reviewed the submitted application and plans for the above . referenced project and the following comments are offered for your consideration. ✓1. As proposed, the cleanout immediately downgradient of the septic tank is shown at the edge of the. drivewa thereb increasin the likelihood it may be dama e b vehicles,.__„ _ .�....y...__cr g_ likelihood .._t y._.. g. by Consideration should be made to either relocate the driveway further away from the / cleanout or move the septic tank further from the building. �✓ What is the purpose of the bathroom on the second floor in the barn? . A note is to be added to the plan stating that a Putnam Profile Water Analysis is to be conducted on a water sample from the existing well. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. Respectfully, Michael J. Bu s i E. Director of Et MJB:cml 6 "� ALLEN BEALS, M.D., J.D. Commissioner of Health - ' :' ROBERT' 1VId►YtRIS .,MPH Director ofEnvironmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 June 26, 2014 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Insite Engineering Jeff Contelmo, P.E. 3 Garrett Place Carmel, NY 10512 Re: Complete Application Determination for Winding Glades at Ballyhack Road (T) Patterson, TM35 -5 -36 East Branch Reservoir Basin Dear Mr. Contelmo: MARYELLEN ODELL . County Executive The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on June 19, 2014 is complete. The Department will notify you by July 16, 2014 of its determination. ❑x The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. - ... -_- — .- • -• -If- the - Department fails- to-not y you within-the above- referenced-tiirie frame; you "may notify the - Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 808 -1390 ext. 43148. spectfully, I ichael J. B Director of MJB:cw WS2 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT IMORRIS TZ 1WH Director of Environmental Health MARYELLEN ODELL County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New Fork 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 TO: NYC DEPARTMENT OF ENGIINEERING AND DESIGN REVIEW ATTN: A4je I Aoe'p-1 SI D FROM: DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM DELEGATED New Application Revision ❑ Renewal ❑ PROJECT : LOCATION: TOWN: r DATE SUB'D APPROVAL: TM NOTICE OF COMPLETE APPLICATION DATE: DELEGATEI) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: �[Ctck 7 Masm 's :Ls Iuti•� hA stet, c.T 063ss'- 2. Name of Project: Wlvtdi! Cq 4lc AQ6 3. Location: ®V: PaAi W-, Jeffrey J. Contelmo, P.E. Insite Engineering, Surveying & 4. Design Professional: l 5. Address: Landscape Architecture- P.C_ 6. Drainage Basin: fZc0 —6mmA\ 3 Garrett Place g Carmel NY 10512 7. Type of Project: Q 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) ? .............. lk�c Type Status (check one) ..... ............................... ............................... Type I 7 Exempt Type II V Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... .ye® 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. YnNo 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ................................ ...................................................... ..eS.. _ _, .._...._...- 13. If so, have plans been submitted to such authorities? ................................. l wo -Pak, -Wo . Tk4 WV-A 14. Has preliminary approval been granted by such authorities? N Ft Date granted: 15. Type of sewage treatment system discharge ........................ surface water X groundwater 16. If surface water discharge, what is the stream class designation? .......................... NIA 17. Waters index number (surface) ............................................. ............................... N IA 18. Is project located near a public water supply system? . ............................... Y-04& 19. If yes, name of water supply N 1 ,�r Distance to water supply 20. Is project site near a public sewage collection or treatment system? ..........440 21. Name of sewage system N ��` Distance to sewage system N A 22. Date test holes observed 23. Name of Health Inspector Ji kvA ?. E 24. Project design flow (gallons per day) ............................. ............................... SQ UY'2vtn�r �71YV1 1 25. Is State Pollutant Discharge Elimination system ( SPDES) Permit required? 