The URL can be used to link to this page

Home My WebLink About0428DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -3 -100 BOX 6 i,yti L -, I ` 3 I. I ` 9L - 00237 'UTNAM COUNTY DEPARTMENT OF HEALTH "� 'ISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE PCHD CONSTRUCTION PERMIT # P ~ 01 " y S FOR SEWAGE TREATMENT SYSTEM Located at % 5 0 !�k5 6�r D 2 = F T6w ' or Village PATT�S o 4 Owner /Applicant Name 0MO , LPL Tax Map 13 Block 3 Lot /DD Formerly Subdivision Name e*o e#.jw4tj , /1TC,C. E;S,*rES Subd. Lot # 3 Mailing Address (>K�Ctje P4-►-r. -;E5 . N`( Zip 2/ S'7r3 Date Construction Permit Issued by PCHD /3 OS l(ob So"t� -��'r Separate Sewerage System built by gmM%� , ale- Address �, sir l,,�/y i2S7B 3 Consisting of /,000 Gallon Septic Tank and /, 000 G4-1- PumP ( -'r-r" AxO l/5Ll L,`. D` Z w�G A$So KP'f'L'w�J ?er�f�S Other Requirements: _ i - G C urz4l�� D eA-r4 AND Z'-0 M.v�,1. 0. o. 6. &9,k VF fTLL Water Supply: Public Supply From Address Aakjq- M. 41(hrr �,SoNs /0 /'? ,ef- 311 or: X Private Supply Drilled by Address P4,7v4f,J, n/)' /25-403 Building Type �6� / J 17A-L- Has erosion control been completed? No Number of Bedrooms Has garbage grinder been installed? `►Jo I. certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. JJ Date: f 0(e Certified by P.E. /— R.A. Address - 3 ou -e.p., �=. I License # (0 t `13 I 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 revocat' n, modificatio or change is necessary. By: z Title: "Date: Z� White copy - HD F e; Yell opy - Building Inspector; Pink copy - Ow r; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES C'pr -m dl ,' f JF. . A-�# S WELL COMPLETION REPORT Well Location Street Address: TownNillage: Tax Grid # ✓Y1 �"� (�� CZ11 IMap/3 Block 3 Lot(s)100 Name: Address: i Well Owner: Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length ft. Length below grade ft. Diameter 7 in. Weight per foot _L7 lb /ft. Materials: Steel —plastic Other Joints: —Welded Dreaded _ Other Seal: _ Cement grout Bentonite Other Drive shoe: Yes No Liner Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test _Bailed _Pumped Compressed Air Hours Yield ) gpm Depth Data Measure from land surface-static !((sspecify ft)' �" 0111- DDepth ring yield test(ft) Dept off completed well in feet Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface - Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface /OIL i}l 6 _ Fr If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump TYPJ4x U:t� Capacity �rz Depth 2.tO Model Zf�?f►91; Voltage HP, J V _ Tank Type L �.. „y Volumez�, ��` ? -_ °'' ' Date Well ompleted Putnam County Certification No. 067 Date of Report � �-7 65 Well Driller (signature) NOTE: E "ct location of well with distances to at. least two per 4t land arks to be provided on a se ate sheet/plan. Well Driller's Name f A ''JOYt S Signature: Address: 101fft. e �"�b ►t. /V • Ids , Date: White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES we'di # WELL COMPLETION REPORT Well Location Street Address: n 150y" Ci�S -t� Y%e Town/Village: $ 0),\ Tax Grid # Map 13 Block. 3 Lot(s) I n0 Well Owner: Name: Address: Use of Well: 1- primary 2- secondary Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length ft. Length below grade _016 ft. Diameter 7 in. Weight per foot �lb /ft. Materials: YSteel _plastic _ Other Joints: _ Welded hreaded _ Other Seal: _ Cement grout Bentonite Other Drive shoe: Yes No _ Liner Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed _Pumped Compressed Air Hours _ Yield ja gpm, Depth Data Measure from land surface- static (specify ft) 31423- During yield test(ft) d . Depth of completed well in feet °TCS� Well Log If more detailed information descriptions or sieve analyses are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface / a, a If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Typ „i Capacity --yz Depth 2- Model 1 /t- f�J'f►9Js Voltage X11 HP._ Tank Type Volume Date Well ompleted Putnam County Certification No. 007 Date of Report 7 k 1 Well Driller (signature) IP4� NOTE: EAU location of well with distances to at least two permanedt landfnarks to be provided on a sepoate sheet/plan. Well Driller's Name /rl • '�'�j dy5 S Signature: Address: 1g / fflrersOtti Date: White copy: HD File; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller i Form WC -9,7 Jan 24 06 04:29p BRUCE R FOLEY Public Health Mra or TOWN OF PRTTERSO 845 -878 -2019 p.2 LORMA MOLINARI RN., M.S.N. Associate Public Health Director Director of Aallenr Services DEPARTMENT OF B EALTH 1 Geneva Road Brewster, New York I0509 Euvlroameatul Hwlt4 4914) Z76 � 6I30 Ftx 4914) 27E • 7921 NurAng S a vke (914) 278 - 6558 WIC (914) 279 - %78 Fix (914) 275 - 6085 Early lakrvenHon (914) 279.4014 Praettoul (914) 278 -6082 fax (914) 27g .664S E911 ADDRESS VERIFICAIIQN FORM OWNERS NAME: MM o , �c.L TAX MAP NUMBER: 15-3-too ^ E911 ADDRESS: TOWN: t AUTHORIZED TOWN OMCIAU (Signature) DATE: The Putnam County Department of Health will not issue a Certiificate of Construction Compliance unless the above form is completed, i.e., a legal 0911 address is assigned by an authorized town official: This forms is to be submitted with the application for a Certificate of Construction Compliance. (991 l YERFRM) 2/2:d 6T028)8Sb8T -01 LTL6922Sb8 JNI833NIJN3 31ISNI:W021A LE =£T 9002- 02 -NOf PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Owner or Purchaser of Building Tax Map Block Lot Building Constructed by ow illage Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material', construction and drainage of the sewage treatment system serving the above - described property, and that is has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years, immediately following the date of approval of the "Certificate of Construction Compliance" for the, sewage treatment system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Public Health Director of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated: Month / Day Z Year D General Contractor (Owner) - S' ature BM 10 1 LL L Corporation Name (if corporation) Signature: Title: �/ , /,e.z �►-��" Corporation Name (if corporation) Address: �%(n SDG25F -r �`; ' ' Address:" State Zip l2 3-6 State Zip Form GS -97 6q ENG /NEER /NG, SURVEYING & / LANOSCAPEARCH /TECTURE, P.C. 3 Garrett Place (845) 225 -9690 Carmel, New York 10512 Fax: (845) 225 -9717 TO: Putnam Countv Health Department 1 Geneva Road Brewster, NY 10509 LETTER OF TRANSMITTAL Date: 01 -24 -06 Job No. 99147.303 Attn: 1�trr[� %�Up,✓S�c Re: SSTS for BMMD, LLC (Lot #3) 161 Somerset Drive TM# 13 -3 -100 c WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via the following items: ❑ Shop Drawings ® Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ COPIES i DATE I DESCRIPTION 5 01 -23 -06 01 -24 -06 AB -1 _ CC -97 j As -Built Drawing Construction Compliance 3 X01 1 -23 -06 01 -24 -06 GS -97 --------- Guarantee E911 Address Verification .......... ........................... ....... ....... ...... ..... ...... .................................................................... 1 01 -13 -06 ,.......__...................... ..................._.._...._.._ i --- - - - - -- ._................................................................................ .... ........_.._......._.._.............................._..._...................._. Water Test Results ............ ...................... ...._...._...._.............._. _.... .... ............... . 1 09 -27 -05 WC -97 Well Completion Report .. .............. ....... ...................... .... 1 ................................ .................................. 