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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -2 -30.3 BOX 26 03296 11 MM19 N" I'll Jim r IN ' I 1_;, '' -r ., N; N I1` 891 111 I r ,' - t ■ 03296 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location lWell Str t 4dd res .4. �K A fTmw V tl g gjyj . 114k, Tax-Grid # Block Lot(s) 3eji Owner: Nzaet., Address: �Cea6( rev LL fit ti4derke AV Use of Well: 1-primary 2-secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) industrial Institutional Standby Drilling Equipment Rotary _ Cable percussion Compressed air percussion Other (specify) Well Type Screened _ Open end casing Open hole in bedrock Other Casing Details Total length 0 ft. Length below grade ft. Diameter in. Weight per foot lb/ft. Materials: Steel — Plastic Other Joints: Welded readed .---Other Seal: Y Cement grout Bentonite Other Drive shoe: _XYes No Liner: es 0 Liner: _XN Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed Pumped X Compressed Air HoursL_ Yield /6 gpm Depth Data Measure from land surface-static (specify ft) ( 0 During yield test 3(f '!� ft) epth of completed well in feet I 3 c Well Log If more detailed information descriptions or sieve analyses please attach. Depth From Surface— Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface (e If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth —Or Model Voltage _LQ1 BP Tank Type t v V) Y Volume Date Well omp)eted oe Putnam County Certification No. Date of Rjpoq Well . (sign re) k�4' NOTE: location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. A � L'4'1C C/ I Na Awk / 7 - nckt kvl Well Driller's' A '* q. I Address: Signature: Date: White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 PUTNAM COUNTY DEPARTMENT OFREALTH r i � a 1 t-t. , I11�ViS]®F ENVIRONIENTL, HEALTH SERVICES Rre i t '.WELL: COMPLETION REPORT Well Location J F. t ddre�s � iUag� ellf Owner Na ` e „ ° 'L ' ,Address r y - >(Jse`of Well Il'`= pilmary 2- secondary.. Residential` Publtc:Supply Air cond / beat pump w,; Irrigation usiness ' Farm: Testlmonitoring .. ` Other(specify) Industrial_ Institutional,.; Standby Drilling - Equipment Rotary Cable percussion,. Compressed ai:''percussion Other (specify) Welt Type Screened , . Open :end casing Open hole in bedrock Other C.as><ngl�etails t� :, Total aength Z ft.' . Length,l�loW gradg ,r. y. ft;.:,oi>as; Diameter in. Weight.per foot lb /ft.. Materials: .feel Plastic Other ,_kdedri° ended 4tPer Seal: Cementgrout._ Bentonite.. Other Drive shoe: �, Yes. No �v Liner _Yes `' o Screen Details Diameter (in) Slot.Size. Length(ft) Depth to Screen (ft) Developed? First ' ._.: _ Yes No Hours Second: Well Yield Test. Bailed . ' , Pumped ' . Compressed Air .. -Hours Yield (j gpm... Depth Data. Measure. from.land surface - static (specify ft), During yield test(ft ) Depth of rpleed well in feet Well Log If more detailed information descriptions or sieve analyses are..a�ail?�bl� _- please attach. De th From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land surface {^ � ' ,- � �m .. _ . �..�: _..� ._ _..- :;_..a - � -::�, ,� - - -a - .-• � �Y .:�w.:��r..: If yield was tested at different depths during drilling, list: Feet . ;�- Gallons Per Minute •Pump /Storage Tank Information. -'� Pum T e Ca aci ty Depth Model ; �lL Voltage HP Tank Type: ' Volume 4K . 11 °''� �' .- Date Well omp fed J U Putnam'County Certification No: C' Date of R po _ b . l f ' We 'ller (signs r !� l�� �V 141. m: txact tocation.ot wen witn.distances to at least two permanent landmarks to be provided on a separate sheevplan. i . a:� Well Driller's Nam Address: Signature: --' t ? {: Date: ex" White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 1 ,. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 - Albert H . -D 6i LAB #: 1.903006 CLIENT #: 61470 NON STAT PROC PAGE: 1 of 2 --- - - - - -- ----- ~ -------- ~------------------------ M &G ANTOLINO MASONRY I 109 FIRST STREET HARRISON, NY 10528 DATE /TIME TAKEN: 07/20/09 12:00 DATE /TIME RECD: 07/20/09 12:30 REPORT DATE: 07/23/09 PHONE: (914)- 835 -6601 SAMPLING SITE: WHITE ROCK RD, PUTNAM VALLEY, NY., SAMPLE TYPE.: .:'POTABLE LOT 3 PRESERVATIVES: NONE COL'D BY: GAETANO ANTOLINO TEMPERATURE.'.: <,4C NOTES...: COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE . METHOD PUTNAM CNTY PROFILE 07/20/09 MF T. COLIFORM ABSENT /100 ML ABSENT SM 18 -20 9222B 07/21/09 LEAD (IMS) 1.7 ppb 0 -15 ppb SM 18 -19 3113B 07/21/09 NITRATE NITROG 2.97 MG /L 0 - 10 SM18- 20450ONO3 07/22/09 NITRITE NITROG <0.01 MG /L 1.0 MG /L SM18- 20450ONO2 07/22/09 IRON (Fe) <0.060 MG /L 0 -0.3 mg /l SM 18 -20 3111B 07/22/09 MANGANESE (Mn) <0.010 MG /L 0 -0.3 mg /l SM 18 -20 3111B 07/23/09 SODIUM (Na) -37.0 MG /L N/A SM 18 -20 3111B 07/20/09 pH 6.1 UNITS 6.5 -8.5 SM18 -20 4500HB 07/21/09 HARDNESS,TOTAL 242 MG /L N/A SM 18 -20 2340C 07/20/09 ALKALINITY (AS 48.0 MG /L N/A SM 18 -20 2320B 07/20/09 TURBIDITY (TUR <1 NTU 0 -5 NTU SM 18 (2130B) COMiAENTs': --� PICK UP COMMENTS: MFTC THESE RESULTS INDICATE THAT THE WATE WAS) (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI 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 100 of their than 15 ppb and a treatment must be potential. ablic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg /L, else water undertaken to reduce the waters corrosive Fe /Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg /L. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245 -2800 LAB #: 1.903006 CLIENT #: 61470 NON STAT PROC PAGE: 2 of 2 M &G ANTOLINO MASONRY I DATE /TIME TAKEN: 07/20/09 12 :00 109 FIRST STREET DATE /TIME RECD: 07/20/09 12:30 HARRISON, NY 10528 REPORT DATE: 07/23/09 PHONE: (914)- 835 -6601 SAMPLING SITE: WHITE ROCK RD, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE i LOT 3 PRESERVATIVES: NONE COLD BY: GAETANO.ANTOLINO TEMPERATURE..: <; 4C NOTES...: COLIFORM METH: MF DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain ,'no more than 20 mg /L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg /L of Sodium 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_ HARDNES_ S ?CIA_ Y -RAtN GE. .FROM :0_ TO .HUNDREIDS- 0-F -MG-4 DEPENf ,0W - rkt - SbURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED. SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L MODERATELY HARD WATER: 70 -140 MG /L MG /L = MILLIGRAM PER LITER HARD WATER: 140 -300 MG /L (1 grain /gallon = 17.2 MG /L) THE ABOVE TEST PROCEDURES MEET ALL REQUIREMENTS OF NELAC, AND RELATE ONLY TO THESE SAMPLES RECEIVED BY THE LAB SUBMITTED BY: Albert H. Padovani, M.T.(AS P) Director ELAP# 10323 TNAM COUNTY DEPARTMENT OF HEALTI _ SION OF E-VIR.0- N-MENTAL-H, YALT . SERVI CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # _/O1% 0,' —p Located at ml ii-e 0-o go A Town or Village Owner /Applicant Name WA A04- 06V LL"—"Tax Map -73 Block Lot 3&q .Formerly Mailing Address S-39- Subdivision Name Subd. Lot # Zip /0.12 1 i Date Construction Permit Issued by PCHD Separate Sewerage System built by Address Consisting of �—�� Gallon Septic Tank and -Z- MKS— r- -i , l ZJ J C / „\ & 1" n . A 10. .V- r-1 ( A Y_ .110- N A A_ . ) Other Requirements: Water Sup&: Public Supply From Address or: Private Supply Drilled by W a6, (, Address �j 1➢1►� _l t ding Tab .: lJ. ®d U, . % � . _,:. �_ ..Has eiros on..control been_co ?plet d? . `-'; _T Number of Bedrooms Has garbage grinder been installed? Aha 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: bli S (, Certified by /--- P.E. %� R.A. ( stgn Professional) Address 121 Cu Sh /YU� A (1 V 1 yd i . 12J7/ 3 License # '3 2-7 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. Title: Date: 3 j 0-5 e copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH (DIVISION OF ENV.IRONM ENTALHEALTH SERVICES (,,,Lo-7 WELL COMPLETION REPORT We' 9, C it i G fi 7' d W 614. �7- — -/,- T-J--G--d'#-- U tw lock.' 11 All Use of i- i i n i r y' 2-secondary. Pu blic.`. Supply ,,. A-i" dth e afp4MP:.- Irrigation ,' usin6ss— Te§t rri- o itori ng Other specify) In'dustria, 1. Institutional Standby Drilling Equipment -'kotAry Cable percussion. 6ompressed,dir percussion Other (specify) Well Ty'pe Screened Open end casing' Open hole in-bedrock Other' J ToW length & �ft f Diameter in. q Weight perfoot 171 b/ft. Materfals:. 1&6 1 e Plastic, Other .64d _-,.,,j(rhread O.L.--wiOtheu Seal :: COmentgrout Bentonite Other' Diive'shoe: e§ No Liner: Yes _XNo Screen Details Diamqer,.(in) Size Length(ft) Depth to Screen (ft) Developed? First ESIot Yes No Hours Scc'o -d Well Yield'irest Bailed Pumped Compressed Air Hours Yield , - gpm Depth Vita Measure fromland surface -static,(sped!77) During Yield test(ft) p f Depth th Oln p _!Sled Well in feet Well-Log If more detailed information descriptions or sjeve -analyses are please attach: �._Deotfi From Surface Water -Bearing Well Diameter(in) Formation A Description �ft. S yrface t-Z-L If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model (a LL t &,R l� Voltage .4 HP Tank.Typ L, Y Y, Volume -tT Dale je ,1,1, omp led Put.nam County CeTtification Na Date of po we 'ller (signs NOTE: EXact location of well with distances tto�at least two permanent landmarks to be provided on a separate sheet/plan. t�v Well Drillers Nam tk, Address: f Signature: Date: White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 1!•yl tl/'��V W IGwd PUT'NAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMDa SYSTEM Owner or Purchaser of Building TAX Map Block Lot Building ConstrucWd by Town/Village :� cl aj- kik_ fio-ac, - bu J, To- Ru-r'�� bocshon - Street Subdivision Name - LA)v a a( f—VA e 1 Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, worlcmani6ip, material, construction and drainage of the sewage treatment system serving the above - described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, sad 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 coridition any part of said system constructed by me w qood z o€ two Yes atly �6f a Taficate of Construction �`�' Compliance" for the sewage treatment system, or any repair made by me to such system, except wheat the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Commissioner of Health of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. hidDated: Month Day Year Signature: (Septic System Installer) . General Contractor (Owner) Signature Corporation Name (if corporation) Address: State; — _ zip Title: PCHD License # LO/ �j M R C C Corporation Name (if corporation) Address: / % %5_ 127- ?-2- State: �/ zip r-oim CS Q7 OUSBRO8 << 010 SL-9"Ooz etc A SHERLITA AMLER, MD, MS, FAAP Commissioner of Health_ .- LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive �� .. .. _.�..i .. ... _K -'Jtil avy.. a1 �..O i�.w .