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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.05 -1 -11 BOX 17 :: 1 (V-1 . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES pCONSTRUC HON PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # / -1 2 Located at East Branch Rd. Subdivision name Brook Hollow EsiSubd. Lot # 7 Town or Village Patterson Tax Map 3 6.5 Block 1 Lot 11 Date Subdivision Approved Filed Feb . 20, 19 7 5 Renewal . Revision Owner /Applicant Name Joseph & Andrea Neri Date of Previous Approval Mailing Address 450 Bedford Rd. Bedford Hills, NY Zip 10507 Amount of Fee Enclosed $300.00 Building Type Single Family Lot Area 14.15No. of Bedrooms 5 Design Flow GPD 1 , 000 acres Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1 , 5 0 0 gallon septic tank and 625 L.F. -24" Wide Absorption Trenches -2' Min. ROB Fill Other Requirements: To be constructed by Water Suonly• to be determined Address Public Supply From Address -- ._.._._..- ..or: - =. - -. _ .X - Private- Supply.- Drilled..by.. —to- be determined - -- 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 .sthereof 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. Addres§--3-T99 Nelson Ave. Box 7, Jefferson Valley NY License# 076296 105,35 APPROVED FOR CONSTRUCTION: This approval expires. two years om 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 whe nsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. proved discharge of domestic sanitary sewage only, / �- �/ J Z By: � Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL - — - please print or type PCHD Permit # /'- 10 - 0 .� Well Location: Street Address: Town/Village Tax Grid # East Branch Road Patterson Map 36 .5 Block l Lot(s)1 1 Well Owner: Name: Joseph & Address: 450 Bedford Rd. Andrea Neri Bedford Hills, NY 10507 Use of Well: 1 Residential Public Supply Air /Cond/Heat Pump Irrigation I- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 6 Est. of Daily Usage 10 0 0 gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling X New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling E: Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes x No Name of subdivision Brook Hollow Estates Lot No.7 Water Well Contractor: to be determined Address: Is Public Water Supply available to site? .................................. ............................... Yes No X Name of Public Water Supply: n/a Town/Village Distance to property from nearest water main: n / a Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: o� Applicant Signatur �' `� PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. An revision or alteration of the approved plan requires a new permit. Well to be constructed by a water we 'ller certified by Putnam County. �1 /& Date of Issue �! [ (�� Permit Issuin g c Date of Expiration (i Title: Permit is Non- Transferr ble White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 4 BRUCE R. FOLEY... ro.,.,....� .. .- ......_., ..._� Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 ' February 7, 2002 Barry Naderman, P.E. 3799 Nelson Avenue Jefferson Valley, NY 10535 RE: Neri East Branch Road, Lot #7 (T) Patterson, TM# 36.5 -1 -11 Reservoir Basin Dear Mr. Naderman: The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on January 9, 2002 is complete. The Department will notify you by February 27, 2002 of its determination. ®...::- The Pro'ect has been dele ated to _ the „ Putnam . County_: Health:Depdrtiielit`..f6r:_.:.. - - ........_ L �. _....__ - _ - g 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 notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application 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 complete, 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 prof ect, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Letter to: Barry Naderman; P.E. - -February 7,--2002- Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2166. Very truly yours, Robert Morris, PE RM:tn Senior Public Health Engineer MAR -11 -2002 11:40A FROM:NADERMAN LAND P &E 914 FOLF -y eclfb Director lR 962 5963 ef DEPARTMENT OF l Geneva Road Brewster, View. York TO:18452787921 P:2/2 LORETTA MOLINARI -P N., M.S.N. - - _ Associate` Pvbfic "Nea1tA• Director -- -° - •• �••� -•- • -• - Director of Patient SerWees HEALTH 10509 .REQUEST EM BEY,D TE Titi ATTENv'TION: ❑ ADAM STIEBELIttG GENE REED All information below must be L& completed prior to any scheduling. ENGINEER ORFIRII: 2/L 7 Y.f- syo_3 RE.A� 01: �iylauvIl.- D,�1�,66Q .S DEEPS PERCS: Ct PUMP TEST: o RO ADISTREET: i9.s!- •B/ /cam �02� .9>' T,r ENO a o %�n cs.3y�¢ %� r TOWN: ��,���sa� TAXMAPr: 3S- S SUBDIVISION: — ,6m1-001-5 /�aGGOr.✓ .�'s?�i?�S li ��s� LOU: 7 OWNER: ti'YCD T CRIT1zRI A F 0 R J011T REVIEiV A_ \ilVn T1'ESSi\ , OF SOiL TESTI G YES NO D Proposed SSTS within the drainage basin oI NVest Branch or Boyds Comer Reservoirs. - - -- - .•.; -_ =.= . ::.:. EroposgdS� S. itb in 500 feet of a reservoir resen oir stem or - control lake. o :zK Proposed SSTS within 200 feet of a w atercourse or a DEC - wetland: "° •• o Proposed SSTS design flow greater than 1000 gallonslday or SPDES Permit required.. o Proposed SSTS for a Commerical Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department v%ill determine the NYCDEP project status (Joint or•Delegated) based on the _ response. If you answeredya to any of the questions, NYCDEP must witness the soil testing. This Department will coordinate a mutually suitable time for field testing with the P.CDOH, the Design Professional and NYCDEP. If a project bas been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is requ.ued to vritness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing viANYCDEP. DATE: CO�i1fE�T5: (rULDTEST) FOR COUNTY USE ONLY WE. MAR -10 -2002 SUN 22:49 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 MAR -11 -2002 11:40A FROM:NADERMAN LAND P&E 914 962 5963 TO:18452787921 P :1/2 6 a .. NADERMAN AND PLANNING AND ENGINEERING, P.G. BARRY G. NADERMAN, P.E. FAX M EM O To: GENE REED — PCHD FAX: 845-278-7921 Cc JOSEPH ANDREA NERI FAX: .666-6513 FROM: BARRY G. NADERMAN, P.E. DATE: 3/11/02 NO. OF PAGES: 2 (INCLUDING 'COVER) RE: PROPOSED NERI RESIDENCE EAST BRANCH ROAD - PATTERSON COMMENTS: Gene,. Per our conversation, as requested, attached find an: additional Request for Field Testing to witness additional deep hole tests-at the a_ b6ve ref6&nded property located behind the VFW. The purpose of the additional testing is to delinoristrate to, department that the rock encountered at 6' and F during the .original testing, was .merely large boulders and not ledge. As directed. by Mr. Robert Morris, the applicant has'dug additional holes at each corner of both the primary and expansion areas as well as inside each areas. The applicant has reported that no rock was encountered to depths greater than 7' in all locations. Should it be demonstrated that the actual rock depths within the disposal and expansion areas are greater than T, it is our intent iop. to elintinate•.the: 2° -ROB c urer$y aemquired.. :. . Please advise when you can witness the additional test'holes "ct6 we Will be sure. the ; holes are cleaned for inspection.. y Thank. you for your continued. assistance. ..... - 5.5403 Jel: 914 24 3199 nelson ave. - fox: 914.962.5963 box 7 y `.:e: bgn @nadecmcn:com 10535 n Y - . -, Jefferson valley. KIOMP a PI ITbdCIM rni IWTY nrrPOPTMFNT nil P 1 %VGTZI 7v �od� �ivr /sue �tr«fy G_e�7- 7 ,r� T 9*7ZAA1- `�tt 3/2- I ©,;7- TEST PIT PROFILES Hole # A-1 Lot # Hole # A _ �L Lot # Hole # /4-3 Lot # Depth to water f ..�Ym Depth to water Depth to water /11 Depth to mottling AljQAZg Depth to mottling. Depth to mottling Depth to rock/imp. NoNje Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L. 0. 0.5 0.5 1.0 1.0 1.0 .2.0 2.0 3.0 3.0 3.0 4. 4.0 4.0 5.0 /ylr� r, r / 5.0 S, 5.0- 5 6.0 ' kf e 6.0 6.0 7.0 w��' °� S/ 7.0 7.0 8.0 8.0 �'-� `' 8.0 9.0 9.0 9.0 10.0 10.0 10.0 Hole # Lot # Hole # A -r" Lot # Hole # . Lot # /Ok 1 `1 - Depth to water - "Depth to- water hJ r Depth`fo water 7 _ 1 Depth to mottling A f Depth to mottling �` Depth to mottling �.� Depth to rock/imp. Depth to rock/imp. Aj Depth to rock/imp. Al G.L. G.L: G.L. 0.5 0.5 0.5 _ 1.0 1.0 1.0 S�I� 2.0 2.0 2.0 3.0 3.0 3.0 4.0 4.0 4.0 \\\ 5.0 5.0 S 5.0 S 6.0 6.0 6.0 7.0 7.0 7.0 8.0 ---- 7 -8 ry 8.0 7 9 '/ 8.0 9.0 9.0 9.0.