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HomeMy WebLinkAbout4335DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84. -1 -46 BOX 33 1 . 1-ow "gym 04335 ' im 04335 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LO RET T ir A MOLINARI, RN, MSN Associate Commissioner of Health' DEPARTMENT, OF HEALTH I Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ,ROBERT MORRIS, PE Director -ofEnvironmental Health January 5, 2010 John Lentini 124 Allan Street Cortlandt Manor, NY 1056.7 Re: Addition- A497-09 No Increase. in Number. of Bedrooms 10 Sassinora Drive (T) Putnam Valley; T.M. # 84.4-46 Dear Mr. Lentini: I have received and reviewed the plans for the proposed addition to the above-mentioned residence: The proposal- for the addition has been approved as,per plans bearing the approval stamp from this Department dated January 4, 2010. The addition is approved with the following conditions: 1. The total number of bedrooms must remain . at four without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. 3. All plumbing fixtures must be updated with water saving devices,, i.e., new low flush toilets; restrictors for shower,heads and faucets etc.. 4. The appT6vaI is for the proposed changes only. This approval does not validate any p construction shown as existing that has not obtained proper approvals Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at (845) 278-6130, ext. 43261. Sincerely, Gene-D. Reed Senior'Engineering Aide QDR:kly cc: BI, (T) Putnam Valley Environmental Health (845)278-61'30 Fax .(845)27&7921 •Water Supply Section (845) 225-5186 Fax (845) 225-5418 Nursing Services (845)278-6558. Fax (845)27,8-6026 Nursing Home Care Fax (845) 278-6085 WIC (845) 278-6678 Early Intervention /Preschool (845) 228-2847 Fax (845) 225-1580 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE. R. FOLFY - Public Health Director STREET TOWN —'F\/ TX CRAP # NAME,,)CX-VW PHONE OPCHD # 'P\/ MAILING ADDPESS (2q 4 CU d(J !S'T, , DESCRIPTION OF ADDITION �)tN NUMBER OF EXISTING BEDROOMS A PROPOSED # OF BEDROOMS_T (FR0&1 CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. 4 Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., ~ Brewster, NY 1009, Phone 278 -6130. . 1/1 . Certified check or money order for $100.00 �2. Sketches of existing floor plan (drawn to scale, all living area including basement) # Non- professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non- professional sketches are acceptable /4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 MEMORY TRANSMISSION REPORT ' -,;.r-�..:.� :::;:'t':�• ..a.. _ �,�:� -. -, . =� :.: -r- :����- �-: -. = �.= :,:d��t - .... � aLtlrC,�D�9..��J4.:�6PGIy'. -- "�• - - -.. .. ,.,. - . . •:.,.�:e <yc,.,T.„�, - -tides' . �i -a�- ;,a:'- TEL NUMBER 8452787921 NAME ENVIRONMENTAL HEALTH FILE NUMBER 125 DATE. DEC -31 04:46PM TO 82784865 DOCUMENT PAGES 001 START TIME DEC -31 04:46PM . END TIME DEC -31 04:46PM SENT PAGES 001 STATUS - OK FILE NUMBER 125 * ** SUCCESSFUL TX NOT I CE * * *' and _n2i Ci. G F� 1 ciS C.= B F L" LEP.s F i iyr?G'�T GP' HE &-j TT3 i'G•: Z-:. =surds I� ^�:xr_sagcm:n: . • ..a- R%:�r.ri'r- �ti1� - .a"�F� �. '?' .,.� -z� �....1:. / -u' . y- �� $:r��- �!._a�«l3, {y�.lcr..�x.. - ..... ,.. .,. ....- ........... -. ..... -__ �.: P.� =OPT F.'F''•�,L- EST- "r..✓: fcircls on_J r.�r'a-z•Z�_�: R Comrc= -cEa'. �dd.ir, iorL "T%. -Y2.:r I2 °al__ S.ubrf.:-lsion 45bui1^ G ti. n- Name of Orin r_a! 0,W=e -'If e�aliab[o; St- a =_:lo SA•�- " /No'I�R �7i� Tower: PvTN/4r��! Vstt��y Ter Irlap F,�f._ / 4�G Yea= built: Gt.'z -- I3on•ci�ina L- aforsa_ior.: ' Soe ;ial Irs� uczions: ���✓ . .��isa�/S/ �J6 -lid %�r�i7 '.� Pe--sar. Fvcniviny File F�etu-r�••d LC. T-e =crds a`.e: 1 ' uLi -e1-ekm WV:.51 FROM:PUTNAM COUNTY DEPART 845 -278 -7921 ,�' :, �'-afiit?i�l�:d"t✓t�'A}tia�: P�fD; idlS, ,`A %E� - Commissioner of Health LORETI'A MOLINARI, RN, MSS Associate Commissloner of Health DEPARTMENT OF HEALTH 1 Gencva Road, Brewster, New York 10509 TO: 952686@6 County Exendive 'down Lgeal Medtrom Count Re: C, �wneris Name) Tax Map Address: Town: 92 Year Built.) According toorre`cords maintained by the Town, the above noted dwelling, Is — V in compliance with Town Code. is not in compliance with. Town Code, The Legal i1?iedroorn Count is: This information bas been obtained from: L'�� Certificate of Occupancy: Other: Building Inspector l 4_o Date F-avironmental Health (R45) 278 -6130 Fun (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 270.6026 WIC (945) 278 -6678 Nuning Name Care Fax (845) 278 -6085 Early I ate rveotcon/Freschooi (845) 279 -6014 Fax (845) 278 -6648 P:4/4 4 t (l� PUTNAM COUNTY DEPARTMENT OF HEALTH .,.� -...... •. tr, l�Y' ��Ji�����'���•���j��'�O�TMEl�� r- ��.^•�L H��� :!L'•�- 5����F -?,: �, ..� .., , ...a :• , CERTIFICATE OF CONSTRUCTION COMPL - , AGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # PV 28 O0 1 / d l Located at 3A:l� o;�ior Z- Dtz.1 U p Town or-�Hftge (�uT�J�ti1 VALE £_.Y n� Owner /Applicant Name 3`1 l2oTO� �Am /Zo o LbeP.Tax Map �? ` Block �_ Lot � Formerly Subdivision Name • 1LuTA)A.M l: NA 5 g�_ Subd. Lot # 2 Mailing Address _-3 i C'Z MAJ I)AAA PoA) , VSSi n v nr, , Al • / Zip Id-56 z Date Construction Permit Issued by PCHD a. &eloo . Separate Sewerage System built by 37 Leona JAM ZAp Ae,� Address 31 &,MA7 %Am 2-D Consisting of 1.2.5(7 Gallon Septic Tank and, �5 /D Z,47 Other Requirements: Water Sup&: Public Supply From Address or: Private Supply Drilled by P t=, 1'3eA z r 5m_sp .iNe ,Address q ?yrasA M Ave Building Type ' > i� HM- dosi'on control-"Been• co' mpleted? f ... _.. b t',9M /�'i,iyT1�1 L s F1 Number of Bedrooms Has I certify that the system(s), as listed, serving the built plans (copies of which are attached), in ac plans and the standards, rules and regulations Date: 0 / 1,0-9101 Certified by Address installed? AV - q ' tructed essentially as shown on the as- Construction Permit and approved Dena of Health. P.E. <�' D t d License # el K2_9190 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 s bject to ff 'ion or change when, in the judgment of the Public Health Director, such revocati mode cati s neces sary. By: Title: Date: �r t White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 