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HomeMy WebLinkAbout0432DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. vAmscanyourdocs.com 631- 589 -8100 13. -3 -105 BOX 6 00241 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENLW- STEM PCHD CONSTRUCTION PERMIT # �- 3 °� - of � l __. l0 Located at j 22 Som mser- p xt W own or Village PAtT % p Owner /Applicant Name__ t_L. -G Tax Map _ l 3 Block 3 Lot --' Gp2rvwAru- k�(�c- l.'�S't�T� �OJ Formerl Subdivision Name Subd. Lot # 8 Mailing Address 2- fiewM� Q?, f.ZoAv Zip 1 o So Date Construction Permit Issued by PCHD _. � Sp r�er4'pS L ft.of5 l2w�-P Separate Sewerage System built by Address S� ,v 1 w-g- r, ti ► tSg2 Consisting of I CIO Gallon Septic Tank and 5 6d 1--r of° 2' it i p e Other Requirements: -7 0 o ran n1 Water Supply: . Public Supply From, Private Supply Drilled by M I L I'le Building Type iiw-sti?awTiAL_. Address r0 k8 2T 3tr K HA if- Address P ,k Tf'CR4 ode Has erosion control been completed? " o Number of Bedrooms Has garbage grinder been installed? "' a 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 e P t Co artment of Health. Date: 7 t i41 v 3 Certified by P.E.. R.A. tN S� e ' rofessional) Address 4.nWp'�,+ rE '�` "y `' License # 3 G *?— ('r -/Ytr t C- A44-e-1 aZ, ` G7 (p r t..� 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 ar ub'ect to modification or change when, in the judgment of the Public Health Director, such revocatio mo ficatio change is necessary. By: Title: i Date: �7 . White copy - HD File; Yellow copy - Building inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES (f6rhwall WELL COMPLETION REPORT -rp 13 --3 - /a � Well Location iWell Street Address: Town/Village: Pr, 7 Tax Grid # A95 Map Block Lot(s) jc,� Owner: Name: Address: w 5 1 y- e, 1V Itiag s' Use of Well: 1 ri.mary 2-secondary Residential Public Supply Air cond/heat pump jrr-igation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion. X Compressed air-percussion Other (specify) Well Type Screened Open end casing Open. hole in bedrock Other Casing Details Total length ft. Length below grade ft Oiameter in. Weight per foot _L'71blft. Materials: Steel Plastic Other i Jonts: Welded X Threaded Other Seal: Cement grout. X Be. onite Other Drive shoe: X Yes — No*. ILiner : — es _X No. Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes No Hours Second Well Yield Test Bailed' _Pumped. JY Compressed Air Hours ..':.: T. gpm Depth Data Measure from land surface: static (specify ft) 01 During yield test(ft) Depth of completed well in feet 7Z:A4D1` 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 -2 rAlij C4 YiM'&41Mf1' S94 8&_ j C r If yield was tested at different depths during drilling, list: -- --- Feet Gallons. Per Minute Pump/Storage Tank Information Pump Type j-'. Capacity. / 5� 6 q14 _ �-_L Depth 1, Model -410 1/ -2- le Voltage 2.3Z? HP Tank Type //,Volume Date W;;/ Completed Putnam County Certification No. Date of Report Well —Driller (signature) r4vix; r­vduEto!;4pon.oiwep.wimqis mnees to at Least two permanein iancVnarKs to be proviaea on a separdiysnewplan. Well Driller's Name &',*6.;, Address: //)/k xx�! k) Signature- Date: bi White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC-97 L PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # 7) fk - 01 Located at 12L 5t,, -+e (L5 f 9 2+ lIE Owner /Applicant Name D, L_ :-C Formerly own)or Village PATWRI -otJ Tax Map 11-S Block 3 Lot ' O G rr-< N a ✓A I L P i C L- . (_'S• {74'rrj" Subdivision Name a'-' ,t "° `-`"` Subd. Lot #' Mailing Address Z 'i_f'i,J f� G c7Z Zip 1c, 5-C11 Date Construction Permit Issued by PCHD Separate Sewerage System built by v7 D (1_ Consisting of J.'3 ° C Gallon Septic Tank and Other Requirements: v,� -�t �^� (z.a Water Supply: Public Supply From or: )4 Private Supply Drilled by M ' L Tx , "J Building Type j� %Ac-r­'T1A c_ �5c t..,b4y5 C - CC35' fl C C Address S&0 1­ F er+tf Address �C�B (2T ?>l1 +� L-(A 'TT` Address t' a n IC IL-, C rJ, N Has erosion control been completed? Number of Bedrooms '-- Has garbage grinder been installed? N C N.0 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 tke P"utm County_Department of Health. Date: 7 (am}- 3 Certified by P.E. �` R.A. `_. + N r[ �+ , ,t to �, ,4 rz �� (De5r�;n4rofessional)1� Address ' '1:. ,: 4 t.q.. v S c A r f rL «�1 c License # 6/C? 3/ 5 C-, A (ziz E- rr I', L.A'e C G 4,k-(L 1'.', 4 7 � N t'J � ° .5- Any person occupying premises served by 6e. above system(s) shall promptly take such action as may be necessary to secure the correction of anyunsanitary­conditions 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. "aY, 'sibjedi .fo2?rr lot cap p or .change when, in the judgment of the Public Health Director, such By: /( U r'''� Title: Date: .. ` j �) White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 /NS/ T E ENGINEERING, SURVECYING & 7PLA NDSCA PEA RCHIrECrURE, 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 LETTER OF TRANSMITTAL Date: 7-15-03 Job No. 99147.315 Attn: Robert Morris, P.E. Re: SSTS for Comwall Hill Estates Lot IS 9 122 Somerset Drive, Town of Patterson 3 — I 0ffr WE ARE SENDING YOU [0 Enclosed ❑ Under separate cover via the following items: ❑ Shop Drawings Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ COPIES DATE I NO. DESCRIPTION .. .... 7-15-03 ................ ...... ABA As-Built Drawing 7-14-03 CC-97 Construction Compliance 3 7-14-03 GS-97 Guarantee 1 7-15-03 ...... . .... __ . . ......... ....... . .. E911 Address Verification - ---- - .... ..... . . .... ..... 7-10 & 7-11-03 . . ... ...... . . ....... Water Test Results .......... 8-14-02 WC-97 Well Completion Report 7-14-03 46863 $200.00 Fee . ...... . ... 88189 . . ..... ... . ...... ...... .. .... ... .. .. ........ ........ . .. . ... . ......... THESE ARE TRANSMITTED as checked below: NFor approval ❑Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑Returned forcorrections ❑ Return corrected, prints 171 For review and comment 1­1 REMARKS: COPY TO: lo=02.dot SIGNED: d- M. Watson, P.E. IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE ` YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 32.305471 CLIENT #: 56173 NON STAT PROC PAGE BMMD LLC DATE/TIME TAKEN: 07/10/O3 11:00A 2 TANAGER RD DATE/TIME REC'D: 07/10/03 02:20P BREWSTER, NY 10509 REPORT DATE: 07/11/03 PHONE: (845)-279-1771 SAMPLING SITE: LOT 8 CORNWALL ESTATES : PATTERSON, NY COL'D BY: BRUCE MAJOR NOTES...: LAUNDRY FAUCET ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METHt MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD 07/10/03 NF T. COLIFORM ABSENT /100 ML ABSENT 1008 COMMENTS: 8ACT THESE RESULTS INDICATE THAT THE WATER AS NOT) OF A ` SATISFACTORY SANITARY QUALITY ACCORDIA A THE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. , SUBMITTED BY: Albert V. Padavani, M.T.(ASCP) Directluir ELAP# 10323 Jul 15 03 07:43a TOWN OF PATTERSO JUL -15 -2003 07:17 FROM:INSITE ENGINEERING 8452259717 a � BRUCE R. FOLEY .k. Publie Health Director DEPARTMENT OF HEALTH 1 Geneva Rood Brewster, New York 10509 845 -878 -2019 p.1 T0:87132019 P:2-12 LORMA MOLINARI R.N., M.SN. A.voelate Public Ikdih Director Director of Paifew Servlerl 'Emlronmeatal Health 014)278 -6138 Fa( (914) 279 -1921 Nursing 5arrices 014)2721-6558 WIC(914)273-602 Pax(914)279-6015 Early lute ver4toa (9t4) 276 - 6016 Preschool (9l4) 2766682 Fax(914)279-6649 OWNERS NAME: TAX MAP NUMBER: E911 ADDRESS: r z2 TO" fA- fr2foN AUTHORIZED TOWN OFFICIAL: (Signature) DATE: The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address Is assigned by an authorized tovm official: This form is to be submitted with the application for a Certificate of Construction Compliance. (F,911 VERM,4) YML ENV� MENTAL 8ERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 32.305226 CLIENT #: 56173 NON STAT PROC PAGE BMMD LLC DATE/TIME TAKEN: O7/03/03 09:00A 2 TANAGER RD DATE/TIME REC'D: 07/03/03 10:00A BREWSTER, NY 10509 REPORT DATE: 07/10/03 PHONE: (845)-279-1771' SAMPLING SITE: LOT 8 SOMERSET DR. : PATTERSON. NY COL'D BY: BRUCE MAJOR NOTES...: KIT TAP LAUNDRY FAUCET ' ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD PUTNAM CNTY PROFILE 07/03/03 LEAD (IMS) <1 ppb 0-15 ppb 9101 07/03/03 NITRATE NITROG 1,61 MG/L 0 - 10 07/03/03 NITRITE NITROG <0.01 MG/L N/A 9146 07/03/03 IRON (Fe) <0.060'MG/L 0-0.3 mg/l 2037 07/03/03 MANGANESE (Mn) <0.010 MG/L 0-0.3 mg/l 