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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 4. -1 -74 & 4. -1 -76 BOX 2 rm ILI hrml 00173 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF.ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL o2L0 S? . t SM4 Pat or type PCH�Pec� Well Location Street Address: Town/Village: Tax Map # — t -- 76 T f4 ,'If ,Q ; O i v� f4,'I R� Map Block Lot(s) Well Owner: Name: Address: Phone #cl ( 7 ffSo "d,-rLti H'11 731 -1I66 Use of Well: —77Residential 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 gpm #People Served Est. of Daily usage gal. Replace Existing Supply Test/Observation Additional Supply Reason for Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason G �.N e nt 61 sl ov' for Drilling Well Type a/ Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes _ No Is well located in a realty subdivision? ........................................... ............................... Yes . No ✓ Name of subdivision Lot No. _ Water Well Contractor: ICA Q 4 e v Address: Qv St & �l4kt �Tc, JIM Is Public Water Supply available on site? ...........................:........... ............................... Yes No y Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: q d Applicant Signature-//t'�lim" 2"Mivl 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 Departmei 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 Commissioner, of Health. Any revision or alter ion of the approv plan requires a new permit. Well to be constructed by a water well driller certified by Putnam Co t Date of Issue % 3 Permit Issud Offici Date -of Expiration Title: Permit is Non -Tra era le White copy - HD file; Yellow copy - Building Inspector; Pink copy OwMer; Orange iy - Well driller Form WP -97 Rev. 3/06 a 'Xrz lfF o-4 Tv N A 1 1. 61 1 1 m ;y;LZTW-' 1-1- - --- lo ILA* LI-11* .-P.P i qs i: w:_ r5 PrR DAV DO:! W1:tlLlL` Yvft ""' "A" DOSE VOL-410 GAL. All' C.Q 71r. curr ,4.!r: Corr. o0'.5.w"j - tij, pt • _wx S" pw (z Av)•WRM b0 7 . x w 1,500 GAL. PUfvfP CHAMBER N.T.S. NOTES: Z"IT914 IN S"Ali Dt frAV.,.r LrN AllIX up DL .'Cj lll •o.c. .10 70`1 fi,1 C.15017 SPIICCSI ALL L`LC,:MCAL IKWI All: A1A;rK14 em,,`z; ."N 1.11,11.0 LUcMICA! 14- .". J. Au rum..-At uNc'[R.4'.T' CcQ .,5 r a rRomrD to nfr CrPAR. IC. A PINK a fUn 5 C? ClPfWAr..;1l r.! 4cift LIY ..rArr(, Af.h'! 1'LC'A7 rW%HrS YAT Cf M IC.r7, 115rrIlrD 7.1 r.Y".RrTr. llrLWCCJ0rfJF. 4' 'd :CCL Alr. ' T. W. W11 IMI SIAIr Ly.Tnctr roec,,, AftW ffilS?A'tATl;vj J I .r-w- r ,lI KCAL SET MERCURY F4.oAr swi A I !..I) ..ZIL PUMP CWLINi-Al W 55A/ 5511 f; NCC lfKI DC rr' A - 1• w6c. al'T5 :il-. tv Tw rrrzc,_'< LL 7'lkf 17C SO AI ?:. ?$' 1HE r, Cf5tPLt CAPACl!$. N "-V. S700rpKr —REVAK- A5,7)tw ?.M a4LLDN TAW. "J ioCx RfWW ARD, 410 p ammsoywLr SDAM v &, \ ^ -;. .. . AOSORP71aV 7RENCH T-T t V —59 7 fDgr ALL Ow TD L 41.:" J.. PRAWY s=.. (m) 8 ROW 0 700 Lr ^!An7 -rAn I-01C, A1 .1041 C GI.Cr - ; 'v p';!C rk EMVALD17 PPE LDAM (FW %5* DK PM 'ur r'• :"r r"vp r"Ill",, r.'(- IT) TOOL o 5 Lr 410 PW 4LV.*j" '011f, OAT tlt!Pf LO rl.,4rxm OfAt 1CV3A4fNf P.FC L[NuN 11-1-1500 GAU, . ON PLW CHANNN "T' "'Ir "0 C" ,V�,-! 10,A' C "I ALCH, 1`3 . ..... 1 6 , �� I r .1 lj A .. ... .. . ..... . A- INLC1— too 07 (r) 1. "e�sezck!XA row.*. 'Al.-P, : 1 '531. r rfri Ur Z OWL .11' PLI.r M. q! rz,,.c! ,,, olrom. t. i La'Az "."'7 LAC I LUC CALM.' 'Xrz lfF o-4 Tv N A 1 1. 61 1 1 m ;y;LZTW-' 1-1- - --- lo ILA* LI-11* .-P.P i qs i: w:_ r5 PrR DAV DO:! W1:tlLlL` Yvft ""' "A" DOSE VOL-410 GAL. All' C.Q 71r. curr ,4.!r: Corr. o0'.5.w"j - tij, pt • _wx S" pw (z Av)•WRM b0 7 . x w 1,500 GAL. PUfvfP CHAMBER N.T.S. NOTES: Z"IT914 IN S"Ali Dt frAV.,.r LrN AllIX up DL .'Cj lll •o.c. .10 70`1 fi,1 C.15017 SPIICCSI ALL L`LC,:MCAL IKWI All: A1A;rK14 em,,`z; ."N 1.11,11.0 LUcMICA! 14- .". J. Au rum..-At uNc'[R.4'.T' CcQ .,5 r a rRomrD to nfr CrPAR. IC. A PINK a fUn 5 C? ClPfWAr..;1l r.! 4cift LIY ..rArr(, Af.h'! 1'LC'A7 rW%HrS YAT Cf M IC.r7, 115rrIlrD 7.1 r.Y".RrTr. llrLWCCJ0rfJF. 4' 'd :CCL Alr. ' T. W. W11 IMI SIAIr Ly.Tnctr roec,,, AftW ffilS?A'tATl;vj J I .r-w- r ,lI KCAL SET MERCURY F4.oAr swi A I !..I) ..ZIL PUMP CWLINi-Al W 55A/ 5511 f; NCC lfKI DC rr' A - 1• w6c. al'T5 :il-. tv Tw rrrzc,_'< LL 7'lkf 17C SO AI ?:. ?$' 1HE r, Cf5tPLt CAPACl!$. N "-V. S700rpKr —REVAK- A5,7)tw ?.M a4LLDN TAW. "J ioCx RfWW ARD, 410 p ammsoywLr SDAM v &, \ ^ -;. .. . AOSORP71aV 7RENCH T-T t V SSTS LA SCALE: 1 —59 7 fDgr ALL Ow TD L 6C CAPPED f PRAWY s=.. (m) 8 ROW 0 700 Lr N/r PARA REALTY DrMOPkrNT 5 Lr 410 PW CORP. SDM'** ix UK SSTS LA SCALE: 1 cc cro, L 5 Lr 410 PW SDM'** ix UK 11-1-1500 GAU, . ON PLW CHANNN Par Polk SSTS LA SCALE: 1 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health Norman Anderson, Inc. 152 Barger Street Putnam Valley, NY 10579 DEPARTMENT OF. HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Subject: Proposed Well Cayola 180 Birch Hill Rd. (T) Patterson September 30, 2013 Dear Mr. Anderson: MARYELLEN ODELL County Executive A field inspection was conducted on the above referenced'lot by Vincent Perrin, Public Health Technician. The application to drill a new well is approved with the following stipulations: 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) 808 -1390 ext.43131 if you have any questions. Sincerely, Vincent Perrin Public Health Technician cc: VP, file REBECCA w1TTENBERG, RN, BSN Fub&Health Diredor ROBERT MORRIS, PE Director ofEnviromnoad Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 April 18, 2012 Fax # (845) 278 -7921 N.R.A. Realty & Dev. Corp. Attn: Anthony Casola 3960 Merritt Avenue Bronx, NY 10466 Dear Mr. Casola: MARYELLEN ODELL Cormty EzeCWV RE: Addition — Approval — N.R.A. Realty & Dev. Corp. (Renewal) NRA. Realty & Development Corp. 180 Birch Hill Road (T) Patterson, T.M. 4 -1 -76 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. 1. The total number of bedrooms must remain at four without prior approval by this Department. 2. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc ... 3. Approved SSTS must be constructed according, to the approved plans certified by Zarecki & Associates. Any deviation from the plan requires a revision be submitted to this Department. 4. SSTS must be inspected by this Department before any backfilling. 5. A bacteria test for the existing well is to be provided before the issuance of a construction compliance. 6. The house must be inspected for bedroom count before compliance is issued. 7. Once SSTS has been inspected and backflled, a construction compliance package must be submitted for review and approval before operation of the new SSTS. 8. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. 9. This approval is valid for two (2) years and expires on April 19, 2014. Any permits or variances required under the jurisdiction of the Town of Patterson are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43157. Sincerely, Ooseph .S Paravati Jr., P.E. C Assistant Public Health Engineer JSP:cw cc: BI (T) Patterson Joseph Zarecki, P.E. ZARECKI' ASSOCIATES, L.L.C. Engineers • Architects Surveyors Joseph Zarecki, PE Jeffrey Hecker, LS Curt Johnson, RA 11 West Main Street Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com email: zareckiassoc @earthlink.net Ridgefield, CT (203) 438 -7094 (203) 438 -7157 Fax April 30, 2013 Mr. Gene D. Reed Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: Letter Report: Float Control Adjustment& Pump Test Evaluation Subsurface Sewage Treatment System (SSTS) Benny Caiola, ±1.39.6 acre property 180 Birch Hill Road, Town of Patterson, Putnam County East Branch Reservoir Basin Tax Map # 4 -1 -76 Dear Mr. Reed: On behalf of the applicant, Benny Caiola, this letter report is in response to your comment letter dated April 10, 2013 regarding the field inspection performed at Mr. Caiola's property located at 180 Birch Hill Road in the Town of Patterson, New York. Enclosed please find the following items in support of the above referenced project: • Digital photograph of the "Roughing Inspection" sticker, prepared by State Wide Inspection Services, Inc. (SWIS), for 180 Birch Hill Road, Patterson, with the remarks that state "Okay on Septic Pump, Rough Only ... Okay to Close ", dated January 30, 2013 Table 4 "Nominal Pipe Volume per Linear Foot" from the 1996 New York State Health Department "Individual Residential Waste Water Treatment Systems, Design Handbook" (Cover page and page 103) • Specification cut sheet for the installed 1,500- gallon pump tank manufactured by Mid - Hudson Concrete Products, Inc. The comments in the April. 10, 2013 Putnam County Health Department (PCHD) letter regarding the April 4, 20.13 PCHD field inspection have been repeated below. Please note, that our responses to these comments are in bold print. April 10, 2013 PCHD Comment: "The pump test resulted in approximately 324 to 338 gallon dose. The correct dose should be approximately 400 gallons. Please have the floats readjusted to maintain 400 gallons. Please have a member of your office witness the adjusted dose, and have the calculations submitted to this office." Response: On April 16, 2013, Zarecki & Associates witnessed the pump floats being readjusted and the operation of the float controls at the 1,500- gallon sanitary pump chamber.. The following calculation documents the result of the float control system for the septic pump chamber. Design Conditions: Volume of pipe trench field: SSTS absorption field design: 8 rows @ 100' each = 80OLF. Nominal Pipe Volume per linear foot (LF), 4" diameter = 0.653 gallons/LF Total Volume = Total length of absorption trenches x Volume of 4" pipe (800LF) x (0.653 gallons /LF) = 522.4 gallons Volume of effluent dose required = 75% - 85% volume in absorption pipe network Low effluent dose = (75 %) x (522.4 gallons) = 371.8 gallons .High effluent dose = (85 %) x (522.4 gallons) = 444.0 gallons Target dose = (80 %) x (522.4 gallons) = 417.9 gallons Installed Conditions: Pump Chamber Volume: 1,500 gallon Pump Tank manufactured; by Mid - Hudson Concrete Products Interior Dimensions: Length (L) = 120" = 10'; Width (W) = 61" = 5.08' Volume per Vertical Foot: (120" x 61 ") = 50.8cf = 380.0 gal. /vertical foot Float Control - Pump On & Pump Off Measured Separation Distance = 13.5 inches = 1.12511 Volume per Dose: (1.125') x (380.0 gal /ft) = 427.5 gallons % Volume of Dose = Vol. of Dose / Total Vol. in Absorption pipe trenches (427.5 gallons) / (522.4 gallons) x (100) = 81.8% Conclusion: Zarecki & Associates witnessed the sanitary effluent pump test for the installed SSTS that will serve the four bedroom residential home, currently under construction, that is located at 180 Birch Hill Road, Town of Patterson, Putnam County, New York. The operation of the float control system. (Pump-On/Off and Alarm On) Was observed for the submersible sewage effluent pump installed in the 1;500 - gallon pump chamber tank. The. distance between the floats for the pump control system was adjusted and provided acceptable results when the pump operation was tested. The volume of effluent provided in each dose is acceptable since it meets the recommended dose range of 75% to 85% of the total volume available in the absorption pipe network. The pump test results indicate that the adjusted float separation distance of 13.5 inches provides approximately 428 gallons per dose and is acceptable based on the calculations provided in this letter report. The enclosed digital photograph documents that the preliminary "Roughing Inspection" is complete and that the septic pump system was acceptable for inspection (i.e. to perform the sanitary effluent pump test). The final electrical inspection certificate will be submitted when received by the Electrician. This is anticipated to occur during the final building permit inspections required to obtain a Certificate of Occupancy (CO) for the residential house. The construction compliance package will be submitted to PCHD to obtain a "Certification of Construction Compliance' and the package will include the final certificate of NY electrical inspection and the bacteria test results on the existing individual residential well. Please call me directly to discuss any questions or comments that you may have regarding the above noted information. I thank you in advance on your quick response on this matter. Sincerely, AKI Mark DelBalzo, Senior Engineer MJD /vl Enc 2005.059.1 TO: ZARECKI & ASSOCIATES, L.L.C. Engineers - Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order DATE: 05/02/13 1 JOB NO.: 2005.059.1 ATTENTION: Mr. Gene D. Reed RE: Letter Report: Float Control Adjustment & Pump Test Eval. Subsurface Sewage Treatment System (SSTS) 180 Birch Hill Road Patterson, NewYork, Putnam County Tax Map #4 -1 -74 & 76 ❑ Under separate cover via ❑ Plans ❑ Samples the following items ❑ Specifications COPIES DATE NO. DESCRIPTION 1 04/30/13 Letter Report 1 01/30/13 Digital photograph of the "Roughing Inspection" sticker 1 Table 4 "Nominal Pipe Volume per Linear Foot" from the 1996 NYSHD "Individual Residential Waste Water Treatment Systems, Design Handbook" (Cover page and page 103) 1 Specification cut sheet for the installed 1,500- gallon pump tank manufactured by Mid- Hudson Concrete Products, Inc. THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ® For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: COPY TO Q ❑ Resubmit ❑ Submit ❑ Return SIGNED: 01 `1 copies for approval copies for distribution corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy Individual Residential Wastewater Treatment Systems 1- • E. a role 0 0 do-IN A i I'l IMI 1996 (Reprinted 2008) New York State Department of Health 547 River Street Troy, New York 12180 Nominal Pipe Volume Per Lineal Foot Diameter Volume (Inches) (Gallons) 1.0 0.0408. 1.25 0.0638 1.5 0.0918 2.0 0.163 2.5 0.255 3.0 0.367 �-- 4.0 0.653 5.0 1.02 6.0 103 1.47 Nov. 5. 2012 1;11PM CARMEL WINWATER WORKS No, 0233 P, 4/13 Notes: 1) 2) 3) 4) GALLONS 500 750 LOW E 1000 125L 120" 60" 67" 54" 3" 30" 24" 1500 126" 67" 68" 56" 3" 30" 24" . 2000 144" 78" 71" 56" 3" 30" 24" PUMP TANK GREASE TANK m inuHUDSON m Now V CONCRETE PRODUCTS, INCORPORATED Route 9 . Cold Springy, New York 10516 845 -265 -3265 b C PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES PERMIT # CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SY s o Located at 180 Birch Hill Road Town :otYiHage= Patterson U. Subdivision name - Subd. Lot # - Date Subdivision Approved - Tax Map 4 Block .1 Lot 7 4& 76 Renewal XX Revision Owner /Applicant Name NRA Realty & Development Date of Previous Approval 04/16/10 Mailing Address 3960 Merritt Avenue, Bronx, New York Zipl 0466 Amount of Fee Enclosed $500.00 Building Type single Family Lot Areal _23 UNo. of Bedrooms 4 Design Flow GPD 800 Fill Section Only - Depth - Volume - PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1 12 5 0 gallon septic tank and 1 , 5 0 0 ga 1. -pump chnmbpr ana POO If of ahanrpf i nn Frnnnboc Other Requirements: See plan To be constructed by Water Supply: TBD Public Supply From Address Address or: x Private Supply Drilled by Existing Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatmentsystem 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: P.E. X R.A. Date 02/28/12 Address uaA n\ ' n c pAt D=wl i nry AIV 1 7gtid License # 61468 -1 APPROVED FOR CON�TRUCTVON: 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 permit. Approved for discharge of domestic sanitary sewage only. B •licTitle: / Date: �- r ite copy - HD File; Yellow copy - Buil ing Inspector; Pink copy - Owner; Orange copy - Design Pro essional Form CP -97 IC HEAD= 1A +(SH) (IJ76X&J7) +(7.S5) =19.07 (7DH) 100 IFAC4 77ONS.