- (/ 10.0 10.0 10.0 X 7 _y„ A�3 - - - A-5 A X -o e e r BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 = 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Barry Naderman, P.E. 3799 Nelson Avenue Jefferson Valley, NY 10535 Re: Proposed SSTS: Neri February 7, 2002 East Branch Road, Lot #7 (T) Patterson, TM# 36.5 -1 -11 Dear Mr. Naderman: 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. Footing /gutter drain discharge must be shown. 2. USDA soil boundaries are to be shown, if no boundaries exist the soil type for the entire parcel must be noted. 3. Separate erosion control measures must be shown. 4. Fill is to be shown extending 10 feet horizontally past the edge of any trench before sloping 3:1 to grade. 5. Minimum distance from any ledge outcropping to a trench is 10 feet. 6. Expansion trenches are to be shown in any convenient manner. 7. Absorption trench detail is to provide the longitudinal view and note cover as geotextile material or equivalent. Putnam County codes requires the minimum of 6" of gravel under and 2" of gravel over the pipe. 8. Septic tank detail is to note the minimum bed of 3 inches of sand or pea gravel. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. p Letter to: Barry Naderman, P.E. - February 7, 2002 -2- Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Ve truly yours, Robert Morris, P.E. Senior Public Health Engineer f r t PUTNAM COUNTY ]DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Joseph & Andrea Neri Located at East Branch Road at end of Doansburg Rd. T/V Patterson Subdivision of Tax Map # 36.5 Block 1 Lot 11 Brook Hollow Estates (1975) Subdivision Lot # 7 Gentlemen: Filed Map # 1 428 Date Filed Feb. 20, 1975 This letter is to authorize Barry G. Naderman, P. E. a duly licensed Professional Engineer x or Registered Architect to apply for the required wastewater treatment and/or water supply permit(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 Law, and the Putnam County Sanitary Code. Very truly yours, Countersigne igned: �. P.E., $:A., # 0 7 6 __- _ (Owner of Property) Mailing Address Naderman Land Plan `g & Engineering,P.0 3799 Nelson Ave.- Box 7 Jefferson Valley State NY Zip 10535 Telephone: 914-245-5403 Mailing Address: 450 Bedford Rd. Bedford Hills State NY Telephone: 914-666-6513 Zip 10.5 0 7 Form LA -97 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: Joseph & Andrea Neri 450 Bedford Rd. Bedford Hills, NY 10507 2. Name of project: Neri Residence 3. Location T/V: Patterson 4. Design Professional: Barry Naderman, P . E 5. Address: 3799 Nel son Ave. Box 7 6. Drainage Basin: East Branch Jefferson Valley, NY 10535 7. Tyne of Project: x Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I Exempt Type II x Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... No 10. Has DEIS been completed and found acceptable by Lead Agency? ............... n/a 11. Name of Lead Agency n/a 12. Is this project in an area under the control of local planning, zoning, or other .officials, ordinances? :..:. . _ :. ..,...s..... ......... - - - 13. If so, have plans been submitted to such authorities? ........ ............................... „/a 14. Has preliminary approval been granted by such authorities? Date granted: n/a 15. Type of Sewage Treatment System Discharge ................. surface water x groundwater 16. If surface water discharge, what is the stream class designation? .................... n/a 17. Waters index number (surface) ........................................... ............................... n/a 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply n/a Distance to water supply n/a 20. Is project site near a public sewage collection or treatment system? ................ No 21. Name of sewage system n/a Distance to sewage-system n/a 22. Date test holes observed 12/1.1/01 23. Name of Health Inspector Gene Reed 24. Project design flow (gallons per day) ................................. ............................... 1,000 GPD 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... No 26. Has SPDES Application been submitted to local DEC office? ......................... n/a Form PG97 8/99 27. Is any portion of this project located within a designated Town or State wetland? No .28. Wetlands ID Number :.... Y .........................................:......:... .... :.::..:::.................. n/a 29. Is Wetlands Permit required? .............................................. ............................... No Has application been made to Town or Local DEC office? ............................... n/a 30. Does project require a DEC Stream Disturbance Permit? .. ............................... No 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/No 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ...................:. DESCRIBE: No Yes/No No 33. Is there a local master plan on file with the Town or Village? ......................... Yes 2 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... No 35. Are any sewage treatment areas in excess of 15% slope? . ............................... No 36. Tax Map ID Number .......................... ............................... Map 36.5 Block 1 Lot 11 37. Approved plans are to be returned to ..... Applicant X Design Professional - NOTE: -AAl1. application& for-re-view -and approval of anew, S STS 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 thcOcieation_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. c' If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true" to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES: Nadbr�an Land Planning & Engineering, P.C. Mailing Address' 3799 Nel son Ave. Box .7 Jefferson Valley, NY 10535 14.164 !9/95) —Text 12 PROJECT I.D. NUMBER 617.20 SEOR . Appendix C State Environmental Ouality Review - SH -ORT ENVIRONMENTAL-ASSESSMENT FORM ,__ :.... ,.__. _..�.,.••�.- For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Project sponsor) 1. APPLICANT /SPONSOR Ba rr Naderman P. for Joseph & A IC1reay &eYi ' �2. PROJECT NAME Neri Residence J. PROJECT LOCATION: Patterson Putnam Municipality County 4. PRECISE. LOCATION (Street address and road Intersections, prominent landmarks, etc., or provide map) North Side of East Branch Road at Intersection with Doansburg Road 5. IS PROPOSED ACTION: ® New 0 Expansion 0 Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: Construction of a Single Family Residence with Associated Driveway, Septic and Well 7. AMOUNT OF LAND AFFECTED: Initially 1 4 x 1 acres Ultimately 14 ,1 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? 29 Yes 0No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? ® Residential 0 Industrial 0 Commercial 0 Agriculture 0 Park/ForesUOpen space 0 Other . Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? OJ Yes ❑ No It yes, list agency(s) and permitlapprovals Town Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? ® Yes 0 No if yea, list agency name and permitlapproval Realty Subdivision Approval - Putnam County Health Dept. Subdivision Approval -Town of Patterson 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? 0 Yea IN No I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Appllcantlsponsor name: Barry G. Naderman, P.E. Date: ! oa oY Naderman and P1 nning & Engineering, P.C. Signature: If the action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT (To be completed by Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes. coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW.AS.P8OV)OEO FOR UNLISTED ACTIONS IN 6 NYCRR. PART 617.6?. -. It No, a. negative declaration . may be superseded by another involved agency. ❑ Yes ❑ No C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers maybe handwritten, if legible) Cl. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural. archaeological, historic. or other natural or cultural resources: or community or neighborhood character? Explain briefiy: C3. Vegetation or fauna, fish, shellfish or wildlife species. significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted. or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development. or related activities likely to be induced by the proposed action? Explain briefly. C6. Long term, short term, cumulative, or other effects not identified in CI-CS? Explain briefly. a ; co C7. Other Impacts (including changes in use of either* quantity or type of energy)? Explain briefly. D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABUSHMENT OF A CEA ?,'„ ❑ Yes ❑ No E. IS THERE: OR,IS -THERE LIKELY TO BE. CONTROVERSY RELATED TO POTENTIAL ADVERSE' ENVIRONMENTAL IMPACTS ? - - .... •_ _ .. _ ., _....e...__.._....., __.._, _......... _.._... _.._. -... _. _ � .. _ .........._...._.. _.. ..... __..._ ..._._.......