2037 07/03/03 SODIUM (Na) 99.9 MG/L N/A 0/03/03 pH � 7.1 UNITS 6.5-8.5 9043 07/03/03 HARDNESS,TOTAL <2 MG/L N/A 07/03/03 ALKALINITY (AS 198 MG/L N/A 07/03/03 TURBIDITY (TUR <1 NTU 0-5 NTU COMMENTS: Pb/Cu LEAD limits for public schools are set at 15 ppb. EPA Lead & Copper Rule for Public Systems requires that no more than 10% of their distribution points have a LEAD value of more than 15 ppb and a COPPER value of 1.3 mg/L, else water treatment must be undertaken to reduce the waters corrosive potential. Fe/Mn If both iron and manganese are present, their total value combined shall not exceed 0.5 mg/L. ` Na No limits for Sodium are proscribed. Suggested guidelines state that for people on a sodium restricted diet,the water should contain no more than 20 mg/L of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is suggested. pH pH SCALE IN WATER RANGES FROM 1-14. MEASUREMENT OF pH IS ONE OF THE IMPORTANT AND'FREQUENTLY USED TESTS IN WATER CHEMISTRY. WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5. YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director BMMD LLC DATE/TIME TAKEN: 07/03/03 09:00A 2 TANAGER RD DATE/TIME REC'D: 07/03/03 10:00A BREWSTER, NY 10509 REPORT DATE: 07/10/03 PHONE: (845)-279-1771' SAMPLING SITE: LOT 8 SOMERSET DR. : PATTERSON, NY COL'D BY: BRUCE MAJOR NOTES...: KIT TAP LAUNDRY FAUCET ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ DATE FLAG PROCEDURE SAMPLE TYPE..: POTABLE PRESERVATIVES: NONE TEMPERATURE..: < 4C COLIFORM METH: MF ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ RESULT NORMAL - RANGE METHOD 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 HARD WATER: 140-300 MG/L (1 grain/gallon = 17.2 MG/L) SUBMITTED BY: Albert M. padoVsk, y1.|.(ASCP) Director ELAP# 10323 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 gr►.-cp , �� Building Constructed by I 2Z 5OkKc-q::�eI bACyC Location - Street . KeS L 0 c4-0Tt.4C_ Building Type. f A�01J Town/Village . :?>MMD l_L.L . Subdivision Name 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 apprclval 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 7 Day + Year Signature: Title: General Contractor (Owner) - Si ature NrM D (_ (. C gr►-t A,-t P , L(_ L Corporation Name (if corporation) Corporation Name (if corporation) Address: Z rA- v /kczer- 2yi-p (,2 c- w5Tt-,.,Address: State Zip to So i State Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Building Constructed by 2 2 Location - Street . K P_-�; i. U, c'.vTl Ac— Building Type TownNillage 3 MM.D u L Subdivision Name 0 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 lids 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. J Dated: Month 7 Day (4" Year Signature: '__�� '0" Title: General Contractor (Owner) - Si ature Corporation Name (if corporation) Corporation Name (if corporation) Address: R-YA -o 6>2 e;6,1sTz-,__­Address: State _ PJ V Zip to s° % State Zip Form GS -97 Owner or Purchaser of Building Tax Map Block Lot Building Constructed by 2 2 Location - Street . K P_-�; i. U, c'.vTl Ac— Building Type TownNillage 3 MM.D u L Subdivision Name 0 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 lids 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. J Dated: Month 7 Day (4" Year Signature: '__�� '0" Title: General Contractor (Owner) - Si ature Corporation Name (if corporation) Corporation Name (if corporation) Address: R-YA -o 6>2 e;6,1sTz-,__­Address: State _ PJ V Zip to s° % State Zip Form GS -97 Putnam County Department of Health Division of Environmental Health Services -App ed as noted for conformance With ap i ble les and Regulations of the nam ty Hea l Departmen . S'gnature de Title g{� NO. DATE REVISION BY 3 Garret t / N S / T E Carmel, N Y 10 10512 (845) 225-9690 ENG /NF_ ERING. SURVEYING & (845) 225 -9 717 fox LANDSCAPE ARCH /TEC MRE. P. C. www.inslte- eng.com PROJEC T.- SS TS FOR BMMD, LL CEw Y� (fORNWALL HILL ESTATES LOT jW 5 �c-14. 122 SOMERSET ORlW- TOWN OF PATTERSON. PUTNAAI COUNTY, NEW YORK DRA WING: AS -BUILT DRAWING PROJECT 99147.308 PROJECT J. M. W. DRA KI SHEET NO. MANAGER 4 R _ /�1 U I 1 DATE 7 -15 -03 DBRAI P.L.O SCALE AS SHOWN CHECKED qk. d LOT 9 ALL LED A4"4p 2856 WELL 14 Site Doto: Applicant /Record Owner TOTAL ACREAGE: 2.23 AC.f BMMD, LL TAX MAP NUMBER: 13 -3�YB1 �('� 2. TANAGER ROAD 122 SOMERSET DRIVE BREWSTER, N.Y. 10509 TOWN OF PATTERSON J PU TNAM COUNTY, NEW YORK / 2 No tes: 1. THIS IS TO CER77FY THAT THE SEWAGE TREATMENT SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS OBSERVED BY INSITF ENGINEERING, SURVEYING, & LANDSCAPE ARCHITECTURE, P. C. BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN GENERAL ACCORDANCE WITH ALL STANDARD RULES AND REGULATIONS OF 77-IE PUTNAM COUNTY DEPAR7MENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. 2. ALL FACILITIES EXISTING, UNLESS NOTED OTHERWISE. Js PROPERTY LINE INFORMA RON SHOWN HEREON IS REFERENCED FROM FM# 2856. AS —BUIL T MEASUREMEN TS N d. aaa ov a� B �!`. C .. D of l. ,. 1 21' 5 r.soo c4ttcw SEPnC r W 46" ttr txeMr our 3 .36, 51. DRW aox 4 42' 56 DROP BOX 5 47' 60' DR0- BM 6 53' 65' DR01 " 7 58.5' 69' ORW " 8 54' 104' avo or nauKw 9 72' 114' OW OF TREva4 . 10 94' 65' Do or ngKw 11 80' 40.5' MD CF MOKH 12 .41' 57' awmev DRAM a.eANour 13 70' 82' ounrAN MAW aEAAWT ZLL07- g SST S AP 2856 9 5 4 / 3 / 2 11 17 10 i' �v 12 CURTAIN GRAIN G D 8 pRIMARY B ( / jRpTIC � co FF f Hl 1N OF THIS DOCUMENT, UNLESS UNDER THE DIRECTION -NSED PROFESSIONAL ENGINEER, 1S A WOLATION OF 7209 OF ARTICLE 145 OF THE EDUCA77ON LAW. 0 AFB �i�� � SSTS �gss PLAN SCALE: 1' = 30' o e 6br�o•,.� O CO OVERALL PLAN SCALE: 1 = 80' t N �g7,T•q�• q; 4 NEU '2goo: , I I'FR [ OT g *FLL , FILED MAP )OF 2856 WELL A 14 Site Data: TOTAL ACREAGE- 2.23 AC.t TAX -MAP NUMBER: 13- 3_i92� 122 SOMERSE T DRIVE TOWN OF ApDlican tlRecord Owner BMMD, LL C 2 TANAGER ROAD BREWSTER, N.Y. 10509 PA TTERSON / �:j __ p PU TNAM COUNTY, NEW YORK �� � 1167 77-3-- -4e-. Notes: 1. THIS IS TO CERTIFY THAT THE SEWAGE TREATMENT SYSTEM WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS OBSERVED BY /NSITF ENGINEERING, . SURVEYING, & LANDSCAPE ARCHITECTURE" P.C. BEFORE IT WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN GENERAL ACCORDANCE WITH ALL STANDARD RULES AND REGULA T70NS OF THE PUTNAM COUNTY DEPARTMENT OF HEAL TH AND THE NEW YORK STA TE DEPARTMENT OF HEAL TH. 2. ALL FACIL171ES EXISTING, UNLESS NOTED OTHERWISE. 3. PROPERTY LINE INFORMATION SHOWN HEREON IS REFERENCED FROM F-A4# 2856. AS - BOIL T MEA SUREMEN TS NO A.. Oa�v[iz'nF or C axrvex_OF D OM?A0?. OF .''y?Et41tJL?KS 1 21' S ;. 1.5W G4UON SEPnC TANK 4,6' 509M aEAN Our 3 J6' 51' aRp, wx 4 42' 56 aox 5 47' 60' awno Box 6 53" 65' aRw BM 7 58.5" 69' a9w wx 8 54' 104' PW OF n?Ixa, 9 72' 114' aw or »0401 10 94' 65' am or ,nova, 11 80' 40.5' LM F MfNM 12 41' 57' CUMN DRA& CIFANW PUTNAM COUNTY DEPARTMENT OF HEALTH �= IDIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM T # 3 . o c pERNII Located at COROA/A L L & L W So rn c 2 YET wn or Village c13ArvwALL Subdivision name is J Q_ 1CSTA ?�S Subd. Lot # Tax Map j 3 Block 3 Lot Date Subdivision App roved Fl L-CP y-4-01 Renewal Revision ovvne.,. r/APPli.cant Name Q Date of Previous Approval ailing, Address 1"A OA r RG A 8P, �JST GHQ R/j/ Zip vo 1. ount of Fee Enclosed Idin- T e 5NnAL Lot Area No. of Bedrooms S Design Flow GPD 1000 Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED 0-a-0 tem to consist of J . 5 00 gallon septic tank and LF Or- -P AgSo2 f 1' lonl lr2PAICP is 2'fAiN bRA,!N AWVI xucted by f 06)2 Address 6//A Public Supply From Address Private Supply Drilled by 0 RE 7>E1'EeM106-p Address N�A t that I am wholly and completely responsible for the design and location.of the proposed system(s) and that the swage treatment system described above will be constructed as shown on the approved amendment thereto and in e with the standards, rules and regulations of the Putnam County Department of Health, and that on completion "Certificate of Construction Compliance" satisfactory to the Public Health Director will be submitted to the nt, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said ll::place ,in good operating condition any part of said sewage treatment system during the period of two (2) years 4y.following the date of the issuance of the approval of the Certificate of Construction Compliance of the original any repairs thereto. P.E. 4�--A. Date P. -ZS -p t AS T svrrv�y�Nw, .