01 -23 -06 .......... : ... _ ......... _................................... ; 142 2681 410 ...................... _....... _:_.........._ ............. __ .... ......... ............................._......... .... $300.00 Fee _ ...... _ ......... _ ....... _..... __ .... _. ...... ... ...... .:._ ... _ .................................... _ ......... _. ................... _ ............... ............I ....... _. .... _... ................................. ......................... ................ ..... }................. .... .... .... ......... ................ f .... ......... ............ ....._.... .......... ...._.................................. ..... ......... ..... __ ....... ......_........_. .................................. _..... .... .... ................ ._. ...... ............... ............ ...... ........ ...__._. ........... .......... .... ..... .............. ..... _ ............... ____ ............. ... ................... ..... ... .. THESE ARE TRANSMITTED as checked below: ®For approval ❑Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: COPY TO: SIGNED: QJo n M. Watson, P.E. ect Engineer, Associate IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Iot2002.dot YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padnvani, Director LAB #: 1.600103 CLIENT #: 56173 NON STAT PROC PAGE: 1 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ BMMD LLC 166 SOMERSET DRIVE PATTERSON, NY 12563 SAMPLING SITE: LOT 3- 161 SOMERSET DRIVE : PATTERSON COL'� BY: NOTES...: BASE FAUCET ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE 'PUTNAM CNTY PROFILE 01/06/06 MF T. COLIFORM 01/10/06 LEAD (INS) 01/12/06 NITRATE NITROG 01/06/06 NITRITE NIrROG 01/09/06 IRON (Fe) 01/12/06 MANGANESE (Mn) 01/12/06 SODIUM (Na) 01/06/06 pH 01/09/06 HARDNESS;TOTAL 01/09/06 ALKALINITY (AS 01/09/06 TURBIDITY (TUR 01/06/06 E. COLI (CONFI DATE/TIME TAKEN: 01/06/06 11:50 DATE/TIME REC'D: 01/06/06:02:10 REPORT DATE: 01/13/06 PHONE: (845)-590-9734 . SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLlFORM METH: Ml:-' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PRESNT /100 ML ABSENT 1008 <1 ppb 0-15 ppb 9003 <0.2 MG/L O - 10 9052 <0.01 MG/L N/A ' 9k62 <0.060 MG/L 0-0.3 mg/l 900 2 <0.010 MG/L 0-0.3 mg/l 9n02 112 MG/L N/A 9002 7.5 UNITS 6.5-8.5 9043 <2 MG/L N/A / 182 MG/L N/A 9o0j. <1 NTU 0-5 NTU ABSENT 1001NL ABSENT COMMENTS: -i;; BACT THESE RESULTS IND ATE THAT THE WATER (WAS) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO IRK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION., Pb/Cu LEAD limits for p EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. ublic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. ' ` ].' ~ ` Na No limits-for Spdium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 1.600103 CLIENT #:56173~~~~~~ ~~~~~~~~NON~STAT~PROC~~~~ PAGE: ~~~~2 ~~ ~ ~ ~~~~ 8MMD LLC 166 SOMERSET DRIVE PATTERSON, NY 12563 DATE/TIME TAKEN: 01/06/06 11:50 DATE/TIME REC'D: 01/06/06 02:10 REPORT DATE: 01/13/06 PHONE: (845)-590-9734 SAMPLING SITE: LOT 3- 161 SOMERSET DR[VE SAMPLE TYPE..: POTABLE : PATTERSON PRESERVATIVES: NONE COL D ' BY: TEMPERATURE..: < 4C COLlFORM METH: MF NOTES...:~ BASE ~FAUCET~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~.,~~~~~~~~,~ DATE 'FLAG PROCEDURE RESULT NORMAL - RANGE METHOD contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG/L. THE HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG/L, DEPENDS ON THE SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED.., SOFT WATER: 0-70 MG/L VERY HARD WATER: ABOVE 300 MG/L MODERATELY HARD WATER: 70-140 MG/L MG/L = MILLIGRAM PER LITER (1 grain/gallon = 17 HARD WATER: 140-300 MG/L 2 MG/L) . SUBMITTED BY: Directny/ �L)10149 M.T.(ASCP) ELAP# 10323 `/ o YML ENVl NTAL ICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padavaoi,. Director LAB #; 1.600259 CLIENT #: 56173 NON STAT PRO[ PAGE: 1 ~~~"~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~*~~~~~~~~ BMMD 'LC DATE/TINE TAKEN: 01/13/06 11:10 166 SOMERSET DRIVE DATE/TIMEREC'Dv 01/13/06 12:40 PATTERSON, NY 12563 REPORT DATE: 01/19/06 � PHONE: (845)-590-9734 SAMPLING SITE: 161 SOMERSET DR SAMPLETYPE..: POTABLE LOT 3 PRESERVATIVES: NONE C[�'Q.BY: TEMPERATURE..: < 4C N0TESI..: BASE FAUCET COLIFQRM METH: Ml--' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~'~~~^'~~~~~°"''~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 01/13/06 MF T O FORN T. C LI ABSENT 000 ML ABSENT l008 COMMENTS: BACT THESE RESULTS INDICATE THAT THE WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORDI N��~'HE NEW YORK STATE AND EPA FEDERAL DRlNK2NGWATER STANDARDS, FOR THE PARAMETERS � TESTED, AT THE TIME OF COLLECTION. ' SUBMITTED BY: � Albert . raoovanz, n.|.(*SCP) [)irect! r ELAP# 10323 � 1 unurY POLE WITH 1 AS -BUILT OVERHEAD WIRES LOT OWELLING LOCAnON OF \ (•) EXISTING /y SS7S PER PCHO FILE \� -30 -Ot CB F J/ f FENCE 165.77' ` CHI �O ?SS• N 84'32'51" E Z t� 61 0 O o S 207249' W A / 177.21' DRIVEWAY 6/ S 054.66' E VIELL TRENCH (7yP.�SORP710N ( ///// 12 n 13 ° 14 /5 16 PRIMARY ABSORPTION !�,� ® S 04115'10" E CH i� - TRENCH (T>P.) 95.37 Q CH 0 / B 8 -WAY DISTRIBUTION BOX . 6 Cp l APPROXIMA7F 5 C '' D LOCATION OF 270 4 / / -PERF0RA7E0 FORCEMAIN / CURTAIN DRAIN 1,000 CALLON 1,000 GALLON F1A 1775. .-49.2 8' PUMP PIT SEPTIC TANK co � O 3 i CO (S) 5 84'32'51" W p CO J FMFA1 --� - -- 3 ('S Co (S 1+) APPROXIMATE LOCATION OF SOLID 2 CURTAIN DRAIN 351.50" O DISCHARGE PIPE !� -- — H1` `� AS -BU /LT LOCATION OF�- ,frg .. ' \ EXISnNG SSTS PER PCHD 11LA FILE -f1 -00 NO 7H S -S 05 52'00" E 54.56' S 64-05'10- E 95.37' Vr f"r-dMLIrY A1VD-TRE--Nf_W rVrrr% U;rAR. HEAL /H. 2. ALL FACILITIES 'EXISTING, UNLESS NOTED .0, 7HER*SE. 3. PROPERTY LINE INFORMATION SHOWN HERE0N':1$ REFERENCED FROM FM# 2856. AS-BUILT MEASUREMENTS NO A 7REirr 8 17UTYPOLE C SfrW .'D a ;SE C r W REMARKS 1,000 aAUCIN SEP77C TAW ACCESS PORT 2 24 22' a.&4Awr 19, 29' IMt�&ONPP OtOrp 4 86' 74.5" 18-WAY WSTWWWN BOX 5 83.5' 69' 7 END OF 7RENCH, 6 79' 71' END OF MYCH 7 74' 73 END OF nWVCH 8 70' 76' END OF TRENCH 9 1 66' 79' END OF MENCH 10 62' 82' END OF n"CH 11 59' 86 END OF TRENCH 12 3.3 5' 54' ENO OF MI." 13 1 '39' 'MI END OF 14 45' 42' END OF IRENCH 15 51, 36' END OF 77VfQY 16 56.5' 30' MD OF TRENCH 171 62.5' 24' 1 1 D DV I OF nWVCH 18 68' 18.5' END OF TRENCH 19 84' 3' CUg"� NCO untr 01VINIovIro, 4partamt or 4pproved 's �Tft�,Ui Health so'n", 0 01 OPPI X;t fu6te pulse 4taoo�o�oo q1th Corm saitik Or the V 4ts ime DA TE REWSION F i At 7 IL B) -i Garrett Place Carmel, NY 10 512 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROMM[ENTALHEALTH -SERVICES FINAL SITE INSPECTION Date: Inspecte d by: Street Location 104 R Town _.e=t Tm.# d7 3 Subdivision Lot # -3 1. `.,Sewwe;System, Are a' a'., STS,,area locat6das. per 4pproved blans ............. .............. en v,-,> ,::date of Fill section'-!'7' Width._. Ayg-Dpth zc. Nattirdl s61l not stripped: ..................... . . . . . . . . . . .. . . . .72 :d :Stone brush, i6tc.,greater;- that l5!., from %STS -ar'ea.......,..., e. 100' from water cb u'rse/wetlands.;... . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . II. sew,2i - er 6 ' �s vstem - 1,00 ....... �A 250 ........... other .............. . :A; Septic tank'size Z"I " 0 0 b: ':Septic.tank J` e level. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . c `10,.m,mimum from Distribution Bog . . .................... .. ................. 3 2 It'Opiginalwil between bo-k,& trenches e., J�n&ton'Box -properly eTlysd ............................................ ' .6. Trenches".... 1. Length -requit6d __.!Z I ol.. Length.instaU'd J1 �L e 2. Distance 'to:.. watercourse measured c,e,, Ft.......... 3.