- _�.a+. ... •1 n� y . �h�a• DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 E911 ADDRESS VERIFICATION FORM OWNER'S NAME: WHITE ROCK ROAD-DEVELOPMENT TAX MAP NUMBER: 7 3. - 2 - 3 0.2 -� 3 E911 ADDRESS: 70 White Rock Road TOWN: Putnam Valley AUTHORIZED TOWN OFFICIAL: . (Signature) 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. E911 addressverification,, Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC(845)278-6678 Fax(845)27.8-6685 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI - County Executive -ROBERT MORRIS, PE Director of Environmental Health: June 29, 2009 John Karell Jr., P.E. . 121 Cushman Road Patterson, NY 12563 Re: Construction Compliance— White Rock Dev. LLC White Rock Road, (T) Putnam Valley T.M. # 73 -2 -30.3 Dear Mr. Karell: 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. L The E -911 form is to be provided and all plans and forms are to note the E -911 address. 2.. The well completion report form is not the latest version. Also, the white copy is to be provided to the Department, not the pink copy. 3. Only one guarantee form was submitted. The tab for the -water analysis is to be e-a laboraclr ve th _QTY. ealti� Y Department "Environmental Laboratory Approval Program ". 5.. Why does the total coliform and E.coli test read N/A and not absent or present? 6. The -level of iron is above the maximum contaminant limit. 7. The well dimensions on the as -built plans appear to be incorrect.*_ 8. Based on the inspection report from this Department, there were no junction boxes installed. The as -built has junction boxes shown and dimensions. 9. The water test did not include lead or alkalinity. This office will continue its review upon consideration of the above- mentioned comments. Please feel free to contact me at est. 2157 if any questions arise. V ry truly yours, Joseph S. Paravati, Jr., Assistant Public Health Engineer JSP:k Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845).278 -6558 Fax (845)278-60M Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 MEMORY ,TRANSMI SS 1 ON REPORT L , _ e ri... -.... .. _ . '� c . n ..c =++ .4,- w_., _.. .. _ _ - Vii:' °rer�� c "z._c > ..a:••i'7 : : ry ..eiw4a:'. TII�dE AJUN =30- 2009 "P1:44AM TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER . 384 DATE. JUN -30 11:43AM TO 88784939 r DOCUMENT PAGES 001 START TIME, JUN 730 11:43AM END TIME JUN -30 11:44AM SENT PAGES. 001 . STATUS OK FILE NUMBER' . : '384 * ** SUCCESSFUL TX NOTICE.*** S7-iERLI•Y'A AMLi R> MD> MS, FAAP _ � .aC ROBERT J. BONAI Commtssionsr ofXtalzh �e- County 6zocurtv¢ l.� LpRE'I"I'A MOL7NAR.1> RN, MSN F>yP. . Yp ROBSB;.T MORRIS:,, PE Assoctata G`ommtsstonor ofKaotrh Director nfErrvironm es:r.a! HeatrTa C?EPARTMENT OF HEALTH 1 Geneva Road_ Brewster , , 14ew'York. 10509 June 29, 2009 John Karell Jr., 1?_E_ 121 Cushman Road Patterson, NY 12563 _ S` C,-?r sts�. sc': ieu45i.. osnp7ianc,== S' 3 !17.I,�'- _12o1c..T.J��YC- :.3,.I - -- Ty y r Wh3te'Rcick Road, (T) Putnam Valley T_M_ # 73 -2 -30.3 Dear Mr. 1<arell: This office" "has received and, reviewed the most recent set of plans for the above- artentioned project_ We..would like to offor the £ollorvirl•g 6ornmpnts for your review and consideration. 1. 'The E -911 form is to be provided and all plans and forms are to note the E -911 addross_ 2. The well .completion report form is not the latest version. Also, the white copy -is to be provided to the Department, not the pink copy. 3. .Only one guarantce, form was submitted_ 4. The lab for the water analysis is to be a laboratory approved by the NYS Health Department `'.En m vironmntal L d Laboratory Approval Pro axn ". S. Why does the total coliform and E.coli test read N/A and not absent or present? 6_ . The level of iron is above the z++aYirnutrn contaminant limit. 7_ The well dimensions on the as -built plans appear to be incorrect_ 8_ ]Based nn the inspection report from this Dcp,-rtinent, there were. no junction boxes installed. The as -built has junction boxes shown and dimensions. ' 9. The water test did not include lead or alkalinity. This oiJ•ice will continue its review upon consideration of thc,•above- mentioned cornments. Please feel free to contact me at est. 2157 if any questions'aiise. "V ry truly yo s,�, Joseph S. ParaLati, Jr. ' Assistant Public Health Enginebr JS7 ?:k E nvironm an cal Health (845) 278 -6130 Fax (845)'278 -7921 Wacer Supply Section (845) 22.5-5186 F— (845) 225 -541 8 Nurs[ng Services (845) 278 -6558 Fam (845) 278 -6026 Nursing Home Ga re Fax (S45) 278 -6085 WIC (845) 278 -6678 ' Ewrly [n tarventton t Presohool (845) 225 -2847 Fax (845) 225 -1580 . Iron Examination Location. Results M. Cl, mElL Af L, me/L Method #2 - 3 White Rock 0.56 0.3 - Desirable Limit 0.05 SMWW 3111 B #3 - White Rock 0.34 0.3 - Desirable Limit 0.05 SMWW 31.11 B �- Analyzed by E.W. New haven, CT Ref. #: 324509 -10 # *" ND - Not Detectable iv[CL - Maximum Contaminant Limit. rrigf - Milligrams per Liter of water Opm) MDL- Method Detection Limit QC Chcckc y Approved by Page 1 of 1 v4k lArM- �- (� B1�uaBs m>tf�ataea�l. POTABILITY ANALYSIS OF WATER, Client: M and G Antolino Masonry, Inc. Sample Collection: 6.25.09 10AM 91mc Stan Norwalk, CT Address: 109 First Street Hygienist: Client 06850 Harrison, NY Analysis: 6.26.09 pho 203-853-9792' Phone: 914 -835 -6601 Lab #: 090688 Fax: 203 - 853-0273 Fax: Sample Received: 6.25.09 Iron Examination Location. Results M. Cl, mElL Af L, me/L Method #2 - 3 White Rock 0.56 0.3 - Desirable Limit 0.05 SMWW 3111 B #3 - White Rock 0.34 0.3 - Desirable Limit 0.05 SMWW 31.11 B �- Analyzed by E.W. New haven, CT Ref. #: 324509 -10 # *" ND - Not Detectable iv[CL - Maximum Contaminant Limit. rrigf - Milligrams per Liter of water Opm) MDL- Method Detection Limit QC Chcckc y Approved by Page 1 of 1 Brooks Emwonmental x 9 Isaac Street Norwalk, CT 06850 CT DPH Lab #0539 Phone: 203-853-9792 Fax: 203 - 853 -0273 www.brooksenviro.com i� Client: Mike Antolino Address: 109 First Street Method Harrison, NY 10528 Phone: 914 - 906 -8056 Fax: 0.005 EPA 200.7 Sample Collection: 5.19.09 11:50AM Hygienist: Client Analysis: 5.22.09 Lab #: 090537 Sample Received: 5.19.09 1:03PM Sample Source: White Rock Road, Putnam Valley, NY - Lot #3 i Analyte Results, m --/l MCL, mzaw BACTERIOLOGICAL EXAMINATION Method Total Coliform: N/A trron 0.721 ** 0.3 - Desirable Limit SM 18, 9221(Colilert) e. Coli N/A 0.005 EPA 200.7 SM 18, 9221(Colilert) PHYSICAL EXAMINATION ,i FTne�s �„ __ _�?�P4 50 =15L1- DesirabicLirbzt -�.. n. � -250 -..� ,...... ..,.. v _1 SM 2340B Analyte Results, Unit MCL, Unit MDL, Unit Method Color 1 15 1 EPA 110.1 Odor 0 2 0 EPA 140.1 pH 6.25* 6.40 -10.0 — SM 4500H B tTurbidity 0.91 5 0.1 EPA 180.1 CHEMICAL EXAMINATION Analyte Results, m --/l MCL, mzaw MDL mffA Method tCopper 0.384 1.3 0.005 EPA 200.7 trron 0.721 ** 0.3 - Desirable Limit 0.005 EPA 200.7 tManganese 0.026 0.3 0.05 - Desirable Limit/0.5 Action Limit 0.005 EPA 200.7 tSodium 36.4 ** 28 C Q�2 A p 0.2 EPA 200.7 ,i FTne�s �„ __ _�?�P4 50 =15L1- DesirabicLirbzt -�.. n. � -250 -..� ,...... ..,.. v _1 SM 2340B tChloride 147.0. y 0.5 EPA 300.0 Chlorine ND * ** - 0.05 SM 4500 -CI -G tSulfate 15.7 250 - Desirable Limit 1 EPA 300/SW9056 tNitrate -N ' 3.20 10 0.05 EPA 300 tNitrite -N ND * * * <0.1 1 0.05 EPA 300 [,6A0 tK9�rn�� -rY t- Analyzed by York Analytical Project No. 09050569 "o'o* * Below State of Connecticut Recommendations` ** Above State of Connecticut Recommendations QC Checked by * ** ND - Not Detectable MCL - Maximum Contaminant Limit - mg/L - Milligrams per Liter of water (ppm) Approved by MDL- Method Detection Limit Page 1 of 1 I "Wd PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM (AQ4K &,�- .9191/ - lit Owner or Pumhaser of $wilding Ak &ck fe'd Building Constructed by 7? 2 30-3 Tax Map B1oa �+•�- Lot fc/' u, e N Town/Yillage 4.1 Location — Street Subdivision Name V� Building Typc Subdivision Lot # I represent that t am wholly and completely responsible for the location, werioonanebip, material, construction and drainage of the sewage tresmtent system serving the above-described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Hcatth, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any patt of said system constructed by me which fails to operatc.for it pfriod of two. �± �re jnp lately=_t'ollowing Lhe date -af �mVal- of the "Cefi1A are -6r' C6ii rueiion, Compliance" for the sewage treatment sysfti, or any repair made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive tho determination of the Commissioner of Health of the Putnam County Department of health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month DC Day L— Year Signature: Pa;u -27 (Septic System Installer) �I „w Title: General Contractor (owner) — Suture PCHD License # h41k 6 k 90411 t � �� Get✓ w M f-� c' c Corporation Name (if corporation) Corporation Name (if corporation) Address: 1638 4vtf%Gtir 2 Aye Address: I �l `? r States _1��w ` a !u/ Zip J 0 S 73 State: Af V Zip 7 FOTM OZL88LZSti8 <c 9b -Lo u-90-600Z £/£ d 2009 -05-18 21:50 * >> P 4/5 BY THIS. CERTIFICATE OF COMPLIANCE THE NEW YORK ELECTRICAL INSPECTION SERVICES 150 White Plains Road, Suite 104, Tarrytown, NY 10691 CERTIFIES THAT Upon the application of; Upon premises owned by: A. Sposta • Andrew Sposta Not listed on app. - 388 King Street Lot 0, Whiterock Rd. Port Chester, NY 10573 Putnam Valley, NY 10541 Located at. Lot 03, Whiterock Rd., Putnam Valley, NY 10541 Application Number: 10072530 Section- Block: Lot: Certificate Number: 10072530 Sac: 106 Permit Number: 575.08 A visual inspection of the electrical system at this premise described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located In /on the premises at; Lot #3, Whiterock Rd., Putnam Valley, NY 110541 Basement, Garage. Outside. was Inspected in accordance with the NYS and NFPA 70-99 and the detail of the installation, as set forth below, was founded to be in compliance therewith on the 16 Day of October 2008. Thi* certificate may not be altered in any way and Is validated only by the presence of a raised seal at the location indicated. This cerifficate is valid for work preformed before date of inspection only, mannie Name Date Quantity Hating Circuit VLA hda;iMite 7 RA 1-11MkV, Uti% Or Oil R -AU ku'ldkt 1 2111,•1111 ?,(I. I ol I : Np siuoo mLse D011f Thi* certificate may not be altered in any way and Is validated only by the presence of a raised seal at the location indicated. This cerifficate is valid for work preformed before date of inspection only, mannie 2009 -05-18 2150 >> p 5/5 -t .-I; Officer: Nick Morabito This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. This certificate is valid for work preformed before dew of Inspection only, leanrne lfoolkr 2U, 2MN 16 I'agu 1 nl i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONiMMNTAL HEALTH SERVICES FINAL SITE INSPECTION Date: Tnsget.b3� "'Streefl,ocati'on flG"`: Owner lr1���ec ?fie v, Town /5�,Xkggv, l/u�/ f Permit # P ✓ - o s -0 7 TM #— 7-31 - 9—.36> :Subdivision:Lot # ?, 1. . Sewage 'Svstem Area a. STS area `located as per. approved .plans .......... :........... b.. Fill section - date 'of placement 3:1 barrier . Lgth. Width . Ayg.Dpth� c. Natural soil not.stripped .. .......:.... ............................... d. Stone, brush, etc.,. greater than 15 from STS area..... e. 100' from water course/ wetlands .: ............................... IL :Sewage'System . 