� LA��cQpC Ae�N�rF,C1vRE (�l y 3! V z.�, 2 r 05 o License # ,D FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the t nent_system has been completed and inspected by the PCHD and is revocable for cause or may be amended or Pnonsi0ered necessary by the Public Health Director. Any revision or alteration of the approved plan requires r discharge of domestic sanitary sewage only. I Title: v�� Date: .-ED-Tile Yellow copy -Building Inspector; Pink copy -Owner; Orange copy -Design Professional Form CP -97 7 T � PUTll" COUNTY HEALTH DEPT. 0 2 2 4 7 7 1 Geneva Road , (845) 278-61,30 ' Brewster, NY 10509 Date:.., r. { Received of L- s i Thp" Sum Doll ar' $ 7 '.For Check O ❑ Cretlit Card By t .:1 1 l l 1 t 1 1 l,l 1 1 1 l 1. 1•.. '.1 y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION Date: �'oT1iv�/�GL ff�L� inspected Y Street Location � �7- ' ► i � Owner � /7�1 D G/ G Town /�A7`7 -67 o� Permit # _ P 3� C7/ TM # /-3— 3 31�1`a 9 Subdivision Lot # 63 . 1.' Sewage System Area a. STS area located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth. Width Avg.Dpdi c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/ wetlands ........................... II. Sewage System a. Septic tank size - 1,000 .......... 1,250 ......... 0 er.. !.v b. Septic tank installed level ... ............................... c. 10' minimum from foundation .......... ............................... d. Distribution Box . All outlets at same elevation -water tested ................. •2. Protected below frost .................. ............................... 3. Minimum 2 ft.Original soil between box & trenches e. Junction Box - properly set ........... ............................... f. Trenches engt required _5-�5-Z, Length installed �� 6 2. Distance to watercourse measured` - I daFt.......... 3. Installed according to plan ......... ..........:..........::.:...... - 4. Slope of trench acceptable 1/16. -1132" %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 -1 %z" diameter clean .......... ........... 9. Depth of gravel in trench 12" minimum.......... : :....... 10. Pipe ends capped ........................ ..........:.................... g. PumD or Dosed Svstems - - Size ot pump chamber ................ ............................... 2. Overflow tank........... ................... ............................... -- ... - - - -.. _.3...Alarm,.visual/ audio ............................................ 4. Pump easily accessible, manhole to grade ................. 5. First box baffled ............................................................. 6.- Cycle witnessed by H.D.estimated flow /cycle:. :........ III. ouseBuildin a. house located per approved plans...... ... ............... b. Number of bedrooms ........................ .. ... ........ IV. Well a. Well located as per approved plans . ............................... b. Distance from STS area measured a.-- 8 ft........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship a. Boxes properly grouted .................... ................... :........... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside .of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. 'Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............:.. --= h. Surface water protection adequate............................. :.:...... -� V. ^e;,,,, .., +.,,l ,,.,..,;aoA YES c 08/28/2002 07:56 845 - 225 -9717 1NSITE ENGINEERING PAGE 01 PUTNAM COUNTY DEPARTMMNT OF HEALTH DIVISION OF ENVMONMENTAL HEALTH SERVICES ATTENTION All information must be My inspections being made. ❑ ADAM .GENE For: Fill' prior to aay Trenches > PCHID Construction Permit _ R •-3 q - Q i Located: i z. 7- SaM let. s M M . Pa'rT eA so A► Ownerl.Applicant Name: TM i Block Lot, i as Formerly -° Subdivision Name: tweewAU. Mat. 5-s-rA99 ___ Is system ;fill. completed? _ Is system complete? Is system constructed as per Is well drilled? Is well located as per plans? Are erosion control measure I cer* that the system(s), as and verified their completi approved plans and the Sta Health_ Date: lnsite Etq Landscap Address: S Garrett CMIM Comments: Form FIR -99 Subdivisionl.ot fr 8 Date: 9 -T �a • G � Date: a -z - yGS Date: in place? YES A, at the above premises has been constructed and I have inspected in accordance with the issued PCIHD Construction Permit and rds, Rules and Regulations of the Putnam County Department of _ Certified by: PE x Bering, Surveying Desi Pro si Architecture, P.C. Lic. # V r' BRUCE R.FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 . Fax (845) 278 - 6648 September 9, 2002 Jeffrey Contelmo, PE Insite Engineering 3 Garrett Place Carmel, New York 10512 Re: . Field Inspection - BMMD, LLC Cornwall Hill Road and Somerset Drive (T) Patterson, Lot # 8, TM# 13 -3 -34.08 Dear Mr. Contelmo: The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. 1. The cast iron pipe needs to be installed. 2. Curtain drain stand pipes need to be installed. 3. Erosion control measures have not been installed below the well. Please note that all erosion measures must be installed prior to the start of any construction. 4. The footing drain outlet was not found upon inspection. If you have any further questions, please contact me at (845) 278 -6130 ext. 2261. Sincerely, ene D. Ree GDR:cj Environmental Health Engineering Aide BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 September 9, 2002 Jeffrey Contelmo, PE Insite Engineering 3 Garrett Place Carmel, New York 10512 Re: Field Inspection - BMMD, LLC Cornwall Hill Road and Somerset Drive (T) Patterson, Lot # 8, TM# 13 -3 -34.08 Dear Mr. Contelmo: The following items are in violation of Article III, Section 2C of the Putnam County Sanitary Code: 1. Erosion control measures have not been installed below the well construction area. This violation may lead to an enforcement hearing and subsequent fines. The violation is to be immediately corrected to minimize the number of days you are out of compliance. Please note that fines may be issued for every day the violation is not corrected. Sincerely, Gene D. Reed Environmental Health Engineering Aide GDR: cj ' BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA . MOLINARI R.N, M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278.7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 September 3, 2002 Jeffrey Contelmo, PE Insite Engineering. 3 Garrett Place Carmel, New York 10512 Re: Field Inspection - BMMD, LLC. Cornwall Hill Road/Somerset Drive (T) Patterson, Lot # 8, TM# 13. -3 -34.08 Dear Mr. Contelmo: The following items are in violation of Article III, Section 2C of the Putnam County. Sanitary Code: 1. Erosion . control measures not installed below the well construction area. This violation may lead to an enforcement hearing and subsequent fines. The violation is to be immediately corrected to minimize the number of days you are out of compliance. Please note that fines may be issued for every day the violation is not corrected. a GDR: cj Sincerely, i Gene D. Reed Environmental Health Engineering Aide SENDING CONFIRMATION DATE SEP -3 -2002 TUE 09:40 NAME • PUTNAM COUNTY DEPARTMENT OF HEALTH TEL. a 845 - 278 -7921 PHONE : 92786392 PAGES : 0/2 START TIME : SEP -03 09:39 ELAPSED TIME : 00,001, MODE : ECM RESULTS : NO ANSWER FIRST PAGE OF RECENT DOCUMENT FAIT TO SEND FULLY... 4 BRUCE A FOLEY - LOPETTA MOLMM R.N. M.S.N. Pablk rkdN Db..W A—WV P b& rLdth Dk-W Daaamr of PA-W S"Vi.. DEPARTMENT OF HEALTH 1 Geneva Road, Bmwster, New York 10509 Z1**"amW RAM (sas)279-6130 Fn( &3)271 -7%1 Nen1.1 BaM= (&3)271 -6538 WIC (145)270.667! Fn(143)271 -6013 P•ar1yln0raea0MM"wea61(W)278 -6014 Fa :(&3)271 -6941 September 3, 2002 Jeffrey Contelmo, PF basite F.o&ceting 3 Garrett Place Cannel, New York 10512 Ito: Field Iaspedon - BNM. LLC Cornwall Mll Road/Somerset Drive (T) Patterson, Lot 0 8, IMO 13.-3-34.08 Dear Mr. Contelmo: The above referenced separate sewage treatment system can be becWlled. The following comments roust be corrected in the field. I. The cam iron pipe ffom house to septic tank needs to be installed. 2. Curtain drain stand pipes need to be installed. 3. The tooting drain mrdct was not found upon inspection. 