� -..,Installed according to. plan . ............. .................. *.: ;Slope ,6t-:'trenc :acceptible:1/16 1/32'Woo t .............. 5. 10.1t. :ft6m,prpperty Iine -201.r foundations..:...;... 6.� Depth fftiendh, <30 inches from* surfice ......... 7 . "Mornallowedhi,expansi . o . p, 100% .... ............... 8. 'Size of gravel - 3/4 - 11/2"diameter clean ..................... 9.. - Dgih.of.gravel-4trench .12" minimum .................... .W. ......................................... ; ........... o I 1 .11 ................................................ Overto.wtahk .............. a ....................... ....... ? .............. arm,:wisu sisal/. di ........................... ................ .. 3, M 4. Pump, easily accessible, manhole to grade ..... I ............ 5. :,First box -baffida ....................... I ............. ....................... f , I- IEL Hou"Wldifil� ,a. "-:House located er. approved plans ............. ............. I ... Z ........ -b.;.-Numbet�ofhe room, ............ .......... Well —located as, per .. approved � ..plans ................ ................ c. Casing -18l above grade ......... ...................................... d. Surface drainage around well . acceptable ........................ V., :Overall Worlmanshiv a.. Boxes properly grouted ................................................... b. Allpipes partially back e_d .................................... o ...... c. All pipes flughwith inside of box .................................. d., Backfih material contains -stones <4 ". diameter ............... e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfaR protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate., .................................... i. Erosion control rovided ................................................ Rev. 12102 DEC -13- 2005 14:56 FROM:INSITE ENGINEERING e452259717 TO:2787921 66-"WA uJJ0,4 7 3y _.xr)yY n' S lvA �nJ _ :smaumo;D C3 ,«j Ri nd ap Jo suo Mj n8*'V PIM ssJn'd `SPMPUnS MA Pus SQWd paAoiddv °3 QHDd pansst aq�. tp�m mmp xm ut uopoldmoo qmp PORWA pus pa ;at►tisuoo traaq scq sascuraad o.�oge � se `P*'�I sa (ssls o� �qs� I L�Id ut samssaw joAuoo uacsora ate $ mmdmd se pMvxi ITam sI S �✓k Lid Ymd ss pmm4suoo ur Wff, NJ jmaTduioo =PAS ST MiRG Lpmatd=o 0 mmsAs sX 101 MIS!AWnS 5S,y 77 �J :auas� uotsr�iS :�(ixauuod o ' ion lH 1 710 1� W -OMN 1u3i1ddV1=Uft0 SO— b o -d # VFcma uopon moD (HZ)d apBU1 Sum q suopa&m sogouwx Auu of rood p*Mdmoo Affnj oq vnm uoqu=cpr [[V ii�;T :zud R01MI 9d 9N1 T'n'IV.[d 8M Z t'7il M f Halsor Q Kouxajuv q,23 '9 lUqVZH IVINOW0711ANX AO NOISLAW HLwm to Imna cvd3a AIM 03 wVN ma DEC -13 -2005 THE 14:02 TEL:845 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 P:1/1 0 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 December 22, 2005 Insite Engineering & Survey Jeffrey Contelmo 3 Garrett Place Carmel, NY 10512 ROBERT J. BONDI . County Executive Re: Field Inspection - BMMD, LLC Somerset Drive, (T) Patterson Lot #3, T.M. 13. -3 734.03 Dear Mr. Contelmo: The above referenced separate sewage treatment system can be backfilled. There are no open comments to be addressed at this time. If you have any further questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide GDR:cw 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 JAN-18-2006 02:'L--` = ROP ^:I1I'c:).TE ENGINEERING 8452259717 TO:27e7921 P:I/l 70p 'JaAoV7Xp :XBl 0696- 'MMIA Z�90L 4JOA MOM 'latu'llo '0391d pa wow awry r ob 90/p/ 10 ry 0 vla ",(V-kT(w -Jh:/ dbuy2ef- Aw go-r -5 esw o :av WO-M (SM) :X&4 0696-gzz (st"g) -IUOYd 'E unioalli4aiv odeispual 1p BuiAaAJnS Bu}mtAI%3 allsul --Xuedi Adlvy :LUojzf N VNIA.346rns '19A(l&f3BN1&lv3 ..49uo,qd :AugdLuoo 13 (V3 9 u njoul) 00 4,. 00 ;01 -e3 jWqS JGA03 i9jjfUjS*9=f JAN-1e-2006 'WED 1.4:&4 TEL:845-278-7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 1 T "d JO 1N3W1dUd30 AiNnoo WUNind:3WUN BRUCE P, FOLEY PWM Health Dirdetar AMMON: T26)--e12-St78:-131 �-IOW 9002-9T-NUf Z -7 Z.. M LORETTA MOUNARI RX. M.S.N. Assaddle Public H&ddo Diewtar . . bft-avr -fparlaw DEPARTMENT OF BEALT H I Gum& Road 'tww8tei" New Yank 10509 REQUEST FOR RELD HAMG 0 JOSEPH PA"VAn XGMM REED Allinformfl►n below most be Ift completvi. prior to any scheduUng, DATE: ENGIMMORFIRM: Tk15T, Tf, FE�4 C-.MJF-46-M - PHONE #• 194 Y) REASON: DEEPS; ❑ PERCS; ❑ PUMP TEff ROAD/STREET: As?L TOWN: 1AjTr-_e50.Aj TAX MAP#:-/,9-.S-,- -sty, e)3 sumvisioN,.- coLALo-4<4 thrz(- 5 ptw—.5, LOT#-. OWNER. SMIV1413 lie zos �' Z-i( 0 Gor,,,± M—DIP CRITERIA FOR JOINT REVIEM AND WMOMING OF--S()fL TESTING Proposed SSTSWIthinthedrainagebasin o(WestBraschorBoycls Comer Reservoirs. o1n. n x Proposed SSIS WAW 50 feet of a reservoir, reervoir.stan or c4atrol Inkc cl X Proposed 88TS T""WA 2.00 feet of a watircoulm' or ii DEC Weiland. 13 Proposed SM dwip flow greater than 1000phons/day or SPDFA Permit required. E3 Proposed SM for it Commercial Project. It b the responsibility0fthedcolga'profimalooW to provide the above informution prior to No testing. This Deportment will determine the NYCDEP project. statux (Joint or Delegated) based on the ropunse. If you anwervil &E to MW of the questions, NYCDEP must witness the no tests. This 0cpartment Will coordinate ■ mutually suitable time for AgM toting with theDesIp Profemianal and NYCDEP. If a project has bmb determined to be Delegated based *a the show response and then subsequvat information indicates NYCDEP is required to witness the sail tests, it WM be the suit responsibility of the design profissional,w uchodule m-witunving of the son testing with NYCDEP. FM comw USE ONLY DATE; MM MEXZM-ST) T/T:d �SA:5- T2&-N-2:0i -:j1TN93NI9N3 3 _LT:'�1j:1.joaj :4 q I., -' 0 , -002--T-Nbf SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health January 19, 2006 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Insite Engineering & Survey Jeffrey Contelmo 3 Garrett Place Carmel, NY 10512 Dear Mr. Contelmo: ROBERT J. BONDI County Executive Re: Field Inspection — BMMD, LLC Somerset Drive, (T) Patterson Lot #3, T.M. 13. -3 -34.03 In reference to the above noted lot, this Department is in receipt of pump test results by your Department on January 18, 2006. At this time, there are no further comments to be addressed in reference to the SSTS field inspection. If you have any further questions, please contact me at (845) 278 -6130, ext. 2261. GDR:cw Sincerely, Gene D. Reed Sr. Environmental Health Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 SENDING CONFIRMATION DATE JAN -20 -2006 FR.I 11 =57 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -792_i PHONE = 92259717 PAGES L/1 START TIME JAN -20 1156 ELAPSED TIME 00'22" MODE ECM RESULTS, OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... 'iHEPLITA AMLER. MH, M9, FAAF y RORKRTJ. BOND) r'rmunisrinrrcr ufHmhb k Cgvnty frmnnn LORF.TrA MOUNARI, RN, M9N y .1.ro we Canrmissim oJReal7h -- DEPARTMENT OF HEALTH I Gtmeva Rand, Hrcwarer, Ne Yak 10509 January 19, 2006 i nsitc Engineering & Survey 'efti-ey C:onmimo ? Garrett Place Carmel, NY 10512 Rc: Field inspection DMASD. L.H: Somerset Drive, (T) Pattatron lot 43 T M. Dcar ,m.r. Cnnlelnto: In reference to the above noted lot. :his Department is ir. receipt orpump test results by your Department on lanuany 18.2006. At this time. rinse arc oo Nnrtbcr wrnmrnis to he addresscri in mfcrcnoe to the SM field iuspr inn. tryon have any further questions, ptrl.c, contract me at (84:) 278- 61+", ext. U6 1. Sincerely. rlene D. Recd Sr. Envirouvit-nln' Health Frigincenng Aidr. GDR:cw 6nvlroamanal Health (945) 278.6130 ra. (9451279.7J7l Wmer GrPF7 Secdos (845) 215.5196 Pox (W)12.1 -ulP Nursing F— k-(9J5)2711-6559 Fm (843)719.6016 WIC (845)779.6M1r9 Neraog Homa C.. I've (845) 279 -MR5 Eady lsvrvnrinWemeeval,U5)27arnln Pa. (MSr'!ni -6668 iv r+ I { r( r t i , J f it / /, T• �� 1 \ 1 r i 410 PNO I i 1 c• 1 �EXIS17NO SSTS LOT 4 YsDEC ol i t t '' � ,`� ' 1 � it (f, +' / 'I- '{ •Jr rl \tom' ! 