1,2 ... ...... other......:.. . a. Septic :tank size -.1,000 .... ' .. b. ' Septictank installed level....... ..... ..................:............ c. 10' minimum from ' foundation .......... I ......................... d. 'Distribution -Box 1. All outlets at same elevation -water. tested...:':::..::: 2. Protected below frost ............. ............................... 3 1Vfinimum 2 ft. Original. soil between box & trench e. ,Junction Box properlys.et .................................... 6. Trenches l .:Length.required�o :Length installed a .2. Distance to watercourse measured. 1cvoFt.......... 3. Installed according to plan..... .. ............................... .4. Slope of trench acceptable l/1;6.- '1132" /foot......... 5. 10 R.: from: property' he - 20 ft.- :foundations........ 6. Depth of trench <30 inches. from surface .............. 7. Room allowed for expansion, 10.0 % ......... :........... 8. Size ofgravel.3 /4 -1lk" diameter clean ...............: 9.. Depth of.,gravel in°trench'12" minimum ............... 10. pipe ends .ca d .....:...:....:.. ...:....:......................... : g. Pump or Dosed Cstems 1. Size of pump chamber ......... A. 7:4 0��. K .2. Overflow tank......... ............... ............................... 3. Alarm, visudY dio..- ............ ......................... 4. 'Pump easily accessible, manhole to grade ............. S. First ....................... . ............................ 6. C� qcle witnessed by R.D..estimated flow /cycle....... III HouseBuildirig a. "douse located er approved plans ......... b.. Number of: bedrooms ......................... IV. W611 Well located as per approved plans . ......:........................ b. Distance from STS area measured loo ft....... c. Casing 1.8" above grade ............ ................. ............... d. Surface drainage around well acceptable ................... V. Overall Workmanship . a.. Boxes properly grouted ......................... . ................... b. All pipes partially : backfilled ........ ............................... c. All pipes flush.withinside.of box .............................. d.. Backfill material contains stones <4" diameter........... e. Curtain drain & standpipes installed according to pla f. Curtain drain outfall protected &.dinto exist watercc g. .Footing drains discharge away from STS area.......... h. Surface water protection adequate........: .................... i. Erosion control provided ........... ............................... Rev. 12/02 W ATTENTION .PUTNAM COUNTY DEPARTMENT OF HEALTH D"ION OF ENV[HONIV,IENTAL HEALTH SERVICES ❑ JOSEPH ❑ GENE For:' fill All in formfion must be fully completed prior to any Trenches. inspections being made. PCHD Cons tlon Pennit. # P 0 Located: U.� i G {'1� {V} 6—M "r zw* ..... Owner/Applicant Name: A) k^*- I� �- . C.r TM 7 Block.. „ Lot h• i�axmerly: � _ Subdivision. Name: tvA4* APe-se— Subdivision'Lot 0 `.3 Is system fill completed? Date: is system complete? Date: _ Ea Is system constructed as per plow? 4 Is well drilled?, t'S Date: lQ b well'located as per plans? Are erosion control measures ixi place? s-S I certify that the system(s), as listed, at the above:premises bas been constuded and Y hove inspected and verified their completion in amx danoe with the issued PCHD Coumcdon Permit and approved puns and the Standards, Rules and Regulations of the Putnam County.' Department_ of ... Date. � t� Ce wkd by: PE �„ RA .Design Professional Address: VIA CAI�M 194L,4�1 1104 S,3 -77 Comments: Form FM -99 1 ,9 7-3 e, SI•IERLITA AMLER, M®, MS, FAAP Commissioner of Health `"1®R9TTA MOLINARI, R1V, MSN } Associate Commissioner of Health John Karell Jr., P.E. 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BON ®If County Executive ROBERT MORRIS, PE Director of Environmental Health September 29, 2008 Re: Field Inspection White Rock Road (T) Putnam Valley, TM # 71-2 -30 T.he ah�� - ..: ..::._..:.:�. ;e ? ? PaacFci se rate: u✓a e r :is e is to rtiarrbe�a l�tili d '-The- — owing-~ comments need to be addressed. 1. A pump test needs to be witnessed by this Department. 2. A bedroom count needs to be performed by this Department. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. GDR:kly Very truly yours, Gene D. Reed Sr. Environmental Health Engineering Aide Environmental Health (845).278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNAM COUNTY DEPARTMENT OF HEALTH :�. ,.. DIVISION -OF ENVIRON-MENTAx; iiEA'I`l'iI79MVICE.S: FIELD ACTIVITY REPORT AD61ZESS: dr/hi� e. _ e-& ZZ, RViA d ,A~ k1alleg-__ A% Street Town State Zip G' o y PERSON IN CHARGE _ PUMP TEST C] DOSE TEST mo 0 0 N a �\ � q 3" EL. START REQUIRED GALLONS 7, o /or --. - �10,o r -7/ f �6wJ1 �:. �oi � •` � <o�. STOP a Signature and Title _ RFRt1RT R prFTVET) RY: I acknowledge receipt of this report: SIGNATURE: 02/96 Title. POD9.05 -18 29150 13Y THIS CERTIFICATROF COMPS ANCE THE., NEW CORK ELECT kICAL INSPECTION SERVICES 150 White Plains Road, Suite 104, TorrA*wn, NY 10591 CERTIFIES THAT Upon the application of; Upon. promises owned by,. A. Sposte • Andrvw Sposta Not listed on app. - 388 King Street J Lot 03, Whitcrock Rd. Pcwt Che3ter, NY 10573 Putnam Valliy, NY 10641 Located 8t: Lot 03, Whiteeock Rd., Putnam Valley, NY 10541 Application Number: 10012536 Cettficate Number., 10072530 Section, Block: Lot- 80c, 106 Permit Number. 575.00 A visual Inspection of tho electrical system at this promise described as a Residential occupancy, wherein the 'premises electrical system consisting of electrical devices and wirinij, described below, located inion the premlacs-at: Lot 03. WhIterock 'Rd., Putnam Volley, MY 10541 Basement, Games, Outside. was inspected In accordakca with the NYS and NFPA 70-99 and the detail of the installation, as ..set forth below, was founded to be in compliance therewith an the 16 Day of Octobei 2008. k P 4/5 dame IigtO Quanlih- Rating Circuit Tac 1% -Nil iah 1 k' ol:new! cir .!OP, IN -A!1 Iyndl,4 241h Ilk .0no-NIONII, 2 10 1011 AMP Single Ilkx- A;.' J:)vAII:d M!Ahiq 1 1 P lu I III, Iff" Me V"FIC , ate IVORY not bo aillered In any way and Jr, validated an[V by "o prosawa of A raiload 044121 the locatlari indiiiated. This corliftate 10 valid for work preforined beforo dole 91 inspection On1j, cannia t5 1 .0 GVV7'VO-'Ia�YSU » PVJ :. _ _ . - ; 4:c' .a, w .,'.mot.'.. .poi �.. ".0 �:: � a .. x - ..<'� °;;.c:s;y.4'.,w = •ervc�. -v. v. - r--•. Officer.: Mok Morabito This eanlficate may not he alrerad in any way and is Yalidpted onty by the pruaifce of a.ramd spat at the location.indioa K This certifltatar is vm5d twwor4 prafonopd balWo date at Inspection eMy. leannim 16 1<IUiW+w, s n i,ilwr :u, anh Page 1 ul COG SHERLITAAMLER, MD, MS, FAAP y� a ROBERT J1.BONDI Commissioner of Health * County Executive Al LORETTA MOLINARI, RN, MSN Y pR►� ROBERT MORRIS, PE Associate Commissioner of Health Director of Environmental Health DEPARTMENT-OF HEALTH 1 Geneva_ Road. Brewster, New—York 10509 June 16, 2009 Jack Karell, Jr., PE 121 Cushman Road Patterson; 'NY 12563 Re:. Field Inspection — White Rock Road (T) Putnam Valley, T.M. # 73. -2 -30.3 Dear Mr. Karell: A re- inspection at the above referenced lot has been completed: There are no further comments to be addressed in- reference'to this Department's open work inspection°: If you have any further questions, please, contact me at (845) 278 -6130, ext.'43261. , Sincerely, Gene Reed Sr. Environmental Health Engineering Aide GR:kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing. Services (845) 278 -6558 Fax (845)278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 PUTNA.M COUNTY DEPAR DIVISION OF FNvr m.,-- - Pease pAPPtyp APPLICATION T O CONS Well Location: Street AddreAs: Tour. Well Owner: Use of Well: 1- primary 2- secondary Amount of Use Reason for Drilling Detailed Reason for Drilling- Well Type Name: —k v, OF HEALTH -111! j ALTH SERVICES ATER WELL . PCHD Permit # AI-O S.07 Tax Grid # vvs-(, L;r V,1-94 rL^�J L&I-W _ Residential .'c Supply Air /Cond/Heat Pu - arm Test/Monitoring Business :,, � Industrial Institutional Standby Yield Sought /,, gpm # People Served Est. of Replace x v" isting Supply Test/Observation _ V xro. runUlY (new dwelling) _ Deepen Existing Well V Drilled Driven Block P-- Lots) 3 i in A I ID-S-1 Irrigation Other (specify) ily Usage Additional Supply Gravel Other Is well site subject to flooding? ............................................... ............................... Is well located in a realty subdivision? Name of subdivision Water Well Contractor: Address: Is Public Water Supply available to site? ...................... ...,.......... .............................. Name of Public Water Supply: Town/Village _ Distance to property from nearest water main Yes NO Yes No Lot No. Yes No Propose well location & sources of contamination to bJrovi ed on separate sheet/plan. Date: l /0-7 Applicant Signature;. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_ FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. 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. Date of Issue 10 Alq l07 Permit Issuing Official �• d" Date of Expiration l o 4 o Title: Z � 4z l-- 4�7 ; Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller 'ff7PUTNAM COUNTY DEPARTMENT OF HEALTH J DIVISION OF ENVIRONMENTAL HEALTH SERVICES `rOR9I' tUCT'IOIe1 PERIlZIT'�FOR SEWAGE TREATMENT SYSTEM C � PERMIT #- V Located at Vy)AA t w ci Town or Village P<,VIAM i ^� Subdivision name (Ajj 1 /-r-_ /0 /0C1—' Subd. Lot # 3 Tax Map Block Lot _3 0.3 Date Subdivision Approved �� 0 Renewal Revision Owner /Applicant Name Date of Previous Approval Mailing Address 53F'__ Zip /0,J— 73 Amount of Fee Enclosed Building Type Lot Area ?� 3 No. of Bedrooms Design Flow GPD & y t Fill Section Only Depth Volume PCIID NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED to consist of gallon septic tank and SO O 64' Other Requirements: _ To be constructed by Q 1 �/� Address C_�V_kfil'a Water Suunly: Public Supply From j Address ors.._ j prig . Cupply l�ril ed by{ C ID - Address " l I represent that I am ihi illy and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment s sY, tern described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed Address R.A. Date 0 o(% License # 5 3 Z,7 1 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new p it. Approved for discharge of domestic sanitary sewage only. B Title: A—a� , Date: l� 7 it copy - HD File; Yellow copy - Buil mg Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health John Karell Jr., P.E. 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 ROBERT I BONDI County Executive ROBERT MORRIS, PE-= <.r.:�_ Director of Environmental Health October 17, 2007 Re: Proposed SSTS — White Rock Rd Dev. LLC White Rock Road, (T) Putnam Valley T.M. # 73 -2 -30.3 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. 