26. Has SPDES Application been submitted to local DEC office? ........................ - Yes®o Rev. 11/02 Form PC -97 Pg. 1 of 2 27. Is any portion of this project located within a designated Town or State wetland ?... es 28: Wetlands ID num"ber ................................................................ ............................... 29. Is Wetlands Permit required? ........................................... ..........................•*eso Has application been made to Town or Local DEC ........................... des® 30. Does project require a DEC Stream Disturbance Permit? ........................... Yes 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ....... ............................... ............................Yes _ 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? ................................... ............................... Jv;mco DESCRIBE: 33. Is there a local master plan on file with the Town or Village? ....................... Ye o 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? .............................. .............................moo VhL+'6 PA 35. Are any sewage treatment areas in excess of 15% slope? ..... 36. Tax Map ID Number .............. ............................... Map 35 ...................y,& — Block S Lot 5C 37. Approved plans are to be returned to ................ Applicant/K Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall 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 of a 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 punish ble as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICJAL TITLES. Imite NFneeri , Sur44ing and Landscape Architecture, P.C. Mailing Address: ........................... 3 Garrett Place Carmel, NY 10512 Form PC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH -DI SION�OE- ,ENVIRONMENTAL.HEALTH-,SERVICES RE: Property of I A &+ Located at LETTER OF AUTHORIZATION LL ("IJV 4d UU Tax Map # 35 Block S Lot 3 6 Subdivision of NL' Subdivision Lot # Filed Map # J' Date Filed Gentlemen: This letter is to authorize Insite Engineering, Surveying,& Landscape Architecture P.C. (Jeffrey Contelmo P.E.) a duly licensed Professional Engineer X g**t=k *a6baftM to apply for the required wastewater treatment and/or water supply perinit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health. Department;. and, to sign all. necessary papers. on. my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health Lair, -and the Putnam County' Sanitary Code. C F N E ly ` Very truly. yours,. Countersign ' Q Signed: P.E.,Rc•K, # �'' ,,,�,� O rc (owner oPPrope*) ( P. U Mailing Address y on in g, Mailing Address: W 'Vx & 8 re. P.C. J 44 3 G �' ` el' State New York Zip 10512 State Telephone: (845) 225 - 9690 Telephone: S6 -57-k —iL `/ Z Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH _ONf OF N01[�N'�'A-;'" �IYYC:S - e.. AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: WA L, S LPL represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: Having offices at: -7 HgW'S I -T-c la K4 =M6 Whose OfficM Are: President - Name: Address: Vice President - Name: Address: Secretary -Name: .. .._.. -�.- --- �...�..__�.__..�.. Address: ,_...__.:.._ �..__.,.__... �......._ :...._..._.........:.._........ H - - -- - Treasurer - Name: Address: and that I am and will be individually responsible for any and all acts of the corporation with -respect to the approval requested and all subsequent acts relating thereto. Signed: - Title: Ov-�w r- Swom to before me this n c day of Nam (month) A b (year) �? cc-.,k ! 2Q Notary Publid Corporate Seal Amy D. German Notary Public - Connecticut My Commission Expires September 30, 2018 Fe PUTNAM (_ IUNTY DEPARTMENr" ' OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES N- DA- TA--SHEET =- SUB - SURFACE -SEWAGE`TREATIVIENT-SYSTElV1Y. �- La # 2. X IRNm AfeltcAha,x (r f ve� Cwt Owner frvae -�j / Ge Iij t%,,A R oc t L L c Address P o. l . ies�,, b a� � , g u , y 1195-1 3s. Located at (Street) Qrdt, k ,cC L go"A Tax Map 3 S. Block 5- Lot 3 7, (indicate nearest cross street) Municipality Pe.4-1enje, Watershed EG,j- er4.,h CrAal Pwc1* SOIL PERCOLATION TEST DATA Date of Pre - soaking 6 l 1 o Date of Percolation Test % q 11 No ole Run No. Time Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch IA- 2 3 iu-2Y, r. 