'J O �r � / / / /� /,,y`y ,�' /• I � /may,/ � ! ! ', / • / r .' % / / / 0 �� 1 I ! 100 IcDr ® ! EXISTING SS15� ! / )/ -.LOT 2 PLAN SCALE: 1' =30' r t Ir r E TFW- a DB p ST PP *1 PJ9 i CD ! _RDA �IVS UA41M OF ROB GRAVEL FILL 09 O y f/ J (APP. ROX 50 CYt) (Q MIN.) ibB. / FM /"C IcDr ® ! EXISTING SS15� ! / )/ -.LOT 2 PLAN SCALE: 1' =30' r t Ir r E TFW- a DB p ST PP *1 PJ9 i CD ! _RDA �IVS PUTNAM COUNTY DEPARTMENT OF HEALTI IVISION OF ENVIRONMENTAL HEALTH SERVI CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM «e Located at C4 --'OA QSC-1 Alf 26 or Village PA JQSOA/ 0 Io Subdivision name COAIJkl ; i.L Subd. Lot # 3 Tax Map 13 Block 3 Lot I✓stA. ES Date Subdivision Approved y — —O l Renewal Revision Owner /Applicant Name _ ��/1'� � 1–LC Date of Previous Approval -- Mailing Address f A N.A G U /W2 9 2 6 -JS -r0 AI K Zip lo-009 Amount of Fee Enclosed Building Type US ID EMT I A L Lot Area AC No. of Bedrooms 3 Design Flow GPD C00 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED .Separate Sewerage System to consist of loco gallon septic tank and � Z`� L r A-61SoR P fr on/ T�P, ENS N Other Requirements: L'0i° PUPS CP.AvCL FILL} `71-o" CUPTAIdrI MAIN 4 fVi►'P SySr�r�'t To be constructed by -ro E 9 E 7-i-2 e y-, 6 7 Address A /IA Water Suonly: Public Supply From Address or:- Private Supply Drilled by . 'fo a G 261MM/r✓632 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: P.E. n _.R.A,— Date Nsd N /N' y /NG, L9nl aS`cAs°E AkcAj EC vP- E Address iyr�� Qou . E -2--L RQ FuJS-Mk Ay 41.,04 License # APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when'considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe Approved for disc arge of domestic sanitary sewage only. By: o� Title: A-P Date: 3 D opy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: T��oGwn/Village Tax Grid # ®off JOMtQf l' ivG Map Block Lot(s) Well Owner: Name: 9MlM f LLC Address: 2 IrAIVA &> 2 POA-P RRcws� AJ Y (onq Use of Well: Residential Public Supply Air /Con eat Pump Irrigation rimary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served -�'— Est. of Daily Usage 3 Or gal. Reason for Replace Existing Supply Test/Observation ' Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes_ No Name of subdivision CU Nkl A LL ML 1E.9-v rl; S Lot No. 03 Water Well Contractor: `ia -46' 77 IN (-,D Address: 14 Is Public Water Supply available to site? ................................. ............................... ' Yes No X Name of Public Water Supply: Town/Village Al Distance to property from nearest water main: Proposed well locatiion& sources of contamination to be provided on separate sheet/plan. Date: 0 n& Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue 1(3 0 'f - Permit Issuing Official Date of Expiration Title: Ass Fs iL i Permit is Non- Transf rra Ole White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 PA ?lo wY 4,,r44%1 -5 -_�D'- 8 . 1 �1� red -• y 1 a • 9..0 , e, '' jr0� bllO�a •'S, : 4!1 4i' .1' .. � 1�,J► t • GN a, GO68 C v 1 _J Q O qol > s `1 f . • I �!-7 r` e0 1 100 KtT� L9 1 r0 -' 1l4 foba Fi FWI } Ac�Dt t6NeY4 1!1 = c _ Rr� .° m 4 :,.. N j cc1s� 'N 1Niawa n a N ARN N ) t x)12" l.Y� J "'. �+ rw.e► ' �y TRLY 1 1 o rra ► do �: a� 14tp "i - 101 O� 0 Axe, ptc4taeA ' 014YL GEJLiNci : f f ' .� ly1 ixlo CPA, Lc? • 1 N' vk V 310_2 .. .•,ro O 1 . • "II � � • +. iN.� f At ... - sl• I • }• • � t ''• wN1Ri,pul, ' �+� JLL a �- T f Q Ti . __.. ,3 r - �'' wont• . /`�� ,� r s Id iK-� ' N r V h >.`) t � 1� �R � •� • � 't�� KY {W .•J� N)ZKI /' W SN .h • .� �• .. Mss ?�: �ww�H 1 V2 .Q CO qt ilk v t. 3044 306 ` 3oa1G-Z f? is oo F ' t�1-0► ► 40 IT i s! •�" I �� " - - - - 10 6,G� ' FROM n� l� Q 1� 1 J J J � J J D � v � a 1 FAX N0. Mar. 31 2005 09:04AM P2 .d,x :lar _e �• • � � a >~� lr�+�ss i�8' Yicn� �Y7�o4� ,�• o„i? ►ate � •d I � q, .o u s g a' M ci i 0 Tu oior lea i� -Y OIXLLf' iTj} O, R, ! =S o-4 yo �i a► °° 1 ~�14.1Cr4' 2/87) —Text 12 PROJECT I.D. NUMBER 617,21 is Appendix C State Environmental Quality Review SHORT .ENVIRONMENTAL ASSESSMENT FORM For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant.or Project sponsor) i SEAR 1. APPLICANT /SPONSOR 8' L 2. PROJECT NAME. SS i S Q C'oA WALL iq )d ) SATES L074f- 03 3. PROJECT LOCATION: Municipality St►A County 0jJ /AM 4. PRECISE LOCATION (S reet address and road Intersections, prominent landmarks, etc., or provide map) SCE LOG/�T)cf f MAP ONE ecIV51VVCTIG\f- X4in+/,dCr 5. IS PROPOSED ACTION: ew ❑ Expansion ❑ Modificationlaiteration 6. DESCRIBE PROJECT BRIEFLY: Co05gi ,� :' ICAI of once" rAM)4 9fS!0iFk6-,. DRiuc��Y; SS T S, Wr Li. W AP L rEy jVCr ,. 7. AMOUNT OF LAND AFFECTED: ` Initially acres Ultimately • �� acres 8. WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS? �4es ❑ No If No, describe briefly 8. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT? kBesidential ❑ 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 ❑ No If yes, list agency(s) and permittapprovals Dl�lvc'�/ %F i PE�ihrT - 7G��' cr f�i'TtE>�st's� 5srS -Tw6LL ° P.CAD. ptr,tLV IL ►auv of 11ATT05CW 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes I& If yes; list agency name and permit/approval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes &0 I.CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE ' 11SSi i E1�`Elrv`I,6Qlil,�C y S4��Vt;�,r>a1� n& q�;t�►rECfu^C�RC: �— Applicant/sponsor name: .��11� M, WATUN , G� Date: Signature: If the action is In the Coastal Area, and you are a state agency, complete* the Coastal Assessment Form before proceeding with this assessment OVER 1 ,?ART,f ,I— ENVIRONMENTAL ASSESSMENT (ro be completed by agency) A. DOES ACTION kXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes to 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 y another Involved agency. ❑ Yes ic�ro C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if legible) C1. Existing air quality, surface or groundwater quality or quantity, noise levels,. existing traffic patterns, solid waste production or disposal, potential for erosion, drainage or flooding problems? Explain briefly: Pilo /Lei C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: No /1,C-- C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4: A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or•related activities likely to be induced..py the proposed action? Explain briefly. ..j NQ Ate-- C6. Long term, short term, cumulative, or other effects not identified in Cl-05? Explain briefly. C7. Other impacts (including changes In use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR 19 TtjERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS? ❑Yes 43";`,_° If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (ro 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. ❑ 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. IKCheck 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: os a�r�vw-f Jr-. �ss;s��.,� �bl,�- fc��Lf�;�e�•� Print or Type Name of Responsible Officer in Lea Zen Title of ResponsiVe Officer Gig Signatu'K of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) fiq&p 2 r PUTNAM COUNTY DEPARTMENT OF HEALTH DPWSION OF ENVIROWIEN T AL HEALTH SERVICES 4 DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM Owner �!✓ll� , GLL _ Address 7 1 1qN.