1. Please remove all references to the NYCDEP since this lot is outside the NYC Watershed. 2. Please provide a note stating the house, well, SSTS and wetland buffer are to be staked by a licensed land surveyor prior to construction. 3. _The dose provided is too high.and.the Proposed. ovexall•pilmp operating.elev-atio:i save _ - iargerthdr'fhe"si2e' f the c1lam�ber: - ... _.:. :.. _ ..... _.. _ �.... �. 4. An all weather junction box with an outlet and screwed cover at or above grade at the pump chamber to allow for a plug in connection for the pump is to be provided. 5. Please provide basement floor plans. This office will continue its review upon consideration of the above - mentioned comments. Please feel free to contact me at est. 2157 if any questions arise. JSP: ens Ve y truly yours, oseph S. Paravati, Jr. ` Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 \' SHERLITA AMLER, MD, MS, FAAP Corrlmissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health August 21, 2007 John Karell DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, I'E Director of Environmental Health 121 Cushman Road Patterson, NY 12563 Re: Proposed SSTS White Rock Rd Development, LLC White Rock Road, Lot #3 (T) Putnam Valley, T.M.# 73.2 -30.3 Dear Mr. Karell: 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 Erosion control needs to be shown below the house and detention basin. 2' The fill section detail should be eliminated from the plan. "' IN41'ects. And bounds need to be completed <.:: ::.., ,::�, ........ ,......: ,..... _ 4/ Design--data on Sheet 2 of 2 notes 600 linear feet of fields. Please change this to 500 as /required. V APlease note the length of cast iron pipe from the house to septic tank. 6 "(inch) CMP sleeve is required for the cast iron pipe under the drive. Please show and note this on the plan. The absorption trench detail needs to note dust free crushed stone or washed gravel. �l The wetland boundary needs to be labeled along with the 100 foot setback boundar y• Questions 27 and 28 on the PC -97 form references wetlands. It appears that wetlands do exist on the above referenced lot per the subdivision map and therefore would need to be addressed on the PC -97 form. Also question 22 reference the inspector and date. Please be advised that the deep test holes were inspected by Adam Stiebeling on December 16, 1999. (Returned for your use). l fo ova (waesi; sS3 i„w� q`6, 10-7 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 '--A,, plOA- Pw oQhe pump cha bp - peeds-lo-:ke avid ; -1 " 01 //pump chamber. V lectrical notes fo the pump chamber have been revised. Please change (see attached). here appears to be errors in the pump calculations, specifically static head loss. Please I/Zlarify. equal distribution system using a distribution box is considered preferable by this Department. Please consider changing the design to equal distribution. The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City of Environmental Protection on this lot, percolation tests must be witnessed by a representative of this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR:ens Respectfully, Gene D. Reed Senior Environmental Health Engineering Aide SHERLITA AMLER, MD, MS, FAAP _ CommissionerofHealtlr LORETTA MOLINARI, RN, MSN Associate Commissioner of Health February 27, 2007 John Karell Jr., P.E. 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI ROBERT MORRIS, PE Director of Environmental Health Re: Individual SSTS Application for 28A Subdivision White Rock Road (T) Putnam Valley During the review of lots #.land # 2 for the above mentioned applications this Department has been made aware that the above referenced subdivision has not been filed with the County Clerk's office of Putnam County. Please be advised that no further review will be conducted by ...this Department- on.an;r•1Qt in the subdivision-until d_ oc_umen.tation is - provided that- the - ' ^ �sub`iiivision fins been filed. Applications for lots 3, 4, and 5-will bbe returned to you. Please do not respond to any comments submitted by this Department until the subdivision is filed. Please contact us if any question arise. JSP:kly Sincerely Joseph S. Paravati, Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845)278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 ly. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health February 13, 2007 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 John Karell Jr., P.E. 121 Cushman Road Patterson, NY 12563 Dear Mr. Karell: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health RE: Application to Construct a Subsurface Sewage Treatment System for White Rock Road Development, LLC at White Rock Road, Lot # 3 (T) Putnam Valley, TM # 73. -2 -p /o 30 The Putnam County Department of Health (Department) has determined that- the above referenced application, received by the Department on January 25, 2007 is incomplete. Please be advised that the following information is required before the Department may commence its review. • Questions 27and 28 on the PC -97 form reference wetlands. It appears that wetlands do exist on the above referenced lot per the subdivision map and therefore would need to be addressed on the PC -97 form. Also question 22 reference the inspector and date. Please be advised that the deep test holes were inspected by Adam Stiebeling on 12/16/99. (Returned for your use). • The Letter of Authorization form needs to be fully completed (returned for your use and • Three sets of plans are required for submission. Only one set was submitted. • House plans have not been submitted for review. Two sets are required. 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 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. 2261. Very truly yours, 4ee- �q. a_�t�_ , Gene D. Reed Senior Environmental Engineering Aide GDR:kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 • a ' i A ; PUT NAM• COUNTY DEPARTMENT OF HEALTH • tc DIVISION OF ENVIRONMENTAL HEALTH . lNDArTDUAL WATER SUPPLY & SUBSURFACE SEWAGESEW-kGE 'TREAT MENT _ VA T F.O-.i :CON5=x"Rt7c ION PERMIT ~ ...w.: NAME OF OWNER: yW�i 'la -Oe% S REST LOCATION: _L!4,, � -Zee /`V. REVMWEDBY. RM, C� ASP, SRDATE: 2 3 O TAX 1�AN: (CONFIRMED) :Z � "' � "' 3 0 Y DOCUMENTS 2�A /o?Y 1REOUIRED DETAILS ON PLANS CONT'Dl• ' PERMIT APPLICATION (� HOUSE SEWER -1 /" FT. 4 "0'; TYPE PIPE. CAST IRON {_}WELL PERAfIT ORPWS LETTER (___)NO BENDS; MAX BENDS 45' W /CLEANOUT ( r 19-71- 2 :i- RENEWALS LETTER OF AU THORI7.ATION C SITE NOTE (NO ORANGE) . (_)DESIGN DATA SHEET (DDS) °"'� FILL SYSTEMS CORPORATE RESOLUTION 0' HORIZONTAL; PAST TRENCH SLOPES 3:1 TO GRADE SHORT EAF �_- -... � FILL SPECS/ L NOTES 1 -5 - (UPLANS 'THREE SET5 0 /y C S FtL FILL PROFILE & DIMENSIONS HOUSE-PLANS --TW0,SETS- U IN EXPANSION AREA VARIANCE REQUEST �! FILL GREATER THAN FEET SUBDIVISION �C,-`)LEGAL SUBDIVISION ' .FILL CERTIII'ICATION NOTE S DIVISION APPROVAL CHECKED DEPTH GAUGES U�--� C RATE VOL. ON PLAN FOR R.O.B., tTNCLASSUMD & ZIPERVIOUS {� L REQUIRED DEPTH EPARATION DISTANCE FROM TOE OF SLOPE DRAIN REQUIRED TRENCH GENERAL :�;�� . L. RETRENCH °PRQV°IDED:��E'�'3�•60FT- MAX:+- Y` i` °'� � 600 TED .IN NYC WATERSHED �d %f clues �--� ( )(i )PARALLEL TO CONTOURS P S SUBMITTED TO DEP ROVIDED GATED TO PCHD DET _ UST FREE USHED °STONVOW=WWASHED �GRA,VEL APPROVAL, IF REQ'D (_)(_}GEQTEXTiLE R EP TEST HOLES OBSERVED WS TO BE WITNESSED - APPROVAL SSDS ADJ, LOTS ri'ILANDS (TOWNIDEC PERMIT REQ'D ?) TA ON DDS- PLANS & PERMIT SAME • . . E F69 NEIGHBOR NOTIFICATION !•:ice �.: � "�f�0ii-E:EV`A.TiONiV1I•�0 "Uj_" _ - IL TESTING LOTS >10 YEARS OLD AGE SYSTEM PLANT (NORTH ARROW, i HYDRAULIC PROFILE VTTY FLOW 'STRUCTION NOTES 1-15 nmD i kT,-k.% Pi i RC � D E E r RESUI;TS X po ki )NTOURS EXISTING & PROPOSED IEWAY & SLOPES, CUT FOOTING/GUTTER/CURTAIN DRAINS USDA SOIL TYPE BOUNDARIES _ BLOCK; OWNERS NAME ADDRESS PE/RA; NAME, ADDRESS, PHONE# DATE OF DRAWINGMEVISION ' UDATUM REFERENCE , =O.CA:TRON'OF,WAZ'- ERCOURSES; PONDS' LA.ICES;WETL-ANDS=WITMN 200! -OF P:L ." . OPOSED FINISH FLOOR AND BASEMENT ELEVATIONS DWELLS & SSDS'S W/IX 200' OF SSTS ` .( UPROPERTid 'cMFTESa &::�0[JND5 -r�� )(�EROSION•CONTROL'= FOItSOUSE wEI.L: &;:,; • , $STS "EROSION�CONTROL, NOTE n Gf!>5i0� 4- -h4wil begot✓ kovy� u2NC� SEPARATION DISTANCES ON PLAN FIROM'SSTS 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL, 20' TO FOUNDATION WALLS 100' TO WELL, 200' IN DLOD,150' T0, PITS 00' TO STREAM, WATERCOURSE, LA ER line. e%pir4 • _ SQ' 'l<Q .CATCH•EASII�i,_3�' ST[}Rn?DRt►.�T; I"�3i� WA'!'ER- , •' • '' Iv' it3'WAlEi2. LINE (pits • ZO') � 50' DRAINAGE COURSE, 200'1500' RESERVOM ETC. 150' GALLEY SYSTEMS- UL AO' MIN TO LEDGE.OUTCROP SEPTIC TANK (_)�0' FROM FOUNDATION; 50' TO WELL WELL DIMENSIONS TO PROPERTY LZMS LOCATION OF SERVICE CONNECTION (�( )M!N IS' TO'PROPERTY LINE SLO E }✓ ELOPE IN SSTS AREA 520 %) �)UREGRADED TO 15 %, IF REQURED DOS UM'P SYSTEMS J e TES OF PIPE VOLUMEIDOSE VOLUME NOTED ORFORCKMAIN, (PIPE TYPE, ETC.) -BOX SHOWN & DETAR.ED RAGE ABOVE ALARM CURTAIN DRAIN C'NLASTA.PPIPES, 5' BOTH SIDES, DETAIL e 15' A2iN to CDS ->5 %, 20' -4 %, 15' -3 %, 35'-1 %,100 % -<1% ��NIO'XW 20' MIN to CD DISCS ARGE/100' with 182 cons day discharge to NON - PERFORATED PIPE Fill' r�c�:o..c�e7ri�l4.4t yord..,_..- - 0,,-t4 1xige `, t & oaf. i?o s 5 Py EA_ L-T DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE. SEWAGE TREATMENT SYSTEM -Owner -------WHITE ROCK ROAD D*EVELOPMENTLLC Address 538 WESTCHESTER AVENUE . RYE BROOK, NEW YORK, 10573 Located at (Street) WHITE ROCK ROAD Tax Map 73 Block 2 Lot 303 (indicate nearest cross street) MunicipalityPUTNAM VALLEYWatershed PEEKSKILL HOLLOW BROOK SOIL PERCOLATION TEST DATA Date of Pre-soaking S V-5A ri b Date of Percolation Test 3i y 10% Hole No. Run.No. Time Start -Stop Elapse Time (Min.) De to Water From Ground Surface (Inches) Start Stop Water' Level Drop In Inches Percolation Rate Min/Inch I SIDO 33 a _Z 2 31 a q at 13 3 L/00 q361 I V< 7-1 -d 5 (L) 1 30 331- .3 . o -Lf Lff 3 Q I n'A- -2)/Z_ 3 7-1 V -Z _j -L." 4 5 .2 3 4 5 NOTES: 1. Tests to be repeated at same cieptn until approximateiy equal put-w1uLlulL rates are obtained at each percolation test ' hole. (i.e.5 I min for 1-30 min/inch,_,5 2 min for 31-60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 iii i of L./ TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES nDEPTH - HOLE NO. TP- HOLE N0. HOLE NU. G.L. 0.5' 1.0' Fj �✓� �� -ay-� .7" 1.5' 2.5' Nom., -P1 yAj '41VQ ��- 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' 9.5' Indicate level at- which groundwater. is encountered D�f Indicate level at which mottling is observed Indicate level.to which. water level rises after being encountered Deep hole observations made by: Design Professional Name! -To lWW I C><f ��� : �� '&,+s: 4, l� � l Zi C U.5 H-M +jt) P,,'," A-D Signature Design Professional =s Seal NROFE��� ��OA .53211 SION�� PUTNAM COUNTY DEPART : S.. _..,_.:._. -'��<. .... .. .. . XVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of WAillf- K-oak emcC y�v Located at whi4e- 4c -k i PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1..._. Nameand_address of applicant: �'�41� i2D 'K % ._DkyE p %�'�ij.