r Y PUTNAM COUNTY DEPARTMENT OF IEI[IEALTIH[ DIVISION OF (ENVIRONMENTAL HEALTH SERVICES . WELL COMPLETION REPORT Well Location Street Address: Rramers Pond Rd, Put —Chase Subd e , Lot 2 TownNillage: Putnam Valley Tax Grid•# : A Map 84 Block 1 Lot(s) 46 Well Owner: Name: Address: VS Construction, 37 Croton Dam Road, Ossinin , NY 10562 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond /heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Detaills Total length 32 ft. Length below grade 31 ft. Diameter 6 in. Weight per foot lb /ft. Materials: X Steel Plastic Other Joints: Welded X Threaded Other Seal: X Cement grout, Bentonite Other Drive shoe: X Yes No Liner: Yes X No Screen Detains Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours 6 Yield X gpm Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 320' De pth of completed well in feet 385' Well Log If more detailed information descriptions or siev are available, please attach. Depth From Surface Water Bearing Well I Diameter(in) ]Formation Description ft. ft. Land Surface 12 Drillind in overburden clay and boulder 12 Hit r at 12' r2 °' 12"- "Dril in °irr-roc set••casiii routed 32 3 If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5crant Depth 340' Model 5GS07412 Voltage 230 HP 3/4 Tank Type WX302 Volu e 86 al e Date Well Completed 3/19/99 Putnam County Certification No. 002 Date of Report 1/24/01 WelI IPew. 1 NOTE: Exact location of well with distances to 4f leap two permanent landmarks to be provy tt a separate sneeupian. Well Driller's Name P. Address: 4 Patmn Ave., Bamter, NY 10509 Signature: Date: 1/24/01 Perry Z. r, l White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 F.pJ • a -: :i7 1 } r Y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT _ Well Location Street Address: Putnam Chase, Kramers Pond Road, Lot #2 TownNillage: Putnam Valley 7Map-----Block Lot(s) 2 Well Owner: Name: Address: V.S. Corporation, 37 Croton Dam Road Ossining, NY 10562 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment X Rotary Cable percussion X Compressed air percussion Other (specify) Well Type . Screened Open end casing X Open hole in bedrock Other Casing Details Total length 32 -ft.-- Length below grade 31 ft. Diameter 6 in. Weight per foot 19 lb /ft. Materials:- X Steel -- Plastic - - Other ^Welded Joints: _ X Threaded Other Seal: _.X_ Cement grout _ Bentonite Other Drive shoe: X Yes _ No Liner: Yes X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes —No Hours Second Well Yield Test Bailed X Pumped X Compressed Air Hours 6 Yield 5 gpm Depth Data Measure from land surface - static (specify ft) 40' During yield test(ft) 205' Depth of completed well in feet 385' Well Log If more detailed information descriptions or sieve analyses.. -- are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 12 Drillin in over urd 12 Hit rock at 12' L, .. , -:G, . - Drl ir. s.. ;,� �e X1 C 32 385 Drilling in rock granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Well Completed 3/19/99 Putnam County Certification No. 002 Date of Report 4/20/99 Well ril r (s' ) Be NOTE: Exact location of well with distances to at Well Driller's Name P. F Signature: Perry L. two permanent tanamarxs to De proviaeg on a separate sneeupian. 4 Putnam Avenue �C. Address: Brewster, NY 10509 Date: 4/20/99 White copy: HD File; YAW copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 0-M NORTHEAST LABORATORY 01C i4/d1\da B 1V R 1L PJY= 0404 , t,,.s. -r.. LABS 39 MILL PLAIN lit ®AD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 SAMPLE SITE: V.S. CONSTRUCTION, LOT #2, PUTNAM CHASE SUB., KRAMER POND RD,. PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB SOURCE: NEW WELL ANALYTE NAME RESULT MDL Aldrin Synthetic Organic CheIl>l kzls 0.05 Endrin (all results reported in micrograms per liter (ug/L) 0.1 REPORT TO: ND 0.1 P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/16/99 4 PUTNAM AVENUE TIME COLLECTED: 10:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYES Propachlor DATE RECEIVED @ LAB: 7/16/99 Toxaphene TESTED BY: LAB# 11301 & 10781 PCB -1016 REPORT DATE: 9/15/99 SAMPLE SITE: V.S. CONSTRUCTION, LOT #2, PUTNAM CHASE SUB., KRAMER POND RD,. PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB SOURCE: NEW WELL ANALYTE NAME RESULT MDL Aldrin ND 0.05 Endrin ND 0.1 Dieldrin ND 0.1 Heptachlor ND 0.1 Heptachlor Epoxide ND 0.05 Lindane ND 0.05 Propachlor ND 0.5 Toxaphene ND 1.0 PCB -1016 ND 0.5 PCB -1221 ND 0.5 PCB -1232 ND 0.5 PCB -1242 ND 0.5 .::0.5 PCB -1254 _ND- ND 03 PCB -1260 ND 0.5 Chlordane ND 0.5 Methoxychlor ND 0.5 DIOXIN ND 1.7 DI UAT ND 0.88 ENDOTHALL ND 5.0 GLYPHOSATE ND 13.2 SYNTHETIC ORGANIC COMPOUNDS Benzo(a)pyrene ND 0.1 Di (2- ethylhexyl)Adipate ND 0.6 Di (2- ethylhexyl) phthalate ND 5.0 Hexachlorobenzene ND 0.4 Hexachlorocyclopentadiene ND 0.1 ND = None Detected Results based on sample(s) submitted: 7/16/99 ANALYTE NAME RESULTS MDL Alachlor ND 0.44 Atrazine ND 0.22 Butachlor ND 0.1 Metolachlor ND 0.1 Metribuzin ND 2.0 Simazine ND 0.15 HERBICIDES 2,4 -D ND 1.0 Dalapon ND 5.0 Dicamba ND 0.5 Dinoseb ND 0.5 Pentachlprophen©t ,._- ..-:..._.. -:. Y ND. 0.2 - Picioram . ,. _ _.. -:-ND �:5'° " °• _�::.� . ,. �. 2,4,5 -TP (Silvex) ND 0.2 12,4,5 -T ND 0.2 ND CARBAMATES HPLC Aldicarb 0.5 Aldicarb Sulfone ND 0.4 Aldicarb Sulfoxide ND 0.5 Carbaryl ND 1.0 Carbofuran ND 0.9 3- Hydroxycarbofuran ND 1.0 Methomyl ND 0.5 Oxamyl (Vydate) ND 1.0 EDB and DBCP 1,2- Dibromoethane (EDB) ND 0.02 1,2- Dibromo -3- Chloropropane ND 0.02 (DBCP) Laboratory Director °NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060370 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 o OUTSIDE CT: 800 - 654 -1230 NE 1 NORTHEAST LABORATORY of DANBURY La-I 39 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 -FAX (203) 748 -0652 . INORGANIC CHEMICALS (AND THEIR LIMITS) REPORT TO: P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/16/99 4 PUTNAM AVENUE TIME COLLECTED: 10:00 A.M BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYES DATE RECEIVED @ LAB: 7/16/99 DATE(S) TESTED: 7/16/99 - 8/2/99 TESTED BY: LAB #11471 & 11301 SAMPLE DESCRIPTION: SAMPLE LOCATION: SAMPLE POINT: PARAMETER: • ANTIMONY • ARSENIC • BARIUM • BERYLLIUM • CADMIUM • CHROMIUM • CYANIDE • FLUORIDE • MERCURY • NICKEL, NITRATE NITR4GENT-�- • NITRITE NITROGEN • NITRATE NITROGEN plus NITRITE NITROGEN • SELENIUM • SILVER • SULFATE • CHLORIDE • THALLIUM • ZINC • LEAD • COPPER • SODIUM REPORT DATE: WELL WATER 8/2/99 VS CONSTRUCTION, LOT #2 PUTNAM CHASE SUBDIVISION, KRAMER POND RD., PUTNAM VALLEY, N.Y. HOSE BIB MAXIMUM CONTAMINANT EPA TESTED BY LEVEL (MCL) OR STANDARD RESULT (me/L) METHOD # Lab ID# .006 .05 2.0 .004 .005 0.1 0.2 4.0 .002 .1 4.:..