• ERSBLE EFFLUENT PUMP NO 3W EDMIL 115r. 1/3 HP SINGLE PHASE OR /E• ELD VOLUME GALLON 410 CAL PER DAY s DALLY VOLLWE APPIROX PER DAY DOSE VOLUME S CPM - 11.7 ANN. APPROX. ONES: .48 GAL/CU.FT. = 54.81 CUFT 7 (lo'+5.16) = L ,4 FT. - 1275• 4'I SCUD PVC (2' MIN) SDR35 O IX MIN. `4• BED OF CLEW $AW DOSE VOL. =410 GAL. NOTES. OR GRAta IBS AL OUTLET PIPES WIN MYDRAULC CEMENT JOINT. 2ALL WIERNAL ARM W BE SOLVENT WELDED 1,500 GAL. PUMP CHAMBER N.T.S. THE HOUSE 4. AN ELECTRICAL 1IMD[RNRITERS CERT87CATE FOR RE PIMP C A&W MUST BE PROW= TO THE DEPARTMENT PROR TO TIE DEPART&OVI CONDUC77MG A FINAL NSPECMN ON THE PUMP CHAMBER 5 PUMP ON/OFF OPERA WN SHALL BE CONTROLLED USING A 9NQE MERCURY LEW! CONTROL FLOAT SWITCH CONNECTED TO A YAGNEM *' CONTACTOR. 6. ALARM FLOAT SWITCHES MAY BE HUNG FROM A STAII.ESS STEEL .BRACKET. FASTENED TO COIKRETE, OR STRAPPED TO 7W RISER. 7. CONCRETE MIN. STRENCM S,OM PSI AT 28 DAYS B. STEEL REINFORCEMENT ASTII A-615 OL 64 A -181 OR A-497, I- MOH. COVER. 9. A NEW YORK STATE LICENCED PROFESSIONAL ENGINEER SHALL CENT PUMP STAMM INSTALLATION AND TESTING 10 THE PUTNW COLNTV DEPARI&OVT OF WALTIL SET MERCURY FLOAT SWITCH FOR 10' DRAWDC USTNC A 1,500 GAL. PLOW CHAMBER W714 THE OVEN CEOEIRY, THE FLOAT SWITCHES SHALL BE SET A 8' (OF" AND /B 75- (ON) ABOVE I ` FLOOR OF THE TAW WHICH WILL PUkIP APPNLWOMATELY 410 GALLONS, WITCH DOSES 79X OF THE EFFECBVE LEACHING AREA THE ALARM SM SHALL BE SET AT 21.75" ABOVE THE FLOOR OF PC TAM( LEAVING SC GALLONS RESERVE CAPACTY, OR APPRO7 MIELY I DAY RESERVE } a SOL STOCKPILE / asTmeuBO (i. l�J / : FENCE � / 7,250 cuts+ / SEPTIO'TAMK / 100X RESERW AREA: 12 1F 4'0 PVC B ROWS O 100 LF I, .35 Ojr_AvN. ABSORP71ON TRENCH 6, J ALL ENDS .TO BE CAPPED PRIMARY 100-Lf -B3o- - - - N/F N.R.A. REALTY & DEVELOPMENT i CORP. -� i —820— — i ,NI CoumT „rl.;wT Ei1T OF HEAUH )N OF 0 °'�I':rf /`; (4q �HEALTH o`JiCES. JilLlj , - ^,i :�1T�nii�'• '��IPt'�i�i:: ti��',itl {tii CAELt RUL =S 1'.Pd - !LaTfGNS Of''HE a'i`Jl COUNT�'_�; >�TI:'iE1dT. ?.TURF & TI LE D' A AL NOTE: ESENT SITE CONDITIONS WITH RESPECT TO THE WELL ITS AREA HAVE NOT BEEN ALTERED SINCE THE TIME ORIGINAL APPROVAL. ONSTRUCTION NOTES DUSTING� CIOCKEN r '^ CAP- I / IJ EXISRNG CAR PORT . � SAO. VOSTTNG SHED O (TO BE REMOVED) _... SOR35 O IN MIN. - /- / \\ / PROPE `7 s0o GALLON -- - _ - 6" EARTH BACKnLL- 70 ALLOW FOR SETTLEMENT OVER ENTIRE SEPTIC AREA FlNISHED GRADE- TREES WITHIN 10 FEET OF THE PROPOSED SUBSURFACE SEWAGE TMENT SYSTEM (SSTS) SHALL BE REMOVED. TO BE INSPECTED BY THE LICENSED DESIGN PROFESSIONAL AND 'UTNAM COUNTY HEALTH DEPARTMENT AFTER CONSTRUCTION AND P TO BACKFILL. SSTS AREA TO BE STAKED AND ROPED OFF SO THAT NO TRUCKS, INERY, BUILDING MATERIALS, NOR EXCAVATED EARTH SHALL BE WED IN THE SSTS AREA. -ROSION CONTROL MEASURES SHALL BE INSTALLED PRIOR TO THE T OF CONSTRUCTION, 77RUCRON OF SSTS TO BE W ACCORDANCE WITH THESE PLANS REVISIONS THERETO, AND HE RULES AND REGULATIONS OF THE 'IT ISSUING AGENCY. SSTS DESIGN SHOWN HEREON DOES NOT PROVIDE FOR INSTALLATION GARBAGE GRINDER. SUCH INSTALLA77ON REQUIRES ADDIT70NAL .N AND ME APPROVAL OF THE PUTNAM COUNTY HEALTH RTMENT. AM COUNTY HEALTH DEPARTMENT APPROVAL IS BASED ON THE 77ON OF THE SSTS, BUILDING, SETBACKS, AND DRIVEWAYS AS EX157ING GRADE PUMP CRAMBOP FIX PIPF �A10� 1 4' PERFORATED PVC" \ / PIPE 10 BE SET / LE741 FILTER 18" MIN. AfF1E 1I4'- 1112- 9JOIIIG R PRONOE 'I _f- CRUSHEDSiE OR 24'A' MEEPIKNE ,7' GATE I/ 24" FREE OF CRT, DUST CLAY, OR ASH. I DAY SY AL FO MA 01A FORCE MAIN P 65' 2' ALARM VtY. ABSORPTION TRENCH DETAIL 4IM1VAL 2T;' PUMP CYC1E CHECK 6E CHECK `4• BED OF CLEW $AW DOSE VOL. =410 GAL. NOTES. OR GRAta IBS AL OUTLET PIPES WIN MYDRAULC CEMENT JOINT. 2ALL WIERNAL ARM W BE SOLVENT WELDED 1,500 GAL. PUMP CHAMBER N.T.S. THE HOUSE 4. AN ELECTRICAL 1IMD[RNRITERS CERT87CATE FOR RE PIMP C A&W MUST BE PROW= TO THE DEPARTMENT PROR TO TIE DEPART&OVI CONDUC77MG A FINAL NSPECMN ON THE PUMP CHAMBER 5 PUMP ON/OFF OPERA WN SHALL BE CONTROLLED USING A 9NQE MERCURY LEW! CONTROL FLOAT SWITCH CONNECTED TO A YAGNEM *' CONTACTOR. 6. ALARM FLOAT SWITCHES MAY BE HUNG FROM A STAII.ESS STEEL .BRACKET. FASTENED TO COIKRETE, OR STRAPPED TO 7W RISER. 7. CONCRETE MIN. STRENCM S,OM PSI AT 28 DAYS B. STEEL REINFORCEMENT ASTII A-615 OL 64 A -181 OR A-497, I- MOH. COVER. 9. A NEW YORK STATE LICENCED PROFESSIONAL ENGINEER SHALL CENT PUMP STAMM INSTALLATION AND TESTING 10 THE PUTNW COLNTV DEPARI&OVT OF WALTIL SET MERCURY FLOAT SWITCH FOR 10' DRAWDC USTNC A 1,500 GAL. PLOW CHAMBER W714 THE OVEN CEOEIRY, THE FLOAT SWITCHES SHALL BE SET A 8' (OF" AND /B 75- (ON) ABOVE I ` FLOOR OF THE TAW WHICH WILL PUkIP APPNLWOMATELY 410 GALLONS, WITCH DOSES 79X OF THE EFFECBVE LEACHING AREA THE ALARM SM SHALL BE SET AT 21.75" ABOVE THE FLOOR OF PC TAM( LEAVING SC GALLONS RESERVE CAPACTY, OR APPRO7 MIELY I DAY RESERVE } a SOL STOCKPILE / asTmeuBO (i. l�J / : FENCE � / 7,250 cuts+ / SEPTIO'TAMK / 100X RESERW AREA: 12 1F 4'0 PVC B ROWS O 100 LF I, .35 Ojr_AvN. ABSORP71ON TRENCH 6, J ALL ENDS .TO BE CAPPED PRIMARY 100-Lf -B3o- - - - N/F N.R.A. REALTY & DEVELOPMENT i CORP. -� i —820— — i ,NI CoumT „rl.;wT Ei1T OF HEAUH )N OF 0 °'�I':rf /`; (4q �HEALTH o`JiCES. JilLlj , - ^,i :�1T�nii�'• '��IPt'�i�i:: ti��',itl {tii CAELt RUL =S 1'.Pd - !LaTfGNS Of''HE a'i`Jl COUNT�'_�; >�TI:'iE1dT. ?.TURF & TI LE D' A AL NOTE: ESENT SITE CONDITIONS WITH RESPECT TO THE WELL ITS AREA HAVE NOT BEEN ALTERED SINCE THE TIME ORIGINAL APPROVAL. ONSTRUCTION NOTES DUSTING� CIOCKEN r '^ CAP- I / IJ EXISRNG CAR PORT . � SAO. VOSTTNG SHED O (TO BE REMOVED) _... SOR35 O IN MIN. - /- / \\ / PROPE `7 s0o GALLON -- - _ - 6" EARTH BACKnLL- 70 ALLOW FOR SETTLEMENT OVER ENTIRE SEPTIC AREA FlNISHED GRADE- TREES WITHIN 10 FEET OF THE PROPOSED SUBSURFACE SEWAGE TMENT SYSTEM (SSTS) SHALL BE REMOVED. TO BE INSPECTED BY THE LICENSED DESIGN PROFESSIONAL AND 'UTNAM COUNTY HEALTH DEPARTMENT AFTER CONSTRUCTION AND P TO BACKFILL. SSTS AREA TO BE STAKED AND ROPED OFF SO THAT NO TRUCKS, INERY, BUILDING MATERIALS, NOR EXCAVATED EARTH SHALL BE WED IN THE SSTS AREA. -ROSION CONTROL MEASURES SHALL BE INSTALLED PRIOR TO THE T OF CONSTRUCTION, 77RUCRON OF SSTS TO BE W ACCORDANCE WITH THESE PLANS REVISIONS THERETO, AND HE RULES AND REGULATIONS OF THE 'IT ISSUING AGENCY. SSTS DESIGN SHOWN HEREON DOES NOT PROVIDE FOR INSTALLATION GARBAGE GRINDER. SUCH INSTALLA77ON REQUIRES ADDIT70NAL .N AND ME APPROVAL OF THE PUTNAM COUNTY HEALTH RTMENT. AM COUNTY HEALTH DEPARTMENT APPROVAL IS BASED ON THE 77ON OF THE SSTS, BUILDING, SETBACKS, AND DRIVEWAYS AS EX157ING GRADE PUMP CRAMBOP FIX PIPF �A10� 1 4' PERFORATED PVC" \ / PIPE 10 BE SET / LE741 FILTER 18" MIN. 1I4'- 1112- 2s' MAx. 12' _f- CRUSHEDSiE OR WASHED AVEL I/ 24" FREE OF CRT, DUST CLAY, OR ASH. TRENCH BOTTOM TOJ BE GRADED LEVEL 5' MIN TO IMPERWOLS MATERIAL OR ROGC 4' MIN TO WATER ABSORPTION TRENCH DETAIL N.T.S SSTS LAYOUT SCALE: 1 -W GENERAL NOTES: 1. AS -BUILT PLANS SHALL BE PREPARED UPON INSTALL,01ON AND RECORD COPY PROVIDED TO THE PCOO4 2. TOPOGRAPHY AS SHOWN WITHIN THIS SET OF DESIM PLANS INTERPOLATED FROM AERIAL PHOTOS DATED APRIL'2004, GENERALLY IN CONFORMANCE WITH USGS DATUM. J. THIS MAP IS NOT A BOUNDARY SURVEY OF PROPERTY., 4. THIS MAP IS NOT TO BE USED FOR 7771.E PURPOSES 5. ANY PROPERTY BOUNDARY LINES SHOWN ON THIS MARARE APPROXIMATE, AND FOR RELA77VE POSI77ON ONLY. 6. THIS MAP DOES NOT ATTEMPT TO REPRESENT ANY 1?10475 OF OWNERSHIP, OR USE, OF THE LAND AS SHOWN HER£OHL: , 7. ALL EXIS77NG AND PREVIOUSLY APPROVED WELLS ANO °SSTSS WITHIN 200 FEET OF THE PROPOSED SSTS ARE SHOWN ON ONE PLAN. S. THE AREA ON THIS PLAN LIES WITHIN ZONE C' (AREAS OF MINIMAL FLOODING), AS SHOWN ON THE NA77ONAL FLOOD INSURANCE PROGRAM, FLOOD INSURANCE RATE MAP FOR THE TOM OF PAT7ERSON, NY PUTNAM COUNTY, COMMUNITY PANEL NUMBER 11 -1 nnn5 R FFFFC77W OA IF JJLY 37986 FINAL SUITAI 12' So MEN. R MECH, 4'/ S PVC SAND BELOP MECH. 9 TO 1. 2. TRENCH DETAIL ' N.T.S. 8� F. F. ELEV 840.0 NRA Realty & Development Corp. 3960 Merritt Avenue Bronx, NY 10466 Date: September 10, 2009 To whom it may concern; I Anthony Casola as President of NRA Realty & Development Inc. authorize Zarecki & Associates, LLC. to make this application on my behalf. TO: ZARECKI & ASSOCIATES, L.L.C. Engineers - Surveyors - Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order 10 1 "ER CF IS RION211' DATE: 04/10/12 1 JOB NO.: 2005.659 ATTENTION: Joseph S. Paravati, Jr., PE RE: NRA Realty & Development Corp. SSTS Renewal 180 Birch Hill Road Patterson, NewYork Tax Map #4 -1 -74 & 76 ❑ Under separate cover via ® Plans ❑ Samples the following items ❑ Specifications COPIES DATE NO. DESCRIPTION 1 04/10/12 Cover Letter 1 Letter of Authorization 3 12/07/09 1 of 1 Site Plan for Subsurface Sewage Treatment System; last revised 04/10/12 THESE ARE TRANSMITTED as checked below: © For approval ❑ Approved as submitted ❑ Resubmit ❑ For your use ❑ Approved as noted ❑ Submit ❑ As requested ❑ Returned for corrections ❑ Return ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: SIGNED: COPY TO: copies for approval copies for distribution corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy ASSOCIATES, L.L.C. Engineers • Architects Surveyors Joseph Zareckt, PE Jeffrey Hecker, LS Curt Johnson, RA 1 1 West Main Street Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com email: zareckiassoc @earthlink.net Ridgefield, CT (203) 438 -7094 (203) 438 -7157 Fax Via: Certified Mail Return Receipt Requested April 16, 2012 Mr. Joseph Paravati, Jr., PE Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: Notice of Determination NRA Realty & Development Corp. 180 Birch Hill Road Town of Patterson, Putnam County East Branch Reservoir Basin Tax Map # 4 -1 -74 & 76 Dear Mr. Paravati: Our office is in receipt of your Complete Application Determination letter dated March 23, 2012; which is in response to our February 29, 2012 submittal to your office regarding the above referenced project. In the letter, it states that the Putnam County Health Department (PCHD) will notify us by April 13, 2012 of its determination. As of the date of this letter, our office has not received a determination from the PCHD. In accordance with your guidelines, we are respectfully requesting that a decision be made regarding the above project in accordance with section 18 -23 (d) (6) of the New York City Department of Environmental Protection (NYCDEP) Watershed Rules and Regulations. I thank you in advance for you time and consideration in the matter. Should you require any additional information, or have any further questions, please do not hesitate to contact me. Sincerely, &adu Joseph Zarecki, PE JZlkln cc: Client April 10, 2012 ASSOCIATES, L.L.C. Mr. Joseph S. Paravati, Jr., PE Engineers • Architects Putnam County Health Department Surveyors 1 Geneva Road Brewster, New York 10509 Ridgefield, Cr • Site Plan for Subsurface Sewage Treatment System, Sheet 1 of 1 (203) 438 -7094 Prepared for N.R.A. Realty & Development Corp, dated (203) 438 -7157 Fax December 7, 2009; last revised April 10, 2012 (renewal note only) As per your telephone discussion with Curt Johnson, RA, from our office on March 23, 2012, regarding the above referenced project, please find enclosed the letter of authorization from Mr. Casola allowing Zarecki & Associates, LLC to make applications for this project on his behalf, a note has been added to the plan (see'enclosed) stating that there has been no alterations to the septic and or well since the original approval, and three (3) copies of the revised plan as your requested for your approval. Should you have.any further questions or comments, please do not hesitate to contact me. enc. cc: client 2005.059 E Re: SSTS Renewal Joseph Zarecki, PE N.R.A. Realty & Development Corp. Jeffrey Hecker, LS Curt Johnson, RA 180 Birch Hill Road Town of Patterson Tax Map #4 -1 -74 & 76 11 West Main Street Pawling, NY 12564 (845) 855 -3771 Dear Mr. Paravati: (845) 855 -3772 Fax Website: zarecki.com Enclosed find the following: email: zareckiassoc @earthlink.net please Ridgefield, Cr • Site Plan for Subsurface Sewage Treatment System, Sheet 1 of 1 (203) 438 -7094 Prepared for N.R.A. Realty & Development Corp, dated (203) 438 -7157 Fax December 7, 2009; last revised April 10, 2012 (renewal note only) As per your telephone discussion with Curt Johnson, RA, from our office on March 23, 2012, regarding the above referenced project, please find enclosed the letter of authorization from Mr. Casola allowing Zarecki & Associates, LLC to make applications for this project on his behalf, a note has been added to the plan (see'enclosed) stating that there has been no alterations to the septic and or well since the original approval, and three (3) copies of the revised plan as your requested for your approval. Should you have.any further questions or comments, please do not hesitate to contact me. enc. cc: client 2005.059 E REBECCA WITTENBERG, RN, BSN Public Health Director ROBERT MORRIS, PE Director ofEmvironmental Health March 23, 2012 Joseph Zarecki, P.E. 11 West Main Street Pawling, NY 12564 Dear Mr. Zarecki: DEPARTMENT. OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 RE: Complete Application Determination for NRA Realty & Development Corp. 180 Birch Hill Road (T) Patterson, T.M. 4 -1 -74 & 76 East Branch Reservoir Basin MARYELLEN ODELL County Executive The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and revisions received by this Department on February 29, 2012 is complete. The Department will notify you by April 13, 2012 of its determination. ❑x The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCDEP will commence pursuant to the guidelines set: forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regardingthis matter, please call me at (845) 808 -1390 ext. 43157. r lly, Paravati Jr., P.E. Assistant Public Health Engineer JSP:cw ASSOCIATES, L.L.C. February 28, 2012 Engineers - Architects Surveyors Mr. Joseph S. Paravati, Jr., PE Putnam County Health Department 1 Geneva Road Joseph Zareckl, PE Brewster, NY 10509 Jeffrey Hecker, LS Curt Johnson, RA Re: SSTS Approval Extension N.R.A. Realty & Development Corp. 1 1 West Main street 180 Birch Hill Road ' Pawling, NY 12564 (845) 855 -3771 Town of Patterson (845) 855 -3772 Fax Tax Map #4 -1 -74 & 76 Website: zarecki.com email: zareckiassoc@earthlink.net Dear Mr. Paravati: Ridgefield, CT (203) 438 -7094 Please accept this letter as a request for an approval extension for the (203) 438 -7157 Fax above reference project. Approval was granted on April 16, 2010 and will expire on April 16, 2012. Copies of the 2010 approval letter and plans are enclosed along with PCHD Form CP -97 and a certified check in the amount of $500.00. Should you have any further questions or comments, please do not hesitate to contact me. Si#he l, enc. cc: client 2005.059 TO ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster. New York 10509 WE ARE SENDING YOU: © Attached Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order DATE: 02/28/12 JOB NO.: 2005.059 ATTENTION: Joseph S. Paravati, Jr., PE RE: NRA Realty & Development Corp. Proposed SSTS 180 Birch Hill Road Patterson, NY, TM #4. -1 -76 ❑ Under separate cover via ® Plans ❑ Samples the following items ❑ Specifications COPIES DATE NO. DESCRIPTION 1 ❑ Returned for corrections ❑ For review and comment Cover Letter 1 ❑ Prints returned after loan to us Certified check in the amount of $500.00 1 02/28/12 CP -97 Application for Construction Permit for Sewage Treatment System 1 04/16/10 Approval letter from PCHD 1 04/16/10 Construction Permit for Sewage Treatment System 1 Site Plan for Subsurface Sewage Treatment System approval by PCHD on 04/16/10 THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: COPY TO: ❑ Resubmit ❑ Submit ❑ Return SIGNED: , copies for approval copies for distribution corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy o SECONDARY - -- - " PROPOSED / SSTS AREA- `" \ FOR 7FS77NG (LOT -9) FENCE - - - - - -- - -- -- 'EXIST7NC —CABIN,/ SECONDARY -1 •.