�►IT � �Yt ig4001G %i� /D s ?3 2. Name of Project: LOT_ 3 3. Location: T /V; - pVZy2Jt 7—) 4. Design Professional: -"D HJ Address; ,�f 6. Drainage Basin: ►° k�L'IU. t.t p� g D ©� P S� J N 7. Type of Project: _A 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) ? .............. Yes/No hl0 Type Status (check one) ...................................... ............................... Type I Exempt Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No / O 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No 11. Name of Lead Agency 12. Is this project in an area under the control of local planning, zoning, or other officials, • ordinances° _ - - 13. If so, have plans been submitted to such authorities. Yes/No 14. Has preliminary approval been granted by such authorities? Date granted: 15. Type of sewage treatment system discharge ........................ surface water ✓ groundwater 16. If surface water discharge, what is the stream class designation? .......................... 17. Waters index number (surface) .............................. : ...................... :...................... 18. Is project located near a public water supply system? . ............................... Yes/No /\/O 19. If yes, name of water supply Distance to water supply — 20. Is project site near a public sewage collection or treatment system? .......... Yes/No A/0 21. Name of sewage system _ Distance to sewage system 22. Date test holes observed 1 'L. 1 23. Name of Health Inspector p A- �an��I l.h�. 24. Project design flow (gallons per• day) �C>D 25. Is State Pollutant Discharge Elimination systern ( SPDES) Permit iequir•ed? ,:. Yes/No AJO 26, Has SPDES Application been submitted to local DEC office? ......................... Yes/No NO Rev. 11/02 Form PC -97 Pg. 1 of 2 27. Is an), portion of this project located within a designated Town or State wetland ?... Yes/No_ i�J pGl M �i o -h p," Al O w rya w t�l-�i i �1 r28. Wetlands ID number ....... .� .... ..........................%. ................. ............................�.. 29. Is Wetlands Permit required? ...................................... ............................... Yes/No A/0 m 30' Has application been made to Town or Local DEC ........................... Yes/No Does project require a DEC Stream Disturbance Permit? .... .........................Yes/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 32. 33. 34. 35. 36. application or industrial activity? .......................................... ........:....:...........Yes/No Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ................................... ............................... Yes/No DESCRIBE Is there a local master plan on file with the Town or Village? .........................Yes/No Are community water and /or sewer facilities planned to be developed within 15 years in or adjacent to project site? ............................................... I ............ Yes/No Are any sewage treatment areas in excess of 15% slope? ....... .............. ............................... Ma 7 3 Tax Map ID Number p .................. Yes/No �D �D A16 Al ND Block c2— Lot 303 37. Approved plans are to be returned to ................ Applicant . Design Professional --r . 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 pei jury, 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: �f'U(JW L49Ec- , �ZR Mailing Address: ............................. PUMP SIZING............ �o-- 4 �jj W I t'C 40 ELEVATION HEAD LOSSES (ft) GRADE AT PUMP PIT ......................... Sl D 9 BOX ELEVATION . ...........................z�ra BOTTOM OF PUMP PIT .....................: �D TOTAL HEAD LOSS ..... ............................... r' r7' FRICTION LOSSES (ft) AT)J�-!�GPM 2 INCH PIPE LENGTH OF FORCE MAIN .................. -70 PUMP PIT PIPING ... ............................... 30 FIXTURES IN PIT ... ............................... /0 TOTAL LENGTH ..... :.......:...................:.. J/0 AT I? IGPM WITH 2 INCH PIPE I.) N.86 FT /100 FEET -RJCTl0N- LOSS. - — - TOTAL HEAD REQUIRED............ USE HYDROMATIC MODEL DS -25 PUMP RATED AT 17,SGPM AT 19' FEET HEAD. EXACT PUMP MODEL BASED UPON ELECTRICAL SERVICE AVAILABLE TO THE PUMP STATION. / Fw a w 7 ti• PROFtS SUMPIEFFLUENT PUMPS - Features and Performance DlUsMS25 `sUZER 61" WS25A1 • Completely submersible automatic sump' pump. • Available with wide -angle DS1wS2S - 114 HP - MAX. SOLIDS 112" - 3300 RPM 28 "piggy- back" float. switch (WS25A1) or diaphragm type ,i4 "piggy- back" switch (DS25A1). --2 711 4 • Cast iron construction-with— — - r--20- non - corroding ABS volutelbase. W • 1/4 HP, 115V oil- filled motor o 16 with thermal overload protection. a t2 Anti-clog vortex, impeller. - • Can be used without switch for portable dewatering,pump, 4 • 11/4" NPT discharge with adapter Included for 114" NPT ° discharge. FULL AMPS 5 10 151 20 25 30 35 U.S. GALLON ER MINUTI L • 10' replaceable, power cord. ' •Weighs 14 lbs. � �r �r�*tr * �r Yk �r �r �'yk �r 7tr 1tr * *>fr>!r>fr � �r �r �' �>��k * it >�r i� � � * � � � >er •�• � � * >sr>k>� *�>� *>� SW251331 SD25133 IAZER III" SW25133 ., F d III t U11Sump_ an a uen-use.. • Automatic models available with wide -angle "piggy- back" 24 float switch (SW models) or diaphragm type switch (SD c>b >: models). Also.avallable In 31s manual models. 3,_ • 1/4 HP (SWISD25) or 1/3 HP ►- ` ° (SWISD 33), heavy-duty, 115V oll•filled motor with thermal 4 overload protection. . e Rugged cast Iron constructlon. a 10 U. ao 25 >4 x p a$ 40 • Ru 99 U. a+uo�s vtA M1rlura ® Non -clog vortex Impeller. M3033_1raHP.nax.e04.10%tFr -1110P 1 S025133 • Long life lower ball bearing. 2° Sintered top sleeve bearing. 24 • Carbon and ceramic t; 20 mechanical shaft seal. =u • 11 /:" NPT discharge. • 10' replaceable power cord. 4 t3 (20' optional). ° o • UL listed sump pump. 4 0 9 10 11 70 n 30 b a0 01 !0 US OAU,Ohi ►(A N'AUTQ l 11 n 1 Capacities To Model (GPM) 1 � Heads To (171)" Solid Handling Capability NPT Discharge Motor Electrical HP Phase - Voltage Controls Auto. Man. Construction STD. Cord Length , GUP/GSP17 25 gpm 25 feet 1116" 1 114" fro 16.115 r ✓ S.S. & Plastic' 8 ft. WSCS25 33 gpm 26 feet 12" 1 UT 114 1c •l15 ✓. C.I. & Plastic 10 ft. SWISD25 44 gpm 24 feet 12" 1 12" 114 16.115 r ✓ Cast Iron' 10 ft." SW/SD33 47 gpm 26 feet 12" 1 12" 1/3 16-115 r ✓ Cast Iron 10 ft." OSP33 60 gpm 25 feet W, 1 1/4" 113 16.115230 r ✓ Cast Iront 10 ft." SPO50H. 110 gpm 50 feet 314" 2'1 12 16.115230 ✓ ✓ Cast Iron 10 ft." SPD100H 140 gpm 63 feet 314" 2'° 1 1d- 230,36.230,460 r ✓ Cast Iron 20 ft. SKHD150 53 gpm 130 feet 314" 1 12" 1 12 16.230,36.230,460 ✓ Cast Iron 20 ft. SP40 120 gpm 28 feet 11/4" 2" 4110 16.115230 r ✓ Cast Iron 10 ft." SP50 .150 gpm 29 feet 1 12" 2'' 12 10.115230,36460 r r Cast Iront 10 ft." SEW50 95 gpm 25 feet 1314" 2" 12 1d-115 r r C.I. & Plastic 10 ft." SK50 120 gpm 21 feet 2" 2') 4/10 16.115230 ✓ ✓ Cast Iron 10 ft." SK60 140 gpm 27 legit 3" ✓ .. _ 2'" 6f10_ 1 1 "T57a0 ^ _ ✓ : ✓ : - Cast- Vori: 10 ft: w SK75 142 gpm 34 feet 2" 2'' 3A. 16:230,3d•200,460 r Cast Iron 20 ft. SK100 152 gpm 38 feet 2" 2") 1 1d-230,34. 200,460 ✓ Cast Iron 20 ft. 7l I i LUOO PLASTIC PIPE: FRICTION LOSS PER 100 FT. GPfd GPH Ft. I Lbs. I FL Lbs. I FL Lbs. I FL + Lbs. I Ft. I Lbs. Ft. I Lbs. I FL I Lbs. 6 1 360 .101 .0441. I I I- I I I I I I I i 8 11 480 i .1711 .073 I I I I I I I I I 10 1 600 1 .25 1 .1081 .111 .0461 15 I 900 1 .521 .2241 .221 .094 I '11 I I I 1 I I 20 1 1,200 1 .861 .3751 .361 .1581 .13' .0561 I I I I I I 25 I 1,500 1 1.291 .561 1 .541 .234 1 .19 .083 I 1 I I I I I I 30 I 1,800 1 1.811 .7861 .7511 .327 1 .261 .1141 I I I I I i I 35 .! 2,100 1 2.4211.05 1 1.001 .436 .351 .151.1 .091 .0411 I I I I I 40 I 2,400 3.11 1.35 1 1.281 .5561 .44 1 .1911 .12 1 .052 1 I I I I I 45 I 2,700 1 3.8411.67 1 1.541 .6681 .551 .239 r .151 .0641 1 1 1 50 I 3,000 1 4.671 2.03 1 1.931 .8391 .661 .2881 .171 .0761 60 ..__70 1 3,600 1 6.60 1287 1 2.71 1 1.18 1 .93 1 .406 1 .25 1 .107-1 I I I I I I 4,200 1 8.83- 3.84 -1T 3.66-1`t:59 �1 ` 1.24 80 I 4,800 1 11.43 1 4.97 1 4.571 2.03 1 1.58 1 .687 1 .41 1 .180 s0 I 5,400 1 14.26 1 6.20 5.82 1.2.53 1 1.98 1 .861 1 .52 1 .224 1 1 1 1 1 100 I 6,000 1 1 I 7.11 13.09 1 2.42 if 1.05 ( .63 1 .272 1 .08 •I .036 1 1 1 1 125 7,500 1 I 1 10.83 i 4.71 1 3.80 1 1.65 1 .95 1 .415 11 .13 I .055 I 1 11 150 I 9,000 1 1 1 I 1 5.15 2.24 1 1.33 .580 11 .18 1 .077 175 I 10,500 1 1 1 1 1 6.90 13.00 1 1.78 1 .774 1 .23 1 .102 1____ 1 200 I 12,000 1 1' 1 8.90 =.872.27 .985 .30 1 .1301 1 1 1 250 1 15.000 1 1 1 1 1 i 13.3611.46 I .451.1951 .121.0511 1 300 18,000 1 1 1 1 l 1 4.85 1 2.11 I .63 I .2.5 1 .17 1 .07 2 1 350 j 21',000 ' 1 1 1 I 1 6.53 1 2.84 1 .84 1-.3.67- 1'.-".22 1' .095 1 1 400 240000 1.08 1-...47'1.1 .28 1 .121 �- ' 500 30,000 1 I 1 I I 1 1 1 1.66 1..720 .j .:.42 1 .152 I .14 1 .059 550 ( 33,000 ( 1 1 1 I 1 1.98 .861 .50 .219 176 1 .071 6C0 I 36,000 1 1 I 1 1 2.35 1.02 1, .59 .258 1 .19 1 .083 -1 700 I 42,000 I 1 I 1 I 1 11 1 .79 .343 .20 .112 BCO I 48,000 I I I I I I I I 1 1.02 .443' 1 .33 I .143 - -- - � - -- ' I I 1 1.27 .554 + .41 I .179.. Diaphragm Switches • Pressure Actuated Switch + Liquid Level Differential Perm,2nently Set 215" • Rated up to %: HP or Control /Pilot Circuit up tsY`23t33 Volts :- • Mounting can be dirpclfy on pump or independ- ently suspended. • Includes Cast Iron Body 15' Polrrer Cord Stainless Steel Strain ReHel, Fasteners, and Eracket A2 -1 Equipped with a three pronged series plug (con- figuration per NEMA 5 -15) up to I HP, 115 voll, single phase operation. A2 -2 Equipped with bare leads for direct connection to a magnetic contactor (A3.2012) or a starter (A3 -5034) as a pilot switch. A2-4 Equipped with a three - pronged series plug (con - tiguralion per NEMA 6 -15) up to 1(. P.P. 208/230 volt, e;nnlP ohase operation, a i�. Mercury Float Switch A2 -3 • Mercury Fluid Contacts • Normally Open Design • 150 °F (65 °C) Max Temp. • Includes: Polyurethane Foam Float 15', SiO; Neoprene:" Cord Lead Weight and Mounting Strap • Suitable for Pilot Control Duty up to 230V Max • Two Required for Simplex System (One Pump) • Three Required for Duplex System (Two Pumps) t,I( )t. 11..11•'% �LlIH LIQUID - LEVEL. CONTROL SWITCHES. J omnidirectional Differential Mercury Switch • Mercury . Fluid Contacts • A'ormafly Open Design • 130 °F (65 °C) Max Temp. + Star;/Slop Level Adjustable 5 to 23 in. • UL and CSA Listed • 15' Cord. JOW A/SJOW with Mounting Straps • One Required for On /OH operation A2 -5 v.ah three- pronged series plug per NEMA 5 -15aup to HP, 115v, single phase operation. A2.6 with three- pronged series plug per NEMA 6 -15 up to 2/. HP, 230 volt single phase operation. A2 -7 ' With bare leads for direcl,"'. connection to a magr�tid' : contactor (A3.2012) or a, , starter (A3 -5034) as a pilot S h'1lch. ' A2 -8 - Reverse acting for pump-up tli►ng operation. (Normally c'esed contact) Supplied v.9ttt bare leads. Mercury Differential Switch A2 -9 • M1!rcury Fluid Contac's + 'Normally Open Design • Star /Stop Level Adjustable from 6" to 3 • Fated for ' /a HP, 115 Vs Single Phase Only • includes: Polypropylene Float `i —06rd .