„..10:0 (as r;) 1.0 (as N) 10.0 (as N) .05 0.05 250.0 0.002 5.0 <.003 204.2 11301 <.005 206.2 " <.002 200.7 " <.001 200.7 " <0.005 213.2 " <0.01 218.2 " <.01 335.2 " <0.10 340.2 11471 <.0002 245.2 11301 <0.02 249.1 11471 ......._.......:353:2? <0.005 354.1 " <0.50 NOTIFICATION LEVEL (mg/L) 28.0 353.2 <.002 270.2 11301 <0.01 272.1 11471 7.4 375.3 " 10 325.3 " <.001 279.2 11301 <0.01 289.1 11471 <0.001 239.2 " <0.02 220.1 " 3.1 273.1 11471 ** MCL HAS NOT BEEN ESTABLISHED FOR THIS CHEMICAL. * ** MCL (RE: LEAD & COPPER): SEE LEAD & COPPER RULING, SECTION 19 -13 -11102 (i) (6) mg/L =milligrams per Liter t x s Laboratory 1 •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 . � 11E _ NORTHEAST LABORATORY ®1F 2DAMI3U RY 7;s .a. H' .� „': --. •.n. ' -M. ;'. ri}M.M°YF1�'QY".'s3 ¢ .Ef!', .... -.,. '• �i P ••., —• .�C'�Cert:.MP.I.L04(Nd -...— _- _ -.-•.- _. LABS -39 -3 MILL PLAIN ROAD ^ - -- DANBURY, cCT P _ n ' 068 1 1 � � - NY Certrt: : 11471 (203) 748 -7903 - FAX (203) 748 -0652 CERTIFICATE OF ANALYM me RADIOLOGICAL P.F. BEAL & SONS 4 PUTNAM AVENUE BREWSTER, N.Y. 10509 SAMPLE DESCRIPTION: SAMPLE SOURCE: PARAMETER Date Sample(s) Collected: Collected By: Date Sample(s) Received @ Lab: Date Tested: Tested By: Report Date: 7/16/99 10:00 A.M. W. MAYES 7/28/99 - 8/5/99 State of CT Health Lab Cert#: PH -0905 8/9/99 WATER (1 GALLON) V.S. CONSTRUCTION LOT #2, PUTNAM CHASE SUBDIVISION DRAMER POND ROAD PUTNAM VALLEY, N.Y. RESULTS GROSS ALPHA WATER 0.00 +/- 0.47 ... ...a ._ - - p.w�....._ . .. .,. .� a ...-. .... '.. ...ri- .� _, '✓ •e.-y -_ ._ .___..... .� . � . -_ . - a.... -,. -- .. ..-.- s ..,. ....... ..- s....., ..., n ..r+' mar. �- pCi/L = PICOCURIES PER LITER Mote: When gross alpha is more than 5 pCi/L, the sample is to be tested for Radium -226. When Radium -226 exceeds 3 pCi/L, the sample shall be then tested for Radium -228 in addition. Results are based upon samples submitted: 7/16/99 Laboratory Director oNORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037° (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 o OUTSIDE CT: 800 - 654 -1230 L LADS NORTHEAST LABORATORY OF DA#iwitY CT Certa PH -0404 39 -3 MML PLAM ROAD - DANDWY, CT 06811 NY Cen: 11471 (203) 748 -7903 - FAX (203) 748 -0652 ;.• , :• P.F. BEAL & SONS DATE SAMPLE COLLECTED. 4115/99* 4 PUTNAM AVENUE' TIlAE COLLECTED: 3:30 P.M. BREW'STER, N.Y. 10509 COLLECTED BY: MARK McGINTY DATE RECEIVED ® LAB: 4/19/99* TESTED BY: LAB #11471 & 11301 REPORT DATE: 4!2.3/99 SAldm SITE: V.S. CONST., LOT 02, PUTNAM CHASE SUBDIVLSION, PUTNAM VALLEY, N.Y. WMYLING POINT: TOP OF WELL SOURCE: WELL a—LA ' NONE TEST PERFORMID 1 mg/L as N RESULT: BACTERIAL: mg/L. no designa ed limits Total Coliform (Bacteria) 0*. PHYSICALS: 0.30 m81L mg/L 0.30 mg/L Color 0 Odor ND pH 7.52 Turbidity .0.29 CHEMMM: Nitrite N <0.005 11301 Nitrate N 0.38 Alkalinity 80.0 Hardness 108.0 iron <0.03 Manganese 0.115 MAXZIV CONTAMINANT LEVEL per 100 ml 0 per 100 m1 no designated limit NTUs 5 . NTUs mg/L as N 1 mg/L as N mg/L as N 10 mg/L as N mg/L. no designa ed limits mg/L no designated limits ltiA 0.30 m81L mg/L 0.30 mg/L Sodium 8.6 m Lead 0.002 mg/L :Combined Limit for Iron plus mg/L 20 mg/L ** 0.015' ** ml - milliliter mgli, = milligrams per Liter ND — none detected NTU =Units * *NM&Cwon Level 'Action Level RESULTS BASED ON SAMPLES SUBMITTED: SAMPLE, AS TESTED ABOVE: MOTABLE or NOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) �n, &AWAA- Laboratory Director *NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)823 -9747 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800-826-0105 # OUTSIDE CT: 800 -654 -1230 1 ... .. .. PUil�,j9�T ® ��jj ► E�� 1��(% ��� \) I�jMj���yT �r'j�� �'�f''�'{'j {[[jj� jl�� . 11 1 \ 1 i11 � 1.1 COUN J1 J1. ll.i' E� J.L i V � ®il . J.I J.L�6 1�LM1.oTH ... HEALTH- � {Ij ,ICI Ij'1�4f''��fj � \�j�� (/�f''��• D Y Jl�YOl V OF lJ.Jl V. V lL� ®�l V 11 � J.IJl�L ilk 1L 11J1 ��� Y 11 ri./3L� �'° � �r.� . C. br.,!9Ta. vAr-•�(S1s R.Tb �e,n.P JP� r.�iµu¢ "e ♦ ..w�4 ��1 a'.... -� r'�. _ .. . r ir.,... ��,y T:T! 1 tiP .� qtr .wwq(P��•y ,• GUARANTEE Off' SUBSURFACE SEWAGE AOIE �'f8]EATI�i[�l�T SYSTEM eMno' DAM 004P. 0 Owner or Purchaser of Building Tax.Map Block Lot 31 Nmio b, ?ono Poet. Building Constructed by 5As51Al0 20 , F_ Location - Street Building Type o� illage —F 'a l:. HA-5E- Subdivision Name v Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee .to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of approval of the "Certificate of Construction Compliance" for the sewage treatment system, or any repairs 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 ... .. .,...vSy3tem'.' aama -.. ,m .. : -vc .<. .. ..7. , _ ,. -, ..... _.- . .«.. .r...z�_.......,._.� -..�a ........'s,.a,.�.o..-. -.. _.�•.. "..,.. _.. n /I The under igned rther agrees to accept as conclusive the dete inati n the u lic Health Director o e Pu County Department of Health as to whether not a 'lure the stem to opei to s cau d by the willful or negligent act of the occup of b Wing u ilizing the Day 08 Year -ZDo l Title: ) - Signature -,r C'�,� J)AM �o � 009f. .3 i eP-oTOA) �W � C 0P_ Corporation Name (if corporation) Corporation Name (if corporation) Address: 3 CeoTC)NiM0, (1s5►n�o�G State Zip D/ .,t;5WZ Address: 31 l 20 ,&) DAM ko2�, 6r0jJ� State I\/•y Zip / Z Form GS -97 BRUCE R. FOLEY Public Health Director LORETTA MOLINARI • RN., M.S.N. Associate Public Health Director Director of Patient Services DEPARTN ENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278.6085 Early Intervention (914) 278 - 6014 Preschool (914) 278082 Fax (914) 278 - 6648 E911 ADDRESS VERIFICATION FORM OWNERS NAME: 3 7 L�TO,� �,�,� &A Q TAX MAP NUMBER: .5ec.: 841 . 