� �u►S�x- Located at (Street) CO&WACC &(-4 R��SoM �- i,)e Tax Map Block 3, Lot /p0 (indicate nearest cross street) Municipality P,4rjF,2�5oP Drainage Basin FFASi 13e-k__q SOIL PERCOLATION TEST DATA Date of Pre - soaking 0& f 0&/05- Date of Percolation Test OG y 0 Hole No. Run No. Time Start - Stop Ela se Time Min.) De�ppth to Water k'rom Ground Surface (Inches) Start _ Stop Water Level Drop n Inches Percolation Rate Min/Inch 1 .'011 - � : � � 30 (9 q 3 x';01- 6.35 30 1? %-Y 21 �iy 3� Z0 . D 4 5 I?3F 1 6%. � :q,_ 30 % Zo /y 3% ZO.o 4 5 1 2 3 4- NOTES: - .1. Tests to be repeated at same depth until approximately equal percolation rates are outainea at eacn percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for'review. 2. Depth measurements to be made from top of hole. Form DD -97 DEP G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5' 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HODS HOLE NO. HOLE NO. HOLE N0. In/elevel at which groundwater is encountered Inat which mottling is observed Ino which water level rises after being encountered D ervations made by: Design Professional Name: Jeffrey J. Contelmo, P.E_ Insite Engineering, Surveying & Address: Landscape Architecture, P.C. 3 Garrett Place, Carmel, New York 10512 Signature: Date A,� a, co 0 to 9 n , ( ' O CC O 6193' N Design Professional's Seal I 'rSSluh I l INS/ TE JIMA�ENGINEERING, SURVEYING & NDSCAPEARCHITECTURE, P.C. SSTS for Cornwall Hill Estates Lot #3 Pump Pit Design Calculations Design Flow 600 gal /day (200 gpd /bedroom) Peak Flow 4.2 gpm Peak Flow = (Design Flow)(10) Use 1 Ox Daily Flow for Peak Flow (24hr /day)(60min /hr) Static Head 40.8 ft Vertical distance from bottom of pump pit to invert of distribution box C 130 Roughness coefficient for smooth plastic pipe 'd 2 in Diameter of force main L 275 ft Length of force main Q 25 gpm Flow Rate V 2.6 ft/s Velocity Le 50 ft Equivalent length to account for losses in valves and bends Lt 325 ft Total Length = L + Le HL 5 ft HL= 10.44(L,)(Q1-85) (C1.85)(d4.87) Total Dynamic 46 ft TDH = HL+ Static Head Head Use Gould Pump Model # 3885, Series WE05HH (or approved equal). This pump will pump 25 gpm with a Total Dynamic Head of 46 feet. "I of N��, 3, c yU'Tit Uui �ro t�� APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry Effluent systems SPECIFICATIONS Pump ° Solids handling capabilities: W maximum. Discharge size: 2' NPT. o Capacities: up to 140 GPM. ° Total heads: up to 128 feet TDH, e Temperature:' 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. ° See order numbers on reverse side for specific HP, voltage, phase and RPM'S available. FEATURES m 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. Z NP T discharge. n Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BONA -N elastomers. O 2000 Goulds Pumps Effective February, 2000 83885 m Shah: 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. m Capable of running dry without damage to components. m Designed for continuous operation when fully submerged. MOTORS E4 Fully submerged in high - grade turbine oil for lubrica- tion and efficient heat transfer. m Class B insulation. PgA4p f:iA METERS FEET 40 130 35 120 -- -- - 110; - -= —. — — —< —; r.W E20H ..:.....: ... ._. 3n 100 a 90 = 25- 80 U E 20 70 0 600 F 15 5Q h� 40 5 20,VE036 10' — 00 10 Submersible Effluent Pump µ F•` `f 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. e'% and' /2 HP —16/3 SJTOW with 115, 208 and 230 Volt three prong plug. � % -2 HP —14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit °'h -2 HP —14/4 STOW with bare leads. m Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. - - - -.% , J i m Bearings: Upper and lower heavy duty ball bearing construction. w 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. 20 foot standard with optional lengths available. w 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS CMTested to UL 718 and CSA 22.2108 Standards ° By Canadian Standards Association US File;<LR38549 Goulds Pumps is ISO 9001 Registered. TDH . 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160GPM 0 5 10 15 20 25 30 35 m3lh CAPACITY Goulds Pumps <i > ITT Industries /NS/TE 7R7- ENGINEERING, SURVEYING & LANDSCAPEARCHITECTURE, P.C. June 8, 2005 Mr. Joseph Paravati, Jr. Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS For BMMD, LLC Lot 3 Cornwall Hill Estates Subdivision Town of Patterson, NY TM # 11-3 -100 Dear Mr. Paravati: The enclosed plans have been revised according to our telephone conversation. Specific revisions include: 1. The curtain drain and trench layout have been revised as requested. 2. Two additional percolation tests, P3D and P3E, were performed in the proposed expansion area. Design Data Sheets for these tests have been enclosed. 3. New pump pit calculations have been included reflecting the changes to the SSTS. If you have any questions or comments regarding this information, please do not hesitate to contact our office. Very truly yours, INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. By: c� Prject M. Watson, P.E. Engineer, Associate JMW /adw Insite File No. 99147.100 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.inste- eng.com 060805jp.doc f F /NS/ T ENGINEERING, SURVEYING & LANDSCAPEARCHITECTURE, P.C. May 20, 2005 Mr. Joseph Paravati, Jr. Assistant Public Health Engineer Putnam County Health Department 1 Geneva Road Brewster, New York 10509 RE: SSTS For BMMD, LLC Lot 3 Cornwall Hill Estates Subdivision Town of Patterson, NY TM # 11-3 -100 Dear Mr. Paravati: The enclosed plans have been revised according to your April 25, 2005 comment letter. Specific responses are as follows: 051205jp.doc �1' The well keys shown on the Lot 3 construction drawing are taken from the approved subdivision drawings. We have verified that the well keys for Lots 3 and 4 are accurate. Enclosed is a well key sketch which shows the direct line of drainage determinations for both ells. re``°' '44�Our field notes from the February 16, 2000 field testing only show groundwater at 48" and not i�� mottling at 48 ". The submitted and design data sheets show at previously plans groundwater tv" 48 ". c. .3,./ The soil boundary between two soil types has been shown on the plan. Enclosed is the New York State Department of Environmental Conservation (NYSDEC) re- �rification of the NYSDEC wetland boundary. ( The perforated portion of the curtain drain has been revised to fully protect the primary SSTS ��------ trenches, and to run more parallel to the contour lines. Please note that the fill required on the jot SSTS is for separation to groundwater only, and not due to the presence of ledgerock. Q :.6. The SSTS area shown on the Lot 3 construction drawings is the same as the SSTS area as l shown on the approved final subdivision plat. The proposed SSTS design is for a three �� bedroom dwelling. Due to the limited SSTS o-c t3 available area and the irregular shape of the SSTS proposed area, the primary SSTS was designed to have all equal length trenches and the expansion trenches were fit in the remaining available area. Note that there are expansion trenches both below the SSTS. Also that there total three above and primary note were a of j deep test holes for this relatively small SSTS area. It is our. position that the three deep test holes and two percolation test holes shown on the enclosed plans are representative of the ��` �� entire SSTS area, and an additional percolation test in the lower expansion area is not ✓; required. es reviously discussed, the trenches for the SSTS (w, ( primary absorption proposed were designed to have equal distribution. The remaining available SSTS areas were used for the ' expansion trenches. Unequal length expansion trenches have been routinely approved by your department and were originally intended to, be that way with the original subdivision approval. 