__ .. ❑Yes _ .. ❑No If Yes, sxplain briefly PART III— DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with Its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (Q magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part 11 was checked yes, the determination and significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA. ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and /or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agencv Print or Type Name or Responsible Officer in Lead Agency Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature or Preparer (it different from responsible officer) Date 2 A, A9, 2� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTALMEALTH, SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner nttvaAew AleAl Address AdW406mz0 AW - -,ar-d*,de 7 Located at (Street) ox- Tax Map 36 s Block Lot (indicate nearest cross street) Municipality Watershed .-,#& " d,4o*u1--W SOIL PERCOLATION TEST DATA Date of Pre-soakinc, Date of Percolation Test NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 min/inch, 5 2 min for 31-6U min/incli) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Fnrm T)T)-97 - ` Hole N6. .... ..... . ........ Time .. . .. i" ADse. Ti me . . D :..-W h - ' o romn � r Wafer e �j 4 prop In , ge ig Percolation .., ... .. Rate . . . . . . . . - -M -P 3 7-7 4 5 ;2— 1 /;z 7 -3 3.7 2 23 4 ;Z3 �3 5 -.7 3 1 /a.,/ 71,- VS � r y 3 13.3 5 30 3 > .3 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 min/inch, 5 2 min for 31-6U min/incli) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Fnrm T)T)-97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH H_ OLE NO. G.L. 0.51 1.01 2.0' 2.5' 3.0' 3.5' 4�ff 4.5' 5.0 5.5' 6.01 6.5' 7.0' 7.5' 8.01 8.5' 9.01 9;5' 10.01 HOLE NO. . 2 - HOLE NO. Z_ A^e_ 5,6,-V5 QD Indicate level at which groundwater is -encountered Indicate level at which mottling is observed - ,v oniC Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional es Address: 3799 7 Signa Design Professional's Seal C-0 �GF �s IVR . . . . . . . . . . . . . . . 07620 b PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES, DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner Nr; IZ l Address Located at (Street) �oA �;,1 Tax Map 3 6,6- Block / Lot �- (indicate nearest cross street) Municipality, rA7-7- „rs�„i Watershed SOIL PERCOLATION TEST DATA Date of Pre= soaking j 1 /o fo t Date of Percolation Test /;Z/// Zo f Ater >s Depth to ou Le ter No Run No T�weIa Start Se T #me ' �NLn) From Gr .. n d Surface (Inches) Stan vel Drop In Percolation. ate :Hole Stop :....:.... „ stop Inches . Mrn/Inch .2 v".24 ~ /OI �/ / s” 2 J /,# — .2 ,�g / 3 a /rf 2 -O/T 5 5 2- 30 1-3;1Y — 2- 13 . 2 /470 2-3 - a "7.3 3 #1144 //i36' ��3/�% -;2 j-"- 7, ! 4 5 NOTES: 1. Tests to be repeated at same depth until`approximatel�,equal percolation rates are obtained at each percolation test hole. (i.e. s l .min for 1`i&0 ii inri c-h 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST FIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST MOLES - � �i HOLE NO .._.. . DEPTH � Oi.E�NO. � ` _ HOI;E�I�70::��'`�` _ . G.L. 0.5' �rQe. e T� , 1.0' 1.5' '' 2.0' a 2.5' 3.0' 3.5' 4.0' An J 4.5' 5.0' s 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' .9.5' - _._.__..... _ . 10.0' 6 !- 0 fl `J Indicate level at which groundwater is encountered A/✓/V Indicate level at which mottling is observed A/aN� Indicate level to which water level rises after being encountered Deep hole observations made by: e , Tzg c - F. Date ®� Design Professional Name: Address: Signature: Design Professional's Seal r� Trace. PUTNAM COUNTY DEPARTMENT OF HJEAi.T11-1 DMS10N..0V EN`61RONMENrfA:L HEALTH SERVICES INITIAL INDIVIDUAL /COI�IMERCLAL SITE INSPECTION FORM, SECTION A. GENERAL INFORMATION Name of Project _ � 'h`i7E,25c>�y County -Pa i nMIV Site Location ,z—:;,q 5 T f3 Alyc g 3 (5, 5— / Building construction begun n/y Extent - Is roP.e rtY within NYC Watershed ? ................. Yes -0 No P SECTION B. TOPOGRAPHY (Please check all appropriate boxes) 1. F-1 Hilly a Rolling a Steep slope Gentle slope Flat 2. F-� Evidence of wetlands. a Low area subject to flooding F-1 Bodies of water Drainage ditches Rock outcrops 3. Property lines or corners evident ....................... D Yes No 4. Do water courses exist on or adjoin the property. � ............................... F7 Yes E5, No 5. Will these affect the design of the sewage system facilities ? ..... ........ = ` Yes No �. 6. Do watershed regulations apply in this development ?............ ... .......... Yes No 7 Will extensive grading be necessary? .:.. ........................................... - 8.-- Wilt Ckfeiisive filfbe necessary for SSTS? ............. ...........................:.:. , Q Yes.. No 9. Do filled areas exist within the SSTS area? ........ ............................... :Yes ! No If yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS F. 10. Appearance of soil: dS and F� Gravel Lo;pBackhoe Clay Hardpan 0 Mixture 11. Observed from: a Borings � Bank cut excavations 12. Soil borings /excavations observed by 4�11 on 13. Depth to groundwater A10A-1,F on 14. Depth to mottling A10A 2 on 15. Are test holes representative of primary & reserve areas ..::.. ............................... 16. Soil percolation tests made by -041 2Z fy024r- ! --t E on 17. Solt percolation tests witnessed by `1Z� E't`� . L� �i� 01 SECTION D (on back) 9 Form ST -1 SECTION D. DRAINAGE 18. Will proposed grading materially alter the natural drainage in this or adjacent areas? Yes �No 19. Will groundwater or surface drainage require. special consideration? ..................... Yes No 20. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... Yes ' No SECTION E. REMARKS 21. If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? ............................................................... Yes [?INo Inspection data 22. Do adjacent wells and/or sewage systems exist ?.........�K ...................... ffYes ,a No 23. Additional comments 24. Site observer /inspector and title 4-i¢A/,E A •96-- E f) 6-,4. 25. Date(s) of observation(s)inspection(s)Z / /A®/ TEST PIT PROFILES Hole # Lot # Hole # Lot -0 Hole '# Lot # Depth to water .Depth to water � Depth to water Depth to mottling Depth to mottling -IJ to mottling Depth to rock/imp. Depth to rock/imp. Depth to rock/imp. G.L. G.L. G.L.. 0.5 0.5 0.5 1.0 1.0 1.0 2.0 2.0. 2.0 3.0 3.0 3.0 4.0 4.0 4.0 5.0 5.0 5.0 6.0 6.0 6.0 7.0 7.0 7.0 8.0 8.0 8.0 9.0 9.0 9.0 10.0 10.0 10.0 ;Sheet L . of�_ �t PUTNAM COUNTY DEPARTMENT'OF REALTJFI r -I) VI SION OF ENVIRONMENTAL IIEATL)EI SERVICES :FIELD ACTIVITY,REPORT AM .. A T)T)R F.:4 � �#S'� �'Z4.tlG�/ %7d�� �w7 5'"7'�TZS�N. _ '� �►1 Street°: Town State Zip . PERSON IN CHARGE - -,' n_RNTFR -UTFWF T)at �L Narrie and-Title TYPE OF FACILITY dp��F� r-INDINGS ,� D —% rd � -r" - — t ►� f ` /�v /off TT a ✓ a v 1 L fv `Signature and Title :�FpagT RRC'FTU . I acknowledge receipt of this report: SIGNATURE,` r 02196 Title; Rev. BRUCE R FOLEY. - Public fecith Director 1ORETTA_ MOL-INATU R.N., M;SH; . Associate Public Health' Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New. York .10509 REQUEST FOR ETELD TESTING ATTENTION: 0 ADAM STIEBELING GENE REED All information below must be L& completed prior to any scheduling. DATE: 4/.;t D O EN GINEER OR FIRM: ,8.4/1/1y/ �. •✓�"�� �' ` /ice PHONE #: REASON: ..... _.:.. _. _....:..... _ ... DEEPS: 2d PERCS :'J?5 PLRNIP TEST: 0 OWNER: J-os�i° �r✓O/iA. N�,ct/ NYCDEP CRITERIA FOR JOINT REVIEW AND VI OF SOIL TESTING YES NO .. .... _ .. _,.. _ ..:.... �C ..Proposed SSTS within the drainage basin of West Branch or Boyds Corner ReserY_ -0' `Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. . . o �K Proposed SSTS within 200 feet of a watercourse or a DEC wetland. 0. _ .>V.• Proposed SSTS design flow greater than 1000 gallons /day or -SPDES Permit required: - 0 Proposed SSTS for a Commerical Project. =77_777: - It is the responsibility of the design professional to provide the above information prior to soil testing. This Department Twill :determine the-NYCDEP project -status-(Joint- or-Delegated) based on the - - response.. If you answeredye_s to any of the questions, NYCDEP must witness the soil testing: This - Department will coordinate a mutually suitable time for field testing with the PCDOH, the Design _ Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYCDEP.,- FOR COUNTY USE ONLY DATE: -y r o O IDIE: l � // 42 / O : eP C, CO�I�fE� ?S: MLDTES u FOR ADJOINING AREA SEE.MAP NO.12 1 ® Y � Jy }� `°� T , , > l p��0 KEN OOO !