5432- a-F : 9 E911 ADDRESS: (2 _ .5.A _S,.5 / NOR, D �h�• TOWN: AUTHORIZED TOWN OF (Signature) DATE_: _...._..__ .._ ........ ryx�: 4 64 1, The Putnam -County Department of Health will not issue a Certificate of ' Sr 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 VERFRM) 1 4 y t4 4 l U4. 1 is h k' Y F JJU +.��14 • o f i 7 y 1 4rt` « 17.. xi.'.+ �� `�.:?i�:!5.�+:a.'"tA:�it #���Se# t t�C1 iNm�t Public Health Director January 22, 2001 _ LORETTA MOLIN AR_I. R.N., M.S N , Associate Publiea7th Director Director of Patient Services DEPART ENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Timothy Cronin, PE The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, NY 10566 Dear Mr. Cronin: Re: Application of Certificate of Construction Compliance: Putnam Chase, Sassinoro Drive Lots #[$ and 14, Town of Putnam Valley U13" FILE ', J This office has determined that the above referenced Certificate of Construction Compliance applications, received by the Department on January 10, 2001 are incomplete. Please be advised that the following information is required before the Department may commence its review. Lot #2 1. Form WC -97 - Well Completion Report (original attached). a:: Pump /storage tank information -needs to be completed b. Tax map number is required. Lot #5 1. Form WC -97 well completion report required. 2. H2O quality analysis required. Lot # 14 L Pump /storage tank information required. Please submit completed copy. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact us if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj 12/13/00 WED 13:29 FAX 914 736 3693 Cronin Engineering Q001 Post-it' Fax Note 7671 D818 TOT -lag" F T - T ApAm %igog.L/ Eii— Fw- CoMepi. Co. Fax # 85-T 279 ax# ,,PAi2T%iwvT OF arAT.Tu DIV OLVi'm Uir r,,., V ,.IENTAL HEALTH SERVICES ATTENTION 66DAIVI ❑ GENE $.E MST EM FINAI INSP CTION For: Fill All information must be fully completed prior to any Trenches ✓ inspections being made. PCHD Construction Permit# FV- Located: Ff TZ .�M Owner/Applicant Name: 37 U92--n-,Q Am P-y_ &,r-P •1;M-- 6- 4 Block Lot Formerly: - Subdivision Name: --Z1,ZA4,4 Q-444C Subdivision Lot # Is system fill completed? Date: Is system complete? Date: lih G z Is system constructed as per plans? Is well drilled? Date: Is well located as per plans? Are erosion control measures in place? I certify that thesystern(s), as listed, at the above premises has been constructed and I have inspected i and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health. 0 CdoKi- -PE 1�i Date: 0 Certified by: -Ibmjl� ( Design rofeskonal 'IIfIr la Address: 40 PUUNAMI COUNTY DEPARTMENT ®IF IHIIEAIL7 HI _DIV3. ISIGNU:,y.' ENWIRONM El\ 7A L 1HIEAIL'll'IHI S ERWC ES 1 v� a•- �.�.o- n ✓r. T ... .... py .v ✓+_. ..'��w . M Li.. r T +�4,1i.1!i �Y'+. ..4C •'Y3�'.• m.- - . CONSTRUCTION PERMIT FOR SEWAOIE T R KI IaTT -S YSTIEM 022 Located at Sassinoro Drive /Kramers Pond Road Towns€ XV14W& Putnam Valley Subdivision name Putnam Chase Subd. Lot # Z Tax Map 84 Block 1 Lot � M Date Subdivision Approved 6-7. —Z; Oo Renewal Revision Owner /Applicant Name 37 Croton Dam Road Corp. Date of Previous Approval N/A Mailing Address 37 Croton Dam Road, Ossining, NY Zip 10662 Amount of Fee Enclosed $.goo _ On Building Type Residential Lot Area 3,03 No. of Bedrooms 4 Design Flow GPD 800 AC. Fill Section Only Depth Volume PCH D NOTIFICATION IS RE UIR E>ID WIE1[IENI !FILL 1S COMPLETED Separate Sewerage a §teen to consist of 1250 of 411 PVC Perf _ pipe in 24" ;ravel trench. Other Requirements: gallon septic tank and _600 L . F. To be constructed by 37 Croton Dan, Road Corp. Address37 Croton Dam !toad, Ossining, NY 10562 Public Supply From Address o�: X Private Supply Drilled by P.F. Beal - & Sorts ; ` Inc : Address "� Putnam Brewster, NY 1050.q I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Constructio, rlj _ - "satisfactory to the Public Health Director will be submitted to the Department, and a written guarantd4 *i y t� s a owner, his successors, heirs or assigns by the builder, that said builder will place in good operatl=ni ition anip o ,` aid sewage treatment system during the period of two (2) years immediately follo g e date/of elssu. ey o' 1 of the Certificate of Construction Compliance of the original system or any pairs ereto. Signed: _ - �_$ P.E. R.A. Date '� Address 2 John Walsh Blvd 11111-'.;e 10566 License # Ob2980 APPROVED ]FOIE CONSTRUCTION: IONI: 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 considere4 necessary by the Public Health Director. Any revision or alteration of the approv plan requires a new pe i Appr r isc rge f domestic sanitary sew ge only. By: Title: r17C,. Date: Z cc White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Pro essi al Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES gT Well Location Street Address: ?utnam ..tease, Kramers Pond Rd, :zt 412 T illage: Putnam Tax Grid # Map 94 Block Lot(s) �G Well Owner: Name: Address:' V.S. Corroraticn, I Croton :dam Road, 3ss,nzn4, :Tr 13562 Use of Well: 1- primary 2- secondary X Residential Public Supply Air cond/heat pump. Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment { Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 32 ft. Length- below grade ft. Diameter _ . _iny. Weight per foot 1.9 lb /ft. Materials: [ Steel Plastic _ Other Joints: _Welded :; Threaded _Other deal;. „,Cement grout_4 Bentopute _.Other . . Drive shoe: :. Yes No Liner: Yes :; No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test _ Bailed :. Pumped :. Compressed Air Hours i Yield gpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or _ sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface 12 �rillin ' in :.urde*t : Ilay 3nd bouiden ' 2 lit ro-c i at 12' 12 32 r .1lin in rorn, set asinc;, routed 32 385 Drillin 4 in roc -rani r-a If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Well Completed 3/19/99 Putnam County Certification No. 302 Date of Report 7/27/99 Well Dril!K (s "re Per lVurt: hxact lOCanon of well wltn distances to at lev8%two permanent tanumarm to ou proviucu un it suparate snucuptan. Well DrilleesName P. F B&a.1, : Signature: 1a . Address: 4 Rtk m Ave., , W 10509 Date: 7/27/99 White copy: HD File; Yellow copy - Building Inspector, Pink copy - Owner; Orange copy - Well driller Form WC -97 i a . 