4. Install silt fence below the well construction area. Please note that all erosion control measures must be installed prior to the start of aqv construction. If you have any ODther questions, please contact ate at (845) 278 -6130 an 2261 Sincerely, Gene D. Reed GDRcj Environmental Health Enginceting Aide t SENDING CONFIRMATION DATE : SEP-9 -2002 MON 09:28 NAME : PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE : 92786392 PAGES : 0/2 START TIME : SEP -09 09:27 ELAPSED TIME : 00,001, MODE : ECM RESULTS : NO ANSWER FIRST PAGE OF RECENT DOCUMENT FAILED TO SEND FULLY... a BRUCE R. F01" I.ORMA MOIJNAM R.1:., M.S.N. ndt(e rkorN Dbeetar Anxi m R bfe Mau DIM" vb=W V, fmruv DEPARTMENT OF HEALTH 1 Oeravalkoad, 'BrewneyNew York 10509 LaNro ."k, Bntm (261)272.6130 FOX(MS)272.7921 Nan1%aftV (US)272.6532 WIC(263)219.6678 1`119(21S)272.6013 Ury ratarwaabalhuchad (M3) 273. S034 F� (NS) 272 - 6666 September 9, 2002 Jef$ey Contelmo, PE Invite Engineering 3 Garrett Place Cannel, New York 10512 Ro: Field Inspection - BMMD, LLC Cornwall Hill Road and Somerset Drive M Patterson Lot # 8, TM# 13.3 -34.08 Dear Mr. Contelmo: The above referenced separate sewage traatmetn system can be backftlled. The following comments must be corrected in the field. 1. The cast iron pipe needs to be installed. 2. Curtain drain stand pipes need to be installed. 3. Erosion control measures have not boon installed below the well. Please note that all erosion measures must be installed prior to the start of any construction 4. The footing drain outlet was not frond upon inspection Tf you have any (itrrher questions, please contact me at (845) 278 -6130 W. 2261. Sincerely, 0 �. Genc D. Reed GDR.e Environmental Health Engineering Aide ti BNEVID L.L.C. 166 Somerset Drive Patterson, NY 12563 Tel- 845 - 878 -7979 Fax - 845- 878 -7999 Date: May 14, 2004 From: Bruce Major To: Robert Morris, PCBOH Subject: Change House Plans for Cornwall Hill Estates Lot 6 Re: Permit # Tax Map 13 Block 3 Lot 103 woo We have changed the selected house plan for Lot 8 within our sub - division, Cornwall Hill Estates, and request your review of the attached proposed plans for approval. This lot is approved for a 4 bedroom system. Thanks in advance, 400e '0;�p Attached: Three copies of plans & return envelop PUTNAM COUNTY Cr Phi _.EPdT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, ` BEDROOMS i SUBS ENT REVISIOl ' JtvLTERATIONS TO THESE HOUSE PLANS ST BE SU13ATTED TO THE PCDOH FOR APPROVAL v & TITLE l D,CTE ,a Lot 6 Cornwall Hill Estates DECK kITCHEK61' % FOR. 'W' 7" ., ` KEE- G PIJfJG.-- .R'I�OM�.� - -, 1 IRO h7---- IOwaxr :�v{1 1K X flriq � a , S1 • ,`• CC 1 M y DN ....' eels r g3WX94 i t ir 1 DINING ROOM •xu.1o► THE DAHLGREN '1 st FLOOR 1,532 $0. ET (S1.128 j 2nd FLOOR 1.553 S4 FT GRAND ROOM � + 1B•� .l t9 „r � 1 ------ - - --r' COVERED PORCH I BEDRM $4 BEDRM #3 BEDRM#2 W.1 C.- Iii SITTING UP -AR9A UPPER ' ITIASTtR; FOYER SU ME .............. Lot 6 Cornwall Hill Estates THE DAHLGREN 1st FLOOR 1.532 SO. FT. IS11281 2nd FLOOR 1.553 SO. FT. THIS DOCUMENT CONFORMS WITH THE SYSTEMS APPROVAL AND SPECIFICATIONS APPROVED BY TRA AND THE STATE OF NJ, PA CT. VA, WV, MA MD. ME. NH, VT, RI. NY DATE _•5- 19 -04 PUTNAM COUNTY PAliT \;E1V`T HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, Lam- BEDROOMS 12' -0" 13' -0' REFER TO N. Y. SYSTEM PA(;E (1) 1 1/2218' LVL (I) 1 1/2 -z3 1 /1' LVl NON - �T 6.�, , i "`SPNN�LHY/RT� O THESE HOUSE STRUCTURAL L SUBS PLANS ST iE SUIM 'I'TED TO'1'i: PCDOII FOR APPROVAL 40' -0" 2' -10" e' -10 1/2- 13' -0" A Y� Fi OUDeST SICNA URE TITLE DA fE O UNDER TUB AREA © O - -T GFT O O O O I /� ocFl rl HOMEWORK/ I (.,0A V60DC 3ar I z6 COMPUTER AREA `'"� B H 1 LI JI 127.7 So. FT. of wnl t I , 7 / Ill LIG41 REGa "`� ,J_ ` /" v� /�/ //' `•' Ls��e� STRUCTURAL TEST PRE591RE FpT STRUCTURAL TEST PRESSURE FOR CAPITOL YODEL 9555 S URE5 —A- RU I— DOOR SYSTEM IS IS +525 PSF. POSSITIVE PRESSURE +73.4 PSF O 171 MPH NEGATIVE PRESSURE -96.0 PSF O 196 MPH WIIVDO W.5'L DOORS CAPITOL AlODLL 95bb Y /NYL DDUaL NriN� wiNnO we u.s •ae 6-T jVAU - I DU I •..•nr ervr u 1 ••D" -HALF o �zx r �a z �-- Q Q \ � o a z x o n° N 4 s 0 U a i � lil R WdO <i m�� � o i 1i m s �rat� OF IvEh, N i Gs ►3tO LF Z UJ z ` - ¢111IION 09 �� FLOOR SO. FT. SECOND FLOOR 1010 FIRST iLOOR 1040 TOTAL 2080 STATE: NEW YORK TYPE: APPR VF_ ! ItrirllSD TO LI) TWO STORY FACTO YODEl:1026 -2501 MAR 3 2004 O DRAWING z FLOOR PLAN Lij 2 1 2 I <I2 1uR 6 1.9 O Ewa LI �J 63 VENT PROVTD 26 I j — — — — — SUFFICENI LIGHT L VENT PROVIDED. Z(r IN (2) 2.4 SPF 13 NEA SIDE M.W. 26 42A SQ Rm-1 - - iiM FT. of AIUNC INSTALLED �I- n CO IN PLANT BY CREST ....142.7 -SO.-FT: of-ROO1 -_ _... _. __ _ - AC 0 26 6' -6 1/2 ' 193 LIGHT "D. � 11' -7 1/Y LL4 UDO REWa DOWN F- • \ 9.6 VENT REWD. (T) 2.6 SPF M3 i ACg l,Jt - EA. SIDE M.L. (2) 2z4 SPF EA. S10E M.W. LaJ 26 -0 1 2" / (2) DOUBLE (1) 224 SPF 13 218 LIGHT PROV'a TYP. ALL MATING WALL OPENINGS EA SIDE M.W. 26 , SEE PC. 30A k 308 OF THE \ 122 VENT PROVI N.Y. SYSTEM PACKAGE FOR STRUCTURAL TEST PRE591RE FpT STRUCTURAL TEST PRESSURE FOR CAPITOL YODEL 9555 S URE5 —A- RU I— DOOR SYSTEM IS IS +525 PSF. POSSITIVE PRESSURE +73.4 PSF O 171 MPH NEGATIVE PRESSURE -96.0 PSF O 196 MPH WIIVDO W.5'L DOORS CAPITOL AlODLL 95bb Y /NYL DDUaL NriN� wiNnO we u.s •ae 6-T jVAU - I DU I •..•nr ervr u 1 ••D" -HALF o �zx r �a z �-- Q Q \ � o a z x o n° N 4 s 0 U a i � lil R WdO <i m�� � o i 1i m s �rat� OF IvEh, N i Gs ►3tO LF Z UJ z ` - ¢111IION 09 �� FLOOR SO. FT. SECOND FLOOR 1010 FIRST iLOOR 1040 TOTAL 2080 STATE: NEW YORK TYPE: APPR VF_ ! ItrirllSD TO LI) TWO STORY FACTO YODEl:1026 -2501 MAR 3 2004 O DRAWING z FLOOR PLAN Lij 2 1 .COL. DETAILS AND CHARTS. - ---- 42A SQ Rm-1 - - iiM FT. of _ ....142.7 -SO.-FT: of-ROO1 -_ _... _. __ _ ...._.. ' 193 LIGHT "D. � LL4 UDO REWa 9.6 VENT REWD. ' 5.7 VENT REWa 23.8 LIGHT PROV'a -0 1 2" / (2) DOUBLE 218 LIGHT PROV'a - 122 VENT PROV'D. FLOOR JOIST 122 VENT PROVI SUFFICENT LIGHT L VENT PROVIDED. UNDE�RR TU AREA S16FICENT LITN7 4 VENT PROVIDED. BEDROOM 1 tlAT� 2 BEDROOM 2 15' -0 1/2- 9-10 1/2' (TYP, ALL WINDOWS AND DOORS THIS PLAN) SEE PC. 15.1 & 15.6 OF THE NEW YORK SYSTEM FRONT SC PAGEAGE FOR WINDOW AND DOOR HEADER HEDULE 8 CHART FOR HEADER SPANS FOR SINGLE JACK STUD. STRUCTURAL TEST PRE591RE FpT STRUCTURAL TEST PRESSURE FOR CAPITOL YODEL 9555 S URE5 —A- RU I— DOOR SYSTEM IS IS +525 PSF. POSSITIVE PRESSURE +73.4 PSF O 171 MPH NEGATIVE PRESSURE -96.0 PSF O 196 MPH WIIVDO W.5'L DOORS CAPITOL AlODLL 95bb Y /NYL DDUaL NriN� wiNnO we u.s •ae 6-T jVAU - I DU I •..•nr ervr u 1 ••D" -HALF o �zx r �a z �-- Q Q \ � o a z x o n° N 4 s 0 U a i � lil R WdO <i m�� � o i 1i m s �rat� OF IvEh, N i Gs ►3tO LF Z UJ z ` - ¢111IION 09 �� FLOOR SO. FT. SECOND FLOOR 1010 FIRST iLOOR 1040 TOTAL 2080 STATE: NEW YORK TYPE: APPR VF_ ! ItrirllSD TO LI) TWO STORY FACTO YODEl:1026 -2501 MAR 3 2004 O DRAWING z FLOOR PLAN Lij 2 1 11RUCTDRAL TESL PRESSURE FOR CAPITOL MODEL 9555 WIDOWS JS +52.5 PS. PUTNAT-.1 COUNTY T)L''5.:^E"_illENT OL' SEAL'. HOUSE PLANS APPROVED FO t rri:L' OOii COUNT C rD 40' -0` ALL SUI3SFF, Ju.':3' li 1)`� ` °,) T ZL 13' -0' PLA_^:5 SUi ,"iL:.. . _... -.:Oti L'OR . z• olA. T/^/ FUTURE V. JO - CERTIFICATION LA S Oj VINYL PATIO DOOR W.P. GFI W4230 430 W3030 W2< FAMILY ROOM MORNING ROOM 842 -I D/w 1I PULL 6 G - - 836 - - 311.7 24.9 SO. FT. of ROOM 8F 2 3/4 LIDO REO'6 KITCHEN WF 3 ® a 3^ x r /�oz�r nD 124 638 VENT RECD LIGHT PROV D, TYP. ALL M.* WALL OPENINGS 4k la wt1 Yts laL _ _ ro 264 VENT PROWD. SEE PG. 30A 30B OF THE SYSTEM FOR p I s A" -HALF SLFrICENT LIGHT L VENT PROVI6E0. N.Y. PACKAGE M w. COL. DETAILS AND CHARTS. w Z � 2 (2) 2.4 SPF 13 EA. SIDE M.W. (3) 2.4 SPF 13 (1) 2.4 SPF 03 1 EA. SI# E M.W. S0. FT. SECOND FLOOR 1040 FIRST FLOOR iO 3 1040 TOTAL 2060 STATE: NEW YORK TYPE: TWO STORY Lo MODEL: 4026 -2501 DRA"NG: FLOOR PLAN � O W w B' -O' 3' -0" (2) 2.10 SPF 12 ( CIL (2) 2.10 20 SPF /2 T - (2) 2.10 SPF 12 I ES'1 6- 2 L DOWN C (1) 2.4 SPF } AC\DC .(3) 2.4 SPF /3 EA. SIDE M.w. Q.t. v 6 EA. SIDE M.W. FOR BASEMENT 26 (2) 2.4 SPF /3 ' DC ® EA, SIDE M.W. "B" -HALF I62b SO. FT. of RDUR 1558 SD FT. of R004 - i N6 LIGHT REC0. - - 12.4 LIC40 RECD. ' 7.3 VENT REC0. 62 VENT REC0. 238 LIGHT PROV'0. 238 LIGHT PRIWIL 122 VENT PROWS 122 VENT PRUV'0. SLFFICCNT LIGHT t VENT PROVIDED. R RAILING INSTALLED p6 SIFFILENi LIDIT t VENT PROVIDED. ' PLANT BY CREST LIVING ROOM DINING ROOM ® .® ® ® O 30 © O W P GIFT OW 2 SIDELIGHTS © © 15' -0 1/2• 3' -0 1/2' 3' -6• 3' -1' 12' -10• QF II. y.