`NE o 0 O f.. x v 3 d,r wJ h 1 `0` �QUOOUFI�9091� �(, . �..,�,_, c01. 9�OFRE ?MOIO qp'...... p 1 ( \ Z�'bN RSHALL DR f�l amBiRCH D RD RD �;°G09Qp?'e \Pi! a¢.�e i.°�p. ` lrA� !:' _. ...,.. -- ON"f p �? 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' a l `I \, Boggs. , NOV -26 -2001 07:15P FROM:NADERMAN LAND P &E 914 %2 5963 TO:18452787921 P:7/7 O s� s ° jh? ti \ ION 0 ' 1 \ b to 1 00 'i. ..r N/F SMAIV"Y PLAN ^zn �a kinlI- ar -pmml mnN l9:p3 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 7 NOV-26-2001 07:15P FROM:NADERMAN LAND P&E 914 962 5963 TO^18452787921 P:6/7 . � � *"EJ _--___`--^_ ----- - ' AnPERCOLAnON TEST LOCA71ON \ \ \ \ \ \ � \ \ ` \ \ \ � ' un/-or--pmm, wnu lq.pp rPI !n4q-p7R-79Pl NAME:PUTNAM COUNTY DEPARTMENT OF P. 6 NOV -26 -2001 07:15P FROM:NRDERMAN LAND P &E 914 962 5963 .a 1.) PROPERTY OWNER: lOiEPiHAND ANDIE,4 NEIV SITE LOCATION: RASTRRANCA ROAD - MWN OF PAMS TAX MAP DES*Mk7lCN:SHEET: SEC. J&5 BUL T LOT j_ 2) CONSTRUCTION OF THE SUBSURFACE SEWAGE DISPOSAL SYSTEM SHALL BE IN ACCORDANCE WITH THESE PLANS. ADDMONSAND /OR MODIFICATIONS TO THE SYSTEM SHALL BE IN ACCORDANCE WITH PUTNAM COUNTY HEALTH DEPT. STAHARDS. ALL ADDITIONS AND /OR MODiRCAIIONS SHALL BE ENDORSED BY THE ENGINEER, AND THE PCHD PRIOR TO CONSTRUCTION OF THE SYSTEM. 3.) THE CONTRACTOR SHALL ISOLATE AND EFFECTIVELY PROTECT SEWAGE DISPOSAL AND EXPANSION AREAS AGAINST DAMAGE NO TRUCKS, HEAVY MACHINERY. BURR ING MA78UM OR EARTH SHALL BE PERMITTED IN SEWAGE DISPOSAL AREA PRIOR, DURING OR AFTER CONSTRUCTION. 4.1 THE DESIGN OF THE SUBSURFACE SEWAGE DISPOSAL AREA S BASED ON A SOB.PERCOLATION RATE OF 9.5 MWJINCH.ANDA PROP. k BEDROOM SINGLE FAMILY RESID84M S.) THE SUBSURFACE SEWAGE DISPOSAL SYSTEM SHALL COMM OF 114E FOLLOWING NAPROVEMENTS SOD LF. 24" WIDE ABSORPTION TRENCH 16A0 L L GAL, PRECAST CONCRETE SEPTIC TANK FA- PRECAST CONCRETE JUNCTION BOX FA DISTRIBUTION BOX ADDITIONAL IMPROVEMENTS: 6.) SHOULD FU BE REQUIRED WITHN THE SUBSURFACE SEWAGE DISPOSALAND E)(- PAWAON AREAS. ALL FILL PLACED SHALL BE 'BANK RUM FILL CONFORMING TO PUTNAM COUNTY HEALTH DEPARTMENT. BANK RUN FILL SHALL BE PLACED TO THE DEPTHS SPECIFIED ON THEE DRAWINGS. PRIOR TO PLACING FILL THE 84GIN(:13t SHALL INSPECT AND APPROVE THE MATERIAL. 7.) THE CONTRACTOR SHALL CONSTRUCT CURTAIN DRAMS AND SWAGE AS SPECIHED ON THE PLAN, IN ORDER TO DIVERT GROUND AND SURFACE WAYS AROUND ABSORP- TION AREA. ALL ROOF, FOUNDATION AND SURFACE WATER SHALL BE DISCHARGED BELOW DISPOSAL AREA. 9.1 THE CONTRACTOR SHALL REMOVE AND STOCKPILE TOPSOIL WINN ABSORPTION AREA. UPON COMPLETION OF CONSTRUCTION OFTHE SYSTEM TOPSOIL SHALL BE REPLACED WITHIN THE AREA TO A MINIMUM DEPTH OF FOURI4) INCHES. 94 THE CONTRACTOR SHALL REMOVE ALL TRIES WITHIN TEN001 FEET OF THE ABSORPTION ARE& 10.1114E CONTRACTOR SHALL SEED AND MULCH ALL DISTURBED AREAS IMMEDIATELY UPON COMPLETION OF CONSTRUCTION. IN ADDITION THE CONTRACTOR SHALL EMPLOY EROSION AND SEDIMENT CONTROL MEASURES N ACCORDANCE WITH BESTMANAGEMBNT PRACTICES MANUAL FOR CONSTRUCTION RELATED AC[TVMES N AN EFFORT TO REDUCE EROSION AND PREVENT SEDIMENT- AMON OF DOWNSTREAM WATERCOURSE. I T .) THE CONTRACTOR SHALL NOTIFY THE 04GINMR AND PUTNAM COUNTY HEALTH DEPARTMENT, FOR INSPECTION OF THE SYSTEM. UPON COMPLETION OF CONSIRUC- TION, THE CONTRACTOR SHALL NOT BACKFILL THE SYSTEM UNTIL IT HAS BEEN INSPECTED AND APPROVED BY THE ENGINEER AND PUTNAM COUNTY HEALTH DEPARTMENT REPRESENTATIVE. TO:18452787921 P:5/7 No. Revision /Issue Date U M IL qao O Z to 'q U C N a O � Q Z W O m O® Q U m z N �Z W Q. Do QQZ ZJ t: 4i O � O O C C a x PROPOSED RESIDENCE FOR NERI EAST BRANCH ROAD To" OP' PATrmmom PuTmAM COUNTY, NY SITE PLAN SUBSURFACE SEWAGE DISPOSAL SYSTEM Proms 51001 shut wto PP 1 1/20/01 SDS— S"* %wollar mffmmmmwm� k,r,l I Ic _Dram+ Mn" 10-0:5 TPI • Pdr %- P7A -79P1 NAME: PI ITNAM r nl INTY nPP0QTMPNT nT= 13 S ;2-") z PUTNAA1 COUNTY DEPARTMENT-OF-HEALTH DIVISION OF ENNTIRONMENTAL HE-ALTH SERVICES,_ ,L DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 0 n v��r vA.,!�4 Aleav /r ��.er Address IS(v' 40,4v 0-7- 10S,07 Located at (Street) Ice- Tax Map 3,-, s Block Lot (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking Date of Percolation Test zc-7z D th t Wat e 0 ou nd erco ti Wr Lee] Fro rn elv,e "" . * : :: . . � . .. P 1 ipe Suffa�ej ) 4 Hol e N RunN o : a ft 7 .:Stop . St aH Stopi pc es On c .... NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 mirL/inch,:g 2 min for 31-6U min/inch) All data to ne submitted for review. 2. Depth measurements to be made from top of hole. Form T)D-97 2 7.3 3 :3 5 3 7 -7 4 5 3-7 2 3 4 ?7 3Ay, 7-/ 5 .... . .. 7 1 �11112 4X 3 - . 3 2. -3. 3 3 c2 4 -367 k?,3 i Z 2-S 13.3 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s I min for 1-30 mirL/inch,:g 2 min for 31-6U min/inch) All data to ne submitted for review. 2. Depth measurements to be made from top of hole. Form T)D-97 DEPTH- G.L. TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE. NO. _ ,� HOLE NO. 9`,9 7 2 9 ®, O HO � _ LE NO. �i9�p �'vZ w y6 O.�d� wooAdT� 0.5' �grofoiL ���o /G 7o•ofoiG S . 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' .9 - 10.0' t Soa6 .riyls i✓�'" .shy Awl-, No AcG*- io 7 16' ri ,vo /"Qv -- ?h 7 i9 it Indicate level at which groundwater is encountered ,-V .avcoe- 7W Si N rn T � "t V r �� C C.7 = Q N �� - ivaN.� Indicate level at which mottling is observed A11-91i.✓v , Indicate level to which water level rises after being encountered A o 4 Deep hole observations made by: Date 3 �/ Design Professional Name: ,B�oy6.�✓�.�,e�/, �. Address: 3`799 -7 Signature: Design Professional's Seal v �- ol MHY- i_4 -dWq 01:4W FRE'1:NADERMAN LAND P &E 914 962 5963 T0:6666513 P:2 -12 r / PUTNAM COUNTY DE- PARTMENT OR1H EALTH DIN71SION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Joseph & Andrea Neri Located at East Branch Road at end of Doansburg Rd. T/tir Patterson Tax Map r 36.5 Block 1 Lot 11 Subdivision of Brook Hollow Estates (1975 ) Subdivision Lot p 7 Filed Reap n 1 428 Date Filed 1Feb. 20, 1975 Gentlemen: "Phis later is to authorize Barry G. Naderman, P. E. . a duly licensed }'r..�fzssialal Engineer x or Registered Arc}titect to apply for the required %vaste"'ater treatment and/or %rater supply pennit(s) to sere the above -noted property in accordance % ith the standards, rubs 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 ivastewater tretnient and/or %rater supply systems in conformity with the proArt ' ' le 1,45 and/or 147 of the Education La«•, the Public Health La%vl and the Putnam e. . a_ Countersiened 076 N, _ _ / P H (owner of Propcq) Mailina Address Nade %M- & C. 3799 Nelson Ave.- Box 7 Jefferson Valley Sate VY Zip 10535 Telephoat: 914- 245 -5403 Mailine Address:_ 450 Bedford Rd Bedford Hills____ State tiY zip—Lo -&L Telephone: 914- 666 -6513 - Form LA -97 _::....._. . PRET_TA- ,MOLINARI --1:: 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 June 17, 2004 Naderman Land Planning & Engineering Mr. Barry Naderman 3799 Nelson Avenue Box 7 Jefferson Valley, NY 10535 Dear Mr. Naderman: ROBERT J. BONDI County Executive Re: Application to Construct a Subsurface Sewage Treatment System, Neri East Branch Rd. (T) Patterson The Putnam County Department of Health has determined that the above referenced application received by the Department is incomplete. Please be advised that the following information is required before the Department may commence its review. 1� • A renewal fee of $400.00 must .be submitted • A current construction permit application must be submitted. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Department of Health regulations. Should you have any questions or care to discuss this matter, please contact me at (845) 278 -6130. Yo , R Morris, P.E. Senior Public Health Engineer RM:cw t 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 18, 2004 Barry Naderman 3799 Nelson Ave. Box 7 Jefferson Valley, NY 10535 RE: Application to Construct a .Subsurface Sewage Treatment System Neri East Branch Road (T) Patterson Dear Mr. Naderman: ROBERT J. BONDI County Executive . The Putnam County Department of Health (Department) has determined that the above referenced application, received by the Department on March 5, 2004 is incomplete. Please be advised that the following information is required before the Department may commence 'its • Current Engineers authorization is to be submitted. • Standard Renewal note is to be added to the plan. • Please refer to Putnam County Document PC -19. The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Department of Health regulations. Should you have any questions or care to discuss this matter, please contact me at (845) 278 -6130 ext. 2166. RM: hn V ry lye y , / p Robert Morris, P. E. 4 Senior Public Health Engineer r. �IADERMAN ND �ING`AN'[TENGrIVEERiNG, "PC. BAF2RY G.'LNADERMA Ftf . ' April 29, 2004 Putnam County Department of Health 1 Geneva.Road Brewster, NY 10509 Att: Mr. Robert . Morris Re:. Permit Renewal (Former Permit #P 10 -02) Neri Residence East Branch Road. Town of. Patterson Sec. 36,5; Blk l; Lot i 1 Dear Mr. Morris: . Enclosed find the following documents as submission for renewal of a Construction Permit Applications for the construction of ari SSTS'and Well at the .above referenced single family residence: 4 copies = DSrg SDS -1 ` Site Plan" dated 1/02/02 ■ . 