3 Garrett Place, Carmel, New York 10512 (845) 225 -9690 Fax (845) 225 -9717 www.insite- en.g.com 051205jp.doc 4� 1 Letter to Mr. Joseph Paravati, Jr. Page 2 of 2 RE: SSTS for BMMD, LLC, Lot 3 Cornwall Hill Estates Subdivision, Town of Patterson May 20, 2005. The grading has been revised to provide 10' of separation from the end of trenches to the top f`the fill pad. 4. Note #28 has been provided that the proposed SSTS and well is to be staked by a Licensed Land Surveyor prior to construction. The floor plans submitted for the subject project were hand delivered to your department in on March 29, 2005. Since the floor plans were submitted prior to the new implemented PCHD Bedroom Count policy memo, the floor plans should be reviewed and approved as a three bedroom house under the old regulations. If you have any questions or comments regarding this information, please do not hesitate to contact our office. Very truly yours; INSITE ENGINEERING, SURVEYING & LANDSCAPE ARCHITECTURE, P.C. Jo n M. Watson, P.E. oject Engineer, Associate JMW /amh Insite File No. 99147.100 052005jp.doc Insite Engineering, Surveying & Landscape Architecture, P.C. 1 1 � � 1 � 1 + + I + 1 i I I I 1 r I I r I I I I I I I I I I I r 1 i I i 1 I I I r 1 I I I I I I I r I 1 I I I I I XI I I t I 1 1 I\ ! I 1 l r r ! • T- . 1 I I I / r/ / �TINP LOT 114 / It ,/ I / r r r i I I i r t l r J' // r/ / /l I's, PROPOSED � 3 /l r / r / / j �, /, /, /, ,% ��%�%' ♦ /�/ \ / 7`L L If 10 Of PRaECr. SSTS FOR BMMD. LLC / N S / T E SATE I" = 5 5 (rORNWALL HILL ESTATES LOT f3) SCALE 1 �� = 50� 161 SOMERSET OR, TOWN OF PATTERSON, PU7MW COUNTY, NY ENGINEERING, SURVEYING & PROJECT NO.: 99147.303 DRAWING. LANDSCAPE ARCHITECTURE, P.C. RGURE.• WELL KEY SKETCH 3 Garrett Place • Carmel, Now York 10512 Phone (843) 225 -9690 • Fox (845) 225 -9717 www.inelte— ong.com TZ6L- 8LZ -9V8 GSZ H1gV,gH 30 ZNaw LUVdHC1 XIN17103 WVNJ.nd SWVN 8t,:TT GSM S00Z-- LZ -21dV SING NOIRWEAN00 ONIQNaS i I SI[ERLITA AML P, n1D, M5, FAA C RODF.RT 3. DONDI CPmmuriortr� of fleakh Cavrtfy Grua. LORUWA MOLINARI, RN; MSN Amoelare Corm lnionergfHeatlh ' DEF'ARIMENI OF HEALTH , i I Gatev., K-1. Gu:ost:r, New York 10509 April 25, 2005 tusltu Engineering ' John M. Watson P.E. 3 Garrett Place Cannel, NY 1051' BNINID. LLC . l i,1 Snine_set Drive, (T) Patterson • 100 ... r)wrMr. Watso11: . Review of plans and other sapportinf; :.djmitred at this tinge relative to Lite ah(Ive. . j regarded project has Wan compluted. i ui nn:cuc. arc uffurcil as follows: 1. There appear to bu some t: tore in the , iir.•: t t i, ,: of drainage detotmination for the two Wells (proposed well lot 3, exlb�ring we!l log -I). it rglpmrs that the SSTS is in-diruct line to both wells and nods to be a minimum of AM 1i r:, away. 2. According to deep bule description, lime field resting mi February 16, 2000, mutNiuf; was observed tit 42" holes 313 and )Cana at WX' in hole 3A.. Plcase provide level of mottling on dosiga data sheets and the plan;. ! 3. Please show the soil bomttlary hem-:,:n fire Iwo evils on the plan. 4. Thu wetland boundury validation G.•.:, t;w Nl'31)k has explmd. Please contact the NYS'DEC for re- vcliliialtiun ni t:a: hnanaary or provide a Dater from the NYSDEC tlmt the boundary hasn't changed. 5. The perforated portion of the ra: win , irm;ti pit,,: ,hould tun parallel to the tumours, not I perpendicular. 6. The main expansion ilea has ue per. ,da o.l R.M. 7. Equal distribution Is required fur dlt'_ p, ilwlrY and L'xpaasiun f1rca. R. Tbo ncrichei arc not 10 feel hunt the top of fill. 9. Please provide a note mtinp, dint Wr cn'ormsl .Cti'I ti wtd well is to be staled by a liocmi:ed land surveyor prior w construction. I 10. Floor plans pruvIdod contain d bcdn,t 'I'bis office will continue its ruviutt upon • of the above mentioned curu nears. Please feel fire to contact me at ext] 21 5•i if a1:' y,i� ^_d� ✓v: nri;e. i::1aw Publio 14calth Enginew )P:c W lever 5aPPly su, wm idli12:S31YA IL. (MS) 7Y33/li aa•Irvvmvawl Reffia (ti431'!7M -61.10 Par (9a3)27t•7931 NuNat Svrrtca(B45)27t1•653Y WIC(NSJ 27tl-667tl Pav(WS)'L78.60t5 EvrlrluumationMrrtclvul ,'5451279-6019 h'ev(845)370.66e8 •••G�ZLIWSNti211, �N�dn�oG W20a13 30 Sf)Vd zsza3 x0 : szlinsZ COs : scow ,6Z,00 sus Gasdvlis LV:TT LZ -HdV Hlis JIUVIS T/T SHOVd LTL6SZZ6 SNOHd TZ6L- 8LZ -9V8 GSZ H1gV,gH 30 ZNaw LUVdHC1 XIN17103 WVNJ.nd SWVN 8t,:TT GSM S00Z-- LZ -21dV SING NOIRWEAN00 ONIQNaS SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LOR.EFTA MOLINARI, RN, MSN . Associate Commissioner of Health April25, 200.5 Irssite Engineering John M. Watson P.E. 3 Garrett Place Carmel, NY 10512 Dear Mr. Watson: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 . Re: Proposed SSTS — BMMD, LLC 161 Somerset Drive, (T) Patterson T.M. #13 -3 -100 ROBERT J. BONDI County Executive Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: 1. There appear to be some errors in the direct line of drainage determination for the two wells (proposed well lot 3, existing well lot 4). It appears that the SSTS is in direct line to.both wells and needs to be a minimum of 200 feet away. 2. According to deep hole descriptions from field testing on February 16, 2000, mottling was observed at 42" holes 3B and 3C and at 48" in hole 3A. Please provide level of mottling on design data sheets and the plans. 3. Please show the soil boundary between the two soils on the plan. 4. The wetland -.boundary validation from the NYSDEC has expired. Please contact the NYSDEC for re- verification of the boundary or provide a letter from the NYSDEC that the boundary hasn't changed. 5. The perforated portion of the curtain drain pipe should run parallel to the contours, not perpendicular. 6. The main expansion area has no percolation test. 7. Equal distribution is required for, the primary and expansion area. 8. The trenches are not 10 feet from the top of fill. 9. Please provide a note stating that the proposed SSTS and well is to be staked by a licensed land surveyor prior to construction. , ,.&A 10. Floor plans provided contain 4 bedrooms. 01L`k (V_P This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2157 if any questions arise. Si rely, (�� Z� l� seph S. Paravati Jr. Assistant Public Health Engineer JP'Cw Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 PUTNA24I COUNTY DEPARTMENT OF HEALTH ------- - DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS . REVIEW SHEET FOR CONSTRUCTION PERMIT NAME OF OWNER:MM Q STREET LOCATION: ' T' S° /,/ f 0 ` Sy oot ✓y"q 1Ltyi e w iEVMWED.BY: ' RM, G . P SPATE: - ` ( TAX MAP#: (CONFIRMED) � 3 '- 3.7 Y N DOCUMENTS (_:)PERMIT APPLICATION (__,)WELL PERMIT OR PWS LETTER UPC =97 } LETTER OF AUTHORIZATION (.. _)(DESIGN DATA SHEET (DDS) (:fJ-UCORPORATE RESOLUTION �SHORT EAF (�PLA9S -THREE SETS L j OUSE PLANS - TWO SETS �(✓ VARIANCE REQUEST SUBDIVISION LEGAL SUBDIVISION ' U SUBD'IVISIONVAL CHECKED PERC RATE , ,, l� (FELT, REQURREI =.O � DEPTH CURTAIN DRAJN REQU=D / GENERAL (� LOCATED .IN NYC WATERSHED (_PLANS SUBMITTED TO DEP (�6C.: }DELEGATED TO PCHD (_) EP APPROVAL, IF REQ'D (�DEEP TEST HOLES OBSERVED PERCS TO BE WITNESSED .AX-APPROVAL SSDS AOJ, LOTS J�.WETLANDS (TOWN/DEC PERMIT REQ'D ?) '- n(!)DATA ON DDS- PLANS & PERMU SAME - '� PRE 1969 NEIGHBOR NOTIFICATION U(}�0 YR: FLAOD ELEVATION W1I 200" UC 50M-TESTING LOTS >10 YEARS OLD ,WAGE SYSTEM PLAN - (NORTH ARROW) ;DS HYDRAULIC PROFILE [CAVITY FLOw 5NSTRt7CTION NOTES 1 -15 ' SIGN DATA: PERC & DEEP RESULTS CONTOURS EXISTING & PROPOSED .UVEWAY & SLOPES, CUT :_.)