2l CT Cert: PH-W04 39 -3 Ni mL PLAW ROAD - IDMBU", fT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 'P�� .Y`•x' Y 1 Ti9 S Cdr ',3 • 1 t i zP: 1i♦ ire � . r:•� :.�:. iti• P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/15/99 4 PRAM AVENUE TIME COLLECTED: 10:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: C. BEAL DATE RECEIVED @ LAB: 7/16/99 DATE(S) TESTED: 7/16/99 TESTED BY:. LAB #11471 REPORT DATE: 7/29/99 SAMPLE SI'Z'E: V.S. CONSTRUCTION, LOT #2, PUTNAM CHASE SUBID., KRAMER POND RD, PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB. SOURCE: FELL -NEW TREATMENT: NONE TEST PERFORMED BACTERIAL: Total Coliform (Bacteria) CHEbU[STR YD Chlorine Residual m1= milliliter mg/L = milligrams per Liter MD = none detected (1i ! 111 lt� 41> 1 T 1 11'�' ill 0 per 100 ml 0 per 100 ml ND mg/L --- RESULTS BASED ON SAI�2ILIES SNB gDo7 /16/99 SAM ME, E, AS TESTED ABOVE: DOTABLE or DOTPOTABLE (PER STATE OF NEW YORK DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) ITT"T M121 % ?^1M'r7TV A 0'r 4 A mn10 A Vnvw j j0 Un .t . eTRiP.'F.T- AERI.IN. CT 06037° (X0)828-97t7- FAX (860)829 -1050 NORTHEAST LABORATORY OF DAI4BURY CT Care PH4o4 g 39-3 Mn.L Pmt ROAD - DANBUW, CT 06811 NY C.M 11471 " n (203)- 7xt8 ,79A ;�.!. 9r 1 TJ: ?:.: -= p �:_ ;; , .. :: a.a �.. _ -• __ .. ;4�j..:�.�y %i •;.l^' O:L. v:��T/ ' f' • �t"�..Y r+a •t V LABORATORY REPORT -- WATER SUPPLY TESTMG REPORT T0- P.F. DEAL & SONS 4 PUTNAM AVENUE BREWSTER, N.Y..10509 DATE SAMPLE COLLECTED: 4/15/99' TIME COLLECTED:3:30 P.M. COLLECTED BY: MARK McGINTY DATE RECEIVED Qa LAB: 4119199* TESTED BY: LA8#11471 113.01 REPORT DATE: 4n.3/99 SAMPLE SITS: V.S. CONST., LOT 02, PUTNAM CHASE SUBDIVISION, PUTNAM VALLEY, N.Y. SAMPLM POINT: TOP OF WELL .11JUR—cZ' WELL ' TREAT; NONE r', BACTERIAL: Total Coliform (Bacteria) PHYSICALS: Color Odor pH Turbidity C TRY• Nitrite N 11301 Nitrate N A�itY Iron Sodium . Lead 1 �_I�,�Ij� • II 1%. cytil L J d 0+ per 100 ml 0 per 100 ml 0 ND 7.52 no designated limit 0.29 NTUs 5 NTUs <0.005 mg/L as N 1 mg/L as N 0.38 mg/L as N 10 mg/L as N 80.0 mg/L no designated limits 108.0 mb*/j. no des* wed limits X0.03 MA 030 mg/L . = igh; .._ .. ....... _......:_ _.....� ...._ _ ,Notb: Ciliiacd Limlt for Iron pins Manganese a 0.50 mg/L] 8.6 mg/L 20 mg/L ** 0.002 mg/L. 0.015*** ml — mllhlitar mgf L — mt7ligcams per Lim . ND — pone detected NTU -Units -- pop L vw - ••Acdoa Levd RESULTS BASED ON SAMPLES MMIMID: SAMPLE, AS TESTED ABOVE: X OTABLE or aOT POTABLE m sew YoRFC sum wT. OF HEALTH SL3MMS 9UNDARDS FOR POTABLE WATER) n �I .' dnat�tol. •NORTHEAST LABORATORY. 129 MILL STREET, BERLIN, C? 06037- (860)823 -9747 - FAX (860)829 -1050 TOLL FREE WITHIN CI: 800426- 0103.OUTSIDE CT: 800654 -1230 ii: -34W FROM NORTHEAST LAB OF DANEURY TO 19147363693 P.03 A',' ♦ ••...F �<�C90 ib �6dY G PL"1'J� ®[D042]��� CS ~' ®S ^L'd"M'86tl�id 6d� "" m r -.ro•• i4c'.,s -:. " -t.V F:: �L•'•'.tV a�..4•':r yr C1' Cere: PH -0404 39 B= PLAIN ROAD - DANDMy, CT 06a I NY Cem. 1]$71 )203) 748 -7903 - FAX ('v03174& -0653 ART® c ,ANxc CHAMICAM d M LMUM P.F. BEA SONS DWI? SAMPLE COLLECMI), 71161" 4 PUTNAM AVENUE TIW. COLLECTED: 10:00 A.M BRE WSTER. N.Y. 10509 COLLECTED BY: W. MAYgS VATS RECEVED ®1-43: 7/16199 DAT1:(S) TESTED: 7/16199412M TESTED BY: LAB# 1 1471 & 11301 RMR'T YDAT E: $m" WULWAM SAWLIE LOCATION: VS CONSTRUCTION. LOT 42 PUTNAM CHASE SUBDIVISION. KRAMER PONE) RD., PUINAM VALLEY, N.Y. SAMPIL 1r 70tiRS'S': H SE BIB 1�SfA3ClA�Ii1F/H C21r'I'QMANT ZPA 'TEYI'ED BY PAJZAAffM LEVEL CWCL) !QR nAN ®AR® RESULT T (mgQ �L%OTKOD 0 (lab Iniv 0 ANr171MONY .0% <,093 2(M.2 11301 0 ARSENIC .05 x.005 206.2 - 0 13AMM 2.0 <.002 200.7 o BERYLLIUM .004 ..001 200,7 0 CADM M .005 x.005 213.2 - 0 CHROMIUM 0.1' <0.01 213,2 0 CYANIDE 0.2 ` 101 _ 335.2 - 0 I- LUORWE 4.0 .0' 10 340.2 11471 0 mlitcuRY .002 ..0002 2415.2 11301 1" = `10.0 .0.02 0 mil m E NITROGEN (as N) •050 _ ..... " 353:2 11301 " ... . 0 NTTRITE NITROGEN 1.0 (as N) •0,005 354.1 0 NITRATE NMOO>EN z0-50 plus NITRITE NrMOOEN 10.0 (as N) 3532 - 0 SELENIUM .05 0002 270.2 11301 0 SILVER 0.05 x.01 272.1 11471 0 SULFATE on 7.4 3753 0 cm-oRYDE 230.0 10 325.3 0 THALLIUM 0.002 <.001 279.2 11301 0 MNC 5,0 <001 259.1 11471 0 LEAD 68° 10.001 239I 0 COPPER 0*6 .0.02 220.1 - NO'1T N LEM (mwJ>`.l 0 SODIUM 29.0 3.1 273.1 11471 0o WCL HAS NOT J11`EtER1 J 5jrA3 ]FOR = CMDOCAL ... NCI. . LEAD & COPPER): SEE LEAD & QrOMPER RUIWG, StMMORT Il5613-31102 (n) (3) ®stL -m kign ms polr Lkev - NORTHEAST LABORATORY, 129 NU STREET. BERLIN, CT 030370 (W)M -9797 - FAX (1130)-9 -1050 TOLL ME WjTfW CT: 200426-0105 0 OUTSIDE CT: 80" -% -1230 Tmca P_ crR RE 39 -3 AiML PLAnt ROAD - DA"URY, CT 06811 (203) 748 -7903 - FAX (203) 748 -0652 Cr Cert: PH-0404 NY Cert: 11471 CERIFICATE OF ASBESTOS ANALYSIS (METHOD: TRANSMISSION ELECTRON MICROSCOPY -- T.E.M.) REPORT TO: P.F. BEAL & SONS Date Sample(s) Collected: 7/15/99 4 PUTNAM AVENUE Collected By: 10:00 A.M. BREWSTER, N.Y. 10509 Date Sample(s) Received @ Lab: 7/16/99. Tested By: SCI LAB Report Date: 7/29/99 SAMPLE DESCRIPTION: WELL WATER SAMPLING LOCATION: V.S. CONSTRUCTION, LOT #2, PUTNAM CHASE SUBD. KRAMER POND ROAD PUTNAM VALLEY, N.Y. DESCRIPTION: DRINKING'WATER WATER FILTERED (liters): 0.025 STRUCTURES DETECTED(total): NSD STRUCTURES DETECTED* ( >10=) NSD ANALYTICAL. SENSITIVITY(1ViF/L): 0.14 ASBESTOS CONC. (total) (MFL) <0.14 _. _...e ....,,. _ . _ ....... , .. �> , - -' ASB�ES'i�S CC►I�� i �lp��'�:) � ":..._ ...:�.: - • <0:14��• = � := :... �.... _. A . _ .. _ .....�, - .. -�. � :-�- . ASBESTOS TYPE ---- *Fiber criteria >=0.5 microns, 5:1 aspect ratio: NAD/NSD = no asbestos detected, NA =snot analyzed, NE/L--million fibers per liter. NOTE:Drinidng water analysis by EPA- 600/4 -83 -043 (100.1). Analytical sensitivity calculated as though 1 fiber had be detected on the TEM GRID area analyzed. Samples are refrigerated upon receipt and filtered within 4 hours. Samples Analyzed by: The SCII.AB Group of Laboratories > = GREATER THAN < = LESS THAN Results are based upon samples. submitted: 7/22/99 kx! k4jj gip, aka Laboratory Director ,NORTHEAST LABORATORY, 129 MILT. STREET, BERLIN, CT. 060370 (M)S28-97_ 8'FA�X (96O?9`1050 __ -- --._- _ -��- ..