-� � -" �. / 7 •i l.x�/ _ _ / PROPOSED , B A �,' / I ak0/ y MINIMUM,,'/ SS7S AREA ^ / /PROPOSED . - — lI ; PROPOSED/ / `FOR_ 7ES77NG .4 ; / ADDMON / / // , .\ + \ / �� I I � REQ D SS TS , pT -� / AREA - sJ CHICKEN — _ — _ ~ EXISTING CAR COOP y_ . ., PORT TO BE a £wSnNC SH i OCA7ED TO6£- ��, - - - -- it pT -3 ,,_ _ R£LOCA / 1 / _ \ r _ EXISTING - r " /•' �830� c!_� -- ; S1RUC.TURES: —' P AND _ / - _ MINIMUM - TO BE E- HOLE -- - -- DEEP -HOLE -" _ /' PERN (INE'" w. 'A77ONS _ CATEO PRO RELO _ - _ -REQ D SSTS AREA 820- , - - •— -- _ -;:- -- f - -- _._- _ �- �� 'iii - - - -" _. -----= -_610 _ _ -4 - -- — - —770 _ _. - -- - - -- © - -- -- -- - / -- -- - - ------ ° - -- -- - -'-" - - -- —citi% -- PlUTNAM COUNTY DEPARTMMNT OF HEALTH DIVISION OF ENVIRONNIENTAL HEALTH SERVICES INITIAL INDIVID.UAL/COMMIRCLkL SITE INSPECTION FORM SECTION I GENERAL INFORMATION Nameof Project NIM. Mm County Site Locations Y ' Building construction Extent Is property within NYC Watershed? ................. /Nnes No SECTION B. TOPOGRAPHY (Please check all appropriate boxes) I =Hilly' Roliling Steep slope Gentle slope 4ELFlwl. 21 Evidence idence o-fwetlands Low area subject to flooding a Bodits of water Drainage ditches Rock outcrops 3. prop,tr, ty lines or corners evident........... ........:........ ...........:.............:. No 4. 'Do water courses exist on or adjoin the property? ............................ Yes /Z No 5. Will these affect the design of the sewage system facilities ?.....:...... Yes No 6. Do watershed regulations apply in this development ? ....................... Yes a N_ o .7 Will eextensive gradinbc, be necessary?.:: .............: ........................I...... Yes No 8. Will -extensive fill be necessary for S STS? .......................................... Yes No 9. Do filled areas exist within the SSTS area ?.. ........:... ...... Yes No If yes, what is the condition of the Ell? SECTION C. SOIL OBSERVATIONS 1.0. Appearance ofl soil: = Sand =CT ravel = -Borings -1-1- Obstrved from:._._ Soil borings/excavations observed by 13. Depth to groundwater 47�Loam Clay . =Eardpan�,kxture in=t Backhoe-excavatiow 0 n li Ito on 14. Depth to mottling on 15. Are test holes representative of primary &-'resev"eareas ....................... ............... es [try No 16. Soil percolation t sts made by 0 n 17. Soil pelcolation tests witnessed by ISP4 SECTION D(on back) Form ST-1 2 SECTION D. DKkRI AGE 18. ..'Will proposed grading .materially alter the natural drainage in this or adjacent areas? =yes [ZrNo 19. Will groundwater or surface drainage require special consideration? ...................... a Yes No _ 20. "Will gullies, ditches, etc:, be. filled and watercourses be relocated ? ......................:... Q Yes =No SECTION E. REMARKS 21. ' If a common water supply is proposed; has an inspection been made of the existing or proposed source and facilities ?.... . Yes =No Inspection data s 22. 'Do adjacent wells and/or sewage systems exist? .. .... .. ...... ......................:...... Yes 23. Additional comments 24._ Site observer/inspector and title 25, Date(s)-of o'bservation(s)inspection(s) Grp? TEST PIT PROFILES Hole 4:' Lat y Hole T Lot ,- Hole T Lot r Depth to water Depth to mottling Depth to water Depth to mottling Depth to rock/imp. Depth to rock/imp. G.L. G.h. 0.5 1.0 2.0 4.0 5.0 M 7.0 9.0 f 10.0. 0.5 f . i.o /,/ • 2.0 / 3.d 4.0 5.0 . Dept -to water Depth to mottling , Depth to rocklimp G.L. 0.5 1.0 2.0 6.0 d:0 7.0 7.0 8.0 8.0 9.0 9.0 10.0 10.0 r� 91 .. 4 1-27 QJT j 0 o PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: Address: Located at (street): I y ��• L �'�� r � TM # 'Section: _Block _Lot Municipality: _ GF t7 /f, ` Watershed: /L ' SOIL PERCOLATION TEST DATA A Witnessed by: r } C. 00 Date of Pre - soaking: �1 ti Date of Percolation Test: /l 0 v �, Hole No. Run No. Time Start - Stop Elapse p Time (min.) Depth to Water from ground surface (inches) Start - Stop Water level drop . in inches Percolation Rate min /inch 2 �,�5- lt;,�1 E <3 5 7 l 5 3 i 0 p 73 1 • ZJ 3 a- 6.a i 4 5 i 2 zi -� -5'� 3 :tip- �J 1 ko 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 min /inch; < 2 rain for 31 60 min /inch j. All data to be submitted for review. r . ` TEST PIT DATA / 1)I:.sC RI I"I'l()N OF SOILS ENCOUNTE;It1 1) IN TLS] I1()I,L.s DEPTH HOLE Y -� HOLE � '�" HOLE #f � HOLE � HOLE #_ C . L. 0.5' P _ ikv r 1.5' -- - - — - 11h'o'1 4.5'`f�` 5.0' 5.5' 6 0 , jai s:0' . . 9.0' 9.5' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional - Seal z�. r PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: �?,t2`Jl 1 Address: Located at (street):. I t' 4'Y&L- «1 t d" TM # Section: Block _ Lot Municipality: -''^' Watershed • SOIL PERCOLATION TEST DATA j IbA s Li��av2 GJ" Witnessed by: 134p, rj(f �,� i cb96sc Date of Pre - soaking: J -4 la 47 Date of Percolation Test: ► a o C r , Hole No. Run No. Time Start — Stop Elapse Time (min.) Depth to water from ground surface (inches) Start - Stop Water level drop in inches Percolation Rate' min /inch 2 i� . 1:3,� 3' .7. 4 �: 4- , 15 Pd - 3 7 5 rr� 4:317 'Pa. t S 3 i 1 x:33 3v 1a.` (. S 2 / = 3,t - �27: c�. 0 3P 5 3 :,3v ,j;��- c-� 4 5 i 1 � ,�, - ', i O 2 3 4 5 i Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at. each percolation test hole. (i.e., < 1 min for 1 -30 miniinch, <2 min for 31 -60 min /inch). All data to be submitted for review. DEPTH G. L. I TEST PIT DATA 1)I_SC,jZllq,lON1 OF SOILS ENCOUN' L HOLE HOLE # HOLE 3 HO I LE y HOLE 2.0' - /?1.,- 1 - '31 . Li- 2.5' 3.0 3.5' 4.0' 5.0, 6,0' �J L 6.5' 8.0' .9.01 9.51 10.0, Indicate level at which groundwater is encountered Indicate level at which Mottling is observed Indicate level to which water level rises after being encountered Deep bole observations made by: Ptdll Date t / /140 Design Professional Name: Address: Signature: Design Professional = Seal IM r� "Zs t1 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: Li,�, 0' ��' �f� Address: Located at (street): Cy J�j/ .��-?t' TM # Section: Block Lot Municipality: �1 'I< -� Watershed:��•� �- SOIL PERCOLATION TEST DATA 4� / Witnessed by: Date of Pre - soaking: C 5 Date of Percolation Test: ct/� &rrx Hole No. Run No. Time Start — Stop Elapse Time (Min,) Depth to water from ground surface (inches) Start -Stop Water level drop in inches Percolation Rate min /inch 3 1 u -IX 19 I .-2 4 5 PT 2 /1 - ate -ry. 3 - •1r� ' I li J- y 4 5 1 2 3 4 5 1 .2 3 4 5 i Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e.. < 1 min for 1 -30 min /inch, <? min for 31 -60 min /inch). Al] data to be submitted for review. �d TEST PIT U:-Il'f A DESCRIPTION OF SOILS ENCOUN"I'ERI-') DEPTH HOLE f HOLE # o HOLE a HOL HOLE Jf -f 1.5' 2.0' 'ic> S`r rM t 4.0' 4.5' rt.. a �. ��j �w or f 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' Indicate level at which groundwater is encountered 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: Address: Signature: Design Professional = Seal Date —6 – D - -- � at I- r� 1� u 'J PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner: �'�itj�✓ L. Address: Located at (street): /fir r �hL� �Z °t TM # Section: _ Block _ Lot Municipality: /` �` "f '5 Watershed: SOIL PERCOLATION TEST DATA �''"` 67 Witnessed by: Date of Pre - soaking: l Date of Percolation Test: _ ! Wt -T 7= 3 ��� Hole No.. Run No. Time Start — Stop Elapse Time (min.) Depth to Water from ground surface (inches) Start - Stop .water level drop in inches Percolation Rate min /inch ill go 3 3 :d-1.° .2 1 > 4 5 l 1 ri S _ do- S S ` 3 1,1 tlo t), 4P 3o a'L( 4 5 7 1 .�a 3 5 1 2 3 ti 4 5 Notes: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e., < 1 min for 1 -30 miniinch, < 2 min for 31 -60 nnin /inch). All data to. be submitted for review. i' TEST PIT DA' .A DI-SCRJl'Tl()N OF SOILS ENCOUNTERIA) IN T[I'ST 11OLI'S DEP ; N HOLE H HOLE HOLE # HOLE HOLE G. 1.5'. -- 20' Et 5 2.5' 3.0' 3.5' 4.0' G^- 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' -7 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottling is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date Design Professional Name: Address: Signature: Design Professional = Seal r ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 TO: PCHD 1 Geneva Road Brewster. NY 10509 WE ARE SENDING YOU: ❑ Shop drawings ❑ Copy of letter LEVEE OV 'T UN111111NULJ DATE: 07/22/09 1 JOB NO.: 2005.059 ATTENTION: Mr. Joe Paravati RE: N.R.A. Realty & Development Corp Birch Hill Road Town of Patterson ® Attached ❑ Under separate cover via the following items ❑ Prints ® Plans ❑ Samples ❑ Specifications ❑ Change order ❑ COPIES I DATE I NO. I DESCRIPTION Request for Field Testing Form Letter from Town of Patterson regarding no wetlands in proposed testing area Request for Testing Site Plan prepared for N.R.A. Realty & Development Corp. (dated 6/24/09) ..- THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ® For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑F REMARKS: I_ COPY TO: [] Resubmit copies for approval F] Submit copies for distribution ❑ Return corrected prints — FORBIDS DUE ❑Prints returned after loan to us 5 SIGNED: If enclosures are not as noted, kindly notify us at once. Client Copy_. s 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 REQUEST FOR FIELD TESTING ROBERT J. BONDI County Executive All information below must be fully completed prior to any scheduling. DATE: July 22, 2009 ENGINEERING FIRM: Zarecki & Associates, LLC PHONE #: (845) 855 -3771 PERSON TO CONTACT: Jonathan Walsh ❑ x NEW CONSTRUCTION ❑ REPAIR PROGRAM ❑ ADDITION PROGRAM REASON: DEEPS: ❑X PERCS: ❑x PUMP TEST:❑ ROAD /STREET: 180 Birch Hill Road TOWN: Patterson SUBDIVISION: N/A OWNER: Anthonv Casola TAX MAP #: 4 -1 -76 LOT #: N/A NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES NO ❑ ❑X Proposed SSTS within the drainage basin of West Branch or Boyds Corner & Croton Falls Reservoirs. ❑ ❑ Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. . ❑ ❑X Proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ Q Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. ❑ 0 Proposed SSTS for a Commercial Project. It is the responsibilty of the design professional to provide the above information prior to soil testing. The Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered yes to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYDEP. FOR COUNTY USE ONLY DATE: TIME: COMMENTS: MQ. FOR FIELD TESnNG: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 t,ANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson, NY 12563 Michelle Russo Sarah Wagar Secretary Richard Williams Town Planner Telephone (845) 878 -6500 FAX (845) 878 -2019 July 18, 2009 Mr. Jonathan Walsh Zarecki & Associates, L.L.C. 11 West Main St. Pawling, NY 12564 TOWN OF PATTERSON PLANNING & ZONING OFFICE Re: N.R.A. Realty & Development 180 Birch Hill Road Tax Map #4. -1 -76 ZONING BOARD OF APPEALS Howard Buzzutto, Chairman Mary Bodor, Vice Chairwoman Marianne Burdick Lars Olenius Gerald Herbst PLANNING BOARD Shawn Rogan, Chairman David Pierro, Vice Chairman Michael Montesano Maria Di Salvo Charles Cook p JUL 2 12009 This is in response to your request to permit additional soil testing on the above - mentioned property for the existing structure. You are proposing to test the soils immediately west of the "building" for the purpose of installation of a septic system. You have provided a drawing prepared by your office dated June 24, 2009 which shows the boundary of the wetland and 100' controlled buffer. The locations as shown on the drawing are not within the wetland or 100' controlled buffer. As such the testing will not affect the regulated wetland, and may proceed subject to the following conditions: All excavated holes will be filled withing 24 hours. No other soil disturbing activity is authorized by this letter, and no activity other than the soil test pit and percolation test for the one stormwater pond is to be conducted in a wetland or 100' controlled basis. The Planning Department is to be notified 24 hours in advance of the test. I am also concerned about the condition of the stream crossing and its ability to support equipment needed to access the site. No improvements should be made to the bridge without the prior notice and consent of the Town of Patterson Environmental Conservation Inspector, or Planning Board. Please feel free to contact me if you have any other questions. Sincerely yours, Richard Williams TOWN PLANNER cc: Building Department Environmental Conservation Inspector Planning Board 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 REQUEST FOR FIELD TESTING ROBERT J. BONDI County Executive All information below must be fully completed prior to any scheduling. DATE: 10122109 ENGINEERING FIRM: Zarecki & Associates, LLC PHONE #: (845) 855 -3771 PERSON TO CONTACT: Jonathan Walsh Fx� NEW CONSTRUCTION ❑ REPAIR PROGRAM ❑ ADDITION PROGRAM REASON: DEEPS: ❑PERCS: ❑x PUMP TEST: ❑ ROAD /STREET: 180 Birch Hill Road TOWN: Patterson SUBDIVISION: N/A OWNER: Anthony Casola TAX MAP #: 4 -1 -76 & 4 -1 -74 LOT #: N/A NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES NO ❑ ❑x Proposed SSTS within the drainage basin of West Branch or Boyds Corner & Croton Falls Reservoirs. ❑ 0 Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ❑ 0 Proposed SSTS within 200 feet of a watercourse or a DEC wetland. ❑ ❑X Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. ❑ ❑x Proposed SSTS for a Commercial Project. It is the responsibilty of the design professional to provide the above information prior to soil testing. The Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered yes to any of the questions, NYCDEP must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re- witnessing of the soil testing with NYDEP. FOR COUNTY USE ONLY DATE: / �l TIME: ` "r ;r� ,�'J✓�.�d� ,% COMMENTS: l a, u?'f'S• �'+t z REQ. FOR FIELDTESTING: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 ZARECKI �v 7 October 20, 2009 ASSOCUTESy L.L.C. Engineers - Architects Mr. Joseph Paravati, P.E. Putnam County Health Department Surveyors 1 Geneva Road Brewster, NY 10509 Joseph zarecki, PE Re: N.R.A. Realty & Development Jeffrey Hecker, LS Birch Hill Road Curt Johnson, RA Town of Patterson Tax Map # 4 -1 -74 & 76 11 West Main St. Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki,com email: zareckiassoc @earthlink.net 31 Bailey Ave. Ridgefield, CT 06877 (203) 438 -7094 (203) 438 -7157 Fax W A ) OCIATES L�c E SURVEYING Dear Mr. Paravati: This letter and package is to request another round of site soil testing for the above noted properties. If you recall, we previously conducted soil testing on this property with passing results. However, per the request of our client, we would like to entertain additional areas for the most efficient design. With that said, the enclosed plan indicates two (2) additional areas that we are requesting to be witnessed. As the plan shows one (1) testing area falls within the current tax map boundaries ( #76) as the residence and the previous testing; while the other area for testing falls within an adjoining parcel ( #74) that our client also owns. As you are probably thinking, we can not have an SSTS on a separate lot from that of the residence it serves. However, due to the conditions of this project and the violations it has created the Town's ordinance Section 154 -62.B (see attached) of the Town of Patterson Code, has merged these two (2) lots into one (1). Would this apply at the County level as well, or is the configuration still two (2); which would require either a lot line or subdivision approval first? In any event, we would still request that both areas be tested and whatever issues or concerns with each will be resolved at a later point. Should you have ts, please do not hesitate to contact me. Project Engineer Enc. cc: Client 2005.059 PUTNAM COUNTY DEPARTMENT OF HEALTA<� DIVISION OF ENVIRONMENTAL HEALTH SERVk CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM PERMIT # I C Located at K, CCA, 01 r I Town or Village T a paffirsovi Subdivision name °' Subd. Lot # — Tax Map Block �_ Lot ri-4--k7 (p Date Subdivision Approved Renewal "® Revision Owner /Applicant Name ri, �, ia. R Lc& 4 t)LV. COY-4). Date of Previous Approval Mailing Address Amount of Fee Enclosed 0600-00 Zip Building Type 6, 1o. F0- m 1 �Lot Area 12 % -63No. of Bedrooms � Design Flow GPD 200 Ili Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of 1250 gallon septic tank and 1 500 Q 0 1 mm Cbalmb Lr Cund 800 1-F 0�- absorebon -trw & s Other Requirements: 5 Q .tL �p oyY To be constructed by 17 Address Water Supply: Public Supply From Address or: -- ' Private Supply Drilled by Ex 1 "no Address I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: Address P.E. R.A. Date O°1 License # ('0 1 APPROVED FOR CONSTkUCTION: 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 permit. Approved for discharge of domestic sanitary sewage only. Title: Ag��4T Date: 11(o & ite opy _ HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Dorris, PE Director of Environmental Health April 16, 2010 N.R.A. Realty & Dev. Corp. Attn: Anthony Casola 3960 Merritt Avenue Bronx, NY 10466 Dear Mr. Casola: Department of Health I Geneva Road, Brewster, NY 10509 Robert J. Bondi County Executive Re: Addition — Approval — N.R.A. Realty & Dev. Corp. Increase in Number of Bedrooms with new SSTS 180 Birch Hill Rd. (T)Patterson, TM #4- 1 -74 &76 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 April 16, 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. All plumbing fixtures must be updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets, etc.). 3. Approved SSTS must be constructed according to the approved plans certified by Zarecki & Associates. Any deviation from the plan requires a revision be submitted to this Department. 4. SSTS must be inspected by this Department before any backfilling. 5. A bacteria test for the existing well is to be provided before the issuance of a construction compliance. 6. The house must be inspected for bedroom count before compliance is issued. 7. Once SSTS has been inspected and backfilled, a construction compliance package must be submitted for review and approval before operation of the new SSTS. 8. The approval is for the proposed changes only. This approval does not validate any 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 Patterson. If you have any questions, please contact me at your convenience. Sincerely � E'CL�tL��C,cs 61Yoseph S. Paravati, Jr., PE Environmental Engineer JSP:lm cc: BI (T)Patterson Curt Johnson, RA 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 / Horne Care Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of N.R.A. Realty and Development Corporation Located at Birch Hill Road T/V Patterson Subdivision of Subdivision Lot # Gentlemen: Tax Map # 4 Block 1 Lot (s) 74 & 76 Filed Map # Date Filed This letter is to authorize Zarecki & Associates, L.L.C. a duly licensed Professional Engineer X or Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and /or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Educatio Law. a Public Health Law, and the Putnam County Sanitary Code. //7 P.E.XR,,, l�/lailL*lg Pawling State NY 61468 -1 11 West Main Street Zip 12564 Very truly your Signed- yo of Mailing Ad res Bronx State NY 3960 Merritt Avenue Telephone: (845) 855 -3772 Telephone: (914) 447 -1597 Zip 10466 Form LA -97 03- 02 -`10 15 :50 FROM - Jantile Inc. TOWN CHRISTOPHER BORYK, TAO Assessor Telephone (845) 878 - 4300 Fax (845) 878 - 6343 February 17, 2010 7186555454 OF PATTERSON, NEW YORK NRA Realty and Development 3960 Merritt Avenue Bronx, NY 10460 TM Ws: 4, -1 -74, 4.4-75, 4. -1 -76 Dear Mr. Casola, T -205 P002/002 F -387 PATTERSON TOWN -TALL P.O. Box 470 Patterson, N.Y. 12563 2 20j0 As per your written request, the following parcels located on Birch Hill Road; 4. -1 -74, 4.4-75, and 4. -1 -76 have been combined into one. The parcel is now known as 4.4-76 (or 180 Birch Hill Road) for the 2010 assessment roll. Therefore, your first bill with the three parcels combined into one, shall be September 2010. If you have any questions, please do not hesitate to call me at extension 25. Yours truly, „ s OiNaD,C� Amanda P Torn ins Clerk to the Assessor I 4 PUMP CURVE INFORMATION NRA Realty 180 Birch Hill Road, T/ o Patterson [qGOULDS PUMPS APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: %" maximum. • Discharge size: 2" NPT. • Capacities: up to 140 GPM. • Total heads: up to 128 feet TDH. • Temperature: 104°F (40°C) continuous 140OF (60°C) intermittent. • See order numbers on reverse side for specific HP, voltage, phase and RPM'S available. FEATURES ■ Impeller: Cast iron, semi- open, non -clog with pump -out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ■ Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge. ■ Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA -N elastomers. ® 2001 Goulds Pumps Effective November, 2001 83885 ■ Shaft: Corrosion- resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ■ Fasteners: 300 series stainless steel. ■ Capable of running dry without damage to components. ■ Designed for continuous operation when fully submerged. MOTORS ■ Fully submerged in high - grade turbine oil for lubrication and efficient heat transfer. ■ Class B insulation. AETERS FEET 40 130 120 35 110 30 100 90 Lu 25 80 �a 20 70 > 60 8 1s 50 ° 40 10 30 Submersible Effluent Pump 3885 PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. Single phase: • Built -in overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. • t/3 and t/2 HP —16/3 SJTOW with 115, 208 and 230 Volt three prong plug. • 3/4 -2 HP —14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. • 1/2 -2 HP —14/4 STOW with bare leads. ■ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. GPM ■ Bearings: Upper and lower heavy duty ball bearing construction. ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Optional lengths are available. ■ 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS ci�Tested to UL 778 and _s CSA 22.2108 Standards By Canadian Standards Association File #LR38649 Goulds Pumps is ISO 9001 Registered. ERIES: 3885 IZE:' /4" SOLIDS PM: 3500 & 1 3 . -2a =1a3 10 0 00 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM 0 s 10 15 20 25 30 35 m3 /hr CAPACITY www.goulds.com Goulds Pumps <& ITT Industries MGOULDS PUMPS COMPONENTS Item No. Description 1 Impeller 2 Casing 3 Silicon carbide vs. silicon carbide Mechanical seal 4 Shaft 5 Motor 6 All Ball bearing heavy uty design 7 Power cable 8 0-ring MODELS 7 5 s t Order No. HP Volts Phase Max. Amp. RPM Solids Wt (Ibs.) 4WE031:1 L, ; i - -. � 1:151 111° -9.8, 1750' 1/2 456,- WE0318L 200 6.8 WE0312L 230 4.9 WE0311M 115 9.8 WE0318M 200 6.8 WE0312M 230 4.9 WE0511H h 115 14.5 3500 60 WE0518H 200 6.1 WE0512H 230 7.3 WE0538H 200 3 4.1 WE0532H 230 3.3 WE0534H 460 1.7 WE0511 HH 115 1 14.5 WE0518HH 200 8.1 WE0512HH - 1 7.3 WE0538HH 200 3 4.1 WE0532HH 230 3.6 WE0534HH 460 1.8 WE0718H WE0712H 3/4 200 1 11.0 70 230 10.0 WE0738H 200 3 6.2 WE0732H 230 5.4 WE0734H 460 2.7 WE1018H 1 200 1 14.0 WE1012H 230 12.5 WE1038H 200 3 8.1 WE1032H 230 7.0 WE1034H 460 3.5 WE1518H 1,/2 200 1 17.5 80 WE1512H 230 15.7 WE1538H 200 3 10.6 WE1532H 230 9.2 WE1534H 460 4.6 WE1518HH 200 1 17.5 WE1512HH 230 15.7 WE1538HH 200 3 10.6 WE1532HH 230 9.2 WE1534HH 460 4.6 WE2012H 2 230 1 18.0 83 WE2038H 200 3 12.0 WE2032H 230 11.6 WE2034H 460 5.8 WE0537H �/� 575 3 1.4 60 WE0537HH 1.5 WE0737H 3/4 2.2 70 WE1037H 1 2.8 WE1537H , 1 /Z 3.7 80 WE1537HH 3.7 WE2037H 2 4.7 83 6 4 3 Submersible Effluent Pump 3885 PERFORMANCE RATINGS (gallons per minute) Orde No. r WE03L WE03M WE05H WE07H WE10H WE15H WE05HH WE15HH WE20H HP 'h 1h 1/2 3/, 1 1 1'h 1h 11h 2 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 5 86 - - - - - - - - 10 70 63 78 - - - 58 - - 15 52 1 50 70 90 - - 53 - - 20 27 35 60 83 98 123 49 90 136 25 - - 48 76 94 117 45 87 1 133 30 - - 35 1 67 88 110 40 83 130 3 35 - - 20 57 82 103 35 80 126 45 74 95 30 77 121 d 45 - - - 35 64 86 25 74 116 9 50 - - - 25 53 77 - 70 110 - 40 67 - 66 . 103 60 - - - - 30 56 - 63 96 65 - - - - 20 45 - 58 89 70 - - - - - 35 - 55 81 75 - - - - - 25 - 51 74 80 - - - - - - - 47 66 37 49 28 30 DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) KICK -BACK Goulds Pumps Goulds Pumps and the TI"I' Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries. ITT Industries PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. <& 617.20 Appendix C State Environmental Quality Review SHORT ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I - PROJECT INFORMATION (To be completed by Applicant or Proiect Sponsor) 1. APPLICANT /SPONSOR 2. PROJECT NAME N.R.A. Realty & Development Corp. N.R.A. Realty & Development Corp. SSTS 3. PROJECT LOCATION: Birch Hill Road Municipality Town of Patterson County Putnam County 4. PRECISE LOCATION (Street address and road intersections, prominent landmarks, etc., or provide map) Property is located along the southern side of Birch Hill Road, approximately 3000 feet from the intersection of NYS Route 22 and Birch Hill Road 5. PROPOSED ACTION IS: ❑X New ❑ Expansion Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: Proposed individual 55TS and well for single - family residence 7. AMOUNT OF LAND AFFECTED: Initially acres Ultimately acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? Yes No If No, describe briefly 9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? 0 Residential ❑ Industrial Commercial Agriculture ❑ Park/Forest/Open Space Other Describe: 10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL AGENCY (FEDERAL, STATE OR LOCAL)? Yes 0 No If Yes, list agency(s) name and permittapprovals: 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes n No If Yes, list agency(s) name and permittapprovals: 12. AS A RESULT OF PROPOSE Q ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION? Yes X No,, I CERf1F�Y HAT THE I FORMATION PROVIDED BOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ' Applicant/sponsor name%✓ Date: % ( i Signature: If th6 action is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II - IMPACT ASSESSMENT (To be completed by Lead Agency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.4? If yes, coordinate the review process and use the FULL EAF. Yes 0 No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6? If No, a negative declaration may be superseded by another involved agency. Yes 0 No . 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 pattern, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: No C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: No C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: No 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: No C5. Growth, subsequent development, or related activities likely to be induced by the proposed action? Explain briefly: No C6. Longterm, short term, cumulative, or other effects not identified in C1 -05? Explain briefly: No C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly: No D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CAUSED THE ESTABLISHMENT OF A CRITICAL ENVIRONMENTAL AREA (CEA)? F Yes 0 No If Yes, explain briefly: E. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑ Yes n No If Yes, explain briefly: PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic scope; and (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 environmental characteristics of the CEA. Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed directly to the FULL EAF and /or prepare a positive declaration. ❑ Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the proposed action WILL NOT result in any significant adverse environmental impacts AND provide, on attachments as necessary, the reasons supporting this determination. Name of Lead Agency Print or Type Name of Responsible Officer in Lead Agency Signature of Responsible Officer in Lead Agency Date Title of Responsible Officer Signature of Preparer (If different from responsible officer) 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: N.R.A. Realty and Development Corporation 3960 Merritt Avenue Bronx, NY 10466 2. Name of Project: Birch Hill Road 4. Design Professional: Joseph Zareck 6. Drainage Basin: The Great Swamp 7. Type of Project: X Private/Residential _ Apartments Office Building _ 3. Location: T /V: T. or Patterson i, PE 5. Address: 11 West Main Street Pawling, NY 12564 _ Food Service Commercial _ Institutional Mobile Home Park _ Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR) ? .............. Yes/No Yes Type Status (check one) ...................................... ............................... Type I Exempt Type II Unlisted X 9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No No 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No N/A 11. Name of Lead Agency N/A 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ............................................................. ............................... Yes/No Yes 13. If so, have plans been submitted to such authorities? .. ............................... Yes/No No 14. Has preliminary approval been granted by such authorities? N/A Date granted: N/A 15. Type of sewage treatment system discharge ........................ surface water X groundwater 16. If surface water discharge, what is the stream class designation? .......................... N/A 17. Waters index number (surface) ............................................. ............................... N/A 18. Is project located near a public water supply system? Yes/No 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? .......... Yes/No No 21. Name of sewage system N/A Distance to sewage system N/A 22. Date test holes observed 11/10/09 23. Name of Health Inspector Joe Paravati 24. Project design flow (gallons per day) 800 GPD 25. Is State Pollutant Discharge Elimination system ( SPDES) Permit required? ... Yes/No No 26. Has SPDES Application been submitted to local DEC office? ......................... Yes/No N/A Rev. 11/02 Form PC -97 Pg. 1 of 2 c d 27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No No 28. Wetlands ID number .................................................................. ............................... N/A 29. Is Wetlands Permit required? ...................................... ............................... Yes/No No Has application been made to Town or Local DEC ........................... Yes/No N/A 30. Does project require a DEC Stream Disturbance Permit? ...... .........................Yes/No No 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? .......................................... .........................Yes/No 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 No DESCRIBE: 33. Is there a local master plan on file with the Town or Village? .........................Yes/No No 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site. Yes/No No 35. Are any sewage treatment areas in excess of 15% slope? .............................. Yes/No No 36. Tax Map ID Number ................ ............................Map 4 Block 1 Lot 74 & 76 37. Approved plans. are to be returned to ................ Applicant X Design Professional NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit those forms to DEP for review and approval. If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of . my knowledge and belief. False statements made herein are p , nishable as a Class A misdemeanor pursuant to Section 210.45 of the Pea Law. SIGNATURES & OFFICIAL TITLES: Mailing Address: ........................... Joseph Zarecki, FEE cki & ssociates, L.L.C. 11 West Main Street Pawling, NY 12564 Form PC -97 } PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner NRA Realty and Development Corp. Address 3960 Merritt Avenue, Bronx, NY 10466 Located at (Street) Birch Hill Road Tax Map 4 Block 1 Lot 76 (indicate nearest cross street) Municipality Town of Patterson Watershed Croton Watershed SOIL PERCOLATION TEST DATA Date of Pre - Soaking 11/09/09 Date of Percolation Test 11/10/09 Area 1 Hole No. Run No. Time Start -Stop Elapse Time (Min.) Depth to Water from Ground Surface (inches) Start stop Water Level Drop in Inches Percolation Rate (min /inch). 1 1 10:38 — 11:04 26 min 21 in 24 in 3 in 9 min/incl 2 11:05 —11:31 26 min 21 in 24 in 3 in 9 min/inch 3 11:32 — 11:58 26 min 21 in 24 in 3 in 9 min/inch' 4 5 2 1 10:46 —11:16 30 min 21 in 22 3/4 in 1 3/4 in 17 min/inch' 2 11:16 —11:46 30 min 21 in 22 3/4 in 1 3/4 in 17 min/inch 3 11:46 — 12:16 30 min 21 in 22 %2 in 1 %2 in 20 min/inck 4 12:17 —12:47 30 min 21 in 22 %2 in 1 %2 in 20 minhnch. 5 3 1 10:40 — 11:10 30 min 22 in 23 in 1 in 30 min/inch` 2 11:11— 12:11 60 min 22 in 23 %2 in 1 1/2 in 40 niinhnch'. 3 12:13 —1:13 60 min 22 in 23 %2 in 1 %2 in 40 min/inch: 4 5 = 4 1 10:43 —11:43 60 min 21 in 22 %2 in 1 %2 in 40 min/inch'- 2 11:44 —12:44 60 min 21 in 22 %2 in 1 %2 in 40 min/inch - 3 12:44 — 1:44 60 min 21 in 22 %2 in 1 %2 in 40 minhnch 4 5 - NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole (i.e. S 1 min for 1 -30 min/inch, <_ 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET — SUBSURFACE SEWAGE TREATMENT SYSTEM Owner NRA Realty and Development Corp. Address 3960 Merritt Avenue, Bronx, NY 10466 Located at (Street) Birch Hill Road (indicate nearest cross street) Tax Map 4 Block 1 Lot 74 Municipality Town of Patterson Watershed Croton Watershed SOIL PERCOLATION TEST DATA Date of Pre - Soaking 11/09/09 Date of Percolation Test 11/10/09 Area 2 Hole No. Run No. Time Start -Stop Elapse Time (Min.) Depth to Water from Ground Surface (inches) Start Stop Water Level Drop in Inches Percolation Rate (min /inch) 1 1 12:56 — 1:26 30 min 19 in 20 %2 in 1 %2 in 20 min/inch 2 1:27 — 2:27 60 min 19 in 20 %2 in 1 '/2 in 40 min/inch 3 2:28 — 3:28 60 min 19 in 20 %2 in 1 %2 in 40 min/ inch 4 5 2 1 12:53 - ? Too fast 22 in 28 in 6 in 2 1:18 —1:32 14 min 22 in 25 in 3 in 5 min/inch 3 1:35 —1:51 16 min 22 in 25 in 3 in 5 min/inch 4 1:54 — 2:15 21 min 22 in 25 in 3 in 7 min/inch 5 2:16 — 2:37 21 min 22 in 25 in 3 in 7 min/inch 3 1 1:03 — 1:33 30 min 21 in 22 %2 in 1 %2 in 20 min/inch 2 1:34 — 2:04 30 min 21 in 22 %2 in 1 %2 in 20 min/inch 3 2:04 — 2:34 30 min 21 in 22 1/4 in 1 1/4 in 24 minhn.Th 4 2:36 — 3:06 30 min 21 in 22 1/4 in 1 1/4 in 24 min/inch 5 -- 4 1 1:30 — 2:00 30 min 23 in 24 %2 in 1 %2 in 20 min/in4-- 2 2:00 — 2:30 30 min 23 .in 24 %2 in 1 %2 in 20 min/inch - 3 2:30 — 3:00 30 min 23 in 24 %2 in 1 %2 in 20 min/incli- 4 _ _ 5 _.. NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole (i.e. 5 1 min for 1 -30 min/inch, 5 2 min for 31 -60 min/inch). All data to be submitted for review. 2. Depth measurements to be made from top of hole. l e ll TEST PIT DATA :4 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES AREA I DEPTH HOLE NO. I HOLE NO. 2 HOLE NO. 3 HOLE NO. 4 Ground Level 0.51 Topsoil to 6" Topsoil to 6" Topsoil to 6" 1.01 Topsoil to 12" 1.51 2.0 2.51 3.01 Loam to 39" Vi 3.51 Loam to 42" Loam to 42" 4.0 4.5 5.0' Loam to 60" 5.5 6.0' Water at 72" Water at 75" 6.5' 7.09 Silt loam to 86" Silt loam to 86" Silt loam to 86" 7.5' Silt loam to 91" 8.0' 8.5' 9V 9.5' 10.01 Indicate level at which groundwater is encountered See above chart Indicate level at which mottling is observed None See above chart 1-Indicate level to which water level e in en t r nor e 1 s 'tes & Jon Vaffs%� Laree 1 ssocra 11/10/09 ,-:Deep hole observations made by: Joe Paravati, PCHD Date: TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES AREA 2 DEPTH HOLE NO. 1 HOLE NO. 2 HOLE NO. 3 HOLE NO. 4 J. Ground Level 0.51 Topsoil to 4" Topsoil to 4" Topsoil to 4" Topsoil to 4" 1.09 1.59 2.09 2.5' Brown Loam to 30" Brown Loam to 31" Brown Loam to 30" 3.0' Brown Loam to 39" 3.5' 4.0' 4.5' 5.0 5.5 6.0' Olive Silt Loam to 75" 6.5 7.0' Olive Brown Sand/Silt Mix to 84" Olive Brown Sand/Silt Mix to 86" 7.5 Olive/Brown Silt Loam Med Compact /Compact to 87" 8.0' Silt Loam-Compact to 91" 7. 8.59 9.09 9.5' 10.01 -Indicate level at which groundwater is encountered aUVV %I %ILMIL 7 :_;j Indicate level at which mottling is observed None Indicate level to which water level rises after being encountered See above chart Jon Walsh, Zarecki & Associates & Date: 11/10/09 ..:.Deep hole observations made by: 4 Df NE 'Design Professional Name: ofLcki k Nsouakcs. (LC 1"A Z4 Address: J Polwlim NY u_�4 Signature: x'74 -6 . esign Professional's Seal Pao Ice ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached h ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order 5T ®R, A.- I, IN,, I "ITA. L DATE: 03/16/10 1 JOB NO.: 2005.059 ATTENTION: Joseph S. Paravati, Jr., PE RE: NRA Realty & Development Corp. Proposed SSTS 180 Birch Hill Road Patterson, NY, TM #4. -1 -76 ❑ Under separate cover via ® Plans ❑ Samples the following items ❑ Specifications COPIES DATE NO. DESCRIPTION 1 Cover Letter - 1 Copy of Letter from Town of Patterson 1 1 Pump Curve Information 1 Site Plan for Subsurface Sewage Treatment System, Revised 3/16/10 - THESE ARE TRANSMITTED as checked below: N For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ NI j❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: ;j SIGNED: COPY TO: If enclosures are not as noted, kindly notify us at once. Client Copy ,Y 's March 15, 2010 AsS®CIATES, L.L.C. Mr. Joseph S. Paravati, Jr:, PE Engineers - Architects Assistant Public Health Engineer Surveyors Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Joseph Zarecki, PE RE: Proposed SSTS Jeffrey Hecker, LS P Curt Johnson, RA NRA Development 180 Birch Hill Road 11 West Main street T/o Patterson, TM #4. -1 -76 Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com Dear Joe: email: zareckiassoc @earthlink.net Ridgefield, CT Enclosed please find plans for the proposed SSTS, which reflect (203) 438 -7094 the comments included in your letter of February 16, 2010. (203) 438 -7157 Fax Specifically, responses are below. 1. Per our discussions, the two subject tax parcels (as well as an adjoining, landlocked piece) have been merged by the Town of Patterson Tax Assessor (see attached letter dated 2/17/10). It is our understanding that a metes and bounds survey will be required with submission of the as -built upon installation completion of the SSTS. 2. See response to Comment 1. 3. The two -foot contours have been graphically enhanced. 4. The soil type for the area of the septic is Charlton - Chatfield Complex (CrC) with the closest boundary of an adjoining soil type (CuD) indicated at the westerly portion of the SSTS layout plan. 5. The plan has been revised as requested. 6. An all- weather junction box has been added to the plan (Pump Chamber detail). 7. A pump curve is included in the submission (see attached). This concludes our response at this time. If you have any questions and /or require additional information, please contact our office. Sinc rely; Gurt Johnson, RA ��`` ~` ~ W c ZAI G9, W AS4 QG':S L.L.C. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health February 16, 2010 Joseph Zarecki, PE Zarecki & Associates 11 West Main Street Pawling, NY 12564 Dear Mr. Zarecki: DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Proposed SSTS for an Addition — N.R.A. Development Birch Hill Road (T) Patterson, TM # 4.4-74 & 76 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. The overall property with metes and bounds descriptions is to be shown. This can be at a reduced scale. 2. The SSTS needs to be proposed on the property. 3. The two foot contours are to be made more visible. 4. The soil boundaries are to be shown on the plan. This can be shown on the overall property. 5. The absorption trench pipes are to be laid level. 6. 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. 7. Please provide a pump curve showing the pump selection. This office will continue its review upon consideration of the above - mentioned comments. Please feel free to contact me at ext. 43157 if any questions arise. JSP /kly Ver truly yours, seph S. Paravati, Jr., PE 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 MEMORY TRANSMISSION REPORT FILE - NUMBER DATE TO DOCUMENT PAGES START TIME END TIME SENT PAGES STATUS FILE NUMBER 015 TIME TEL NUMBER NAME 015 FEB -17 02:58PM 88553772 001 FEB -17 02:58PM FEB -17 02:59PM 001 OK : FEB -17 -2010 02:59PM : 8452787921 : ENVIRONMENTAL HEALTH * ** SUCCESSFUL TX NOT ICE * ** February 16, 2010 Joscph Zarecki, PE Zar..cki Lie Associates 11 West Main Strcct Pawling. NY 12564 1_-)EP44%.F2TMEN-F OF HEALTH 1 Geneva Road. Brewsto , blow York 105050 Re: Propose=d SSTS for an Addition - N. R.A. i — 00pment .Lurch Hill Road (T) Patterson. TM ff 4_ -1 -74 &,- 715 Dcar Mr. Zarr cki: This office has received and reviewed the most recent set of plans for the above - mentioned project. We would like: to offer the following cos n%ents for your review and consideration. 1_ The overall property with metes and bounds descriptions is to be shown. This can bu ea a reduced scale. 2_ The SSTS nerds to bee proposed on the property. 3. The two Coot contours are to be made snore visible. 4. The soil boundxrics arc to be shown on the plan_ This can be shown on the overall property. 5_ The absorption trench pipes arc t0 he laid level. 6. An all weather junction box with an outlet and screwed cover at or above grade z t the: pump chamber to allow for a plug in connection for the pump is to be provided. 7. Please provide a pump curve showing the pump selection_ This officC will continue its review upon consideration of the shove - mentioned comments_ Please feel free to contact me at ext. 43157 if any questions arise. tt ul y yoursS_ Paravat1, Jr., PE Assistant Public Health Engin. , JSP /Icly ri rsvtro.+m eomt Hoa�ICl. (845) 278 -6130 F.- (845) 278 -7921 W_ator Supply Section (845) 2:2:5-5186 'ram• (845) 225 -541 8 N u rstnC Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Homo Csro Fax (845) 278 -6085 W14C (845) 278 -6678 Early 3n[orventlon / Presef,00l (845) 228 -2847 Fez (845) 225 -1580 � G� 3tlERLlTA AMLER, "ID, N1S, FAAP 4 ROlmuirtT J. BONDl Commissioner Q1-Health � � County Executive Z �w LORETYA MOI.INAI27, RN. MSr4 O I2OBEI2T MORRIS, I}Lr ifssoeiar® Comm /ssloncr oy'Healrh Lni eeror or- c"wronmenral Flealth February 16, 2010 Joscph Zarecki, PE Zar..cki Lie Associates 11 West Main Strcct Pawling. NY 12564 1_-)EP44%.F2TMEN-F OF HEALTH 1 Geneva Road. Brewsto , blow York 105050 Re: Propose=d SSTS for an Addition - N. R.A. i — 00pment .Lurch Hill Road (T) Patterson. TM ff 4_ -1 -74 &,- 715 Dcar Mr. Zarr cki: This office has received and reviewed the most recent set of plans for the above - mentioned project. We would like: to offer the following cos n%ents for your review and consideration. 1_ The overall property with metes and bounds descriptions is to be shown. This can bu ea a reduced scale. 2_ The SSTS nerds to bee proposed on the property. 3. The two Coot contours are to be made snore visible. 4. The soil boundxrics arc to be shown on the plan_ This can be shown on the overall property. 5_ The absorption trench pipes arc t0 he laid level. 6. An all weather junction box with an outlet and screwed cover at or above grade z t the: pump chamber to allow for a plug in connection for the pump is to be provided. 7. Please provide a pump curve showing the pump selection_ This officC will continue its review upon consideration of the shove - mentioned comments_ Please feel free to contact me at ext. 43157 if any questions arise. tt ul y yoursS_ Paravat1, Jr., PE Assistant Public Health Engin. , JSP /Icly ri rsvtro.+m eomt Hoa�ICl. (845) 278 -6130 F.- (845) 278 -7921 W_ator Supply Section (845) 2:2:5-5186 'ram• (845) 225 -541 8 N u rstnC Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Homo Csro Fax (845) 278 -6085 W14C (845) 278 -6678 Early 3n[orventlon / Presef,00l (845) 228 -2847 Fez (845) 225 -1580 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Jonathan Walsh, PE Zarecki & Associates 11 West Main Street Pawling, NY 12564 Dear Mr. Walsh: ROBERT J. BONDI County Executive . ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH January 27, 2010 1 Geneva Road. Brewster, New York 10509 Re: (T) Patterson East Branch Reservoir Basin The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on December 29, 2009 is complete. The Department will notify you by February 16, 2010 of its determination. ❑ The Project has been delegated to the Putnam County Health Department for review pursuant to the guidelines set forth in the Watershed Agreement. ❑ Joint review with the NYCDEP will commence pursuant to the guidelines set forth in the Watershed Agreement. If the Department fails to notify you within the above referenced time frame, you may notify the Department of its failure by certified mail, return receipt requested. The notice should be sent to my attention at the above address. This notice must include your name, the location of the project, the office with which you filed the application originally, and a statement that a decision is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection Watershed -Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed approved, subject. to standard terms and conditions asset forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a project, such as stormwater plans or the creation. of impervious surfaces, • and the project applicant should contact the Department of Environmental Protection regarding such activities to see if Department of Environmental Protection review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext: 43148 spectfu11 Joseph S. Paravati, Jr., PE Assistant Public Health Engineer JSP: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 BRUCE R FOLEY ' Public Health Director. LORETTA MOLINARI RN., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 WIC (9I4) 278 - 6678 Fax (914) 278 = 6085 Early Intervention (914) 278 - 6014 1 Preschool (9I4) 278 -6082 Fax (914) 278 - 6648 TO: DEPARTMENT, OF ENGINEERING AND DESIGN REVIEW PROJECT: DELEGATION STATUS FOR SUBSURFACE SEWAGE TREATMENT SYSTEM PROGRAM DELEGATED TOWN: C`.SE P K PV DATE SUB'D APPROVAL: NOTICE OF COMPLETE APPLICATION DATE: JE)c C%r 04 �c Ice ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order INTERIM,, DATE: 01/22/10, 1 JOB NO.: 2005.059 ATTENTION: Joseph S. Paravati, Jr., PE RE: NRA Realty & Development Corp. Birch Hill Road Patterson, NY ❑ Under separate cover via ® Plans ❑ Samples COPIES DATE NO. DESCRIPTION 1 Letter of Authorization 1 Short EAF Form THESE ARE TRANSMITTED as checked below: N For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections j ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us i f REMARKS: r L..... COPY TO: SIGNED: the following items. ❑ Specifications ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints- If enclosures are not as noted, kindly notify us at once. Client Copy _:s ASSOCIATES, L.L.C. January 22, 2010 Engineers • Architects Mr. Joseph S. Paravati, Jr., P.E., Surveyors Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, NY 10509 Joseph Zarecki, PE Jeffrey Hecker, LS Curt Johnson, RA 11 West Main Street Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com email: zoreckiassoc @earthlink.net Ridgefield, CT (203) 438 -7094 (203) 438 -7157 Fax Re: N.R.A. Realty & Development Birch Hill Road Town of Patterson Tax Map # 4-1 -74 & 76 Dear Mr. Paravati: Enclosed as requested in your letter dated January 19, 2010 please find a fully executed Letter of Authorization and short EAF form. These items should complete our application. Should you h�j' ve any further questions or comments, please do not hesitate to contact this,61fice. Project Engineer Enclosures cc: client 2005.059 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health January 19, 2010 Jonathan Walsh, PE Zarecki & Associates 11 West Main Street Pawling, NY 12564 Dear Mr. Walsh: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Application to Construct a Subsurface Sewage Treatemnet System — NRA Realty at Birch Hill Road (T) Patterson, TM# 4. -1 -74 & 76 The Putnam County Department of Health (Department) has determined that the above referenced application, received by the Department on December 29, 2009 is incomplete. Please be advised that the following information is required before the Department may commence its review. Letter of Authorization to be signed by the design professional (enclosed). A Short EAF form The review of your application will commence once the Department receives the requested information and determines that the application is complete. The Department will notify you within 10 days of its receipt of the requested information as to the completeness of your application. Please be advised that failure to submit information to the Department or to follow procedures is sufficient grounds to deny approval, pursuant to the New York City Department of Environmental Protection Watershed Regulations and Putnam County Department .of Health regulations. Should you have any questions or care to discuss this matter, please contact, me at (845) 278 -6130 ext. 43157. JSP:kly Enc. Very truly yours, Joseph S. Paravati, Jr., PE 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 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 TO: ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order EEnEFD' @P V[aH�XPM DATE: 12/22/09 1 JOB NO.: 2005.059 ATTENTION: Joe Paravati, PE RE: NRA Realty & Development Corp. Birch Hill Road Patterson, NY ❑ Under separate cover via ® Plans ❑ Samples the following items ❑ Specifications COPIES DATE NO. DESCRIPTION I 1 I Construction Permit for Sewage Treatment System Application THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections i ❑ Fo I" ❑ F O REMARKS: f COPY TO: E] Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints r review and comment 1-1 R BIDS DUE ❑ Prints returned after loan to us ' -r This application was missing from our December 18, 2009 submission. SIGNED: 0. If enclosures are not as noted, kindly notify us at once. Client Copy { SIGNED: 0. If enclosures are not as noted, kindly notify us at once. Client Copy { ZARECKI & ASSOCIA ES, Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855-3771 FAX (845) 855-3772 TO: Putnam County Health Department I Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ❑ Shop drawings ❑ Copy of letter aVVE 0 4MMENK DATE: 12/18/09 JOB NO.: 2005.059 ATTENTION: Joe Paravati, PE RE: NRA Realty & Development Corp. Birch Hill Road Patterson, NY Attached ❑ Under separate cover via the following items ❑ Prints Plans ❑ Samples ❑ Specifications ❑ Change order ❑ COPIES DATE NO. DESCRIPTION I Cover Letter 2 Letter of Authorization 2 Application for Approval of Plans for a Wastewater Treatment System 2 Percolution and Deep Test Results 2 Site Plan 2 First and Second Floor Plans 1 Bank Check in the amount of $500.00 V THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ FC REMARKS: COPY TO: ❑ Resubmit copies for approval E]Submit copies for distribution ❑ Return corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy-. d i�t Engineers o Architects Surveyors Joseph Zorecki, PE Jeffrey Hecker, LS Curt,Johnson, RA 11 West Main St. Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com email: zareckiassoc @earthlink.net 31 Bailey Ave. Ridgefield, CT 06877 (203) 438 -7094 (203) 438 -7157 Fax December 17, 2009 Mr. Joseph Paravati, P.E. Putnam County Health Department 1 Geneva Road Brewster, NY 10509 Re: N.R.A. Realty & Development Birch Hill Road Town of Patterson Tax Map # 4 -1 -74 & 76 Dear Mr. Paravati: The applicant, NRA Realty & Development Corporation, is proposing to construct a three (3) bedroom addition to an existing two (2) bedroom cabin. This addition and renovation will result in a four (4) bedroom single- family residence at the parcel noted above (see floor plans enclosed). The existing cabin is currently considered seasonal use and does not contain any plumbing fixtures and as such never had a subsurface treatment system installed. With the proposed addition to and renovation of the existing cabin the resulting structure will be upgraded to include kitchen and bathing fixtures and as such requires the construction of a subsurface treatment system. The residence's sanitary system will be constructed on an adjoining parcel owned by the same applicant, as shown on the design plan. The parcel(s) total 128.63 acres and are located along Birch Hill Road. We are proposing a new system to treat a maximum bedroom count of four (4), as shown on the design drawing, which will handle the residence's daily flow of 800 gpd. Several deep and percolation tests were performed at the site on September 29, 2009 and then again on November 10, 2009. As the design plan indicates only the testing pertinent to the proposed design area have been shown. This testing was performed in November and was known as area two during testing. Per our discussions that day it was agreed that only these tests would be needed. As you recall you were present to witness both the deep and percolation tests. The soils encountered indicate a loam to silt loam with consistent depth for all test holes conducted on the site, as stated in attached form DD -97. Percolation tests conducted yielded a design rate of 31 -45 minutes per inch as shown on DD -97 form and plan enclosed. The intent of the design is to utilize two (2) foot wide absorption trenches. The system has been designed for a daily flow of 800 gpd. Based on the results of the field - testing, 800 lineal feet of trenches are required. The design provides 800 lineal feet (8 rows at 100 LF) for both the primary and reserve systems. The trench has been detailed and noted for a maximum depth of 24" and shall be installed level due to the dosing provided by the pump chamber. Per the testing no fill is required for either system. The site has an existing drilled well, which provides water to the residence. The well, as depicted on the design plans, has been survey located. Should you have any further questions or comments, please do not hesitate to contact me. Sincerely, V Jonathan Walsh, EIT Project Engineer Enc. cc: Client 2005.059 OI V(ZK ovef -� �. • LAS l�Pp -Pl�� 0 htop•h4E I h�lEwE�j LI.Ur�vP -'( �tifopxnE IAUV pooh gAIA eop� fo 1 aeon a 1 r7YeR. I ^I 1 FIRST FLOOR PLAN SC: 1/ "=' PFf• . 15° f 1°)�• hT. q 1 rl lrl � -- ILOO M (,orEp -G'o PoR�� ,v fA- I o (��eAi EC NN c,VFh1 Pooh 15° rt ll° FP r 1✓ o 10 o PUTNAM COUNTY DEPARTMENT OF HEALTH a a DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at 180 Birch Hill Road Townix� Patterson Owner /Applicant Name Birch Hill Associates Tax Map 4 Block Or, Lot 76 Formerly N.R.A. Realty & Dev. . Corp. Subdivision Name -- Subd. Lot # Mailing Address 230 East 85tth Street, New York, New York Date Construction Permit Issued by PCHD Separate Sewerage System built by 04/18/12 RDB Excavation Zip10028 36 Overlook Drive Address Pawling, 14Y 12564 Consisting of t, 250 Gallon Septic Tank and 1 , 500 gal. pump chamber and 800 if of absorption trendies Other Requirements: Water Snnnly- Public Sunnlv From or: X Private Supply Drilled by Building Type Single Family Number of Bedrooms 4 Address Existing Address Has erosion control been completed? Yes Has garbage grinder been installed? No 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 regulatio of the Pu Coun Department of Health. Date: 08/27/14 Certified by P.E. X R.A. Address 11 West Main Street, Pawl ork 12 5 6 4License # 61468-1 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. gite Title: /T� Date: Id �° y - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97. 6' TY 1009 RESERVE AREA: 8 ROWS 0100LF ABSORPTION TRENCH ALL ENDS CAPPED (T>P.) 470 SOLID PVC .(Typ) PRIMARY SS7S 8 ROWS 0100LF ABSORP77ON TRENCH EXIS77NG DRILLED WELL DISTRIBU77ON BOX F +s\ F 70 PVC SOR35 1,250 GALLON SEP77C TANK 4 "0 PVC SDR35 W145 BENDS 1,500 GALLON PUMP CHAMBER 1Y2 "0 POLY PIPE U / O PROPANE i i. i CA TCH BASING / EXIST. GRAVEL DRIVEWAY i � W PQ-P \ vi G ® h I � GEN. W 7Y IL s TY _ was Al E l - SYSTEM 'DIMENSIONS THIS IS TO CER77FY THAT THE SEWAGE TREATMENT SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ZARECKI & ASSOCIATES, LLC BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE Wl77-1 ALL STANDARD RULES AND REGULA77ONS OF TT-JE PUTNAM COUNTY DEPARTMENT LOF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL PUTNAM COUNTY DEPA- RTMENT OF HEALTH QIVISI0f11 OF ENVIRONMENTAL HEA1_ 1.1 SERVICES. ��. >�, .,- � A, '4f ROVE ., ; P JTED FOIR CONFORMANCE WITH APt'I_ICP.13LE f3LILES AND REG1U1_hTi0NS OF THE I UTNAM COUNTY HEAI_Tf DEPAF;TMENT. GNATU & T TL I Qq E (N. K. A. KLAL I Y 4� l TAX MA TAX MAP AR.EI 180 5I R TOWN O PUTNAM- CC PRE ZA'R 4 Associ Engineering -*Sur 11 West Main Street Pawling, NY 12564 (845) 855 -3771 SCALE: I"= 30' D KN . BY. J M /AE JE JOSEPH ZARECKI, " �o� �:.:.i�.:•'4KS, lea!,: amv..: �:.-._ a.•. avama�. n..., r. ��2 •�Yai:+.,r- °��nsF��x.sw�,-�z., ..... s.. -� 1. 62.E 47.9' 40.7' VV /INCH 2 ' :` ``60.. 37 0 v 71. 44.3 53.4 125.1 3 HES 4, ,', 84. 55:0' 126.5' 5 ;:'. >, 89. { 59.0' 125.0' 6 ;` .:<95.; 63.8' 124.8' 7 <' ' 99.1 68.0' 124.7' EACH 8, -104.1 72. 1 ' .122.0' 9 11 O 78.4' 122.5' 10 :;115? 83 7': 123.4' EACH 11:; 90 '8' 125.2' ;122 THIS IS TO CER77FY THAT THE SEWAGE TREATMENT SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED BY ZARECKI & ASSOCIATES, LLC BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE Wl77-1 ALL STANDARD RULES AND REGULA77ONS OF TT-JE PUTNAM COUNTY DEPARTMENT LOF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. PUTNAM COUNTY HEALTH DEPARTMENT APPROVAL PUTNAM COUNTY DEPA- RTMENT OF HEALTH QIVISI0f11 OF ENVIRONMENTAL HEA1_ 1.1 SERVICES. ��. >�, .,- � A, '4f ROVE ., ; P JTED FOIR CONFORMANCE WITH APt'I_ICP.13LE f3LILES AND REG1U1_hTi0NS OF THE I UTNAM COUNTY HEAI_Tf DEPAF;TMENT. GNATU & T TL I Qq E (N. K. A. KLAL I Y 4� l TAX MA TAX MAP AR.EI 180 5I R TOWN O PUTNAM- CC PRE ZA'R 4 Associ Engineering -*Sur 11 West Main Street Pawling, NY 12564 (845) 855 -3771 SCALE: I"= 30' D KN . BY. J M /AE JE JOSEPH ZARECKI, " �o� �:.:.i�.:•'4KS, lea!,: amv..: �:.-._ a.•. avama�. n..., r. ��2 •�Yai:+.,r- °��nsF��x.sw�,-�z., ..... s.. -� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 8161 011 AssoC_ I aiLs Owner or Purchaser of Building NO.AiVAL Building Constructed by NO biy"di Hill I'd Location = Street 13110din2d Type L- I I Tax Map Block Lot �a.�son Town/�i�Hagc Subdivision Name Subdivision Lot # 1 represent that 1 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 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 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 the 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 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 the detennination of the Commissioner of Health of the Putnam County Department of I lealth 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 _! 0 D to Year ZoI GX'- -z'e-Z47 G cral Contractor (Owner) - Signature Coilvration Name (ifcorporat.ion)I n f Address: I�% CCt�t II 1Cpl �a 4__ CLgn, State: K "Lip 12 5�6 3 Signature: fT (Septic System Installer) Title: PCHD License # CLV aLho Kj A Rucom-' wo ve lc Corporation Name (if corporation) Address: 31P oywl oc k.. Dr i V#., V9 State: Zip 25(o`t Form GS -47 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM BI V61 0M ASSOC-10±LS L- I rib O�wn(er or Purchaser of Building Tax map Block Lot b[J I V) L In C, t "C�71u r Son _ Building Constructed by Town/ie NO 61v,- & Hill — Location - Street Subdivision Name S' L��al�► i � �- -1� ��oo BtJild n4± Type C , LL 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 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 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 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 the determination of the Commissioner of Health of the Putnam County Department of Ilealth 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 Ll D �o Fear 210) �- G oral Contractor (Owner) - Signature Corporation Nance (if corporal ion) Address: go -P) I ((w I II 1Cpl . T�� t ef fJ n State: K N& zip t 2 5 3 Signature: 12".A r7� (Septic System Installer) Title: e PCFID License # RD6 C-aVo-boy Ru -1( Corporation Name (if corporation) Address: 3 (D OM ooff. D r.I VC7 &I I V9 State: Lip � 25(4 Farm GS-97 ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors - Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845).855 -3772 TO: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ig Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order INTO@ T IT DATE: 12/18/14 1 JOB NO.: 2005.059 ATTENTION: Joe Paravati, PE RE: Birch Hill Associates (fka N.R.A. Realty & Development Corp) 180 Birch Hill Road Town of Patterson Putnam County ❑ Under separate cover via the following items ❑ Plans ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 3 PCHD Guarantee of Subsurface Sewage Treatment System THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted ® As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: SIGNED: COPY TO: ❑ Resubmit ❑ Submit - ❑ Return copies for approval copies for distribution corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy ZARECKI & ASSOCIATES, L.L.C.. Engineers - Surveyors - Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 TO: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 I =AIL DATE: 10 -02 -14 JOB NO.: 2005.059., ATTENTION: Joe Paravati, PE RE: Birch Hill Associates (tka N.R.A. Realty & Development Corp) 180 Birch Hill Road Town of Patterson Putnam County WE ARE SENDING YOU: ® Attached ❑ Under separate cover via the following items Q Shop drawings ❑ Prints Plans ❑ Samples ❑ Specifications 0 Copy of letter [] Change order ® Hand Delivered COPIES DATE NO. DESCRIPTION 4 09 -30 -14 1 of 1 As -Built for SSTS 1 04 -28 -14 Survey of Property - to replace PCHD's lost file 1 05 -02 -13 Letter of Transmittal - to replace PCHD's lost file 1 04 -30 -14 6 pgs Letter Report: Float Control Adjsutment & Pump Test Evaluation -to replace PCHD "s lost file 1 04 -10 -13 PCHD comment letter - to replace PCHD's lost file 1 02 -12 -14 2 pgs Letter of Transmittal re' SWIS Electrical Inspection Certification - to replace PCHD's lost file 1 01 -02 -13 PCHD comment letter - to replace PCH's lost file THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted ® For your use ❑ Approved as noted ® As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: COPY TO: SIGNED: 6 ❑ Resubmit copies for approval ❑Submit copies for' distribution ❑ Return corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy TO: ZARECKI &`:ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints ❑ Copy of letter ❑ Change order R. A, 'q_ NOTES '1111i� DATE: 02/12/14 1 JOB NO.: 2005.059.1 ATTENTION: Mr. Gene D. Reed RE:: Caiola Subsurface Sewage Treatment System (SSTS) 1.80 Birch Hill Road Patterson, NewYork, Putnam County Tax Map #4 -1 -76 ❑ Under separate cover via ❑ Plans ❑ Samples COPIES DATE NO. DESCRIPTION 1 .11/19/13 SWIS Electrical Inspection Certification THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ For your use ® As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS: the following items ❑ Specifications ❑ Approved as submitted ❑ Resubmit copies for approval ❑ Approved as noted ❑ Submit copies for distribution ❑ Returned for corrections ❑ Return corrected prints ❑ Prints returned after loan to us pUTNAM COUNT( E) E_ jMpNT OF HEAL SIGNED: COPY TO: If enclosures are not as noted, kindly notify us at once. Client Copy STATE WOE INSPECTION SERVICES Service Wirlt 117te-grity State Wide Inspection Services 8 North Lawn Avenue Elmsford, NY 10523 614-909-4471'Phone 914-219-1062 Fak Email: office0swisny.com Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon. premises owned by: Ryantlectric lleiil"Ili. Residence Patrick Rvah :180 $ii`Hi11 Road 59 �ishkiil Hook Road��xPttefsoriY Hopewell Junction, N.Y.12533 Located at: 180 8II&WHIll Road,Patterson, NY 12S63 CerUficate Number: 374 :El NUmbei.