`Q.tE O L��`O (TYP. ALL WINDOWS AND DOORS THIS PLAN) r` SEE PG. 15.1 k 15.6 OF THE NEW YORK SYSTEM (j FRONT PAGEACE FOR WINDOW AND DOOR HEADER SCHEDULE &I uj CHART FOR HEADER SPANS FOR SINGLE JACK STUD. Z 1u STRUCTURAL TEST PRES29M FOR IHERMA -TRU STEEL DOOR SYSTEM IS POSSITIVE PRESSURE 473,4 PSI O 171 MPH NEGARVE PRESSURE -96.0 PSI O 196 MPH DoonS MIOL TRICK TYPE RITE Iscaust4n llr am 6' -6. 11 9 R• aaLCOI CDRI FDDDDD MD alI! , r_6• s•_6. 19/6• Nouol tau FD Ro our Y -I' C -6•, I ! 194 lRS71urzD TDRCL RD PEON - Y -0• 6'-d' I r /.• 7RSUU rzD 19aLL ND PAW 21.6 Qi 6' -0' E -6• N/I LJDfaC Curs MITAL ITS CUT .LI 6'-D• 6'-6" N I UD7NC CMSS 1o0D YIS PILA' fi.l / APP OV UMITED TO FACTO i3UIL7., PORMON REAR 2 3 2004 ' - """` Q�n i HOUSa x r /�oz�r nD nse 1w6 oonn6: Axo w•.icR C1.TA vR>pa¢rARTTwro b1 6 ¢'r6aDxfo v1 ­Q IT, [AC61 wo.t: A V la wt1 Yts laL _ _ ro 1nI.O W a z x LY, za Q�n i HOUSa x r /�oz�r o_ C5?Y;t W(D27Ad 1w6 oonn6: Axo w•.icR C1.TA vR>pa¢rARTTwro b1 6 ¢'r6aDxfo v1 ­Q IT, [AC61 wo.t: A V Z Q W J Y i.Jzz � ir tea» WCio. - fm_ � Z\ z s w Z � 2 S0. FT. SECOND FLOOR 1040 FIRST FLOOR 1040 TOTAL 2060 STATE: NEW YORK TYPE: TWO STORY Lo MODEL: 4026 -2501 DRA"NG: FLOOR PLAN � O W w SNEE T: �Y u� 1= WIDTHS OF UNITS MAY (VARY BY AS MUCH AS 12- PER MODULE. FOR EXAMPLE A 28' WIDE UNIT FND. WALL MAY BE 26' OR 30'. C Ba16 PILASTER (TYP.) AS REO'D. PER �� NOTE 13 OF GEN. NOTES PACE 17. FOUNDATION PLAN NO SCALE FOUNDATIONS MUST BE OAT TO MATCH THE SIZES OF THE INDIVIDUAL HOME AODOIORAL MOOULES WILL CHANCE WIDTH OF FOUROMgN BY THE ADTH OF THAT AOOED MODULE PUTNAM COUNTY DL APTII FNTITE "Ii 0 d I" U NOTTS A'�bl1BIV�WD�.MN I.) SEE PAGE 17 FOR REOUIREMENFS HOUSE FLANS JIRPROVED F'Uii i3tiD ,O " 2.) SEE PAGE 30 FOR FLOOR BEAM AND JOIST USAGE. 3.) THE ENGINEER HAS ASSUMEO 2000 PST MINIMIUM SOIL BEDROOP..?5 BEARING, SOME SOILS HAVE HIGH EXPANSION CNARAC- ) TERISTICS OR HAVE LOW SUPPORT CAPABIURES. THEREFORE THE CCRTIFNG ENGINEER SHALL RE FURNISHED ALLSUBSi UEAT RES'I:;_i.•!;;;;L Cr-:-'TO THESE HOUSE WITH A SOIL REPORT BY A LOCAL CERTIFIED SOILS ENC. SHOVING TIUT SOIL OEARNC MEETS THE MINIMIUM RED'S. FLANS. 'Ll.i` BE SU" S`:T'1i_J 'Li` it. ;O I FOWIPIROVIAL A.) 110 MPH WIMD LOAD REOUIRES ANCHOR BOLT SPACING OF 2' -5- 2B ") STARTING I FT. FROM CORNERS. /(T,, // 5.) FOUNDATION DIMENSIONS DO NOT INCLUDE BRICK LEDGE "I- UNLESS NOTED. REFER To NOTE /6 OF GEN. NOTES PAGE 1SSCN ii,' I . & TITLE 11 I PORCH DETAIL I I x I AA I 1 v PLAN VIEW NO SCALE SECTION AA A. 120g 8" CONC. BLOCKS %,8' CONC- °Ff91INC 'BLOCK IMPORTANT — F� CON. I F.D. WALL I w SCE FL OOR BEAM CHART (PG. 30) FOR SPANS N I I D I 60 r� rl r-i I L�J L J L J �o I I I L D M. u I o I - 4' STEEL ( COLUMN A I I d?(LIry GAR06E Room I I A a oL I 1—CRAWL SPACE VENT- 1/2" ANCHOR BOLTS fi O.C. (OR BASEMENT WINDOWS) AND V FROM CORNERS —(SEE NOTE IA) I C I LA 1'— SEE -PORCH L FOOTINGS SIZED PER LOCAL — — I DETAIL BELOW CODE AND SOIL CONDITIONS CENTER ON EXIT DOOR SEE INDPAOUAL FLOOR PLAN FOUNDATION PLAN NO SCALE FOUNDATIONS MUST BE OAT TO MATCH THE SIZES OF THE INDIVIDUAL HOME AODOIORAL MOOULES WILL CHANCE WIDTH OF FOUROMgN BY THE ADTH OF THAT AOOED MODULE PUTNAM COUNTY DL APTII FNTITE "Ii 0 d I" U NOTTS A'�bl1BIV�WD�.MN I.) SEE PAGE 17 FOR REOUIREMENFS HOUSE FLANS JIRPROVED F'Uii i3tiD ,O " 2.) SEE PAGE 30 FOR FLOOR BEAM AND JOIST USAGE. 3.) THE ENGINEER HAS ASSUMEO 2000 PST MINIMIUM SOIL BEDROOP..?5 BEARING, SOME SOILS HAVE HIGH EXPANSION CNARAC- ) TERISTICS OR HAVE LOW SUPPORT CAPABIURES. THEREFORE THE CCRTIFNG ENGINEER SHALL RE FURNISHED ALLSUBSi UEAT RES'I:;_i.•!;;;;L Cr-:-'TO THESE HOUSE WITH A SOIL REPORT BY A LOCAL CERTIFIED SOILS ENC. SHOVING TIUT SOIL OEARNC MEETS THE MINIMIUM RED'S. FLANS. 'Ll.i` BE SU" S`:T'1i_J 'Li` it. ;O I FOWIPIROVIAL A.) 110 MPH WIMD LOAD REOUIRES ANCHOR BOLT SPACING OF 2' -5- 2B ") STARTING I FT. FROM CORNERS. /(T,, // 5.) FOUNDATION DIMENSIONS DO NOT INCLUDE BRICK LEDGE "I- UNLESS NOTED. REFER To NOTE /6 OF GEN. NOTES PAGE 1SSCN ii,' I . & TITLE 11 I PORCH DETAIL I I x I AA I 1 v PLAN VIEW NO SCALE SECTION AA A. 120g 8" CONC. BLOCKS %,8' CONC- °Ff91INC DRAINAGE n 19 Are,there an low -or wet areas that're re dr Y require aindje' 7.' . (yes or, no s, .. Are there;dny"wotercourses, ditches, rovines whic.Fi'may be..filled in ?.' yes or no " Is there an existing local drainage plan_? Have'these:plj". been approved by 4' rainage officials? Prov1siohsfor• surface' drainage'shquld , be shown on plans: GAS TRANSMISSION`:LINES ~ `. 20.- Does p• high preasure..gas't ansmess :ion -line pass tihrough or within' 300'feet of any lot - in- th�s.su6division? Iva J ia•. has-its location been shown accurately upon ;plans'? "ADDITIONAL'INFOR'MATION 71: Maximum number. of bedrooms in"compieted house l Bedrooms tit expansion "attic•.,- 22 Cellar drainage Are cellar or footing drains fo be installed�tLal If so, show on plans how drainage will be disposed;of .23. Laundry wastes. Are laundry tubs to be located in;,bosement� If so; show-on plans how waste w ill be disposed of, It 4is: hereby agreed •that if the attached plans dated ' �' _6� � , or any amendment or revision thereof, are approved ,by, the Sfcte Department of:Heolth or State D, bpartmentof'Eny ronmental,•'Conservation, installation of water supply Pp Y and sewage disposal facilities will be made'iri accordance =with tlie-details thereof as shown'omsuch approved plans. If the subdivided lands; .shown on such :plans are sold before such' installations -;are made, it is agreed that all purchasers of lots will be furnished with a legible reproduction- - of`the opprovedplons -and -they wi' be notified of the necessiiy'of making such instal- lotions in 'accordance with ,such. approved plans y r Date '� ;� Signature �..: f 1cial title .l<. a4GDk! � GTiy The, Statement. must be signed by the owner -the,• lan& platted for.,subd.iyision or the responsible official -of the'eompany or .corporation offering the some for sa e. - 'TO-BE FI LLtD IN BY`PROFESSIONAL ENGINEER OR'LAND SURVEYOR* The -plans submitted witli -this application, were prepared by, me or under my'supervision and direction. Individual water and sewerage systems, if shown on plans, were - designed after careful. and and thoroug h local geological and . e xisting sanitary conditions. - �A r Nome (Gwe'.Firm, if any.-) I L Address r License and -No `'�'��+ Signature *Land .Surveyor- only if gr6nted exception under $eetion.7 8n of the State Edu "cbtion' Law - : -. IMPORTANT NOTES- (1) The plans shal_J, show all' information` required by the State Health_Department`Bulletin, Planning the Subdivision as Part of the Total Environment, and such other 1 r farmati.on ai -may be required ;because,oflspeciaHocal'features -or conditions. (2) -Plons must be, prepared so as to be completely legible and to permit satis factory. reproduction _ by microfilming prccesses. (3)" "One white print'(either on paper or cloth) shall'b'e submitted for filing with the Department if approved, together with such other tracings or- pii »ts as may be required for filing with the county clerk and the. subdivision owner, (4) •A LOCATION DIAGRAM- (scale about l "_3000')' showing the situation of tke subdivision with respect to -main roads, prcminent strioms, etc., sholl "-be included on'the plans. (5) P..KEY MAP--(scale about 1" =400') shall be shown on the plans if there are several Sections of the subdivision, outlining the relative, location 'of subject :Section with respect to th e rest of -the subdi;vis;ion,.". s (6) Inasmuch as stamp of a' pproval -must be placed on face; of plons;.a space 3' x6" should'-be re* served for this purpose. (7) Application:niust be cccoinpanied by a certified_ check'in the amount of'$3 50 per `lot made pdyable.to the State of New York. NEW YORK STATE H. D. GEN 157 (Rev. 4/73) i. DEPARTMENT OF HEALTH DEC BMW 25 DEPARTMENT OF ENVIRONMENTAL CONSERVATION 1 APPLICXTI0N FOR APPROVAL OF SANITARY FACILITIES e .' FOR REALTY SUBDIVISIONS NOTE: (Law requires that no subdivision or portion thereof shall be sold, leased or rented or any permanent building erected thereon until plans are approved by State Department of Health or Department of Environmental Consevation.) Application is hereby made for the approval of plans for realty subdivision as required by the provisions of Title II of Article 11 of the Public Health Law, and Title 15 of Article 17 of the Environmental Conservation Law. GENERAL INFORMATION 1. Name of subdivision A" L) Location & S0,0 lei , -! f r P 1 ill age or Town) 2. Owner ® t `. fate nameAf ppr4og, .comp y, !:Apora ion or ossocigtion,, ooning the subdivision) 3. Business address 1 1 ree r y City J 4. Officers (If org—oni zed,gi.A names of officers) 5. Total area of entire property Area of this Section 673 Total number of lots Number of lots in this Section Have plans for previous sections been Approved iJ" Disapproved- Will plans for additional sections be submitted ? /�!J 6. Do you intend to build houses on this subdivision? es Do you intend to sell lots only? Do you intend to build on some lots and sell others without buildings? 