(,/USDA SOIL TYPE BOUNDARIES TITL ADDRESS TM #, PE/RA; NAME, ADDRESS, PHONE# �ATE OF DRAWINGMEVISION ATUM REFERENCE ZLJLO.CATION OF WATERCOURSES, PONDS lU P LA.I{ES,WETLANDS WITHIN 200' OF P.L. ROPOSED FINISH FLOOR AND BASEMENT ELEVATIONS WELLS & SSDS'S W/IN 200' OF SSTS �L ROPERTY METES &.BOUNDS - L)(„ EROSION CONTROL FOICHOUSE, WELL & SSTS, EROSION CONTROL NOTE Y N �REOUIItED DETAILS ON PLANS CONT'D1 (� . HOUSE SEWER - VT FT. 4 "0'; TYPE PIPE. CAST IRON �NO BENDS; MAX BENDS 45' W /CLEANOUT (SUS N{9iE" O CHANGE) =– FILL SYSTEMS 0' HORIZORi ; PAST TRENCH SLOPES 3:1 TO GRADE (^)( )FILL SPECS / FILL NOTES 1 -5 ✓ ✓FILL PROFILE & DIMENSIONS (-(r )FILL IN EXPANSION AREA FILL GREATER T&AN.2 F-EB'T" `1 / (�-J CLAY BA.Ribm U(�FILLCERTIFiCA UUDEPM GAVGEs '�OL �PLAN FOR R.O.B., UNCLASSIFIED & IMPERVIOUS EPARATION DISTANCE FROM'TOE OF SLOPE TRENCH* F TRENCH PROVIDED N 3 _ 60FT MAX. ARALLEL 'TO CONTOURS 00% EXPANSION PROVIDED ETAdL(DUST FREE CRUSHED'STONE OR WASHED GRAVEL MOTEXTILE COVER. TO P.L. DRIVEWAY, LARGE .TRE TOP OF Am OLc, I00' TO WELL, 00' IN DLO 50' TO PIT . Mil COURSE, iac.ezpaa)• i2(c�—)10'T0WA=RLDM(piti-20') vw TO CATCH BASIN, 35'.STOR]YIDRAIi�(, PIPED WATER 5O'• INTERMITTENT DRAINAGE COURSE". LZ� 200'1'500' RESERVOIK ETC. 150' GALLEY SYSTEMS U(J10' MIN TO LEDGE OUTCROP SEPTIC TANK (U10" FROM FOUNDATION; 50' TO WELL (� WE DIMENSIONS TO PROPERTY LINES LOCATION OF SERVICE CONNECTION (__)M.IN 15' TO•PROPERTY LINE . SLO (� LOPE IN SSTS AREA 20 %) L )(REGRADED TO 15 %, It' REQUIRED ,. DOSE/PUMP SYSTEMS (,!::� PUMP NOTES . L:: ME DOSE 75% OF PIPE VOLUMEIDOSE VOLUME, NOTED C ETAIL FOR FOR MAIN, (PIPE TYPE, ETC.) TT AND D BOX SHOWN & Dt-TA LED 1 DAY STORAGE ABOVE ALARM / CURTAIN DRAIN �(�f STANDPIPES, T BOTH SIDES, DETAIL �15' MIN to CDS=>5 %, 20' -4 %, 15'-3%,35'-16/-, 100 % - <I% (�20' MIN to CD DISCS ARGE/100' with 182 cons day discharge 10' MIN to NON - PERFORATED PIPE �vni�Errrs:. M�d�'.�► � � . �•� ��` r oY, 3g� 3c ; . K �" x 3A- VSHEET)09 101100 /NS/ TE NGINEERING, SURVEYING & I�r�&-- NDSCAPEARCHITECTURE, P.C. SSTS for Cornwall Hill Estates Lot #3 Pump Pit Design Calculations Design Flow 600 gal /day (200 gpd /bedroom) Peak Flow 4.2 gpm Peak Flow = (Design Flow)(10) Use 10x Daily Flow for Peak Flow (24 h r /day) (60 m i n/h r) Static Head 42 ft Vertical distance from bottom of pump pit to invert of distribution box C 130 Roughness coefficient for smooth plastic pipe d 2 in Diameter of force main L 290 ft Length of force main Q 22 gpm Flow Rate V 2.2 ft/s Velocity Le 50 ft Equivalent length to account for losses in valves and bends L, 340 ft Total Length = L + Le 10.44(L,)(Q1'5) HL 5 ft HL = (C "85)(d4.87) Total Dynamic 47 ft TDH = HL+ Static Head Head Use Gould Pump Model # 3885, Series WE05HH (or approved equal). This pump will pump 22 gpm with a Total Dynamic Head of 47 feet. 71 APPLICATIONS Specifically designed for the following uses: o Homes Farms e Trailer courts o Motels e Schools e Hospitals Industry Effluent systems 8*1FICATIONS Pump e Solids handling capabilities: %" maximum. Discharge size: 2' NPT. Capacities: LIP to 140 GPM. Total heads: up to 128 feet TDH. Temperature:' 104 °F (40 °C) continuous 140 °F (60 °C) intermittent. See order numbers on reverse side for specific HP, voltage, phase and RPM'S available. FEATURES o 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. 21 NPT discharge. m Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA -N elastomers. ® 2000 Goulds Pumps Effective February, 2000 B3885 m Shaft: Corrosion - resistant, stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. a Fasteners: 300 series stainless steel.. ® Capable of running dry without damage to components. M Designed for continuous operation when fully submerged. MOTORS to Fully submerged in high - grade turbine oil for lubrica- tion and efficient heat transfer. ® Class B insulation. T err F;P& METERS FEET 40 130 - -- 120.—.. . - -t,- 35 ;... _ ...; . - - ;.. 110; -• -: —. � - � -- W E20 H •; an 100 n 90: 25 80' U 1 Z0 20 70} 0 60t 15 50! 40 Effluent Submersible Pump 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. o % and Y HP —16/3 SJTOW with 115, 208 and 230 Volt three prong plug. Y4-2 HP —14/3 STOW with bare leads. Three phase: Overload protection must be provided in starter unit. °' /z -2 HP —14/4 STOW with bare leads. F Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, can be operated continuously without damage when fully submerged. RN WA tt. N l w ES GPM i m Bearings: Upper and lower heavy duty ball bearing construction. m 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. 20.foot standard with optional lengths available. ® 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS CM0 .210 CSA Tested 2 2.210 778 and CSA 28 Standards By Canadian Standards Association US File #LR38549 Goulds Pumps is ISO 9001 Registered.' 'fAJU -Pp (.*T- 3D ERIES:3885 ! IZE: ?1; SOLIDS i PM: 3500 & 1750': Papsr ITVN L - : ` 1 I __ — w ___ a i I 0 00 —y0' 20 30040 50 60 1 70 80 -90 100110 120 ~130 140 150 160GPM I I I I I I I I I I I I I I I 0 5 10 15 20 25 30 35 m31h CAPACITY Goulds Pumps ITT Industries PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT To: Public Health Director In the matter of application for: Cornwall Hill Estates Lot # 3 I, Bruce Major represent that I am an officer or employee of the corporation and am authorized to act for: Name of Corporation: BMMD LLC Having offices at: 166 Somerset Drive, Patterson, NY 12563 Whose Members Are: John Boyle Bruce Major Bruce Major John Dale and that I am and will be individually responsible for any and all acts of the corporation with respect to the approval requested and all subsequent acts relatin to Signed Title: Manager Sworn to before me this 1-71-h day of (month) %Jai -eti (year) z�oS Notary Public �{�leta d �mwn ev.,..y511u, ofeve�yo.� cJQey. # o d 6g6o864?0 Q,.oG -6. & Corporate Seal eommtaston 5#UI� wnsy 21, 2o—L-2_ Form CA.97 0-4. �. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of BNBW LLC Located at Cornwall Hill Road T/V Town of Patterson Tax Map # 13 Block 3 Lot 34 Subdivision of Cornwall Hill Estates Subdivision Lot # 3 Filed Map # 2856 Date Filed 0404 -2001 Gentlemen: This letter is to authorize Insite Engineering Surveying & Landscape Architecture, P.C. Jeffrey J. Contelmo, 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 treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education La ' Health Law, and the Putnam County Sanitary Code. pF Nt: W A y J C p y y09 0 Cr Countersigned: P.E., # 61931 Mailing Address & Lanftajp—e-Afchi1 3 Garett Pl., Carmel State New York Zip 10512 Telephone: (845) 225 -9690 Very truly yours, Signed (Owner of Property) a Mailing Address: 166 Somerset Drive P.C. Patterson State New York Zip 12563 Telephone: (845) 878 -7999 Form LA -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Name and address of applicant: 91Y7,41 L) L t-L 2 I-YWA &7-!�: Z l2C)An 13e6-LJSrrJz , NJ y /v,� -V- Ss'is Fog 1;3rvLvtp L�.L ' 2. Name of Project: /-0,ZAW414 yuc 6x>97-,s S,,a. zci 3, 3. Locati on: ® /V: 014- r1-4K: 50,-J INSITE ENGINEERING, SURVEYING & 4. Design Professional: JC—Pp l- J. em-CiA OI P. E.5. Address: LANpscApF AR HIT T 1R . P 3 GARRETT PLACE 6. Drainage Basin: EA51 17i?A1JC-4 CARMEL, NY 10512 7. Type of Project:' _ X Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office.Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEAR) ? .............. Yes/No Type Status (check one) ...................................... ............................... Type I Exempt Type II Unlisted 9. Is a Draft Environmental Impact Statement (DEIS) required ? .:.................. Yes/No `ri 10. Has DEIS been completed and found acceptable by Lead Agency ? ............. ONo �i��GEr►?i✓�J2. '3 11. Name of Lead Agency ' M44)A OF R4rTrw-°o.