4 copies Dwg SDS -2 " Profile /Details dated 1/02/02 ■ Construction Permit For Sewage Treatment. System. (Form CP- 971 :.. Application To Construct A Water Well •(Form WP -97) • money. SQrder..in. tha cirnaiint of $400.00 for the ApplicatiorrFee Be advised, the construction of the residence and access drive are. near completion. At this:tirne the owner is ready to complete the SSDS and well and had noticed -the permits have recently expired this month. 'As such, the owners wish. to renew the permits for the construction of the sewage, disposal system and well. For reference, we have also enclosed a copy of the prior permits. Should you have any questions or require any additional information, please feel free to calla Respectfully, Barry G. Naderman, P.E. Naderman Land. Planning & Engineering, P.C. 3799 nelson ave. tel: 914.245.5403 box 7 fax: 914.962.5963 Jefferson valley, ny 10535 e: bgn @naderman.com P'UTNAM COUNTY DEPARTMENT OF HEALTH 1 DIVISION OF ENV l�IrlV>,+ i�F;tC, �. n +) ; �01�15'P)E2iTC`I'IOI�? P RIVi�1' E9I� SEWAGIE TR PERMIT # l . �. ' ( V69 Located at tea;.; -o rang- 41. �, TH SERVICES `I MINT SYSTEM - Village Pa t t ar:= on Subdivision name 3rook fioiIo,e osSubd. Lot # 7 'Tax Map 35, 5 Block 1 Lot 11 Date Subdivision Approved ; i 1 ad Feb. 20, 19 7 5 Renewal Revision Owner /Applicant Name Joseph , Andrea ` ari Date of Previous Approval Mailing Address 450 Nadford Rd, Je3ford Hills,, NY Zip 10507 Amount of Fee Enclosed ti :, o o . o Building ; ,�,a I Tyre:. , : t�. ;1 t I y Lot Area 1 1 .15 No. of Bedrooms Design Flow GPD__j,_,iar, Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1 , , 0 gallon septic tank and 24 Wld b,-.,.o ..tion Trc,nc'tta 2 ' ?ii ii. R03 Other Requirements: To be constructed by to bc, Iat°a.raning-c-i Address Water Sunnlv:_ Public Supply From Address or: - Private Supply Drilled by_ t o ?� a.a� ts:irT i ri ; {': _ _ °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: -- RE Address " 3") j N-P1 Avg., BOx 7, Joz ffacso n R.A. Date v , s a 1 i e y tt z License # 07i2916 103 15 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revisior or alteration of the approved plan requires a new permit. ;Approved ior.discharge of domestic sanitary sewage only. j /; J By: J r.; .�,.,' r." Title: y,, Date: r White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional " Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL. HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type Weh'Location: Street Address: Town/Village Tax Grid # :azt 3ranc•: `toAu Pattp-rs :Xi Map •' Block i Lot(s) 11 Well Owner: Name: jos - :3j l Address: 456'3-.,ford -td, ?.n-J ea Neri -d ford i'l i 11 s, yY 105017 Use of Well: + Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served 6 Est. of Daily Usage 1 0 2 J gal. Reason for Replace Existing Supply Test/Observatioh Additional Supply Drilling x New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling. Well Type= Drilled Driven Gravel Other Is well site subject to flooding? ...................................... ............................... Yes No ` Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision 3.cocio310 e;;r.:ta Lot No. 7 Water Well Contractor: Address: - Is Public Wafer Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: j' % a Town/Village Distance to property from nearest water main: n; 3 Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: Applicant Signature: "' = -• - - PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 72 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of.the well has been completed and inspected by the. PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved.plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. f Date of Issue '' Permit Issuing Official: Date of Expiration Title: Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 _ F E VI ®I T ENTAI, 4.._ i' ,. ERVIC.E: . : `,e:,JM 8 ar 1%."M E r� %.fl COI`ISTItiIC It %Jil C ®IVIPLIAI�ICE IV UM SEWAGE TIZEATIVIEI,4 SYST PCHD CONSTRUCTION PERMIT # . 51/ %e,r--- Located AAAW444 AV. Town or Vgw. Owner /Applicant Name�g:"A!/ 9- 0A1,0Ar,4 Tax Map .7do Block ✓ Lot Formerly Subdivision Name ,6.9.v &,e,—iV V4eop,.e 1 Subd. Lot # Mailing Address 4-'m 1J,9r404"A,0 A0. ����� Date Construction Permit Issued by PCHD ! �/47 Separate Sewerage System built by Address Consisting of 4.1'040 Gallon Septic Tank and ::rX45 sa ate/ Other Requirements: Water Supply: Public Supply From Address or: Private Supply Drilled by,& '� 4A�s /W/ 1✓✓0'4LAddress C4 Z- ,� Building Type 4f�/�Ls�i'� L Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? �® 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 regulat' ns of Date: ! 6, S Certified by J4 Address 1O =Coun "�De�e�ofUealth. -�� a ��.� -- --�.E. R.A. Professional) License # 2 z_ 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 ubject.A modification or change when, in the judgment of the Public Health Director, such revocatio , ficat' r change is necessary. By: Title: Date: Or White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 ADERMA_ IV_ _ PLANNING AND ENGINEERLNG, P.C. BARRY G. NADERMAN, PE. February 9, 2005 Via'Hand Deliver Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Att: Mr. Robert`Morris, P.E. Re: Certificate of Compliance (Permit #P 10-02), Neri Residence East Branch Road. Town of. Patterson Sec. 36.5; Blk 1; Lot 11 Dear Mr. Morris: Enclosed find the following.documents for re- submission for a Certificate of ; Construction Compliance for the construction of the SSTS and Well at the above referenced property: 4 copies - Dwg RP - -I " Site Plan" rev. dated 2/8/05 Per your request, the plan now includes surveyed concrete monuments with all ties to septic -s}: stern. =The plan also inelades ties from certaili corners;of`tFreiesidem the septic tank and well. It is-my understanding the owners have already provided the well log and lab report with original signatures. We hope all is now in order for issuance of the Compliance. Respectfully, Barry G. Naderman, P.E. Naderman Land Planning & Engineering, P.C. ; Cc: • Joseph cued Andrea -Neri w/ end. 5100pchdfinal2 3799 nelson ave. tel: 914.245.5403 box 7 fax: 914.962.5963 jefferson valley, ny 10535 e: bgn @naderman.com PUTNAM COUNTY DEPARTMENT OF HEALTH H I Tank Type :easy Volume Wit well C'ompi led t'utnam county Cen+tletttu +n NO tun of pon � boilers niturci :1e-z-1 7 &1212.3 1 -VOTE: Exact location of well with dtaCSnco to ai I st two petman nt lea arks to be provt a separate a tlplan. sQy� L Well Driller's Naipe. Address. ¢�/ �✓ r Signature: �! _ Date ;' White copy: File; Yellow copy ' Building ins ecror; Pink cu PY � Owner-, Orange copy - Well driller Form WC -97 DIVISION OF ENVIRONMENTAL HtALTH SERVICES WELL COMPLETION REPORT 'y Well location Street Address: Town /Vi III age Tax Grid # Vcil''Bwncr. Map -,- -- Slock... _ Lot(s) _ Name; Adsiress: Ume of Well: Rcsidantial _ Piihlic Supply Air cond/hea pum � _Irrigation _. i- primary Business Farm --Test/monitoring Other(specify) 2- secondary Industrial _ institutional Standby - I Drilling Equipment Rotary Cable percussion )K Compressed air percussion Other (specify) Well Type Screened Open end casin Opcn hole in bedrock —Other } Total length ft . Materials: Stcel _ Plastic _ Other Casing Details Length below grade _ �ft. Joints: _ Welded _ X Threaded _Other Diameter _.itt, Seal; Cement grout _ Other Weight per foot lb /ft. Driveshne; je Yes _Nn Liner ; _Yes K No 4 Diameter (in) Slot Size Langtlt(ft) Depth to Screen (ft) Developed? First _, YcsMNo Screen Detalls Fttrars ", _ Second Well Vield Test _ Bailed _Pumped' -I. C_ompressW Air Hours Yield AQ gpm 1 Depth Date MUM fmm an surl'ncti -%etic (npucifi, 01 During yield test►tl) Depth of eompimbd x,401 in feet Weil Log Depth Fr»m Surface Water ,Well Formation If inoro detailed Bearing Diamorr(In) r 'Discription ft. ft. information land Surracc descriptions or r sieve analyses ,ire availmble. w plmse attach. ' If yield was tested I Feet Gallons Per Minute Pump /Storage Tank information at different depths 'during drilling, list: I Pump Type 17 —W7 Capacity � Depth A?2) Model L� r s Voltage �,?t 14P I Tank Type :easy Volume Wit well C'ompi led t'utnam county Cen+tletttu +n NO tun of pon � boilers niturci :1e-z-1 7 &1212.3 1 -VOTE: Exact location of well with dtaCSnco to ai I st two petman nt lea arks to be provt a separate a tlplan. sQy� L Well Driller's Naipe. Address. ¢�/ �✓ r Signature: �! _ Date ;' White copy: File; Yellow copy ' Building ins ecror; Pink cu PY � Owner-, Orange copy - Well driller Form WC -97 BFUXE R FOLEY Pubhc ffealth Dire=r DEPI'1RDYit+l`1 i 1 Geneva Brewster, New OF Road York LORETTA MOLD ARI. RN., 14S.N. Aisociate Public Health Diractar.. . _....