7. Is this subdivision or any part thereof located in on area under the control of local planning, zoning or other officials? If so, have these plans been submitted to such authorities? Have these plans been approved or disapproved by such governing authority' � Aid 8. Nature of soi I " A*' ® - ' e k � -,"T (Describe to a depth of 10 feet (20 feet iF s page pits are proposed) giving thickness of various strata s fch as so'I cl By whom determined ' - loam, sand, gravely r ck, etc.) - f How determined / - _ Date determined 9. Topography (State whether ground is flat, rolling, s ep or gentle s ope, etc.) 10. Grading: state depth of maximum cut maximum fill. 4!1�(W 11. Depth to water table Max. in. By whom determined ? ,'r'd� f �° (Give maxi66m.um and minimum if there is any variation) How determined � 1 /� /`%� Date determined WATER SERVICE 12. Proposed method of supplying c supply, give name of municipality, water district or company) Has municipality, district or company agreed to supply water? 13. State approximate distance to nearest public water supply main of municipal system NI 14. State approximate distances to nearest subsurface disposal systems Z210 / 15. If a water supply application is required, has the approval from 4ureau of Water Regulation, Department of Environmental Conservation been received? SEWERAGE SERVICE 16. Proposed method of collection and disposal of Sewage 17. 18. f' ve name of municipality 6r sewer district if public sewers are to be used) Has municipality, district or company agreed to provide sewerage facilities? State approximate distance to nearest public sewer main of municipal system /(Give name of municipality or sewer district), State approximate distances to nearest well water supplies /�� /JdWAIW %LL:. BRUCE R. FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 October 31, 2001 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Jeffrey J. Contelmo, PE Insite Engineering Route 22 Brewster; New York 10509 Re: Dear Mr. Contelmo: BMMD, LLC, Cornwall Hill Road . (T) Patterson, TM# 13. -3 -34.08 Reservoir Basin - East Branch The Putnam County Department of Health (Department) has determined that the above referenced application, including fee, and received by this Department on October 31, 2001 is complete. The Department will notify you by November 20, 2001 of its determination. ® The Project has been delegated to the Putnam County Health Departmeht.forreview pursuant to the guidelines set forth in the Watershed. Agreement. 11 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 would 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 New York City Department of Environmental Protection Watershed Rules and Regulations. If the Department fails to notifyyou 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 DEP review and approval is required. If you have any questions regarding this matter, please call me at (845) 278 -6130 ext. 2159. Sincer ly, Shawn Rogan Public Health Technician SR:cj BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845)278-6014 Fax (845) 278 - 6648 October 31, 2001 preschool (845) 228 - 5912 Fax (845) 228 - 6113 Jeffrey J. Contelmo, PE 1' Insite Engineering Route 22 Brewster, New York 10509 Re: Proposed SSTS: BMMD, LLC, Cornwall Mill Road (T) Patterson,. TM# 13. -3 -34.08 Dear Mr. Contelmo: 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:: . The construction of this sewage disposal system may be subject :to local wetlands regulations. You should contact local wetlands officials in this regard. If percolation tests were not witnessed by a representative of the New York City Department of bEnvironmental otection on this lot, percolation tests must be. witnessed by a representative of this Depart nt. �J 1. Provide an original PC -97 form for the above referenced project. Photo copies are not acceptable. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. 4nc, 4-., iev Shawn Rogan Public Health Technicidh. . SR:cj !� v /NS/. TE ENGINEERING, SURVEYING & 7FFLANDSCAPEARCHIrECTURE, P.C. 1485 Route 22 (845) 278 -4990 Brewster, New York 10509 fax: (845) 278 -6392 TO: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 LETTER OF TRANSMITTAL Date: 11 -07 -01 Job No. 99147.308 Attn: Shawn Rogan Re: SSTS'for Comwall Hill Estates - Lot 8 Somerset Drive, Town of Patterson TM# 13 -3 -34.08 WE ARE SENDING YOU ® Enclosed ❑ Under separate cover via the following items: ❑ Shop Drawings ® Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change Order ❑ - COPIES DATE I NO. DESCRIPTION ^ — __ ____ 1 PC -97 Application for Approval of Plans i 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: Shawn - The enclosed application is submitted as requested in your 10 -31 -01 comment letter. Please call if you have any questions. - John COPY TO: SIGNED: �o ohn M. Watson, P.E. IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Iot2000.dot 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: Z °rAIVA G 5 PI, AOAI�j ; ,tiYdso� 2. Name of project: (PRNWALU k( LL �Sfkf(5 SgDivi�L&v 3. Locatioio/V: Insite Engineering, Surveying & Landscape 4. Design Professional: Jeffrey J. Contelmo, P.E. 5. Address: Architecture P c 6. Drainge Basin: �Asf &?, A N e li Route 22 Browstar. -New Ybrk 19509 7. Type of Proiect: Private/Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ...................................................... Type I Exempt Type II Unlisted >< 9. Is a Draft Environmental Impact Statement (DEIS) required? ......................... 116,5 E 1.5 10. Has een completed and found acceptable by Lead Agency? ....` -PEcE,4,36e, M3 11. Name of Lead Agency Iow,v of PA-rl t5R5,ory e,' A1V&lIN(; eomi? 12. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ............... �S 13. If so, have plans been submitted to such authorities? ........ ............................... &vN !i+uNAL FINAL. �-�-- 14. Has p>� approval been granted by such authorities ?Y6f Date granted: 15. Type of Sewage Treatment System Discharge ................. surface water xgroundwater 16. If surface water discharge, what is the stream class designation? .................... _IVIA 17. Waters index number (surface) .............. 18. Is project located near a public water supply system? ....... ............................... .Nu 19. If yes, name of water supply Distance to water supply 20. Is project site near a public sewage collection or treatment system? .........:...... AJ6 21. 22. 24. 25. Name of sewage system Ai /A Distance to sewage system %0s Date test holes observed Peg s a CZZO ° '23. Name of Health Inspector ApA1n s1;15a _r;Nrr , Project design flow (gallons pet day) :::: : ......:::::::::..... ............................... /000 Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?... 4Ub r 26. Has SPDES Application been submitted to local DEC office? ......................... 27. Is any portion of this project located within a designated Totivn or State wetland? 28. Wetlands ll) Number .......:.............:..................................... ............................... N _(Dr0- 29. Is Wetlands Permit required? .......:......... Has application been made to Town or Local DEC office? 