� ��_ -�� �... ..........�� �� - -� ice• .MA CT Cert: PH -0404 39 -3 MILL ROAD - , S! MY Cert: .1 Y47fl (203) 748 -7903 - FAX (203) 748 -0652 EPA METHOD 524.2 Measurement of Fu rgealble Organic Compounds in IlDriaWng Water by: Gas Chrom®t0graphy -Mas Spectrometry REPORT TO. P.F. BEAL do SONS DATE SAMPLE COLLECTED: 7/15/99 4 PUTNAM AVENUE TIME COLLECTED: 10:00 AM. BREWSTER, M.Y. 10509 COLLECTED BY: W. MAYES DATE RECEIVED @ LAB: 7/16/99 TESTED BY: LAB #10916 REPORT DATE: 7/29199 SAMPLE SffTE: V.S. CONSTRUCTION, LOT #2, PUTNAM CHASE SUBDIVISION, KRAMER. POND RD., UTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB SOURCE: WELT. -NEB'/ (au?am/& expressed Ira imcroogFew per liter) COIv 76UND AMOUNT LIMIT OF COTyIIPOUND AIbIOUNT LIMIT' OF DETECTED DETECTION DETECTED DETECTION 1,1,1,2- Tetrachioroethane ND 0.5 romoform ND 0.5 1,1,1,- Trichloroethane ND 0.5 is- 1,2- Dichloroethene ND 0.5 1,1,2,2- Tetrachloroethane ND 0.5 is- 1,3- Dichlompropene ND 0.5 1,1,2- Trichooroethane ND 0.5 on tetrachloride ND 0.5 1, 1 -Dichloroethane ND 0.5 oroform 4.1* 0.5 1, 1 -Dichloroethene ND 0.5 orobenzene ND 0.5 1,1- Dichloropropene ND 0.5 loroethane ND 0,5 1,2,3- Trichlorobenzene ND 0.5 oromethane ND 0.5 1,2,3- Trichloropropane ND 0.5 thyl Benzene ND 0.5 1,2,4- Trichlorobenzene ND 0.5 richlorotri$uorethane ND 0.5 1,2,4- Trimethyl Benzene ND 0.5 eacachlorobutadiene ND 0.5 1,2- Dichlomise4zeae_.. - ND - 0.5 ._ -.: pro�ylBenzene ..... - - - ..: , 0 1%2-Dicltloroethihb NI) 0.5 ylen' Chloride ND 0.5 1,2- Dichloropropane . ND 0.5 - Butanone (AdEK) ND 0.5. 1,3,5- Trimethyl Benzene ND OS aph ND 0.5 1,3- Dichlorobenzene ND 0.5 -Butyl Benzene . ND 0.5 1,3- Dichloropropane ND 0.5 Pmpyl Benzene ND 0.5 44- Dichlorobenzeene ND 0.5 Xylene ND 0.5 2,2- Dichloropropane ND 0.5 lsopropyltoluene ND 0.5 i Dibromochloromethane ND 0.5 -Butyl Benzene ND 0.5 Dibromomedume ND 0.5 tyrene ND 0.5 Die; hlorodifluoromethane ND 0.5 races- l,2- Dichloroethene ND 0.5 2- Chlorotoluene ND 0.5 raos- 1,3- Dichloropropene ND 0.5 Trichlorofluoromethane ND 0.5 eat -Butyl Benzene ND 0.5 4- Chlorotoluene ND 0.5 etrachlotuethylene ND 0.5 Benzene ND 0.5 ohreae 0.500* 0.5 Bromo Dichloromethane ND 0.5 richloroethy1 ND 0.5 Bromo Benzene ND 0.5 myl Chloride ND 0.5 Bromochloromeihane ND 0.5 p- JCylene ND 0.5 Bromomethane ND 0.5 ethyl tert -Butyl Ether ND 5.0 ND - None Detected Results based on sample(s) submitted:7 /16/99 "The MCL for Total Trihalornethanes (TTHM) is 100.0 pg/I„ this is the sum of the four (4) constituent Trihalomethanes. °o R+HCL=100.0Pg& 4 Laboratory Director oNORTIEAST LABORATORY, 129 MU STRUT, BEUM, CT 060370 (:60)828-.9787 - FAX (8660)829 -1050 NE ._NORTHEAST LABORATORY of DA_NsURY • t 1 -��>: >d i •..,. v�yl- .vC "'�., .:.:s. -n •a'i• 1i � Y _... �`.. ... ...._.. .. i . .. '+M ii'•�'O ? 'TS ^M ....' -•l . �r �tl "��V Zi :W Y�T�+Fb.'���in,s. �.:�.» .. _. _ +xs. v.. ": LABS 39 mjLL PLAIN ROAD - DANBURY, CT 06811 NY Cert: 11471 (203) 748 -7903 - FAX (203) 748 -0652 Svnthetic Organic Chemicals Sall results reuorted in micrograms ner liter (ug/L) REPORT TO. P.F. BEAL & SONS DATE SAMPLE COLLECTED: 7/16/99 a 4 PUTNAM AVENUE TIME COLLECTED: 10:00 A.M. BREWSTER, N.Y. 10509 COLLECTED BY: W. MAYES i DATE RECEIVED @ LAB: 7/16/99 j TESTED BY: LAB #113018t 10781 REPORT DATE: 9/15/99 j SAMPLE SITE: V.S. CONSTRUCTION. LOT #2. PUTNAM CHASE SUB., KRAMER POND RD.. PUTNAM VALLEY, N.Y. a a SAMPLING POINT: HOSE BIB SOURCE: NEW WELL ANALYTE NAME RESULT MDL ANALYTE NAME RESULTS MDL PESTICIDES/PCB's ORGANOPHOSPHORUS PESTICIDES Aldrin ND 0.05 Alachlor ND 0.44 Endrin ND 0.1 Atrazine ND 0.22 Dieldrin ND 0.1 Butachlor ND 0.1 Heptachlor ND 0.1 Metolachlor ND 0.1 Heptachlor Epoxide ND 0.05 Metribuzin ND 2.0 Lindane . ND 0.05 Simazine ND 0.15 'Propachlor ND 0.5 . Toxaphene ND 1.0 HERBICIDES PCB -1016 ND 0.5 2,4-D ND 1.0 PCB -1221 ND 0.5 Dalapon ND 5.0 i PCB -1232 ND 0.5 Dicamba ND 0.5. PCB - 1242 ND 0.5 Dinoseb ND 0.5 PCB- 1248 -�- _ 0_5'' ., Peatachlora heuol. PCB -1254 ND 0.5. icloram PCB -1260 ND 0.5 2,4,5 -TP (Silvex) ND 0.2 Chlordane ND 0.5 2,4,5-T ND 0.2 Methoxychlor ND 0.5 ND DIOJON ND 1.7 CARBAMATES HPLC D1 UAT ND 0.88 Aldicarb 0.5 i ENDOTHALL ND 5.0 Aldicarb Sulfone ND. 0.4 ., GLYPHOSATE ND 13.2 Aldicarb Sulfoxide :10 0 5: SYNTHETIC ORGANIC COMPOUNDS Carbii l Carbofutaii ND > } TZ. ND 4 3 Benzo(a)pyrene ND 0.1 3- Hydtoxycarbofuraa :' ND ' ; :` ' :... ' -T:O = " t ' . - • . - :.... Di.(2- ethylhexyl)AdipaW ND 0.6 Mei,9myl._::; :, -ND .0.5 Di (2- ethylhexyl) phthalate ND 5.0 Oxaiiiyl (Vydate) ND ' . 1.0 Hexachlorobenzene . ND 0.4 Hexachlorocyclopentadiene ND 0.1 EI)iAhi DBCP 1,2- Dibromoethane (EDB) ND 0.02 1,2- Dibromo- 3- Chloropmpane ND 0.02 (DBCP) ND = None Detected Results based on sample(s) submitted: 7/16/99 j Laboratory Director ' -NORTHEAST LABORATORY,, 129 MILL STREET BERLIN CT.. 37• (860)828-9787.-.FAX (860)829-1050 ATOLL FREE WITHIN CT: 8WI20105. 0� E CT $QO- S4`1230 �" 6 # PUTNAM COUNTY DEPARTMENT OF HEALTH P• a+pM ^.1.;71♦• .M•�. LETTER OF AUTHORIZATION RE: Property of. 37 Croton Dam Road Corp. Located at Sassinoro Drive /Kramers Pond Road T/ Putnam valley . TaXMap # 84 Block 1 Lot Subdivision of "Putnam Chase Subdivision Subdivision Lot # Filed Map # Date Filed Gentlemen: This letter is to authorize Timothy L. Cronin III a duly licensed Professional Engineer x MR to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise tlo n of said wastewater treatment and/or water supply systems 445�bdiorI.f47 of the at' :Ldik,,tli-o.-PidlU ;.H a&::.:. . Law, and the Putna t`y iuy d` Uj Very trul our .Countersigned: Pres . 