�_.:-. Dipecccr of Patient SeMax HEALTH 10504 $ariroameatal Health (914)278-6130 Fsx (414) 278 - 7921 tuning Sgrriees (9141 278 - 6558 WIC (914) 271 .6678 Fax (914) 278 - 606: Early Iaterreaden (914) 278 -6014 Preaehool (914) 2186082 Fax (914) 27a-- 6648 OWNERS NAME: t% a oA /i 10 04jr4 TAX MAP.NUN- mER: E911 ADDRESS: y %/e}aS /� �•P•►,vcfso.R d TONY` : TTfit s o •/ AUTHORIZED TOWN OFFICIAL: mac. (Siartature) _ 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 Conitruttion Conipliance. (E911 VimMM" PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT ovi NOTE: "'Exact location of well with distances to' at I ist two permanent landmarks to be pr ;X Pdrdtr, Zill upiall. VOL 10 6 Well Driller's N Address: Date: ate: White copy: A; File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 Street Address: ag iMap 49 T- Block Lot(s) Well Location Well Owner: Name: Address: & fill -1--Iq I d Use of ell: 1-primary 2-secondary c Residential Public Supply ATr' ond/heafpumo Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary _ Cable percussion Compressed air percussion — Other (specify) Well Type Screened Open end casing L Open hole in bedrock Other Casing Details Total length ft. Length below grade ft. Diameter in. Weight per foot lb/ft. Materials: Steel — Plastic — Other Joints: Welded X Threaded Other Seal: )!(_Cement grout Bentonite Other 'Drive shoe: X Yes No ILiner: 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 _)L Compressed Air Hours _& I Yield 2,a gpm Depth Data Measure from land surface- static ft) . I / . : �2 2 During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or siewe-analyse$., are available, please attach. If yield was tested at different depths during drilling, list: Depth From Surface– Water Bearing Well Diameter(in) Formation Description . ft. ft. Land Surface Al I—A 4-441� -12-1744 Feet Gallons Per Minute Pump/Storage Tank Information Pump Type Capacity A� �u I Depth –&6 Model irsa.As Voltage _g,2h_ HP Tank Type 2 = Volume Date Well Compi ted Putnam County Certification No. Date o eport �7;; zt/� Well Driller signature) ovi NOTE: "'Exact location of well with distances to' at I ist two permanent landmarks to be pr ;X Pdrdtr, Zill upiall. VOL 10 6 Well Driller's N Address: Date: ate: White copy: A; File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 . YML ENVIRONMENTAL SERVICES ^ 321 Kear Street Yorktown Heights, N.Y. 10598 Albert H. Padovani, Director LAB #: 93.402717 CLIENT #: 58060 NON STAT PROC PAGE: 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ NERI, JOSEPH & ANDREA PO BOX 378 BREWSTER, NY 10509 DATE/TIME TAKEN: 11/29/04 DATE/TIME REC'D4 11/30/04 01:O0 REPORT DATE: ' 12/08/04 PHONE: (914)-393-9015 SAMPLING SITE: 478 E. BRANCH, PATTERSON SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVESh NONE COL'D BY: ANDREA NERI TEMPERATURE..: < 4C NOTES...: COLIFORM METH: MP�- - ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE' PUTNAM CNTY PROFILE 11/30/04 11/3O/O4 11/30/04 11/3O/O4 11/30/04 11/30/04 11/30/O4 11/30/O4 11/30/04 11/3O/04 11/30/04 MF T. COLIFORM LEAD (INS) NITRATE NITROG NITRITE NITROG IRON (Fe) MANGANESE (Mn) SODIUM (Na) PH HARDNESS,TOTAL ALKALINITY (AS TURBIDITY (TUR RESULT ABSENT /100 ML 2.4 ppb 0.73 MG/L <0.01 MG/L 0.045 MG/L 0.268 MG/L 3.78 MG/L 7.0 UNITS 40.0 MG/L 68.0 MG/L <1 NTU NORMAL - RANGE ` ABSENT O-L5 ppb 0 - 10 N/A O-0.3 mg/l 0-0.3 mg/1 N/A 6.5-8.5 N/A N/A 0-5 NTU COMMENTS: BACT THESE RESULTS INDICATE THAT THE WATER AS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDlN�� f��THE 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 'pb-and a treatment must be `otentiai. - ^ iblic 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 undertak6n 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 peupls, on A ppdi�M restricted diet,the water should contain no more than 20`'/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium METHOD 1O08 9101 9139 9146 2037 2037 9043 ' YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 LAS X245=2B00'�`��--,�����-�-''��,�����' Albert H. Padovani, Director LAB #: 93.402717 CLIENT #: 58060 NON STAT PROC PAGE: 2 NERI, JOSEPH & ANDREA DATE/TIME TAKEN: 11/29/04 PO BOX 378 DATE/TIME REC'D: 11/30/04 01:00 BREWSTER, NY 10509 REPORT DATE: 12/08/04 PHONE: (914)-393-9015 SAMPLING SITE: 478 E. BRANCH, PATTEFSON SAMPLE TYPE..: POTABLE : KITCHEN TAP PRESERVATIVES: NONE COL'D BY: ANDREA NERI TEMPERATURE..: < 4C NOTES...: COLIFORM METH: Ml::' DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED, SOFT WATER: 0-70 MG/L. VERY HARD WATER: ABOVE 300 MG/1 EDl-MAT EB4-�Z<��140. kK�/L_'._-MEL/�.-vnMllJ~J��RAy1'�ER�lJTER_~..'..-=--- HARD WATER: 140-300 MG/L. (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Director ELAP# 10323 -' SHERLITA AMLER, MD, MS, FAAP Commissioner of Health VORETTA MOEINAW, RN; MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 January 28, 2005 Naderman Land Planning & Eng. Barry Naderman 3799 Nelson Avenue Box 7 Jefferson Valley, NY 10535 Re: Proposed Compliance: Neri East Branch Road, Lot # 2 (T) Patterson, TM # 36.5 -1 -11 Dear Mr. Naderman: 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: I. All documentation submitted are to be original. Please submit the original well log and water analysis...--- ........ 2. The septic'tarik, well, J -boxes and the 'erids of the trenches are to tie located from two fixed points. Monuments can be used as fixed points. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. _f VUM10I Ve PfV ly yo rs, Robert Morris, P.E. Senior Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 NA®E MAC LAN PLANNING AND ENGINEERING, P. (] C' BARRY G. NAhERMAN, 'P. E. January 14, 2005 Putnam County. Department. of Health 1. Geneva Road Brewster, NY 10509 Att: Mr. Robert Morris, P.E., Re: Certificate of Compliance. (Permit #P 10 -02) Neri Residence East Branch Road' Town of Patterson Sec: 36:5; Blk 1; Lot 11: Dear.Mr. Morris: Enclosed find the following documents for submission for a Certificate of Construction Compliance for the. construction of the SSTS and Well at the above referenced property: •. 4 copies- Dwg RP - -1 " Site Plan dated 1 /12/05 Certificate of Construction Compliance (Form CC -97). Well Completion.Report'(Form WC -97) • Water Quality Lab Report . - .. �t Guarantee of •SSTS (Form GS -97) . We hope all is in order for final sign off of the SSTS� and:well. Upon review, should you have any questions or require any additional information, please feel free to.call. Respectfully, Barry G. Naderman,- P.E. Naderman Land Planning & Engineering, P.C. Cc: Joseph and Andrea Neri w/ erica 5100pchdfincd . . 3799 nelson ave. tel: 914.245.5403 box 7. fax:. 914.062 5943 jefferson valley, ny 10535 e: bgn @naderman:com YML. ENVIRONMENTAL SERVICES 321. 1 <ear Street .N.Y. 10598 y:._.._...... w ( 914) 245---2800 Albert H. Padovani, Director. 3 #: 93.402717 CLIENT 11: e 513060 NON aTAT PFZCIC: PAGE: U, JOSEPH & ANDREA DATE /TIME TAII"EN a 1 J. / rEr* / 04 BOX 378 DATE /TIME REC ' 1•i ; IL/'_30/04 01 ,; 00 :WSTER , NY 10509 REPORT DATE,-.. 12/01-3/04 PHONE-. ( x•)14•) •.•.393 -901; i IIPLING SITE;: 478 E. BRANCH, PATTI RSO1N KITCHEN TAI' _'D BY ., ANDREA NER E5. ■ . . .---- M- IV- M...M..,-- -M.... I, .., MM,IMMM „IMNIVw. V.V «..11 DATE FLAG PROCEDURE SAi'IPLE: IVYPE:. : F'CITAHLE: PRESERVAT I Vi'M 1\IDNl --* COL_ I Ir*0RI1 METH VIP' MNNMIV ----- VNI IV.VNMMI IV MI IVMI•IM.V NI 1- 1- I11/NI III NI I•l 1•I III II /IV NIMI'I RESULT NCIF-41 IAL ••- RANGE:: METHOD PUTNAM CNTY PROFILE 11 /30 /04 MI= T. COL I I^ ORIrI ASSENT /100 MI”. 