- Three Prong Series Flug -- NEMA 5 -15 Friction. MW EQUIVALENT NUMiBER,OF FEET STRAIGHT PIPE FOR DIFFERENT FITTINGS ' Size of Fittings, Inches Yt e ' im 1' /a" 1' /z" 1 2" 1 21/z" 1. 3" + 4" ( 5" 900 Ell , 1.5 1� 2.0 �2.7 3 �'+ 4:3�I-`5-5-1 -6:5 -' -8:0 -� - 1.0.0_ _14 0 1 -15 20- 45° EiI ' 0.8 i..0 1.3 1.7 I 2.0 2.5 3.0 f 3.8 I 5.0 I 6.3 `2l- 7.1 I 9.4 1; Long S:ieep Ell 1.0 1.4 1.7 1 2.3 I 2.7 3.5 I • 4.2 1 5.2 1 7.01 9.0 11-01 14.01 Close Return Send Tee - Straight Run ' 3.6 I 1 j 5.0 2 6.0 2 8.3 t 3 10.0 ! 3+ 13.0 4 ' 15.0 1 15 18.0 + 24.01 31.0 .I 37.0 39.0 Tee -Side Inlet or Outlet ' 3.3 1 4.5 ! 5.7 7.6 9.0 + 12.0 14.0 •17.0 ! 22.0 + . 27.0 , 31.0 I 40.0 l Globe Valve ,Open 1 17.0 .1 22.0 1 27.0 36.0 1 43.0 55.0 67.0 82.0 ' 110.0 140.0 160.0 1220.0 Angle Valve Open ' 8.4 1 12.0 1 15.0 18.0 1_22.0 28.0 ' 33.0 42.0 1 588.0 1 70.01 83.0 1 110.0 I Gate Valve -Fully Open I 0.4 0.5 + 0.6 ' 03_1 1.0 + 1.2 I 1.4 1.7 I 2.3- 2.9 3.5 Check Valve, (Swing) ' 4 , 5 + 7 1 9 111 13 f 16 20 26 • 33 139 52. I 6: Check V2Ive (Spring) + 4 6 J 8 12• ! 14 19 23' ; 32 43 52� (A) °100=fC' 2 "- ilastrc pipe with (•1 one_,�- -" elbow and one (1) swing check vilve. ...�.. �._ `�"'. "'_` "' _'. _ _ -•- _ . - ," 20° e!bow -- Equivalent to 5.5 ft. of straight pipe Swing Check - Equivalent to 13.0 ft. of straight pipe 100 ft of pipe -- Equivalent to 100.0 IL of straight pipe 118.5 ft. = Total equivalent Pipe Figure friction loss for 118.5 fL of pipe. (B) Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 fL loss per 100 ft. of pipe. 2 In step (A) above we have determined total feet of t pipe to be 118.5 ft. 3. Convert 118.5 fL to percentage. 118.5 T 100 • 4. Multiply 11.43 x 1.185 13.54455 or 13.5 ft. = Total friction lost in , this system. 1' /a" & 2" Discharge Slide Rail Systems. Provides Easy Means of Re- moving Pump From Wel -Well by _L11&Lng a Quick Disconnect and Guide pssenEity`. Eliminates-Need- to Enter Wet -Well. Corrosion Resistant Design includes: Stainless Steel Rails, Cross Brace, Ouick Disconnect Plate, Base Plate, Lift Cable; Bronze Quick DisconnecL Adaptable to All 2 Inch NPT Vertical Discharge Effluent and Sewage Pumps Designed for use with Horizontal Discharge Systems SYSTEM COMPONENTS Basic Slide Rail Assembly includes: • So" Long Guide Rails a Walt Bracket Goulds E1lluelit ztnd Selwzit)e S l i d e..R a_.i: l_ S.y sJ em s.. SIMPLEX DUPLEX ~ -• 11 - -t' /: CS04ARG'c O� nr� 11- -2- C.'SGHARGc U 0 nn nn. T LIFT GABLE- ?- LONG..._ , • / �A•7 c CL Bracket �. • Quick Disconnect l Simplex Syst'am �nsjs4s- • Adapter i -Slide Rail. • Bottom Funp 1- Simplex Disch, Piping. Bracket H12S, 7tti' •. - -11 i]':.' Size . 'Q(y • Ease Plate OLLf.� Simplex • Lining Cable Includes: Slide Rail • Check Valve • Fipe lG,:;les • 'Tee Hardie • Vertical Pipe t 2 rippies + 2 II 2N• A 10.20 NOTE Standard overall LL � lengtholp;p;ngis9F...c2n k200 be cut down to iii" minimum length. It rail length longer A10 -12, 1' /," than 56-;s needed, consul) A10 -20 2" l,clorr for pricing, r For Use With Pump Model Ordering I EF03 Information 3585 3856 3691 Simplex Discharge Piping: H12S, 7tti' •. - -11 i]':.' Size . 'Q(y H20s, 2- OLLf.� Simplex 1 r- i %- D1scmAs ttt1, •2 D15:Y:.RGE Includes: Slide Rail • Union • Fipe lG,:;les • 'Tee Hardie • Gate Valve �f�11iIKVllli Duplex System Consists of: '.Duplex Rails 1- Duplex Disch. Piping. Duplex Discharge Piping: H120, 9Y -- H2O0, 1" :zo �21-.I% C1sC}' %AGE 23'b "•2 C!sCS'%A+GE —1 Duplex Includes: • Fipe Nipples • Uricns • Gate Valves • Te-- H= es •' Elbows • P:peTea Size Simpin Syslem ►4 - Qty Order tic. Description •. - -11 i]':.' Size . 'Q(y Ouplez System __ Order tic. Oescrlpll 1 1��. 1 A101 12 ,Slid: Rail 2 f �,�y A10 -i2 Slide Rail Piping i H 12S - Qisch. Pi in 1 H 120 Disc11. Pil 2 i A.10-20 Slide Rail + 2 II 2N• A 10.20 Side Rail fit P12 CS 0isch. Pi ing i H F 1 k200 Di- )1• hd, a � Jul 44 06 QS:54p szoven Muth •: 04S STLT,YL CROW DER C1111mue *11c "L R A.mamx' JI'L YNx Chairalan i7a csA=4 comeAmrtis Tow x pups-Vic FOLCHEM 4 ASSOCfATES Towia)Ugt i "r may 1, 2006 TOWN OF PUTNANX VALLEY PLANNING BOA" 265 0scmwz= L2kt R;Qad Pumsm Vaiky, NY /0579,2004 (US)S26-3749; F= (845)SZ6.3307 28A., LLC SLOT SUBDIVISION FINAL SUBlDMSIO T APPROVAL SrfiF D.EVELOMNT PLAN APPROVAL NVETLA14DS PERMIT M. WO R GRADING - PE WWMTB ROCR ROAD TM: 73.-2 -30 FILE. 73.11005 IOW, IW7, 1008 JOF1rt xxrcc�IVrvr,�- S,c�e°q' 1iG1.C�Rlo-'1'tl1t.IL'r Ee1GE?VL°�'YE'Y"1Ciuit, J1.1. TOM CA0 (mot iiac3 LAURA+� LUSSIXR yuCLM- SAS, 'th& applicalnt is proposing a S-Lar. suWiviaiou on 2$.42 (+] -) acres of lapd located on Whirs Rock Road in the L awr- DerwitY Residence (R-3)'1: owing Di&trict; and W BREAS, the site fs designatad as parcel number 73.-2•$0 on the Town Tax .Map: cad WHEREAS, the axlxpaicaxnt prev'iou* rerelved 0onditionaal kizial Subdivision Approval, Site Developxpeut plan Approvsal, a'Major Crrasdimo Permit, mod a Wetlaxzcls Permit from the plam'xAin .�� __�. ` nl3oarcl: �►„ ��e�► ox,. saiti��pprova�s.. � 'o,wdlzc��e��ixe��,ttr�d_`.:�.. _ .__.._._ ��-.� _.. -_ WfMRZAS, with the exeeptian of the mquailrement for A tree pl n,• which the Applitatit ha.w provided,, ao m; s or a ltoration to the site design, xxor to thc' Tawxes Zoning Ordinance, Subdivision Rp,gviadons or other land use xvgulations have oacwTed since the original approval, and YIXERRA,S, Lha applicant has stated that no additirmal blasting wil_! occur ou or off-site; axui WHERRA.5, the p`A xLLag Board has reviewed the prpposod action arcordia g. to Chaptex 56 " Subdivikon Ravlatio=," Chapter 144 " Freshwater Wetlands, Wate oosse and Waterbodies,° Cbapter 156 "Soil Erosirvtl and Sediment Cotlt l," and Chapter 165 'Zoning," of the Putnam Valleg'lowxa Code and WHEY; ,S, the proposed roaawsLy desagtad to service the sub& iisiozx xs a dead-end road gxeawx than 2,200 feet in lemgth; and hy'a I of 5 Jul 2* 06 08s54p S%F••W n Ruth 1 Q4G 5PE3 -1322 p,2 W tR.EAS, the applicant has requwved a Waiver of the 1.200 foot road length Unit based on exter uAtize eire mstmecs„ indud=g the low d*wit'y and .iimited additional burden on public; services rapreSauted by tb s prnrject; and WH4F AS, the FlUming Euaxd issued a Negdtivoo Declaration of Sdgn.;fic ante s=d grantad prelimixiary Subdivaion App=val on Marcie 13.2006; axed ViMBPA.S, on 1Vfarch 13, 2006 the Plsnuing Booed determined that a final public heuri,ng will cwt be required; a7ad JJM , pu Marcia 133 2006 the Fl*nning Board &Tufted a variax=e for relief of §56.50 of thr Subdivision Regvla -dow xelating to the leuCth of dead-end stmect;. NOW, TLDUIM U, HE IT 1 01~V= TEAT, the Pura e= Valley Planning Board hereby approves the Finzl Subdivisiou plat prep &red by BKdroy & Watson Surveying and Engineering. P.0 -, titled'FiAail Subdivisivu M%t prepared for MA.. LLC;" last reviaed March 30, 2006." and BE IT FURTBE, R MSOLVW THAT, the Putnam Valley Plan7e=g Board hereby approves the Site IDovelopment P3.1w (Sheets 1 thxoueh i of 7), prepared by NUchael F. Stem, p.B., titled "W'hice fto<'k Road SacUv�i n," dated 1vUrckt 6, 2006. z=d BE IT FUBTMR RESOLVED THAT, the Site IDevelopmont Plain ss vtdid for a period of 18 months sfter the SiW Developaxxent Flare bAw 1ieen sigoed toy the Cha man and may be eateaded unze, at the zi.Nuest; of the appli=t (in writbW), by the P14--zing Board for a period not to exWed six months; and BE IT AIM UZOLMED THAT, the ,Putnu= Vafley Planning gourd hereby issues a Wetlands Pernwit %ut *ct to the sieni3ne of the maul Subdivision Plat used Site Development Plan by the Chairman or his desiguee. The Wittlnxnds Permit shW1 be valid for a raaxiW = period of three years frovA the sigrriing vi' toe Fln&l Subdivision Flati and Site Development Pltsn. All work • - xss tcd: -Wkb.: the Wetl►ns Permit, s ld Iievelopmenl lam aaadys ialI b ' cplzipleteci wstlri�a sic month- following the iaitiartion of construotion; and BE IT MXrRER PMOLVED THAT, in acxxarda ace with Chapter 1414, the PlanniAg Board, Wetlandt.1nbTe=r and Code BAWrceme. nt Officer s%ll have the Tight w inspect the project from d=e u5 time. and BE IT k'TXRM -B RESOLVED MAT, th© Wetlands Permit shall uuromadmUy expire upon c4mpleti as of work; and BE IT F"THRE &MOLVP-D TH&T, the Put== VaUey Pl nn=g Board herei y grants a Moor Oradiug Permit subjfti to the signi *g of the i`inW StxMvisioxx plat and Site Development Plain by the Chairman or his designee; and PE IT FURTHER RESOLVED THAT, the Major GTadiag P==it shall expire six mouths after the signing of the Site Development Plan by the chvixman; &sad Page 2 of S JU1 24 06 08:54p Stio {,an AULII 1 A'S'S 525- 13Z2 p. 3 BE IT FURTHER RESOMBD THAT, the below-listad conditions Haunt b<: completed within ISO day;: of the date of this; resolution: Should the below - listed conditions not be oomplotod within the allotted time fra;ne, this resolution shah become =4 and void urxt,oss a 90-day extension is requeswd by the applicant in w,rxtiug, prior to said 180 day period, azd granted by the Plantiing Board. 1. Submission of < ll applicable fees and escrow. 2. C:oustruction bloxxitoring Bs+cx w iu the 4'. count of $1,500 shag be submitted co the FianniA,g &said Clerk. 3. A r(=eat;ion fee iu the umount of $25.000 (eer46ed or ba k cherki shall be submitted to the pl=ating Board ClerlL 3n the event that said fee: has already boon paid i= full, this confli :ion is hereby waived. 4, A pond, or other cxlllateril to gt&urantee insta,l.iatkon & = intenazc4 of required a anion controls, acceptable to the. Plaon.RAg hoard and in form acceptable to planning Board Cassel, shall be sli6w itted to the Planning Board Clerk. Sts.id secuxity shaft be in the amount recommended by the Town Engineer and approved by the Planning Board.. The applicant shall piovide an action plan for tiro aeeurity indicat ag, to the satisfaction sfaction of .Plaxuiint; Bow ci Counsel, when the Town has the right to utilize the surety and ro talks Lhe ;aor=5r� M=Octive raeamAm'6- 5. Completioa ax all project infmatrueture (Le. roads, drainage, utilhies) to the sacisfaerion of the Town Engineer and the Planting Board within I days from the date horeof (whi6h may be cxten;ded by uo m.Qxe th= two additional, periods of 90 days each 4 in the Planning )dos :t's opinion, such axterrsionW LS warranted by the particular circumscancew. 