30. Does project require a DEC Stream Disturbance Permit? ... .......................... ...... n)o 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 iUa 32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous waste site, salt stockpile, Iandfill, sludge disposal site or any other potentially known source of contamination? ............................... Yes/No ve -7 DESCRIBE: K G5. LC 1645r s-) 2, 41 of CIRA/k,A1_1. H1 t, - 2 ANJ CALT Sfo PtCF / 14 1t L'RSo,1/ 114IIWA �1LPfp ydRTy uFt11� 33. Is there a local master plan on file with the Town or Village? ...:...................... yes 34. Are community water and/or sewer facilities planned to be developed within 15..years in or adjacent to project site ? ............. UN1<,1owA1 35. Are any sewage treatment areas in excess of 15% slope? . ............................... .No 36. Tax Map ID Number .......................... ............................... Map 13 Block 3 Lot ,3q�v6 37. Approved plans are to be returned to ..... Applicant k 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,pla.ns 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. r If the application is signed by a person other than the applicant shown in Item 11. the application must be accompaniedy a Letter of Authorization (Form LA -97). Failure to comply with this provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES do OFFICIAL TITLES. aarin Surveying & Landscape P. =� .Architecture, Brewster. New York 10509 t ;, �;, gyp\ PUTNAM COUNTY DEPARTMENT OF.HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SYSTEM ME,- PERMIT # ,, ►o3�o)U Located at CORWA« NI LL ROAD - ComERYET IVE I ki wn or Villa e TAT -(o CDFAvwA LL Subdivision name aiLL CCIATES Subd. Lot # Tax Map ) 3 Block 3 Lot - y , c 8 Date Subdivision Approved _ El L15D 9-q-01 Renewal --- Revision Owner /Applicant Name Q f nin L L C Date of Previous Approval Mailing Address _ �: TA Al A f E /: RCA -6 8R, t t,JS T 64 Zip 0�"0 Amount of Fee Enclosed -5� 3 Building Type I\i✓S1D 6AITM L Lot Area a` No. of Bedrooms S Design Flow GPD 1000 Fill Section Only Depth Volume Separate Sewerage System to consist of 14500 gallon septic tank and i_F OF a0 w1Du AQSo2 r 'r ►on/ T2..ly A (S Other Requirements: 7 i u P,! A i m b k A N To be constructed by P,� 1��7�RM(nl(%i17 Address N Water Supply: Public Supply From Address or: �_ Private Supply Drilled by 'ro 66 pE?"ri�2m /NG.� Address IV A 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 s sv tem 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. 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A;om .LsYO adia aau ',0 „t 'i3 ,,/t -,mus 3SnOH(--) KoilyoI'IdaY 3111 -d3d 77 Q, 00 smyla No S'IIY 3Q Q3 n N., A. s oOQ \ I (awo�) raYi's xY3 I F Q% 3LY( `sY `1IO Z�� Afi a3'il3fA3?I m/ 'NOLLYOO'I 13a2I.LS D -77 Q GV,w p :,aa &Ao 30 m^ivx p p� 33Ik1T3a IAOIJ.DfIUI.S \OO 1103 3L322S AMAa1I A - / SI1131SAS iNaIVIY31I1 39YM3s 33Yaunsans v A'IdanS 1Ia mvs, T ftawa. u H.L'IY3H'IYL \3I1:'�01IIAN3 30 A?OISIAIQ . __ -_ ._... . H.L'IY3H 30 3.MMI.I.1IYd3Q A.LNQOO iiIYN3.na W rrivZ AS. C to rOV A3 C1 PTJTNAM COUNTY DEPARMENT OF HEALTH DMSION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SKEET - SUBSURFACE SEWAGE TREATMENT SYST01 Owner il'1 D , I LCr Address c A.-J.•� Located at (Street) Qvls�Aee_ tic u ` 00 /or.f>t.7� n, ax Map. Block. Lot 3" (indicate nearest cross st eet) Municipality ('; V7E_:' 59.-5 Drainage B asin '5? VOC <�I L°T SOIL PERCOLATION TEST DATA , Date of Pre - soaking �%0 Date of Percolation Test 'I' al 16FD Hole No. Run No. Time Start -Stop El a se Time Min.) De_pth to Water krom Ground Surface (inches) Start Stop Water Level . broilp In Inc3es Percolation Rate Min/Inch SA 1 j: Aq -9;5& a� 3 ,�:�� �a;5 a<3 4 2 3 a 9 4 5 1 2 3 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 minlinch, 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 DEPTH 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 SOMS ENCOUNTERED IN TEST HOLES f,J!'�ar5c'p r� � ,•'�- GJi t��'�Sa7J ��5 r'7.F`� . '. HOLE NO. 8A HOLE N0. HOLE NO. . d So1L • rl N6 SA W/ SILT Indicate level at which groundwater is encountered N W 6' Indicate •level at which mottling is observed o,-j C Indicate level to which water level rises after being encountered Deep hole observations made by: -�OµW VA 0 A Mp Date T,-1&7-0C1 Design Professional Name: Jeffrey J. Contelmo.. P. E. Address: incite &Qi1 6F4 surveyingg & Landscape .Architecture, P.C. 1 85:Rou 2 Brewster! W w Yo:rk0509 Signature: `�Y•Des " Professional's Seal :;.y,,:�r' "•" ,iii: °�:;/' 14 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL Q please print or type PCHD Permit #10- 3 (— Well Location: Street Address: Town/ge Tax Grid # ornwaA Rill gi) A6Mersj'DKve- a rim Map 13 Block 3 Lots) j , U$ Well Owner: Name: Address: 3mm'p . LLC Z �a ,z5er K001 > �rewster, A) i )usoq Use of Well: Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served S Est. of Daily Usage boa 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 .k Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision COCA Wait ; F—s uses Lot No. 09 Water Well Contractor: o e Address: .N1A Is Public Water Supply available to site? .................................. ............................... Yes No X 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: 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 Directory revision or alteration of the approved plan requires a new permit. Well to be constructed by a waty��e-11111A',il.ler certified by Putnam County. Date of Issue 0 Permit Iss i cial: Date of Expiration Title: Permit is Non-Transferrabfi White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 THESCARSPALE 1 Second TO '11 Frsifioor : _ . . i f iCi i vR APPROVAL ' 48' STANDARD SCARSDALE 11 FEATURES o 5- Spacious Bedroorris ® 2%z Baths a Open Tvvo -Story Entry Foyer ® Formal Dining Foos ® Fv iE al Living Poorn e Sp—acious Country ritchen wth Breal:iast Pooh! and Pantry e " Cot -age - Style" 3056 Louver Level indovrs vdts Architraves on Front 27'8° • Framingham Pedirne� zt on Front Door • Fireplace Options Available • `Boxed -out" and "Angle Bay" Options /available • Consult an Authorized Westchester Builder 4 or a Complete List of Options. Q Artists renderings and Floor Plan Dlnensions are approximate. All spedfi-tiorns nust be Witten in the 6nrad. No oral conditions. P. O. Box 900 o Dover Plains, NY 12522 (914) 832 -94.00 0 (800) 832 -3888 14.164 (2187) —Text 12 PROJECT I.D. NUMBER- 617.21 SEAR •- V Appendix C State Environmental Quality Review SNORT .ENVIRONMENTAL ASSESSMENT FORM. For UNLISTED ACTIONS Only PART I— PROJECT INFORMATION (To be completed by Applicant.or Project sponsor) 1. APPLICANT /SPONSOR B i ac 2. PROJECT NAME, 15S-) S Fo4 CowwALL i ML j55A ES LQ 3. PROJECT LOCATION: Municipality County L, N' 4. PRECISE LOCATION (S reet address and road intersections, prominent landmarks, etc., or provide map) SEEE Loc/ TFjaf .MAC' ©NI C0N5- XVc(((CN( W4W,dc -1 5. IS PROPOSED ACTION: O�New ❑ Expansion ❑ Modification /alteration 6. DESCRIBE PROJECT BRIEFLY: C00514VICIU o F 0wc`r rAN LL 7. AMOUNT OF LAND AFFECTED: 2.23 2.23 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? knesidential ❑ ❑ 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) ?. ❑ No If list •Yes yes, agency(s) and permitiapprovals DIf )Vi5W;ki SS�StWtu.: ° P.C:A,D, DVil0i,J4 - lT +iawN Vi! PATW5C.k( 11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL? ❑ Yes If yes, list agency name and permlVapproval 12. AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMITIAPPROVAL REQUIRE MODIFICATION? ❑ Yes MNO I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE 1�sslf�El�`G��'CI iQ1x,'C -, Su4V6ynVl & Applicant/sponsor name: -JUN) M. WA Date: t Signature: If the action Is in the Coastal Area, and you are a state agency, complete the Coastal Assessment Form before proceeding with this assessment OVER 1 PART II— ENVIRONMENTAL ASSESSMENT (ro be completed by 4gency) A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.12? If yes, coordinate the review process and use the FULL EAF. ❑ Yes ❑ No B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617.6 ?. If No, a negative declaration may be superseded by another involved agency. ❑ Yes ❑ No 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: C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources; or community or neighborhood character? Explain briefly: C3. Vegetation or fauna, fish, shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly: C4. A community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly C5. Growth, subsequent development, or•related activities likely to be Induced-4 y+ the proposed action? Explain briefly. C6. long term, short term, cumulative, or other effects not identified in C1-05? Explain briefly. C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly. D. IS THERE, OR IS THERE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL. IMPACTS? ❑ Yes ❑ No If Yes, explain briefly PART III — DETERMINATION OF SIGNIFICANCE (To be completed by Agency) INSTRUCTIONS: 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. ❑ 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 Title of Responsible Officer Signature of Responsible Officer in Lead Agency Signature of Preparer (If different from responsible officer) Date N P U `fNALM COUNTY DEPARTMENT OF HEALTH, DMSION OF ENVIRONM NTAL HEALTH SERVICES APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER TREATMENT SYSTEM 1. Namz and address of applicant: P 1, ;c-e.