-ANS-12 Section: .4 Block: I Lot - 76,.Se& 8063ng Permit U " " A visual inspection the mise de sc ribed a Aafoccupancyk, wherein the premises elect located In/on the-premises The Basement, First Floor, and theAetaltof the install the 190:diyof November, Receptacles GFC1 Switches rninairW vmg C/o Smoke Detects - oasi`lfatterson, NY was �rspectedih accorda is 54 below, NFPA 70-2008 there with on Cl Type cu Mu WWI P W MHKIV PUTNA 2014 DEPARTMENT OF HEALTH Officer: Frank J. Farina This certificate may not be altered In anyway and is validated only by the presence-6f.a raised seal at the location Indicated. this certificate Is valid for work performed before ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E., MPH Director of Environmental Health September 29, 2014 Zarecki & Associates Curt Johnson, R.A. 11 West Main Street Pawling, NY 12564 Dear Mr. Johnson: DEPARTMENT OF HEALTH Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 UZ MARYELUN ODE LL County Executive Construction Compliance — Birch Hill Associates 180 Birch Hill Road (T) Patterson, T.M. 4 -1 -76 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. The as-built plan is to be a maximum scale of 1" to 30'. 2. All the details (soil testing, profile, etc ...) from the proposed plan are to be removed. 3. Three guarantee forms (GS -97) with original signatures are to be provided. 4. Please forward the corrected dose test results per this Department's comment letter dated April 10, 2013. The results can also be provided on the as-built plan. 5. The overall property with all survey information is to be provided. This can be at a reduced scale. 6. The house location is to be survey located with respect to the property lines. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 43157 of any questions arise. Very truly yours, J seph S. Paravati, Jr., P.E. Assistant Public Health Engineer JSP:cml TO: ZARECKI & ASSOCIATES, L.L.C. Engineers - Surveyors Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department I Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: 0 Shop drawings 0 Copy of letter 0 ROOM VE F MR, AMN S Mil TWA. 11 DATE: 02/12/14 1 JOB NO.: 2005.059.1 ATTENTION: Mr. Gene D. Reed RE: Caiola Subsurface Sewage Treatment System (SSTS) 180 Birch Hill Road Patterson, NewYork, Putnam County Tax Map 44 -1 -76 ® Attached 0 Under separate cover via the following items 0 Prints 0 Plans 0 Samples 0 Specifications 0 Change order 0. [—COPIES DATE NO. I DESCRIPTION I 1 11/19/13 SWIS Electrical Inspection Certification THESE ARE TRANSMITTED as checked below: 0 For approval 0 Approved as submitted 0 Resubmit copies for approval 0 For your use 0 Approved as noted Q Submit copies for distribution ® As requested Q Returned for corrections Q Return corrected prints Q For review and comment Q. 0 For Bids Due Q Prints returned after loan to us REMARKS: SIGNED: AL COPY TO: If enclosures are not as noted, kindly notify us at once. File Copy Service With Integrity State Wide Inspection Services 8 North Lawn Avenue Elmsford, NY 10523 914- 909 -4471 Phone 914- 219 -1062 Fax Email: oifice0swisny.com Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: ' Upon the application of: Upon premises owned by: Ryan Electric Benkiola Residence Patrick Ryan 180 Birch Hill Road 59 Fishkiil_Hook-Road _ N PattersonJ 12563 Hopewell Junction, N.Y.12533 Located at: 180 Birch Hill Road Patterson, NY 12563 Certificate Number: 2013 -5374 Electrical. Permit Number: 1805 -12 Section: 4 Block:l Lot: 76 SDC: 806 ,_ Building Permit Number �r 00 A visual inspection of the electrical'system at this premise described asa!X 11dential occupancy, r�,� r wherein the premises electrical s s "tefim consisting of electrical devices,and`irulg, described below, 1 `ix o)ita r A mkt located in /on the premises at 1$OSrch Hill Road Patterson, NY 12534 s' The Basement, First Floor, and Outside was inspected in accordance ith the�M- $ � d NFPA 70 -2008 and the detail of the installatio0 ,S"et forth below, was founded to{berirt:coi`nplrance therewith on it' the 19`h day of November, 2013 '` V n.. ,r 43 44t Name Civant tin-- Circuit Type Receptacles GFCI 15 Switches 54 Luminaries 60 C/O Smoke Detector 08 Visual Inspection Only, Not Tested BY SWIS Officer: Frank J. Farina 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 performed before one } ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached Shop drawings Q Prints Copy of letter Change order DATE: 05/02/13 1 JOB NO.: 2005.059.1 ATTENTION: Mr. Gene D. Reed RE: Letter Report: Float Control Adjustment & Pump Test Eval. Subsurface Sewage Treatment System (SSTS) 180 Birch Hill Road Patterson, NewYork, Putnam County Tax Map 44 -1 -74 & 76 Under separate cover via the following items Plans Samples Q Specifications o. COPIES DATE NO. DESCRIPTION 1 04/30/13 Letter Report 1 01/30/13 Digital photograph of the "Roughing Inspection" sticker 1 Table 4 "Nominal Pipe Volume per Linear Foot" from the 1996 NYSHD "Individual Residential Waste Water Treatment Systems, Design Handbook" (Cover page and page 103) 1 Specification cut sheet for the installed 1,500- gallon pump tank manufactured by Mid - Hudson Concrete Products, Inc. THESE ARE TRANSMITTED as checked below: 0 For approval Approved as submitted Q Resubmit copies for approval ® For your use 0 Approved as noted Submit copies for distribution As requested 0 Returned for corrections Return corrected prints Q For review and comment �. For Bids Due Prints returned after loan to us REMARKS: SIGNED: COPY TO: If enclosures are not as noted, kindly notify us at once. File Copy , l � I AsSOC:IATES, L.L.C. Engineers • Architects Surveyors Joseph Zarecki, PE Jeffrey Hecker, LS Curt Johnson, RA 1 1 West Main Street Pawling, NY 12564 (845) 855 -3771 (845) 855 -3772 Fax Website: zarecki.com email: zoreckiassoc@earthlink.net Ridgefield, CT (203) 438 -7094 (203) 438 -7157 Fax April 30, 2013 Mr. Gene D. Reed Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: Letter Report: Float Control Adjustment & Pump Test Evaluation Subsurface Sewage Treatment System (SSTS) Benny Caiola, ±139.6 acre property 180 Birch Hill Road, Town of Patterson, Putnam County East Branch Reservoir Basin Tax Map # 4 -1 -76 Dear Mr. Reed: On behalf of the applicant, Benny Caiola, this letter report is in response to your comment letter dated April 10, 2013 regarding the field inspection performed at Mr. Caiola's property located at 180 Birch Hill Road in the Town of Patterson, New York. Enclosed please find the following items in support of the above referenced project: • Digital photograph of the "Roughing Inspection" sticker, prepared by State Wide Inspection Services, Inc. (SWIS), for 180 Birch Hill Road, Patterson, with the remarks that state "Okay on Septic Pump, Rough Only ... Okay to Close ", dated January 30, 2013 • Table 4 "Nominal Pipe Volume per Linear Foot" from the 1996 New York State Health Department "Individual Residential Waste Water Treatment Systems, Design Handbook" (Cover page and page 103) • Specification cut sheet for the installed 1,500- gallon pump tank manufactured by Mid - Hudson Concrete Products, Inc. The comments in the April, 10, 2013 Putnam County Health Department (PCHD) letter regarding the April 4, 2013 PCHD field inspection have been repeated below. Please note, that our responses to these comments are in bold print. April 10, 2013 PCHD Comment: "The pump test resulted in approximately 324 to 338 gallon dose. The correct dose should be approximately 400 gallons. Please have the floats readjusted to maintain 400 gallons. Please have a member of your office witness the adjusted dose, and have the calculations submitted to this office." Response: On April 16, 2013, Zarecki & Associates witnessed the pump floats being readjusted and the operation of the float controls at the 1,500- gallon sanitary pump chamber. The following calculation documents the result of the float control system for the septic pump chamber. Design Conditions: Volume of pipe trench fleld: SSTS absorption field design: 8 rows @ 100' each = 80OLF Nominal Pipe Volume per linear foot (LF), 4" diameter = 0.653 gallons/LF Total Volume = Total length of absorption trenches x Volume of 4" pipe (800LF) x (0.653 gallons/LF) = 522.4 gallons Volume of effluent dose required = 75% - 85% volume in absorption pipe network Low effluent dose = (75 %) x (522.4 gallons) = 371.8 gallons High effluent dose = (85 %) x (522.4 gallons) = 444.0 gallons Target dose = (80 %) x (522.4 gallons) = 417.9 gallons Installed Conditions: Pump Chamber Volume: 1,500 gallon Pump Tank manufactured by Mid- Hudson Concrete Products Interior Dimensions: Length (L) = 120" = 10'; Width (W) = 61" = 5.08' Volume per Vertical Foot: (120" x 61 ") = 50.8cf = 380.0 gal. /vertical foot Float Control - Pump On & Pump Off Measured Separation Distance = 13.5 inches = 1.125ft Volume per Dose: (1.125') x (380.0 gal /ft) = 427.5 gallons % Volume of Dose = Vol. of Dose / Total Vol. in Absorption pipe trenches (427.5 gallons) / (522.4 gallons) x (100) = 81.8% Conclusion: Zarecki & Associates witnessed the sanitary effluent pump test for the installed SSTS that will serve the four bedroom residential home, currently under construction, that is located at 180 Birch Hill Road, Town of Patterson, Putnam County, New York. The operation of the float control system (Pump On/Off and Alarm On) was observed for the submersible sewage effluent pump installed in the 1,500- gallon pump chamber tank. The distance between the floats for the pump control system was adjusted and provided acceptable results when the pump operation was tested. The volume of effluent provided in each dose is acceptable since it meets the recommended dose range of 75% to 85% of the total volume available in the absorption pipe network. The pump test results indicate that the adjusted float separation distance of 13.5 inches provides approximately 428 gallons per dose and is acceptable based on the calculations provided in this letter report. The enclosed digital photograph documents that the preliminary "Roughing Inspection" is complete and that the septic pump system was acceptable for inspection (i.e. to perform the sanitary effluent pump test). The final electrical inspection certificate will be submitted when received by the Electrician. This is anticipated to'occur during the final building permit inspections required to obtain a Certificate of Occupancy (CO) for the residential house. The construction compliance package will be submitted to PCHD to obtain a "Certification of Construction Compliance' and the package will include the final certificate of NY electrical inspection and the bacteria test results on the existing individual residential well. Please call me directly to discuss any questions or comments that you may have regarding the above noted information. I thank you in advance on your quick response on this matter. Sincerely, Mark DelBalzo, Senior Engineer MJD /vl Enc 2005.059.1 •u^'r• ° +'� h. ,.� :� ._.. �< +.- d .,�.:r!„kr•. as;:,,:.;. s..,<.n�: .,,. r � .:.... .........:. .. ,... -.., .. �.: :..: _ - �"ti:^'e. ,ts- •r. MR3 7 .. , f x - �Y. Individual Residential Wastewater Treatment Systems 1- • ro 1996 (Reprinted 2008) New York State Department of Health 547 River Street Troy, New York 12180 ,.,. Nov, 5. 2012 1:11PM GA.RMEL WINWATER WORKS Notes: 1) Reinforced with 6x6x10 gauge wire mesh and #3 rebar 2) Concrete strength 4000 PSI' @ 28 3) Equipped with polylok seats 4) Joints sealed with asphalt cement c TOP VIEW A 0 0i t ---------------- I r No, 0233 P. 4/13 PUMP TANK GREASE TANK B SIDE VIEW TEE PROVIDED AND INSTALLED BY CONTRE OUTLET F r—G GALLONS A B C D E F G I Dc 500 96" 48" 48" 32" 3" 30" 24" VARIES 750 LOW BOY 102" 58" 56" 43" 3" 30" 24" E w 1000 102" 58" 67" 56" 3" 30" 24" 1 ZiL 120" 60" 67" 54" 3" 30" 24" -t(9> 126" 67" 68" 56" 3" 30" 24" . 2000 144" 78" 71" 56" 3" 30" 24" Route 9 . Cold Spring, New York 10516 845- 265 -3265 ALLEN BEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of EnvironnimW Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 808 -1390; Fax: (845) 278 -7921 MARYELLEN OD ]tLL County Executive FrAPR April 10, 2013 15 2013. Zarecki & Associates Joseph Zarecki, P.E. 11 West Main. Street Pawling, NY 12564 Dear Mr. Zarecki: By Re: Field Inspection — Benny Caiola 180 Birch Hill Road (T) Patterson, TM 4. -1 -76 The following comment needs to be addressed: • The pump test resulted in approximately 324 to 338 gallon dose. The correct dose should be approximately 400 gallons. Please have the floats readjusted to maintain 400 gallons. Please have a member from your office witness the adjusted dose, and have the calculations submitted to this office. If you have any further questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide GDR:cw TO i t : , , i r _. I I ALLEN DEALS, M.D., J.D. Commissioner of Health ROBERT MORRIS, P.E. Director of Environmental Health Zarecki & Associates Joseph Zarecki, P.I✓. 11 West Main Street Pawling, NY 12564 Dear Mr. Zarecki: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 808 -1390; Fax: (845) 278 -7921 n J7AN 7 2013 MARYELLEN OMLL County Executive January 2, 2013 Re: Field Inspection — Benny Caiola 180 Birch Hill Road (T) Patterson, TM 4. -1 -76. The above referenced separate sewage treatment system can be backfilled. The following comment needs to be addressed. A pump test needs to be witnessed by this Department once the electrical inspection has been completed and verification of such inspection has been submitted to this Department. If you have any further questions, please contact me at (845) 808 -1390 ext. 43261. Sincerely, TD . 