62980 ��;' Signed: P.E., # 06298 �s� �rru S���P\ / ( er of erty) Mailing Address 2 John Walsh Blvd. #200 Mailing Address: 37 Croton Dam Road Corp. Peekskill .37 Croton Dam Road, Ossining State NY Zip 10566 State NY Telephone: (914) 736 -3664 Telephone: (914) 739 -7362 Zip 11162 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Construction of SSTS and Water Supply ply Val Santucci represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: 37 Croton Dam Road Corp. Having offices at: 37 Croton Dam Road, Ossining, NY 10562 Whose Officers Are: President - Name: Val Santucci Address: (Same as above) Vice President - Name: Same as President Address: Secretary -Name: (Same as above) Michelle Santucci . . ... (�qmm-as, above) Treasurer - Name: Same as Secretary Address: (Same as above) and that I am and will be individually responsible for any and �.11 to the approval requested and all subsequent acts relating the .t J l Signed: Title: Pues Sworn to be lore me this day of ogth) 2 O� , (year) Notary Public KELLY M. LENT Notary Public, State of New York Corporate Seal No. 01 LE6026834 Qualified in Westchester Count Commission Expires June 21, Form CA-97 on with respect If Public Health Director May 17, 2000 _ LORj�ETTA MOLINARI r .N., M.S.N. . n.ea. : i::: �. w—! 3$ J• �riB��t�� ''�atii�.��a.c.Mil?�: =}'�_ _ — i�.•:tli Director of Patient Services DEPARTMENT OF HEALTH . 1 Geneva Road Brewster, New York 10509 Environmental health (914) 278 - 6130 Fax (914) 278 - 7921 �(I Nursing Services (914) 218 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 e Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 Fax (914) 278 - 6648 Timothy Cronin, PE Cronin Engineering The Lindy Building, Suite 200 2 John Walsh Blvd. Peekskill, New York 10566 Re: Putnam Chase Town of Putnam Valley Dear Mr. Cronin: This office is in receipt of individual sanitary sewage treatment system and well construction plans and applications subject to the above referenced Realty Subdivision, lot #'s 2,3,4,5,6. Prior to further review of such applications, please provide this office certified proof of filing or the Realty Subdivision map. At such•time as-Map is filed; con ron p�pl at ; u ed will hove to be completed.i.e. 'Date Subdivision Approved." •.. � __. - . This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact meat ext. 2157 if any questions arise. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj r PUTNAM COUNTY DEPARTMENT OF HEALTH ' DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS. FOR. �A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 37 Croton Dam Road Corp. 37 Croton Dam.Road Ossining, NY 10562 2. Name of project: Putnam Chase - Lot #-Z 3. Location TN: Putnam Valley 4. Design Professional: Timothy L. Cronin I11 5. Address: 2 John Walsh Blvd. 6.. Drainage Basin: Peekskill Hollow Brook Peekskill, NY 10566 7. Type of Project: X Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................... ............................... Type I _ Exempt Type II _ Unlisted X 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... No 10. Has DEIS been completed and found. acceptable by Lead Agency? ............... N/A 11. Name of Lead Agency Town of Putnam Valley Planning Board 12. Is this project in an area under the control of local planning, zoning, or other 13. If so, have plans been submitted to such authorities? ........ ......... ....................... YES 14. Has preliminary approval been granted by such authorities? YES Date granted: 08/02/99 15. Type of Sewage Treatment System Discharge ................. surface water X groundwater 16. If surface water discharge, what is the stream class designation? .................... N/A 17. Waters index number (surface) ........ ............................... N/A 18. Is project located near a public water supply system? ....... ............................... No 19. If yes, name of water supply N/A Distance to water supply N/A 20. Is project site near a public -sewage collection or treatment system? ................ No 21. Name of sewage system N/A Distance to sewage system N/A 22. Date test holes observed- 03/29/99. 23. Name of Health Inspector Adam stiebeling 24. Project design flow: (gallons per day) .......................:......... ............................... 800 GAL /DAY 25. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... NO 26. Has SPDES Application been submitted to local DEC office? ......................... NO Form PC -97 2 27. Is any portion of this project located within a designated Town or State wetland? NO .. ....._..�. '.._v ;Fci' . +`v `� , a r- r , -:-d - �r a r d e•:ir• �n� b w 's : ,. -.•.. ;.a t r:,.'., "'+ -s_; �r� o 2'8. Wetlands ID' Number .................................................... ............................... N/A 29. Is Wetlands Permit required? .............................................. ............................... NO Has application been made to Town or Local DEC office? ............................... NO 30. Does project require a DEC Stream Disturbance Permit? .. ............................... Nn 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? .......................... Yes/No NO 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potentially known source of contamination? ............ Yes/No YES DESCRIBE: Property adjacent to the west was the former Orlando Landfill. 33. Is there a local master plan on file with the Town or Village? ......................... YES 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... NO 35. Are any sewage treatment areas in excess of 15% slope? NO 36. Tax Map ID Number .......................... ............................... Map 84 Block 1 Lot I 37. Approved plans are to be returned to ..... Applicant X Design Professional NOTi✓ All application's for review and approval of a new SS' S to be located within the NYC Watershed ~shall P 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. I If the application is signed by a person other than the applicant shown in Item l .,the application must be accompanied by a Letter of Authorization (Form LA-97). Failure to comply with this provision may. be grounds for the rejection of any submission,,,, of NEW ro Il hereby affirm, Lander penally of perjury, to the best of my knowledge and belief p a Class A misdemeanor pursuant to .sec) At! S 11 "11 AN. Mailing Address:........ `... lj�l• g? � gti. ¢ �� W z N�'OFESSDA�/ on this foFm is true n are punishable as Cronin Engineering, P.E.,P.C. 2 John Walsh Blvd, Peekskill, NY 10566 r .. PUTNAM COUNTY DEPARTMENT OF HEALTH _DIVISION OF ENVIRONMENTAL HEALTH SERVICES ti CI �7ATA SHEET SUBSi�FLF'AC� SEW Y��SI AGE T12EATIVIEIV`T SY`STEIVI ` Owner _37 Gizo-mm m &A p WjTP Address 37 U2oT0N D " aD OSSIN►uG, Aj y, If Located at (Street) k'g21C7ts Jesup rto*-p Tax Map 81_ Block Lot (indicate nearest cross street) MunicipalityClj AA-i lAln V,e1z .0tl Drainage Basin a � LL tk�Uo Cl2E�1� I�VASO�U 21 vc7t SOIL PERCOLATION TEST DATA Date of Pre - soaking 0,q'--&s -5 q Date of Percolation Test Hole. No. Run No. Time Start - Stop Ela se Time �Ylin.) Dep th to Water ]From Ground Surface (Inches) Start Stop Water Level Dropp In Inc7�es Percolation Rate Min/Inch 3 1 �zq_ 2 3 lL'� —ILA 3o I 7, 1, 4 5 1�' Isa Z� Z,c, —0 3 1 !tsit '12.Z� 30 20 -7,3 2- 1 "A "17, 30 2v —L3 3 4 5 1 2 3 .. 1 ests to be repeated at same depth until approximately.equal percolation rates are obtained at eacn percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch)' All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 2.5' 3.0' 3.51 4.01 4.51 5.0' 5.5' 6.0' 6.5' 7.01 7.5' 8.01 8.51 9.5' 10.01 Indicate level at which groundwater is encountered Indicate level at which mottling is observed NdLi C- Q 650A&M Indicate level to which water level rises after being encountered Deep hole observations made by: A0_4M 13 AJC, 967* Date Design Professional Name: -Floom,0714LI Address: Signature Design Professional's Seal A N C VV VO /r 0 62980 ly E � 60 44. TEST MY DES CRHPTION ORSORLS E�� W4;RDUE-S' DEPTH H OLE NO. HOLE No. HOLE NO. G.L. F � -04- To p 2rdi4- 0.5 J. 1.01 Ai #a„ 1.5 Al -<00,%UA LCKM LOA 1U&V--V -'54"6V d-04-" 2.01 2.5' 3.0' 3.51 4.01 4.51 5.0' 5.5' 6.0' 6.5' 7.01 7.5' 8.01 8.51 9.5' 10.01 Indicate level at which groundwater is encountered Indicate level at which mottling is observed NdLi C- Q 650A&M Indicate level to which water level rises after being encountered Deep hole observations made by: A0_4M 13 AJC, 967* Date Design Professional Name: -Floom,0714LI Address: Signature Design Professional's Seal A N C VV VO /r 0 62980 ly E � 60 A. DOES ACTION EXCEED ANY TYPE 1 THRESHOLD IN 6. NYCRR, PART 617.4? if yes, coordinate the review process use the FULL EAF ❑Yes ❑No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration -7pmay be superseded by another involved agency. t7Y � -'�r- ,,;lNf`•Q°.: ='.a v`, -.1: :,d,; '•r,. •: �.. ,r' _ '.zr': t,.'. �;r..e. .:. �je::= .: " -'.. . :nv v, =`v :. - .:is.:':.n.•: s ... a. �.: r C. COULD ACTION RESULT IN.ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: Answers may be handwritten, if legible. C1. Existing'air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal, potential forerosion, drainage or flooding problems? Explain briefly: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly: C5. Growth, subsequent development; or related activities likely to be induced by the proposed action? Explain briefly: C6. Long term, short term, cumulative, or other effects not identified in C1 7C5? Explain briefly: C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? ❑Yes . .. ❑No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes []No If Yes, explain briefly: Part III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) .....INSTRUCTIONS-.-- Foreach, adverse - effect identified - above; detertiiine. �vkiet? hr d'is sutista`ntial,` large; "iriiportanf or. atiieiyv 5e s 'iflcanf' -'' EWfbffect sh'ouldbe as'sess'ed in conriection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show that all relevant adverse impacts have been identified and adequately addressed. If question D of Part II was checked yes, the determination of significance must evaluate the potential impact of the proposed action on the ❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and/or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the reasons supporting this determination: Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead A en y _ 00 V .T ; r a(e S�%raRl1'.1 �,ivNIrllc Title of Responsible Officer Signature of Preparer (If different from responsible officer) 617.20 SEQfR Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORK Parrir! I PROJECT INFORMATION (Tn be comoleted by Aoolicant or Proiect sponsor) 1. APPLICANT /SPONSOR: 2. PROJECT NAME: 37 Croton Dam Road Corp. Putnam Chase Subdivision, Lot #,Z 3. PROJECT LOCATION: Municipality Town of Putnam Valley County Putnam County 4. PRECISE LOCATION: (Street address and road intersections, prominent landmarks, etc., or provide map) Kramers Pond Road/ Sassinoro Drive 5. PROPOSED ACTION IS: ew DExpansion ❑Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: construction of subsurface sewage treatment system and individual well water supply 7. AMOUNT OF LAND AFFECTED: Initially A acres Ultimately 3 03 acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? @Yes ONo If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? §Residential Olndustrial ❑Commercial OAgriculturai OPark/Forest/Open space ❑Other Describe: ;Surromoding,lands are. zoned single. family. fesidential 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? ®Yes ONo If yes, list agency(s) name and permit/approvals Town of Putnam Valley— Building Permit 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? es ONo If yes, list agency(s) name and permit/approval Subdivision Plat Approval — "Putnam Chase Subdivision" 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? OYes §4o I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE Applicant/Sponsor name: Cronin i dohar date: 04 -19 -00 Signature: 9 the action is in a Coastal Area, and you are a state agency, complete a Coastal Assessment Form before proceeding with this assessment OVER 1 ° li .:7 lol 42— %r.S CONS IRU- TiONAIASOIJALa_- GAROfALO S`I irs�- •20GI020iN Ell .; II I j j I - 77*2i Im e7ib TH 61 r ErE 1 I Irr[. rw Q m. . = RCIH- CL� VAl;1TN I[MDI aa.av p.t Y Ir Ms• . dl �)S Y51 /439 (13'.46 FJWP UU11 YANr_i0N 1 �a.trt xv sn /2.'x24• 6ARAGC/ F:LC'V411ONS urrxrvot. ru [rou wl ssrr I �,�,,,,�, [ilsl� a eureur rri.crcnxeres.m[r 7 rl !_ L� F-` V1 �I ml ;u m Y, m r �I Ln -J n -J r Itl A tLL~'� 6 Q 'U �v ih gib CDXSTRL it i27 .51, na0t .gar lr MIE= Miff =,,=I=, [EEMD3 LEFT ;TABLE KO BL04P IJUD A 0.02 DOW COS I ELEVAYMNS wrAPWk PA *7045 frfl') 44 -SM cf JAX (71PI fff-762;1 "M TKX OiS fWITSIVAr i. 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