'in Sy 3v i`i•s 22•S` 3 ' v 4 5 1:25 q" S5" 30 .20. 24 4- Q. s 3 0 =26 to io-.56 30 0 2'3 10 4 5 1 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. _< 1. min for 1 -30 min/inch, < 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 Pg. 1 of 2 G.L. 0:5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES _a ~HOLE NO. � Z -9'-. "' HOLE NO. Indicate level at which groundwater is encountered �✓j� Indicate level at which mottling is observed &1,4 Indicate level to which water level rises after being encountered /V/-h Deep hole observations made by: Soo P*,4,Lv , P. E. ( per, Z... Ate,;,, P F(4Date o Design Professional Name: Jeffrey J. Contelmo, P.E. Address: Insite Ennineerina. Surveying. & Landscape Architecture, P.C. 3 Garrett Place, Carmel, New York 10512 Signature: PUTNAM CQUNiTY Design Professional =s Seal C)c HEALM 3. Cp,,r�C��\ CO :�'; „� ALLEN BEALS, M.D., J D. MARYELLEN ODELL Commissioner of Health County Executive Dittor ofF&WrortmmW Health DEPARTMENT ...OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 ADDI'T'ION APPLICATION - RESIDENTIAL ONLY Owner's Name: 1A IM-0,4C2 C,t.A�, LL4 Owner's Phone #: Site Address: V>AU -Ya AC V- (ZCIAD TO"'Wn: nAr, Las ofi Tag Map # 3 5. 5-3 6 Owner's Mailing Address: `� Nl o SoN' s _ i Step w i> R�, A b , M Y sr i c. a-7' 063s5- Owner's Signature: of Description of Proposed Addition: PrW6&r ConrsrsTS or- 7-y (7-9 6VA ,0IIJ /R&t�rS;aWC�cti of AN EYUSr"4 , S„,4L1r- r t4k.1' 6N Tl+E SANtE 9'- W"PAT70N. 1110 /WL"ASa /N l&CJ> W Covnjr 02 SO%- 4Q05 Ff--orAGC 15 VPzofbs M. *Number of existing bedrooms: Total number of bedrooms (existing + proposed): * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) * *Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Department of Health, l Geneva Rd, Brewster, NY 10509, Phone: (845) 808 -1390. L Certified check or money order for $100.00. 2. Two sets of sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletia HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS Rev. July 2013 5. INS/ TE ENG /NEERING, SURVEYING & ... .. .. .. L9�IFD .�CsI'P�EA:RCH/T.�G��1/�E, -_�,, R �....r _ ,., ..� . �,�. w,..._..,�^..•.�.G.�.�•. September 24, 2014 Mr. Gene Reed Principal Environmental Health Engineering Aide Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS Repair /Addition Application for Winding Glades, LLC Ballyhack Road Town of Patterson Tax Map No. 35. -5 -36 Dear Mr. Reed: As requested by Joe Paravati, P.E. in a phone conversation with Zac Pearson, P.E. of our office, enclosed please find the following items in support of the previously submitted SSTS repair application: • Revised Construction Drawings, dated September 23, 2014. • Certified Check for $100.00, Check# 1334101211. • Addition Application — Residential Only. • Proposed Floor Plans, dated July 15, 2014 (2 copies). • Certification from the Town of Patterson Building Department, dated September 4, 2014. In response to the comments made in your September 18, 2014 letter we offer the following: 1. The enclosed drawings have been revised to specify a 1,250 gallon precast concrete septic tank as requested. 2. The SSTS repair layout was revised to show a total of ten absorption trenches, in order to maintain a ten foot separation from the proposed absorption trench to the existing driveway. The trenches were shortened and an additional row was added, therefore the profile correctly _depicts the ten junction. boxes proposed.—_ t _..._ -........ _.. _ =�. _... _,..F. 3. The trench layout for the SSTS repair shown has been revised as requested to maintain a ten foot separation between the end of the absorption trench and the existing driveway. 4. Comment noted, prior to the commencement of construction on the SSTS repair a licensed septic contractor will sign the permit application, and a copy will be provided to the health department. If you have any questions or comments regarding this information, please do not hesitate to contact our office. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By: J. onte , P.E. Senior rincipal Engineer JJC /mjg Enclosure cc: Ben Benoit Insite File No. 13126.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.insite-eng.com 092314gr.doc