6. Ins lieu of sa•ti&Oing condition #5 prior to obtain�ag she Planning Board Chairman's signatuxe on the Plat, a perfor=#mce bond or other seauxity suffcienz to cover tlxe full cost of the projea ianfmatrucscure, in the sum of $271,120 tad iu form accoptable to Planning Boaxd Counsel axxd the Town Board. may be furnished to the Town by the appiicaw- Suab security shall be i= oat of the forms specMed under Section 277(9)(e) of NYS Town Law and fora term of two W ywixs. Tha do-livery and ae�ptamce of snob sec�ar}cy.,doa�, z�4� � rip iii an .t a.obligatior t r j te= 6. 07ci0vt i asz: 7. An eagiveeriff inspection fee equal to 5% of the cost of the above-mentioued stuaety shall be subanoitwd to the Plan -ring Board Clerk. 8. The applicant skald inetsZ all pxoposod monuments and pim pxi,or to the saying of the Flins by the Chary or his desipee. A, let;er $,hall be provided from a Licensed L- nod Surveyor cerrafyiiug that all proposed rnonu=onts have been iaastalled. 9. The aPplicarM shoed submit a report. prepared by a cousulting fbre5 ,er or certified arborist, rttlAting to the environmental impact of the proposed tree removal, as xequired under §166-21.1 of the Zoning Cade. 10.The appbcajat shall satiu&ctorily address autstanftg wmmental Irom tho Tovrn- Bugi.r3eer, "f`owaa Plamu r. Towsa Wetlzands lnspectA�,r, planning Board Counsel, and Town Rit;hway Superintendont. ILPLW xcpozu addreeaine reeoluaou wafomanox - ehall be provided £rare the Town Er _Laeer, Towu Pianne;, and l IA=ing Board Counsel. 12.A Notice of latent is x+egtiised to be anbrxzztzed to ale Now York State Ualsartment of P,nvtronmeaatal +Gon"fiexv 606 WOW) for coverage under Permit GP-02-01. Proof of coverage Sh7u d be submitted to the Planning Board and Town ExxgiacoLr for xcview. Page 3 ors ,]u1 24 Oe M S5p St' ?rl Muth 1 84' 528-1322 P. 13.Sbeet 1 of 7 of the Site Develop=ezat Plain Okall be revised to illnstraw toppgraphy, as required.. 14.All required easement daeumentation ahall be submitted to Plalaariug Board Counsel fo.► review and approval in- dulling, but not limi%tj to. o Nsite easements 15. Suitable legal documentation providing for the own=hip and permunexxt maintenance ox the road, sto=water management fatilitiea, aDd u nderwuuna crater storage tank, shall be submitted to P'isnAinc Board Counsel for review and approval. 1$,The final suWr on plat to be signed by, the pig Board Chair=Al, or his designeo � shad be pradtrcod on Mylax. Ile Planning Board Ghai man or his desiffnee shall only sign the inal plat w'beu the plat has been previoualy aigued by a New York State Liceaxsed Proft(Abio.IIal EngLuver, New 3Com State Lcexa. -sed Uxxd $Vx"yrrr, 'rhe appheans aodlor the owner of the land, the Now York Stare Department of Environmental Conservation (if applicable) and the Putna= Coianty lDep$rcac =t of health. The applica= shall A1W produce eight t•'xiig�mal copies of the final plat and Site Development Plan, couzplete wizb sig"tures, to Mahe Planning Board for the Cha�,rrzcan's or his designees signature. 17.A note 44 be added w the plat stating, "proposed road tuna draivage features will be privaxcly owned artd ma atained by the owners of the lots shave hereon,- AddWO- al R,arym onus to .s SAWfied Smhgeggvmt to, tbe LSi ing- gt the- SuhdjXj�,ion amd kite Devejamenc Elm 18. No additional blasting will be conductt+d on or off-sit-,- 19. A Commenwmeut of Work Pesm.it is required fc m the Cads 4n:forcemeat ('fir uAdex §155-5 of the Town. Code. 20.1gx in effort W ensure compliance with the approved Flan, monthly site visira shall be aoxtducted a►ith the apph=t, contractor. Building Mpartmcnt. Wetlands luspector, Town Planner. ana TDwxa 1Ea;Wocr. 21. In an, effort to ensure aompliaaco with tho approved Plam, n final s1w iar:spection shall be condugwd with the 7Applic*xit, oon'trxctor, BuAk UAg Department, Wetlands Inspector. Town Planner, and'l.'own Engineer... _, °�... _ __ 2a.a .,•li pia wury y With'- =tie ay�t+aved 1>1= -,hall be submitted = w the Plaaming Board, Town Xagineer, Town Planner, and Codo Enforcemeut OfI;icex prior to the issuance of a Car Meate of Occupancy. 23, Prior to the i, -A=ct ice of a ate of Oo=pAx&C r, tl,-. BuRding Department sb-aH confirm . with the Planning Bo rd Cloxk that a escrow has been paid in full. Motion- J_oh%% lay aMa SQCOrid' T�Ii�,,, r� imyndi Pnga 4 of :5 Jul 24 06 St - -,en Ajjth 1 8y Y&;R Nay Abstc-ntiou Absent 7'au� C'araxaa 1L D, agmae T. Yaw, Jr. x Richzu-d Tully _._ X John Za%cbxW' Jr, Michael R�imondi, Jr. Chairrwm Billy L. Crowder O'b Oman Silly L. Crowder Thv Piwining Bgizrd Mork hereby confz.rms t:haz conditions 1- 17, identiCxed above, knave been ,satisfied and that the 5ubc:viSion rand Site DoveloRmont PIan have boon signed by the Chait-xnjixi of the Plan iag Board. Confix'med BY; -_.. mete m P;%CSof5 14.16-4 (9195) —Text 12 PROJECT I.D. NUMBER 617.20 SEAR Appendix C State Environmental Ouality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant or Prolect sponsor) 1. APPLICANT /SPONSOR V%1 TE ►Z0.C:K r;-0 A-D O&Uk,, LLC . 2. PROJECT NAME L4 T -A�3 3. PROJECT LOCATION: P ✓TAM / V f IO' N7414 V Municipality I County 4. PRECISE LOCATION (Street address and road Intersections, prominent landmarks, ale, or provide map) . wd, 7Z-f 40- f /-- AO A 0 6117Zy &-Ye 5772-e-� 7 6 &-Z--A/ ©/Ll 2 ,S , ji,v C r�-C 12� C 6_� A170 /W 5. IS PrBO�OP��OSED ACTION: IL7•New 0 Expansion 0 Modification/alteration 6. DESCRIBE PROJECT BRIEFLY: CQ�vsT /- vCT /o1✓ v` =. S�NIG� �f�IVIL f-- /�pi/S�� 7. AMOUNT OF LAND AFF CTED: 9 U O Initially + acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes 0 No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? KRa_sldentlat- �- : - ^-O Industrial.-.*, +�re D � cone - ..._- escrl 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW, OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? 0 Yes 'R(No It list yes, agency(s)'and permit/approvals 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VAUD PERMIT OR APPROVAL? to Yes 0 No If yes, list agency name and permll/approval vl3Q) v'lS/ G �/ ���� /v cv /l/ c1 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? 0 Yes �4o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE --- Zq /0 %� % L<�"W474�1_ 12Zl `+ Applicant/sponsor na [ / / Date: - Signature: It the action Is In the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER i 1 Jul 24 0&4 SILLY L CROWDER Clutlrawn rotiCRAz. RALMONDI, Jr.,. Y►ve C3nimlan TUC CHAZEN COM PAM E-S Towu 1*laPmvic FOLCHEM 48 ASSOC"TES Town, Z tgi4*0r May 1, 2006 5zouen F1oth b �a pa Ca �- x 045 528 -:3,22 1 ffiwyr� TOWN OF PiJJTNAM VALLEY PI.6NNING BOA= 265 0SCXW2 ra X.aka Ruad i'utnsm V fir, NY 10.579.2003 {845}526- 3744; 1F=: (845)SZW307 ' 3mf-PLjauI SW-_3 4 0 awn &Lvt Ul:) L LC SLOT SURD1 TON FC4.4L SVBDMSION APPROVAL, LANAWROVAL WETLANDS F MAJOR � �E1 'f TM'. 73,�2�30 FILE' 7&1100540W, 1007, 71008 R Q; o T& POCA J0BN ZAACONE,J V_ Stamevq 91CHAU;p'zVLUV tWENE YETTR, At. TOM CARAN0 (ALd IbC) zrh LAU" LvSSMRI CIE& WRFXJEAS, -the applicaut is proposing a, S-Izz rUWiv'isiog on =42 (-/ -) acres of laud lowtod oil Wbire Rock Road in the Lc w- DauaitY ResWeuce (R-3) Zoning District; and WliBkEAS, the site W designated as parcel dumber 73.•2,30 on the Tawas Tax .Map: =d WiEREAS, the oppLeant previously received Conditional Anal Subdivision Approval, Sita Development Plan Approval, a Major Crradiug Permit, 0=4 a Wetlands Permit, from the P1aanAiva;; - . ._ > -. _ , 13cford: ktu��►` eva> ncs�iti�ppr ,r've,�itz�.ei�di-tY�dTr ._-_ _ .. _P_ _ ., .. ._� .�,..... `....'' �_:.�..,.,.�_ WHEgB'AS, with fhe exception of the requiaremeut for a tic plaA' which the ApplicarLt haw provided, oo major wt.e = talon to the zdte desieu nUx to thc' Town's Zoning Ordinance, Subavisiola R4CWadons or cat'her land use ).vgv ti xzs have occu;cred since the original approval; and WHEREAS, the applicant has stated that no additional blasting will occur ou or off-site; axxd WHERFIA$, the R).axw.iug Board bias reviewed the praposcd actiau according to Chaptez 56 "Sub4ivWon Ragolationo," Chapter 144 "Freesh watasr Wetlands, Warermm'se and Waterbodios Chapter 156 "Soil Eroeion and Sediment Conrwl," and Chapter 165 "Zoning," of the Putnam V4ey Tawo Caste; and WHE1 ,S, the proposed road+wsLy desxg&ed btu service t$e subclivision is a dead -end road gxeaWx than 2,200 Feet in Length; aria Fags 1 01,5 Jul 2* 06 48 t 54p $ter-en Rush VnUREA,S, 1lhe applicaut has re-quested a waiver of the 1„200 foot road length limit buud on e etezuAtizg ritcumstimcas, ivaudiag- the low &-wity and .ited additional burden on public services rapre'mnted by this project; an4 WHZE +S, the ftUt zing SSaard issued a Neptivv Declamriaa of Sigu.i c=ce and granted Preli=nixeary Subdivzeion A.ppxoval Un March x3.2006; axxd WEB BRAS, on March 13, 2006 the Planning Board detcrMined that n iinui public hearing will iwc be required; and FVlI;m , pu Mareja 13, 24406 the Pluming Beard grrxzLted a variaz►ce for relief of §56-5G of the Subdivision Regulativw relating to the lexrgth of dead-end stets. NOW, TEDWXXOS.E, BE IT RFSOLVED TF3,AaT, the Puma= 'Valley PlaxiaiAg Bouxd hereby approves the Fiuml 6ubdivWqu flat pz+epared by lSudoy & Wamou .Surveying and Engineeruig. P.C_, titled "Final Subdivi dou Flat prepared for W. LLC,' lasti revised March S0, 2006, and BE IT FLUrrEMR IMSOLVM TlUT, the Putnam Verney Plante Board hez*by approves the Site Development Platt Sheets 1 thmough 7 of 'Ter, prepared by Michael F. Stour, P.E., Bided "White ftat;lc Road Sub<kivisi,on," dated March 6, 2006: =4 BE IT FURTHER RESOLVED D TJE AT, the ,Site Developxnout: Plan is valid for a period of 18 =.aotrths after the Sid% Develop=ent PhLn bias been signed l y OLe Cha:4-man and may be eatexrded once, at the xeNzuest of the aipplic = (in wridnO, by the Pla-ving Board for a period not to exceed six months; and BE IT AIM RESOL'V.UD THAT, the Putnam Valley Planning Board hereby issues a Wetlands Permit sure -ject to the signing of the Fizial Sub&vialon Plat uxed Site Devolop=ent P1axt by �he Chairruan or his de*iguee, The WetlAzxsls Permit shall be vaad for a maximuin period of dhzee ye&rs froxu the: sipin g of the l:` pal ubdivislon Plat and Site Development Finn. A?1 < -- __ tassautR__,vi .kk+ 1tcLs Poai sJt!I': he rniic�. su's>:ci 'sa�ilic+ih tlir: Sxt� . __.._... Development Plan amd sb U be ao=vlewd wi'tUzi sic months, following the initiation of constmotion; and BE IT FUG RESOLVED THAT, in ac= rdaace, with Chapter 114, the Planning Board, Wetlands Impamor and Code E foreement Officer shall have the right m inspect the project from viiue w time; and BE IT FUrMB PXSOLVED TUAT, tho Wetlands Permit shaU hurAmadczily expire upon wmple ito;a of work; and BE, IT 1,r'C.71i,`MIZ PMOLVED Tl ITAT, the Putwini 'valley Planuirzg Board heroi y p4wts a Major OradiAg Permit subjeel to the sicgniAg of the dal SubdiviaioA Flat and Site Development Plaza by the Chairman or his designee; and EE IT FURTkMX RESOLVED TH4T. the Mid or Gradzmg Pesit shall expire six mouths after the aigning of the Site Aevelop=enr Plan by the Cbaixman; dad page 7 of S Jul 24 06 09:54p Sno ++en AuZh Z e4S 52s - 1322 BE r'r YURT M RMOLvW THAT, the below-listad a=ditioos raunt be completed withixL 180 days: af'the date of uhisc resolution. Should the below- listed conditions not be Ooraplotod withen the allotted tuna frame, -this resolution shall become =111 Arid Vona uraess a 90-day estemioxL is requesced by the t ppliaa.at in writiuZ, prior to said 180 day period, amd granted by the Planning Board. 