1z'4( Gene D. Reed Environmental Health Engineering Aide GDR:cw PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONI MNTA.L HEALTH SERVICES fl/el 113 FINAL SITE INSPECTION Date: Inspected by: !;g. Street Location /go ZccA MVI i Owner Town rs Permit # A - L2 2 - 0! ' TM # / - 7e Subdivision Lot # 1. Sewage Svstem Area S a. STS area located "as per approved plans ........................... b.. Fill section - q 6 o placement 3:1 barrier',. lgth, Width Avg.Dpth c. Natural . soil --p-q_ stripped ................... ......a........................ ...:...- d. 'Stone; brush, 'etc., greater than 15: from STS area.......... e. 100' from water course / wetlands ...... ............................... II. Sewa e -'8wstem a. Sep. :size - 1,000 ...... 25 ........other ................ b. ' Septi`ank . c�tank installed level ........... ............................... c. 10' minimum from foundation ........ ............................... d. Distribution Box 1. All outlets at same elevation -water tested .............. 2. Protected below frost .................. ............................... 3. Minimum 2 ft. Original soil between box & trenches e. Junction Bog - properly set ........................ 6. renc es q 0- f04 r ............... 1. Length required tT,©ef) Length installed 9 2. Distance to watercourse measured -t- too Ft.......... 3. Installed according to plan ...................... 4. Slope of trench acceptable 1/16 - 1/32" /foot .:........... 5. 10 ft. from property line - 20 ft.- foundations.......... 6. Depth of trench <30 inches from surface ............. 7. Room allowed for expansion, 100 % ......................... 8. Size of gravel 3/4 - 11/2" diameter clean ...................: 9. Depth of gravel in trench 12" minimum ....... :........... 10. Pipe ends ca pped ........................ .....7......................... . g. Pump or Dosey vsfems 1. Size of.pump chamber .......... .......`.......X.. G Via............ 2. Overflow tank.. ........ ............................... — 3. Alarm, visual/audio ....... ............................... :........ 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ... ...................................... I................ 6. Cycle witnessed by H.D.estimated flow /cycle.......:... III. House/Building a. house located per approved plans............ b. Number of bedrooms ....... .........,c..��,..........�..�. IV. Well Well located as per approved plans . ......:........................ b. Distance from STS area measured &o' ft ........... c. Casing 18" above grade ................ ............. ................... d. Surface drainage around well acceptable ....................... V. Overall Worlunanship . a. Boxes properly grouted ................... ............................... b. All pipes partially backfilled ......................................... 07�± c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate.... ....... ........................ i. Erosion control provided ............... .. ............................... Rev. 12/02 COMMENTS -i�il� September 9, 2014 1. 230 East 85th Street 212.772.8830 voice info@bettinaequities.com a -mail New York, NY 10028 -3099 212.249.6741 fax www.bettinacquities.com website Putnam County Health Department 1 Geneva Road Brewster, New York 10509 Re: 180 Birch Hill Road, Patterson, NY Fee required for Putnam County Health Dept. and the Septic Construction Compliance Hello: Attached please find the $300.00 fee required relating to the property at 180 Birch Hill Road in Patterson, NY. Please feel free to call me with any questions at 212 - 772 -8830. Thank you. Sincerely, Benny A .iota Enclosures Bm-nNA EQumEs MANAGEMENT LLC AQUA ENVIRONMENTAL LAB 56 Church. Hill Road Newtown, CT 06470 • (203) 270 -9973 Report of Analysis Sample ID#: r Name: Professional Water Systems Sample Source: 963 Ethan Allen Highway Sampler: Ridgefield, CT 06877 Sample Date: 4/7/2014 2:00 PM Receipt Date: 4/8/2014 3:10 PM Report Date: 4/9/2014 Sample Site: Caiolo - 180 Birch Hill Rd.' Report of Analysis Sample ID#: 154506 Sample Type: Drinking Water Sample Source: Bathroom Sampler: Andrew Parameter Sample Result Units Limits Method MDL Analysis.Date Biological r MF Coliform Bacteria 0 CFU 0 SM9222D 0 4/8/2014 MF a Col Bacteria 0 ' CFU 0 SM9222D 0 4/8/2014 Inorganic Compounds Chlorine, residual ND mg/L 4 4500CLG 0.05 4/8/2014 C. Comments; Based on the bacteriological examination, according to the Federal Safe Drinking Water Act ND =Not Detected (SDWA), this water was-safe for drinking purposes at the time the sample was collected. ' =Above Specified Limit j Report Approved by CT Lic PH 0787. NY Lic 11706 Lab Director Analytical results relate to the samples as received at the laboratory. Report shall not be reproduced except in its entirety without written approval from the laboratory. Page l of I TO: ZARECKI & ASSOCIATES, L.L.C. Engineers • Surveyors • Architects 11 West Main Street PAWLING, NEW YORK 12564 (845) 855 -3771 FAX (845) 855 -3772 Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU: ® Attached ❑ Shop drawings ❑ Prints Copy of letter Change order LIENT11 11��i S M DATE: 08/27/12 1 JOB NO.: 2005.059.1 ATTENTION: Joseph Paravati RE: Caiola Subsurface Sewage Treatment System (SSTS) 1.80 Birch Hill Road Patterson, NewYork, Putnam County Tax Map #4 -1 -76. ❑ Under separate cover via ® Plans ❑ Samples Fi the following items ❑ Specifications COPIES DATE - . NO. DESCRIPTION 1 08/27/14 CC -97 PCHD Certificate of Construction Compliance for Sewage Treatment, System 1 11/19/13 SWIS Electrical Inspection Certificate of Compliance 4 08/21/14 1 of I As Built Site Plan for Subsurface Sewage Treatment System prepared for Birch Hill Associates THESE ARE TRANSMITTED as checked below: ® For approval ❑ Approved as submitted For your use ❑ Approved as noted ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ ❑ FOR BIDS DUE ❑ Prints returned after loan to us REMARKS: COPY TO: SIGNED: ❑ Resubmit ❑ Submit ❑ Return copies for approval copies for distribution corrected prints If enclosures are not as noted, kindly notify us at once. Client Copy opc.tankonsist f and r '. Seuarate SewgSyem to � g - _... Ik WAft er'Requirements: To be constructed by Address Water Su_p•,pb�: Public Supply'Fi-om Address. or• Private Supply Drilled by aC �:. - n �� Address ' 'yr I represent that I ain: wholly and completely responsible for the. design and location of. the pr6posed systems) and that the gparate sewe treatment system described above will be constructed as'showp on the approved amendment thereto and m accordance with the standards, rules and regulations of the Putnam County. Department o f 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 writtenuarautee will be furnished:the owner; his:successors;;heirs or assigns b..y 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 issyance :of the approval of the Certificate of Construction Compliance of the-,original system or any repairs thereto. . Signed: P.E. kA. Date ; . Address C,,. License #:r�;1%�� .�- —. APPROVED FOR -C.O.NSTRVC N: This.approval expires two. years:from:the date issued unless constriction of the sewage treatment system has been completed•and inspected by the PCHD. and is revocable for cause or maybe amended or modified . when . considered necessary by the Public Health Director. Any revision or alteration: of the approved plan requires a navy permit..Approved i'or:discharge of domestic sanitary sewage only.. Title: rte_ Date: to py - HD File; Yellow copy - B ilding Igspector Pink,copy. Owner, Orange :copy - Design P.rQ%ssional Form CP -97 Sherlita Amler, MD, MS, FAAP Commissioner of Health Robert Morris, PE Director of Environmental Health April 16, 2010 N.R.A. Realty & Dev. Corp. Attn: Anthony Casola 3960 Merritt Avenue Bronx, NY 10466 Dear Mr. Casola: Department of Health 1 Geneva Road, Brewster, NY 10509 .............. ... ...... .....................:...:._... T _...... RobertJ:-B"di' "' County'Exi&tive.`':; RI :FMAY V E M EJ- TOWN OF PATTERSON BUILDING DEPARTMENT Re: Addition — Approval — N.R.A. Realty & Dev. Corp. Increase in Number of Bedrooms with new SSTS 180 Birch Hill Rd. (T)Patterson, TM #4- 1 -74 &76 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 April 16, 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. All plumbing fixtures must be updated with water saving-devices (i.e. new low flush toilets, restrictors for shower heads and faucets, etc.). 3. Approved SSTS must be constructed according to the approved plans certified by Zarecki & Associates. Any deviation from the plan requires a revision be submitted to this Department. 4. SSTS must be inspected by this Department before any backfilling. 5. A bacteria test for the existing well is to be provided before the issuance of a construction compliance. 6. The house must be inspected for bedroom count before compliance is issued. 7. Once SSTS has been inspected and backfilled, a construction coimpliance package must be submitted for review and approval before operation of the new SSTS. 8. The approval is for the proposed changes. only. This approval does not validate any 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 Patterson. If you have any questions, please contact me at your convenience. cerely,n�GJG� oseph S. Paravati, Jr., PE Environmental Engineer JSP:lm cc: BI (T)Patterson Curt Johnson, RA 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 Agency (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845).225 -1580 20TWO"CM * NrAA. LMARM& AMU I .Y DRA#" NOLUS SOIL. AND WW. 00AONAMILY GRAPME; AWER. N.R.A. REALTY & EVELOPMENT CORP. OINER MAILING ADDRESS 060 MfM#TT AVENUE ?ONX. IVY 10466 tOPERTY ADDRESS. 10 BIRCH HILL ROAD k rrmsoN. NY LY MAP DESIGNATION: 4.1.76 kX MAP AREA. 139.64 ACRES ; OF FEBRUARY 17. 20.10 7WE TAX MAPf, )IWALLY KNOWN AS 4.7.74 & 4,1.75 HAVE MO MERGED WITH TAX MAP# 4,1.76 BY THE iww iw PATTmsoN TAX Assmsomiw TAX W DESIGNATION OF THE LOT SHALL BE 1.76. kRCELS ADJOINING TAX MAP# 4.1.76.. 4,1.72, 4,1.73 ARE ALL. OWED BY N.R.A. REALTY & 'WLOPME-NT AS OF THE LATEST SUBMISSION kT9 ON THIS PLAN. ►TAL PROPERTY AREA: 150.94 ACRES DE N. -A-A - ALL OUTLETS TO BE SET LEVEL USE SPEED LEVELERS 70 EOUALIZE LATERAL INLET ELEV VIEW . V1 1ST o POLMPE FORCEMAIN W BOX DETAIL TIC SCALE 100 200 L M. 50 ft- )WOF AAW fW?W'0tAM "T"7WE"T Rdb SO& DELWEA WV LW &0&9"Va chfi- --mo- mwosw smr Faw 51TE PLAN FOR SUBSURFACE SEWAGE TREATMENT PREPARED FOR 'A N.R.A. REALTY DEVELOPMENT TAX MAP # 4-1-7G TAX MAP AREA = 139.64 ACRES 180 BIRCH HILL ROAD TOWN Of PATTER50N ': _:,: ::;'':?: PUTNAM COUNTY, NEW YORK FKYAKED BY 'RIP Z AIDNECKI & AssocuTEs Engineering *Surveying, 11 West Main Street Pawling, W 12564 Ridgefield, Cr 06877 "g (03) 74 (845) &55-V11 .5 )7� SC. ALE: 50' DATE.' 12 C.",:,: m R�. HK. D N. BY. BY. n. its :'ON f OU f— C —YIA Vc 3 0.12 6-0, -5,A� NO 5 0 4 -4 r q- a1i JOSEPH ZARECKJ. 4G8 Cr LIC, 1832, REVISED DATE: 3-1 G .201.0"�1"f. PUTNAM C NT-Y D ARTMENT OF HEA09.• "'-' NVIRO ENTAL HEALTH S DIVISION PDT- APPROVED AS NOTED FU-1 CONFOR APPLICABLE RULES AND REGULATI N NAMUNJY HEALTH DEPARTt EN A V., T N1 N4AAU RE E& LE , Aiq MINE lor N:\2005\2005.059—NRA\dwg\2005.059 NRA Proposed SSTS 0esign.dw9,:'3/P16/* -!fM' State Wide Inspection Services 8 North Lawn Avenue Elmsford, NY 10523 914- 909 -4471 Phone STATE WIDE INSPECTION SERVICES 914-219 -1062 FaX Email: office@swisnv.com Service w1th Integrity Website: www.swisny.com BY THIS CERTIFICATE OF COMPLIANCE STATE WIDE INSPECTION SERVICES CERTIFIES THAT: Upon the application of: Upon premises owned by: Ryan Electric Benkiola Residence -Patrick Ryan 180 Birch Hill Road 59 Fishkill Hook Road �_ �_ Patterson,:IY 14563 Hopewell Junction, N.Y.12533 ' Located at: 180 Birch Hill Road Patterson, NY 12563 Certificate Number: 2013 -5374 Section:4 Block:I Lot: 76 BOC: 806 A visual inspection of the electr wherein the premises electrical located in /on the premises at:41 The Basement, First Floor, and the detail of the install the 19"' day of November, Receptacles GFCI Switches Luminaries C/O Smoke Detector Electrical Permit Number: 1805 -12 OT I t'% Building Permit Number premise described asp }� ial occupancy, Of electrical devic�c r,4 described below, Patterson, NY 1256 k - was inspected 16 41 forth below, was;11f 15 54 60 08 NFPA 70 -2008 there with on visual Inspection Only, Not Tested BY SWIS 7.2.x•. j�.- �'.._..� Officer: Frank J. Farina Type ,i 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 performed before ALLEN BIKALS, IVLD, J.D. Commanoner ofHeakh ROBERT MORRIS, P.E. Director of Ewhumneatal Health April 10, 2013 Zarecki & Associates Joseph Zarecki, P.E. 11 West Main Street Pawling, NY 12564 . Dear Mr. Zarecki: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 80 &1390; Fax: (945).279-7921 MARYELI:EN ODkU C=*Execadve Re: Field Inspection — Benny Caiola 180 Birch Hill Road (T) Patterson, TM 4.4-76 The following comment needs to be addressed: • The pump test resulted in approximately 324 to 338 gallon dose. The correct dose should be approximately 400 gallons. Please have the floats readjusted to maintain 400 gallons. Please have a member from your office witness the adjusted dose, and have the calculations submitted to this office. If you have any further questions, please contact me at (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide GDR:cw Zarecki & Associates Joseph Zarecki, P.E. 11 West Main Street Pawling, NY 12564 DEPA MIMMT OF HEALTH -1 Genera Road,B VIWB D New. York - 10509 Td &m (845) 808 -1390; Fes: (845) 278 =7921. MARYELI:EN OD&J. CounlYBve. January -2, 2013 Re: Field Inspection. — Benny Caiola 180 Birch Hill Road (1) Patterson, TM 4. -1 -76 Dear Mr. Zarecki: The above referenced separate sewage treatment system can be backfilled. The following comment needs to be addressed. A pump test needs to be witnessed by this Department once the electrical inspection has been completed and verification of such inspection has been submitted to this Department. If you have any further questions, please contact me at (845) 808 -1390 ext.- 43261. Sincerely, Gene D. Reed Environmental Health Engineering Aide. GDR:cw 12/1912012 09:50 FAX 8458553772 ?ARECKI & ASSOCIATES PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ATTENTION ❑ JOSEPH []x GENE REQUEST FOR FINAL INSPECTION .For: Fill All information must be fully completed prior to any Trenches XX inspections being made. PCHD Construction Permit # A- 199 -09 Located: 180 Birch Hill Road (T)(V) . Patterson Owner /Applicant Name: Benny Caiola TM 4, Block 1 Lot 76 Formerly: NRA Realty Subdivision Name: NA Subdivision Lot# NA Is system fill completed? NA Is system complete? : Yes Is system constructed as per.plans? No (See Comments) Is well drilled? yes (pre - existing) Is well located as per plans? Yes Are erosion control measures in place? Yes Date: Date: 12/18/2012 Date: 0 002 I certify that the system(s), as, listed, at the above premises has been constructed and I have inspected 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. Date: 12119112 Certified by: Joseph Zarecki, Member PE X RA Design Professional Address: Zarecki &Assoc, LL C4 11 W Main St, Pawling, NY 12564 Lic.# 61468 -1 Comments: The septic tank was installed perpendicular to the house that required 45 deg elbow fittings to be installed to provide grey water effluent to pump chamber. Asbuilt survey of constructed SDS to be provided when backfill is completed to verify soil cover be placed over open trench work in absorption fields. Form FIR -99