11 /90/o4 LEAD (IMS) 2.4 Wpb 11/30/04 NITRATE N I TROG 0.73 MG /I- 11 /:30 /04 ICI I TR I TE N I TROG .1,0.01 MG /L. 11/30/04 IRON (Fe) 0.045 MG /I." 11 /:30 /04 MANGANESE (Mn > 0. 268 MG /L 11/30/04 SODIUM (Na) 3.78 MG /L 11/30/04 pH 7.0 U61 I TS 11/30/04 HARDNESS , l -OTAI_ 40.0 MG /I- 1.11301041. ALKALINITY (AS E.,8,,0 Hr. /L 11/30/04 TURBIDITY (TUR AT`fSE:NT r 0..45 ppb . 0,4 •s 10 1\1 /A 0- - -0„3 rnq /1 0... 0.3, 111g/ l N/A NIA 1\I /A COMMENT'Si3 :T THESE RESULTS I ND I CATI:: THAT THE WATER (WA;i) ( WAS NOT) Or-' A SAT I SF'AC;TORY SANITARY QUALITY ACCORD I -T'HE NEW YORE; s*rATE:•: AND ! :F'A F- EI)EkAL I:iUM"ING WATEFR STANDARDS, F'OR THE 1= '(1FtAlll: : "II .I =iEi A'." TFIE T111,IE:: 01: Z:Ol..i_l=.UT..:001. 'Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential,. Libl.i.c schools are set at 15 ppb. Rule for Publ. il:: System; requires that no mor•cj dist-ribution poinfs. have a LEAD value of mc.)rrl COPPER value of 1.3 tog /L, else water. Linder t,- -Ake ?n to reduce the waters corrosive Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L.. No limits- for Sodium are prosc:ril)ed. Suggested guidelines state that fear- Fieople on a sodium restricted diet,the water should r.:ontain no more than 20 mg /1... of Sodium. For those on ca - moderately restricted diet., a maximum of 270 mg /L of Sodium 1 006 91:.1 9119 9).46 c?013'I 9043 YtML ENV I RON1'11F NTAL SERVICES :321 E:ear Street Heigh -tw-v .N Y .- T'01,590 - (914) e45 -2800 Albert 1.4. Padovani, Director .AB #: 93.402.717 CLIENT #., 58060 NON STAT PROC F'AGE: :: 2 IER I , JOSEPH 9: ANDREA DATE /T •(ME TAKE hf a 11/29/04. ,C € nx 370 DATE: /TIME. REC ' D a 11/30/('.)4 O 1 c OO ►REWSTE:R, NY 10509 REPORT DATE 12 /08 /04 PHONE-. (9110-393-9015 ;AMPL I NG SITE: •i 478 E. BRANCH, FATTE SOhl SAMPLE TYPE..: F'OT•AI3LE 1.11 TCHF_N TAI::' F'RE.SE:R VAT I VI :S NONE: 'OL'D BY: ANDREA NF'F2I TEMPERATURE. r : 4C TOTES ...: COL I F O M ME 'TH . 11F ♦NIVNNIV IVNIV IVNIVNNNNNIVNNNNIVNM NNNIV IVNIVNNN NN.V IV NNN NNNMNNNNNNIV N/ VNNI\I MNMI .VNnI nINNNn•.V. \I n)nI IVNMI.I .•) DATE FLAG Fr;GCL:Dr.JRE RESULT NORMAL - RANG'l Is Suggested. Y14 pH SCALE: IN WATER RANGES ff. tOjM 1 •..14 . ' MEASUREMENT OF. pH I f3 OEVI: tTf THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER Clilr.thl I STRY . WATER WITH A LOW pH MIGHT BE C0ftI;?05IV1 :: TO METAL_ 1 °'It °'F "S AND FIXTURES. THE NORMAL RANGE OF 94-1 Is 6.5 TO 8.5. id TOTAL HARDNESS J,S DEF• J .ICED AS 'THE SUM OF THE CALCIUM & IIAG14E S I Uhl CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE:, IN H6 /L.. THE IIARD14ESS MAY RANGE FROM 4 TO HUNDREDS OF MG/L, DEPENDS 'NIDS ON TF•IE SOURCE AND TReA` HE"NT TO WHICH THE WATER HAS BEEN SUD,TECT'E.D. - S0FT- WATER e 0--70 MG - /1.. VERY HARD -WATER. ABOVE ;300 116 /I... MODE.RA"F'EL..Y HAk6' - WAT1~R: 70 •14Q h'tQ /j," PiG lL ..,M .I LL r GRF1M E'F'R L.. I Tt..'R HARD WATER: 140 -300 MG /L (1 grain /gallon 17.2 MCA /I... ) .>b SUBMITTED FlY AlbeYO H. Padovani, M.T. (ASCP) Director- !'.I._(• P q• .. ()':'322.1 Jan 20 05 06:59p Naderman Land Ping g Eng (914) 962 -5963 p.2 p.fiN - - -- _ ... _ ............. _ . AIDIJI3IV'i'' mE�AR'I�!IENT ,O A]L�'Ilt - DIVISION OF ENVIRONMENTAL HEALTH[ SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREA?MENT SYSTEM Owner or Purehmer of Building Tax Map Block Lo: ,a 'wry"' ?- �:- •.✓ard= ,�!? -. .y.� �•=- •� f'frr'T�"f�+;% r�' -rw,� Building Constructed by To'-wn/Village F ✓ice K.i; j✓ 144. I- ocation- Street A0. Subdivision Name Pui'dinc Type �+ Subdivision Lot # I represent that r am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving ti;. above- described property, end that is has been constructed as shown an 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 par-, 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 m sewage treatment system, or any reps. made by me to such system, excer.t where the failure to operate,properly is caused by the willful or negligent act ofthe mcupant of the building utilizing the sastam. The undersigned further agrees to acce;rt as conclusive the deterrnination of the Public Health Department of Health as to whether to operate was caused by the willful or negligent act of tl-.e occupant of e ui g utilizing the system. t :Month Day Year .,?coSS Si gnature: - Ge r (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: ��or �ofp� =�i /� _ Address: Srsa 6M"O" -0 /"�O . Stare �✓�' Zip 1/01c, 10 7 State •+/ y Zip,� Fo „n GS -97 � P TTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES y CONSTRUCTION PERMIT FOR SEWA9E TREAT ENT STE'M_- °t:..,. PERMIT # — ; 5,62d / Located at 45;ro l' Town or V. ge Subdivision Lot # Tax Map le-5 Block / Lot Date Subdivision Approved 7S Renewal �_ Revision Owner /Applicant Name v- ,iv,el�z-/ Date of Previous Approval -- Mailing Address �. C7 � D a2D /�, ®.�e�p ,f,�� ', �/ Zip /oSd 7 Amount of Fee Enclosed _0 'a a -0 0 Building Type LxlArLot Area No. of Bedrooms 7 Design Flow GPD //000 ,0Z,41r_5_ Fill Section Only Depth Volume PCHD NOTIFICATIgN IS RE UIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of isa0 gallon septic tank and 6-5 G - V-Y Other Requirements: To be constructed by B,_f' Ds >d�",D Address Water Supply: Public Supply From Address ` ®: Private Supply -Drilled by - �'� p,itr»,✓� 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 submitt ed 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. Address aX 7 R.A. Date y za—l-Z/ . License # o7a'i 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 w n nsidered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe i . pprov r discharge of domestic sanitary sewa a only. By: Title: -- Date: l A z/. White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL ,..,..Ple �Rrin ortype.. �iD.Permit #• t P . Well Location: Street Address: Town/VAIage Tax Grid # o*-eA-� %U: � /1vrr,/ Map 3,dl- .5 Block / Lot(s) Well Owner: Name: zms "/V 4- Address: iosd .a0,Df2n--,0 I� . ,�j ✓dam -�%e� ��� ��0�6� i�LGL,S N_ ZJ .S 4 � Use of Well: �_ Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought S gpm # People Served d Est. of Daily Usage,, o ,o al. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type =>e Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No ><- Is well located in a realty subdivision? ...................................... ............................... Yes_ No Name of subdivision /30� ✓ �.s'7'"� Lot No. Water Well Contractor: 4e /d�'Ti'�crs /e✓ ✓, % Address: Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: w _ Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: y Applicant Signatur PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_ FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. An revision or alteration of the approved plan requires a new permit. Well to be constructed by a water W611 iller certified by Putnam County. Date of Issue A/ Permit Issuing Qfficial: Date of Expiration _ t Title: Permit is Non- Transferr le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION / . Date: � Inspected by: eZy=cW Street Location je5/d5T STZAA&j4 IFa4p Owner & /E2/ TM Subdivision Lot # % 1. SewaLye 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 soil not stripped .......... ............................... d. Stone, brush, etc., greater than 15' from STS area.. e. 100' from water course / wetlands ............................ H. Sewage System a. Septic tank size - 1,000 .......... 1,250 ......... other.. /.. b. ' S eptic 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 & tren e. Junction Box properly set . ............................... 6. Trenches 1. Length required 2 Length installed 2. Distance to watercourse measured f loo Ft....... 3. Installed according to plan . ............................... 4. Slope of trench acceptable 1/16 - 1/32" /foot..... 5. 10 ft. from property line - 20 ft.- foundations... 6. Depth of trench <30 inches from surface........... 7. Room allowed for expansion, 100 % ................. 8. Size of gravel 3/4 - 11/2" diameter clean............ 9. Depth of gravel in trench 12" minimum.......:.... 10. Pipe ends ca pped .............. ............................... -g: -Perm) or- DosedpSystems _ 1. Size of pump chamber ....... ............................... 2. Overflow tank ......................... .................. ... "" 3. Alarm, visual/ audio ........:.. ............................... 4. Pump easily accessible, manhole to grade......... 5. First box baffled ............... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle.., M. House/Buildins a. House located per approved plans .......................: b. Number of bedrooms ............. ............................... IV. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured -fi-10 6 -.ft.. c. - Casing. 18" above grade ........ ..................... ......... d. Surface drainage around well acceptable .............. V. Overall Workmanship . a.. Boxes properly grouted ......... ............................... b. All pipes partially backfilled .. ............................... c. All pipes flush with inside of box .......................... d. Backfill material contains stones <4" diameter....... e. Curtain drain & standpipes installed according to f. Curtain drain outfall protected & dir.to exist wate g. Footing drains discharge away from STS area...... h. Surface water protection adequate ........................ i. Erosion control provided ...... ............................... Rev. E102 Nov 03 04 06:56a Naderman Land Ping 3 10141 962-5963 P.1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION '0 JOSEPH -z-GENE REQUEST FOR FINAL INSPECTION All information must be fully completed prior to iin" inspections being made. For; Fill Trenches PCHD Construction Permit -' 9 Located: Owner /Applicant Namc: YM Block Lot Formerly: Subdivision Name: Subd1v.isiz)n Lot fF 7 Is system fill completed? Date: Is system complete? r10: Date: Is system constructed as per plans? Is well drilled? 5' Date: Is well located as per plans? Are erosion control measures in place? certify d e inspected y that the system(i), as listed, at thc abo�re premises has been con and-verified their completion in accordance uit_', . the issued PC t and app I roved plans and the Star.Jards, Rules anti Regulations of the P ent'of 4, Health.- Ccrtificd$� i6sign Professkp Address: Comments: Form FIR-99 NOV-3-2004 WED 07:52 TEL: 0,45 - 2T: - iTNAM COUNTY DEPARTMENT OF P. 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 November 8, 2004 Barry Naderman Naderman Land Planning & Eng. 3799 Nelson Ave. Box 7 Jefferson Valley, NY 10535 Re: Field Inspection — Neri East Branch Rd., Lot # 7 (T) Patterson, TM # 3 6.5 -1 -11 Dear Mr. Naderman: The following comments must be addressed: ROBERT J. BONDI County Executive 1. The constructed house is not built in accordance with the approved plan. Revised house plans must be submitted to this Department for review. 2. Upon inspection it was noted that the septic tank is full of sewage. This is a violation of the Putnam County Sanitary Code. At no time is any part of the septic system to _.__ ..�..__... :.....::_..:....... be• put - into - -use- until.,all-approvals• are- met -and a- Certificate -of Occupancy has, -been obtained. The septic tank must be pumped out immediately and the use of it terminated. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Sincerely, Gene D. Reed SR. Environmental Health Engineering Aide GDR:km LORETTA MOLINARIµ Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 x_ ROBERT J. BONDI County Executive 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) 218 - 6014 Fax (845) 278 - 6648 November 8, 2004 Joseph & Andrea Neri 450 Bedford Rd. Bedford Hills, NY 10507 Re: Field Inspection East Branch Rd., Lot # 7 (T) Patterson, TM # 36.5 -1 -11 Dear Mr. & Mrs. Neri: The following items are in violation of Article III, Section 2C of the Putnam County Sanitary Code: 1. The septic system has been put in to use without a Certificate of Occupancy. This violation may lead to an enforcement hearing and subsequent fines. The violation is to be immediately corrected to minimize the number days you are out of compliance. Please note that fines may be issued for every day the violation is not corrected. Sincerely, i�i�L ��• 124 Gene D. Reed SR. Environmental Health Engineering Aide GDR:km �. 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 November 11, 2004 Naderman Land Planning & Eng. Mr. Barry Naderman 3799 Nelson Ave. Box 7 Jefferson Valley, NY 10535, Re 6 Dear Mr. Naderman: Field Inspection — Neri East Branch Road, Lot #7 (T) Patterson, TM #36.5 -1 -11 ROBERT J. BONDI County Executive A re- inspection at the above referenced lot has been completed. There are no further at this time._.,Please note,that at.no_time.is.:Ony.part_ofthe :_ . .:...___._ _........_, septic system to be put into use until all approvals are met and a Certificate of Occupancy has been obtained. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. GDR: cw Sincerely, '4� 0 Gene D. Reed Senior Environmental Health Engineering Aide - ;WIC tltUF(VVM � 15'x21' BATH #3 ' 'WICK, i I , HALL BATH . BEDROOM #4 B. C 13' x 16' OPEN I To, I. PUTNAM CO HE.9Lr OiTS,E P7 AIZS 113'c'ii'rEj3 I'OF�2 Q DOOR i x. t{�3t s COUNT ONLY, 0 - - ALL S "U _ v NOOK '� IM lull's n. iST FLOOR W- v � - 4308 SQUARE FEET /52' x 57' 4 BEDROOMS, 31/2 BATHS (INCLUDES 24'x 32' PANELIZED GARAGE) Penn. Lyon Domes • www.pennlyon.com tomot Penn Lyon I lomcs. All information contained in this booklet is the property of Penn Lvon I lomes. All home elevations are artist rendcnngs and may vary from actual construction. All Iloor plans and room sizes are approximate. }art z m H U ` PUTNAM COUNTY DEPARTMENT OF HEALTH ■ �n�0 aao p HOUSE PLANS APPROVED FOR Z " r n BEDROOM COUNT ONLY; ❑ov,n ti t m _BEDROOMS a ly vai= c n 1�SP.i4 llZ�ofeft ra i t Signature & Title Date Fa- a x� m owe Z70 '0 N ID z y N CCLL1 1 Z�� a j4 ` z A p R a Eo tl e r�� v: II�RR ti = z an F ;s e € °$ � 4 i m A J P N 10� 33FF+ N �5 O np � AA A 13t�ti O. ✓. 16 R pD R l� +1 ~ t9F 4 !�• � f T I V !� c0 o ; -! IIaill, pi p rm N d Y jp LL JJ F_L__ w t • � tS' - • f e 7R � • d _ EP , 7 E NINE •,. — -BY. • ` #STATUSi .•�+ _ .• .• - - - -. c PAGE' 3 ! .DATET. .- -4 DRAWN 4758 TWO STORY ISt STORY FLOOR PLAN luLLttR MARTIN HOMES cusrpfER NERI 2 -2 -o2 LM PRELIM 226/12.5/2/02 HLB i EP• PATTERSON PUTNAM NY 2/,6/25,928/ Pis REV. PRELIM PROFESSIONAL 72 EAST MARKET STREET PO. BOX 219 BUROING MIDDLEBURG, PA. 17114 PHONE' (570) 837 -]124 SYSTEMS, INC. FAX. 1570) 837 -6333 8/20/02 JMT REV. PRELIM IEER )00 #SSEE •,. — -BY. • ` #STATUSi .•�+ _ .• .• - - - -. c PAGE' 3 ! .DATET. .- -4 DRAWN 4758 TWO STORY ISt STORY FLOOR PLAN luLLttR MARTIN HOMES cusrpfER NERI 2 -2 -o2 LM PRELIM 226/12.5/2/02 HLB REV, PRELIIk EP• PATTERSON PUTNAM NY 2/,6/25,928/ Pis REV. PRELIM PROFESSIONAL 72 EAST MARKET STREET PO. BOX 219 BUROING MIDDLEBURG, PA. 17114 PHONE' (570) 837 -]124 SYSTEMS, INC. FAX. 1570) 837 -6333 8/20/02 JMT REV. PRELIM IEER )00 #SSEE I.R CALCS MAN. I- 10/8/02 PSS FOUNDATION 10/18/02 NLB FINAL 12/16/02 JCN REV, FINAL URDER re. 5568 $MI.E LLE - P5568<790) 1 /13/03 ALA REV. FINAL n b3 ri .... :..._ :� : _,..x•,u.e:....: : s.� » : -� ,..... -..c - .a:_..� :.�..� -.v ...a_ _.. .......,.r. _y...c -.. - . - .. .. „ ,... _ .c_ ..: � .c a, .v .:v..+u.ti.r.a ..0 .,.+..a.. .�. - CJ N >< Y A � m p 91 ------ ---------- ------- - ----- - - - ---- ---- ---- - -- - -- SINS -9 II�vaR 0 J° ' — C•����I ' K W 0 0 ull AjP��NiapIc I� 4 4 PAGE- • DATE, DRAWN BY, `- Pj � pa i HOMES CRSro»<t NEI � LM PRELIM Cirr coon. PATTERSON PUTNAM sr•ri NY �1�•� REV. PRELM J�7 ti Rig REV. PReuM. n `j v REV. PRELIM. VzMa MCD 100 SEE Wo LOAD CALLS MAN, SMN LOAD 50 10/0/02 PSS FOUNDATION 10/10/02 14LB v �r utte MD. 5$68 y rit[ MM P5568<790) 12/16/02 JCN REV. FINAL 1/13/03 ALA REV. FINAL M I 4 6 vi AjP��NiapIc I� 4 PAGE- • DATE, DRAWN BY, STATUS1 4758 TWO STORY 2nd STORY FLOOR PLAN rWLtto MARTIN HOMES CRSro»<t NEI z -z -DZ LM PRELIM Cirr coon. PATTERSON PUTNAM sr•ri NY 2/26/02.32/02 REV. PRELM 2/,6'/23,9/20/ Pis REV. PReuM. PROFESSIONAL 72 EAST MARKET STREET P.O. BOX 219 p BURRING MIDDLEBURG, PA 17042 0 S PMDNE- (570) S37 -1424 SYSTEMS. INC. FAX. (570) 037 -6133 REV. PRELIM. VzMa MCD 100 SEE Wo LOAD CALLS MAN, SMN LOAD 50 10/0/02 PSS FOUNDATION 10/10/02 14LB FINAL utte MD. 5$68 Suva MR rit[ MM P5568<790) 12/16/02 JCN REV. FINAL 1/13/03 ALA REV. FINAL M ABSOPRTION TRENCH (TYP)� 636 LF TOTAL E4 6 El 1p IA 1 DBOX 436± PVC IA .04J TABL OF DISTANCES. 1 DBOX 436± PVC 3 oaso r �o 5 YBOX (TyP) . 61 d E2 o!6 E3p� aa;5 WELL 85.2' o�� D -BOX q�5: 52.1' J -BOX 1 Moll 00 Oti q2� O�,S 0 J -BOX 2 p 59.4' 54:$' J -BOX 3 U3 62.1' 57:$' J -BOX 4 Oti 65.9' 59.5' J -BOX 5 .04J TABL OF DISTANCES. 1 2 3 4 5 SEPTIC TANK 13.2' 11.4' ' WELL 85.2' 72.7' D -BOX 56.2' 52.1' J -BOX 1 57.2' 53.0' J -BOX 2 59.4' 54:$' J -BOX 3 62.1' 57:$' J -BOX 4 65.9' 59.5' J -BOX 5 70.2' 62:3' J -BOX 6 74.6' 65:5' El 109.2' 16.,'.5' E2 15.7' 105:6' E3 46.5' 107:1' E4 123.2' 47.2' PCHD AP ° _ - �j ----' -'-_-