1. Submission of all applicable foes and escrow. 2. Construction blordtoxing IJscx w iu the a%nount of $1,503 sha3.i be submitted co PlanAiug Swil i ;lerk. 3. A r=eation *:e iu the amount of $25,000 (certified or bank check) stall be sub,mittud to the f"lw=itg Board Clerk..hn the event that uid fee has a1zeady bin paid uz full, this caudition is hereby waived. 4. A load, or other oai.}.ateml to guarantee installation & muinter a cQ of required ew,41or3 controlb-, acceptable to the Plaoming Board and in form acceptable to ? u =ice Board Counsel, shall be sabmitted to the Plumrxing 'Board Cleric. S4id aecuxiity shall be in the amount, rewmtuende$ by the Town Engineer and :approved by the Planning &aid. The applicaut shall pwvide an action plan far the' secueity lndicatxne. to the satisfactioxr of Planning Baud Courwel, when the Tawz; has the right to utilise the surety =d ro take tho x�ec.�es�uy cotreative mea,�uxc;s- 5. Completion a#' ail project infxuatraetuxe 6Le. roads, drainage, uWities) to thc satisfuctian pE the Town Eap =eer aria the P'lpzxrmg Soard within 180 days fro= the date hercvf (which may be cxtende4 by uo m.Qre r1him two additional periods of 90 dztys each if, is ebe Plaunmi g Eoa :.,&& opinion, such cxtensionW is wurranted by the pardcular circ= cancesi. 6. Iu lieu of aatislring coadition #5 prior to obtaining the Planning Board Chairman's signature on the Plat, a performau bo4d or other sec�urxty sut�c7texlt. to cover the full cost of the yroject in&astrucxure, in the suns of $271.120 "d in for= accogtable to Planning Board Co==ed mead the Towa Board, may bra furnished to the `L evni by the applicaWn Sueb seeuzdty sbaR be in ow of the form* specified unher Section 277(9)(0) of NYS Towa Law and for a term of two Tt a delivery aad . etch p Canoe_ of such security_,daos. relieve .tJue P A [ l dots, - r�i�pl�t �i� c�, st=rtil e.. .... fete equal, to 5% of the cost of the above•mentionud surety shaU be subwi,twd to the P)anningBoasd Clerk. ti. `S"4ao applicant shall irlsta pzapcscd zaonuments a,ad loins prior w t: siZxiY:g o#' the Flans by the Chairman or his desipee. A. letter sltia3a 'be provided fiNnn a Licensed 1;=. d Surveyor cert tnxzg that all proposed monuouents have been b=alled. 9. The aAplicarkc shordd submit a report:, prepared by a cozening forester or cerd:Sad ar% oAst, routing to the envixoa,mental impact of the propoaod tree removal, sa required undox j1S5-21.1 of the Zoning code. 10.The appbcamt shall satirsfilctorily address oiatritanding wmmenw &OM tho Towu U&eer, Town. Plaaxwr. Town Wetlttnds Inspector. Planning Board Counsel, and Town. Rit;hway Supevintendorit. II.AAQJ resporl:s addre-a ng resolutiou czm-fbxman� ehaU be provided from the Town EA%ineer, Towu Pktnner, and Planning Board Counsel. 12.A Notice of latent is requj;rcd to be submitwil to the New York State Department of Environmental Oo=ervatjon (NY'SI)EC) for coverage under Permit GP- 02.41. Proof of coverage should be submitted to the PEa wing Board azLd TOWft Exxgi=ar for review. Pala 3 ors C4 Jul 24 06 00: S5p St' en MWth 1 84' 528 -1322 P.+ ..x ..t .. - '.. .... .. n.... , - � .. — r. v � t� r O. < � �. .ra •.r.. r - w ...• ! / . .w .�Y \Y ✓�.. ♦ a ... 13-Sheet I of 7 of the- Sim Pevelopmeut Pain shall be revised to i2 usftate uapagmphy, ray rega, jxed. 14.All required easement doeayentation shall be submitted to Plantains Board Counsel for review and app=rval including, but not limited tv, oflr~edte e&semenm fd. S-tdtable legal domment,ation providing for the ownership aauad permuneat auaiaatenan.ce of the road, zwr=wnter management f ciUties, aaad =de7pourul waWr storage tank, shall be submitted to P'lamzxitag Board Counsel for review and approval, 16.The final stLW4viAa -xL plat to be sigr*a by the p'la az ing Ord Chairman or his da igmeo � shall be produced on Myer. The Pla sing toaW Chairman or his designee shall only sign the Enal plat when the pUt has been previously aiguod by a New York State Limnsed Profeasiona.l .Engiuver, New York State Licenzed lAnd Surveyor, the applicant au&ar the owner of the land, the Now York Stare DeparCment of Enviro=ental Ocnzervatioaa (if applicable) And tJW Putaa= Coauty DiV rUaent of healthy The applic a= shall also produce eight oxigT.c3aul copies of the final plat and Sito Development Plan, oawple4& w4b signatures, to the Planning board, fbr the ChWr=am's or his des gnee'u ,ignatkare. 17.A note►, ,%hu)j be addod -to the plat stating= 'proposed road &ud drainage features rnrill be privately owned acrd maintained by the owners of the IOU shag hereon.' AddWone.l 899-2k=ents 'to �q SAWI fled &tftageat to the, i gLtho- Subdi 'g-ion and %te OgtYwaft ant Pl"-; 18. No additional blasting will be conducwd on or off-site- 19,A Com=emwmieut of Fork Permit is required £row tb,e Coda 4nForce,..at Offi&mr =&r 51 .53-:5 of the Town Code. 20.1n an effort to e=ure compliance with the approved Flan, wonthly site visftia s AB be conducted with the applL=t, coantractor, BuilzMe Departn►ezt. Wetlands %spector, Town Plan=r. and Towu Ea&iu ex. 21.In auo► effort to ensure complianan with the approved Plam, a Banal size inspection shall be conducted with the applicszt, ooutractor, Buil&ug Department, Wetlands Inspector, Town Player, and Town En&eor. C=.plian?"o Wx OUpii6Ved`Pi a&0 be submitwd W the Plaaniug Board, Town l!aagineer, Town Planner, and Code Bnfiarcemeat OMcer prior ro tha issuance o#' a Certificate of Ocx-rtpaary. 23, Prior to the isn, mmoo of a Certificate of 0xtpaacy, the BtiWjzg Departmenr shall condrM with the Plaanrdgrg Board Clerk tbAt all e=ow has been paid in full. Motion: JQhn &JWAO,, r Socrr�d' Michael, imaandi Jul 24 06 $V---ean 19A)th Ybia Nay Abstention Ab6ent -Tum 2jagene T. Yeaer, Jr. �4c)�tl Tully John zarCoxw' Jr. Miahael ?4imoncU. Jr. x Chairman BiUy L. Crowder Ch,-.i, rm-an Silly L. Crowder Tfiv Planning Board Clark liereby, contvirns t Kati coAdidoas 1-17, ideiadPied above, have been satisfied and mat the SuWavision and Site Development ,Plan have been ained by the Chaitman of tixe Flans ng Bowd. C onfomcd BY; — Dstte' 7"M 11'u�" c S of 5 ,q,3 // L 0 PUTNAM COUNTY DEPARTMENT OF HEALTH DD"SION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO C_ ONSTRUCT A WATER WELL please print or type :. ,., .PC14D Permit # _... Well Location: Street Address: To illage Ta x Grid # C w hi Gk luy M'-1-3--a Block Lot(s) am Well Owner: Name: h1G A� +;no Address: to 1ST S - a�rrsa l0S"2,( Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary.. Industrial Institutional Standby Amount of Use Yield Sought S gpm # People Served_ Est. of Daily Usage _gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason Ilvj Wxttf SoeR6 &ILW CQVJ4YUtN0-0% for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No 5 Is well located in a realty subdivision? ...................................... ............................... Yeses_ No Name of subdivision *1 10- Lot No. Water Well Contractor: Address: J J Z 6ttke r — (oX &'"4, C I Is Public Water Supply availab to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided n separate sheet/plan.. Pate:_ ..4 � .:. Applicant Signaturez- ..: -:. -. �* PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Date of Expiration Permit is Non - Transferrable Permit Issuing Official: Title: White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health *: LORETTA MO%INARI -,-RN, M&N - Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Wragg Well Drilling & Pump Service, LLC. c/o David Wragg 162 Baker Road Roxbury, CT 06783 May 5, 2008 Dear Mr. Wragg: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Proposed Well Antolino White Rock Road (T) Putnam Valley The application to drill a new well on the above referenced lot was approved on October 29, 2007 by Joseph Paravati, Assistant Public Health Engineer. At this time, the following is required: 1. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion by the permittee. Please contact me at (845) 225 -5186 ext.2233 if you have any questions. cc: ff1le, Sincerely Mi chell D. Lee Public Health Technician Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 =6648 Putnam County Health Department Water Supply Section 1 Geneva Road Brewster, NY 10509 (845) 225 -5186 ext. 2233 fax: (845) 225 -5418 FAX COVER SHEET DATE: 5/2/2008 TO: Wragg Well Drilling Inc. FAX NUMBER: (860) 355 -2865 FROM: Mitchell D. Lee SUBJECT: White Rock Rd — Application To Construct A Water Well PAGES: 2 (including cover) Should you have any questions or have any problems receiving this fax, please contact me at (845) 225 -5186 ext. 2233. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APL P ICATION O CONSTRUCT ER WELL. w _ :_ .= u. Y please print or type PCHD Permit # Well Location: Street Address: TQwn/Village Tax Grid # � ) % Ma Block �L ot(s j 3 & Well Owner: Name: W � C,� Address: 11a S7 3 Use of Well:_ Residential Public Supply Air /Cond/Heat PuAip Irrigation I- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought _ gpm # People Served Est. of Daily Usage _gal. Reason for Replace Existing Supply Test/Observation , Additional Supply Drilling New Su ,ply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No _X Is well located in a realty subdivision? .................................. ............................... Yes No _ Name of subdivision Lot No. Water Well Contractor: Address: —�X vt Cj .. '�- Is Public Water Supply available to site? .................... _ .. ............ ......:........................ Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: -- Propose well location & sources of contamination to be rovi ed on separate sheet/plan. l .. . Pate:: .; , _�2 — Applican± Signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided, that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED_ FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. 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. Date of Issue 10 o�-R l0"7 Permit Issuing Official Date of Expiration ( o ai To Title: S v lY2 L 4Z Permit is Non- Transferrab e White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 3 .......... . . .... . ...... ... ....... ...... Will • 7- P-1 NO IC, . . . . . . . . . . . $OWN PLAN SCALE i 1"- 30 FT 4 24 -4 1 o N%b \V\ IiF�I( co PLAN SCALE i 1"- 30 FT 4 24 -4 1 o N%b \V\ IiF�I(