�0 2. Name of projec c4, c—,, y r6 Locati"' AI. � Si tc D, ydn-eer ing, surveying S Lc1n �C cape T. Design Professional: Jeffrey J. Con�elrr�, F.E__ 5. �'.ddress: 7.2 ?��_�,. P. C. 6. Drainage Basin: gez -,JCq R°"" 22 T. Type of Proiect: Private/Residential Food Service Commercial 20. Is project site near a public sewage collection or treatment system? ................ y�o 21. Name of sewage system /0 I g Y Distance to sewage system - 22. Date test holes observedfg,u� _ r✓/-z,/e c .23. Name of Health Inspector 24. Project design flow (gallons per days 1Op® 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... /J0 26. Has SPDES Application been submitted to local DEC office? ......................... A 4-- Form PC -97 Apartments Institutional Mobile Home Park Office Building _r,, Realty Subdivision Other (specify) 8. Is this project subject to State Environmental Quality Review (SEQR)? Type Status (check one) ....................:.. ............................... Type I Exempt Type II Unlisted =� 9. Is a Draft Environmental Impact Statement (DEIS) required t (65 10. Has -DE-IS been completed and found acceptable by Lead Agency? .....1 11. Name of Lead Agency 'ree-,A 12. Is this project in an area under the control of local planning, Zoning, or other officials, ordinances? .......... .............. ............................... .......................... u` 13. If so, have plans been submitted to such authorities? ........ ............................... 't 14. 6e--vv 1'r&w,K- Fe.-ML- Has pf approval been granted by such authorities? q65 Date granted: 4 -6- Zia 15. Type of Sewage Treatment System Discharge ................. surface water .X groundwater 16. If surface water discharge, what is the stream class designation? .................... ti �- 17. Waters index number (surface) ........................................... ............................... ! .�- 18. Is project located near a public water supply system? ....... ............................... N e 19. If yes, name of water supply N / Distance to water supply l� 20. Is project site near a public sewage collection or treatment system? ................ y�o 21. Name of sewage system /0 I g Y Distance to sewage system - 22. Date test holes observedfg,u� _ r✓/-z,/e c .23. Name of Health Inspector 24. Project design flow (gallons per days 1Op® 25. Is State Pollutant Discharge Elimination System (SPDES) Permit required ?... /J0 26. Has SPDES Application been submitted to local DEC office? ......................... A 4-- Form PC -97 27. Is any portion of this project located within a designated Town or Stal..e, 'wetland? j 28. Wetlands ID Number ............................................. ............................... 29. Is Wetlands Permit required? ..... .................... .....:..... ............................... /00 _ Has application been made to Town or Local DEC office? . .............................. � . 30. Does project require a DEC Stream Disturbance Permit? .. ............................... /')o 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or 011ie., crops_, solid or hazardous waste disposal, landfilling, sludge application or industrial activit},?��� 32. is project located within 1,000 feet of existing or abandoned landfill, hazardous ivaste site, salt stockpile, landflI, sludge disposal site or any other potentially known source of contamination? ............................... c � DESCRIBE: (% `'✓v -0 ?' ( e-C 1 �'kf7r c-/ 146 nn P&Y C - S � 33. Is there a local master plan on file with the Town.or Village? ......................... 34. Are cornrnunity water and/or sewer facilities planned to be developed within 15 years in or adjacent to project site? ................................ ............................... 35. Are any sewage treatment areas in excess of 15% slope? . ............................... /Jb 36. Tax Map ID Number ................. ............. .. Map 1 3 Block - Lot 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 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,v 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. 1 hereby affrrm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief' False statements inade herein are punishable as a Class misdemeanor pursuant to Section 210.45 0 �qlPenal Law. SIGNATURES & OFFICL4L TITLES. ....... .............. .......... ...... ............. JMailing Address: ... .L � �,o Y A0.17 'J- r 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 # 00 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: 2 Tanager Road, Brewster, NY 10509 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 relating the to Signed: Sworn to before me this J day of (month) (year) %a p / Notary Public )kftY P&W -stareOf 'f •: N0.01 FA50UM (aixff ad M PUh'=n bw u J Title: -Manaizer Corporate Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of BMMD LLC Located at Cornwall Hill Road TN Town of Patterson Tax Map # Subdivision of Cornwall Hill Estates . Block 3 Lot 34 Subdivision Lot # 8 Filed Map # 2856 Date Filed 04 -04 -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 Law— Ahe.Public Health Law, and the Putnam County Sanitary Code. Very truly yours, Countersigned: �� .; ��,,�, Signed P.E., # 61931f .'; (Owner of Property)a'�''�"�° Mailing Address " ``" 'En`' =me `' Spme-)ing Mailing Address: 2 Tanager Road & IS aridscapelArchitecture, P.C. Brewster 1485 Route 22, Brewster State New York Zip 10509 Telephone: (845) 278 -4990 State New York Zip 10509 Telephone: (845) 279 73613 Form LA -97 a , /NS / T ENGINEERING, SURVEYING & L4NOSCAPEARCH/TECTURE, P.C. 3 1485 Route 22 (845) 278 -4990 Brewster, New York 10509 Fax: (845) 278 -6392 TO: Putnam County Health Department 1 Geneva Road Brewster, New York 10509 WE ARE SENDING YOU ❑ Shop Drawings ❑ Copy of Letter LETTER OF TRANSMITTAL Date: 10 -25 -01 Job No. 99147.308 Attn: Robert Morris, P.E. Re: SSTS for Cornwall Hill Estates - Lot 8 Somerset Drive, Town of Patterson TM# 13 -3 -34.08 ® Enclosed ❑ Under separate cover via ® Prints ❑ Plans ❑ Change Order ❑ the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 5 10 -25 -01 CD -1 Construction Drawing 1 10 -25 -01 CP -97 Construction Permit 1 10 -25 -01 WP -97 Well Permit 1 --------------- - - - - -- LA -97 Letter of Authorization 1 5 -1 -01 CA -97 Corporate Affadavit 1 --------------- - - - - -- PC -97 Application for Approval of Plans 1 10 -25 -01 -- - - - - -- Short EAF 1 6 -20 -01 DD -97 Design Data Sheets (previously submitted with subdivision application) 2 - -- - - - - -- 5 Bedroom Floor Pips 1 9 -6 -01 ----- -- $300.00 Fee - 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 ❑ REMARKS: ` COPY TO: Iot2000.dot copies for approval copies for distribution corrected prints SIGNED: Jo n M. Watson, P.E. IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health March 2, 2007 John Watson, PE Insite Engineering & Survey 3 Garrett Place Carmel, NY 10512 Dear Mr. Watson: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Construction Compliance — BMMD, LLC 122 Somerset Drive (T) Patterson, TM # 13 -3 -105 Attached you will find the original paperwork that was given to me for copies for our folder. While making the copies we realized that the incorrect Tax Map number of 13 =3 -102 was on all the paperwork. The correct Tax Map number for 122 Somerset Drive is 13 -3 -105, lot 8 per the 911 verification form. I contacted the Patterson Building Department and they corrected their records also. Please call me if you have any questions at 845 - 278 -6130 ext. 2155. JD:kly Enc. Respectfully, Joseph Digit III 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 1 i 10 11 0 1 , 1 t \ � � !S •111 ,.l { 1 i c \ m s ° \\ \ \ \ ik