^I 1,�U/v,N V\16„ ( M4ZJC� ` 12. Is this project in an area under the control of local planning, zoning, or other officials', ordinances? ..... :...................................................................................... Yes/No l�E� 13. If so, have plans been submitted to such authorities? .. ............................... Yes/No /V C cove NrZ A)41L rJ:,VAL i 41. lias p er, approval been granted by such authorities? 1lGS Date granted: 15': Type of sewage treatment system discharge ........... :............ surface water 'X groundwater 16. If surface water discharge, what is the stream class designation? .......................... Al A 17. Waters index number (surface) ............................................. ............................... N A 18. Is project located near a public water supply system? . ............................... Yes/No 19. If yes, name of water supply _ ICJ %fr Distance to water supply NIA 20.' Is project site near a public sewage collection or treatment system? .......... Yes/No /ll� 21. Name of sewage system MIA Distance to sewage system _ A/ %A VEEPS 'p, /& Oe 22., Date test holes observed ��c_S d4l yews 23. Name of Health Inspector 4DA �2 ; T' Fwe-L'�ta 24. Project design flow (gallons per day) ............................. ............................... 600 25. Is State Pollutant Discharge Elimination system ( SPDES) Pen-nit required? ... Yes/No 26.' Has SPDES Application been 'submitted to local DEC office? ......................... Yes/No �i %_ Rev. 11/02 Form PC -997 Pg. 1 of 2 r � P 27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No AVb 28. Wetlands ID number �! .................................................................. ............................... 29. Is Wetlands Permit required? ...................................... ............................... Yes/No A10 Has application been made to Town or Local DEC ........................... Yes/No 30. Does project require a DEC Stream Disturbance Permit? .... .........................Yes/No %y ' 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 I�J� 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 DESCRIBE: �(G_- 55r✓�� L�VI'>�LCL �� Si 5 � 6P co �N� S A�7- S �.r .� /P�trn=-- ��.,�► hzy�h.i.4 y' /� �i - Naser?! � .Syr�� 33. Is there a local master plan on file with the Town or Village? .........................Yes/No 34. Are community water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? .................................. .........................Yes/No 'tj�11C/v�' 35. Are any sewage treatment areas in excess of 15% slope? .............................. Yes/No . AVO 36. Tax Map ID Number ........ Map 3 Block 3 Lot % U 37. Approved plans are to be returned to ................ Applicant )( 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 rewire 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, un der penalty of my knowledge and belief. False si pursuant to Section 210.45 of the SIGNATURES & OFFICIAL TITLES: X IN E Mailing Address: ...................... 3 GAR CARMEL ided on this form is true to the best of !fishable as a Class A misdemeanor & LANDSCAPE ARCHITECTURE, P.C. Form PC -97 :PUTNAM COUNTY DEPARTMENT. OF HEALTH ID SION Off' EN. VIRONMENTAL HEALTH LTH SER�CES DESIGN DATA SI MET - SUBSPACE SEWAGE TREATMENT SYSTEM Owner �MYGfD, L.LG. Address Located at (Street) C -✓ He lr Map l Block >. Lot 3 (indicate nearest cross s4 et) municipality f Azi � -561r3 Drainage Basin 1%ek�& V '5 ,A )C.H +�. 3... . SOIL PERCOLATION TEST DATA Date of Pre-soaking Date of Percolation Test Hole No. Run No. Time Start - Stop Ela se Time (pMin.) De�pth to Water b'rorn Ground Surface (inches) Start Stop Water Level Drop In Inches Percolation Rate Min/Inch ' aA l �s�� -9,5a �0 19 �a. � �,.�� JoeO 2 1.5X -16.aa 20 3 1o. r I0►5;L� (9 1011 10.9 4 5 •9:x'3 30 /lAA 90 !a � . 2 9,15B -10:o13 .3® l94 ar' 3 17,1 3 /o.�, -; 30 alb ! 17.1 4 M 5 1 � . 2 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 mia/inch, s 2 rein for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 DEPTH G.L. 0.51 1.01 1.5' 2.01 2.51 3.01 -3.5' 4.01 4.5' 5.01 5.51 6.01 .6.51 7.0 7.51 8.01 8.51 9.01 9.5 10.01 TEST PIT. DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES 'HOLE NO. HOLE NO. - 3 HOLE NO. A ORGAO005 VPSOICA OF,6 A R t C5� ... 01 I-OL)Vg E3p- -6.we V P14F-1 CGC4 V A 1 N SAW Indicate level at which groundwater is encountered (S A S Indicate level at which mottling is observed ioopE Indicate level to which water level rises after being encountered 4'7-oq Deep hole observations made by: #3 M Date Design Professional Name: Jeffrey J. contei:mo,.P.E. Address: misite Engineering, awyaying & -Lmascape Architecture, p Brew&L-e" New Tm k tvf-I-L Signature: Design Professional's Seal .C: CO 0 0 71 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health April 7, 2005 Insite Engineering John Watson PE 3 Garrett Place Carmel, NY 10512 Dear Mr.Watson: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: BMMD, LLC 161 Somerset Drive (T) Patterson, T.M. #13 =3 -100 ROBERT J. BONDI County Executive The' Putnam County Department of Health (Department) has determined that the above referenced application, including fee, received by the Department on March 31, 2005 is complete. The Department will notify you by April 27, 2005 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 NYCEP 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 Department of Environmental Protection Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the receipt of the notice, your application will be deemed complete, subject to standard terms and conditions as set forth in the regulations. Please be advised that projects within the NYC Watershed may also require Department of Environmental Protection review and approval of other aspects of a 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. Should you have any questions or care to discuss the matter further, please contact me at (845) 278 -6130 ext. 2157. JSP:cw Ve truly yours, oseph S. Paravati Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 /NS /�TE �ENG /VEE R /NG, SURVEY /NG & SCAPEARCH/TEC7 ,, P.C. 3 Garrett Place (845) 225 -9690 Carmel, New York 10512 Fax: (845) 225 -9717 TO: Putnam County Health Department 1 Geneva Road Brewster, NY 10509 WE ARE SENDING YOU ❑ Shop Drawings ❑ Copy of Letter LETTER OF TRANSMITTAL Date: 3 -30 -05 Job No. 99147.303 Attn: Robert Morris, P.E. Re: SSTS for Cornwall Hill Estates Lot 3 161 Somerset Drive, Town of Patterson TM# 13 -3 -100 ® Enclosed ❑ Under separate cover via ® Prints ❑ Plans ❑ Change Order ❑ the following items: ❑ Samples ❑ 'Specifications COPIES DATE ; NO. DESCRIPTION 5 ! 3 -8 -05 CD -1 Construction Drawing 1 3 -30 -05 _ CP -97 Construction Permit -_.___. ... .._...__ --- _ ------- __._________..__..___... 1 t ---- - - - - -- 1 LA -97 Letter of Authorization 1 ---- - - - - -- I PC -97 Application for Approval of Plans 1 1 3 -30 -05 --- - - - - -- Short EAF 1 i 3 -30 -05 WP -97 j Well Permit .......... __ ------- .__..___. ....._._.._----- .._ ...... __.._. 1 6 -20 -00 DD -97 Design Data Sheets (previously submitted with subdivision approval) 1 1 3 -17 -05 j 1414838 113 �I $400.00 Fee --- .._--- _,..__.__ 2 ----- - - - - -- --- - - - - -- 3 Bedroom Floor Plans 1 ----- - - - - -- -- - - -- Pump Pit Design Calculations and Specifications 1 s 3-17-05 i Corporate Affidavit THESE ARE TRANSMITTED as checked below: ®For approval ❑Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ REMARKS: COPY TO: SIGNED:- - John M. Watson, P.E. IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lot022205.dot