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HomeMy WebLinkAbout0757DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 24. -1 -42.2 I I I N I I I . I �) - NNNr oil 1. IN r. Le NINL z. i i , 4 T 00757 g., e DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 Frank Plunkett Rt. 164 Patterson, NY 12563 BRUCE R. FOLEY Acting Public Health Director April 24, 1997 Re: Addition - Sacramone Route 164 'To increase in number of bedrooms Patterson TM #24 -1 -42 Dear Mr Plunkett: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of April 23, 1997 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e.,new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Aquip c :c : BI (T) Patterson Very truly yours, William Hedges Sr. Public Health Sanitarian % BRUCE R. FOLEY, R.S Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION _ (RESIDENTIAL ONLY STREET: R 7 I6 TOWN (P 7`79RSo� TX MAP # NAME: /--R 4IVA 6) /V(t I':- T'T PHONE 77-F '974, Jf PCHD PERMIT # '+G 7 MAILING ADDRESS RI-t: 164 13QX ?.3Z , ekTT ,6 RSC>1V 12_ G63 Description of Addition /1lGLOv,� Sum L%Ech Number of existing bedrooms .3 Proposed number of bedrooms (� from Certificate of Occupancy or Certification from Building Inspector Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREW.STER, NY 10509, Phone 278 -6130 with the following information. ..r1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non - professional drawing is acce table. 3. Sketch of proposed floor plan . •2 r5 '715) Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. ta OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) ■ 1 CERTIFICATE OF OCCUPANCY AND COMPLIANCE Eaftm jaf 'pat#exson, o N_ 806 1988 DATE ISSUED October 4, THIS IS TO CERTIFY THAT Frank &Katherine Plunkett ON THE PROPERTY OF Same LOCATED ON Rt . 164 HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQUIREMENTS OF THE BUILDING CODE, ZONING ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND USED AS One Family Accessary Structure Building Permit Dated ..? : ? -88.. Permit No. ..1145... Application No. ....0001 ........... SECTION .......15 ............. BLOCK ........1............. LOT ........ 13 ... ..... FEE . $ 15.00 BUILDING INSPECTOR CERTIFICATE OF OCCUPANCY AND COMPLIANCE Tafim of 'afterson, Ndu-IJorh No 19 88 DATE ISSUED October 4, IS TO CERTIFY THAT Frank &Katherine Plunkett ON THE PROPERTY OF Same ON Rt . 164 HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE REQUIREMENTS OF THE BUILDING CODE, ZONING ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSON, NEW YORK AND MAY BE OCCUPIED AND USED AS One Family Accessary Structure Building Permit Dated Permit No. ..1145... ,application No. ....000i........... SECTION .......15 ............. BLOCK ........1............. LOT ........ 1. ... ..... FEE . $ 15. oo c BUILDING INSPECTOR DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 BRUCE R. FOLEY. R.S. Acting Public Health Director Re: Residence Tax Map c2 y" --/_ z� To��n Gentlemen: According to records maintained by the ToNvn, the above noted dwelling IS /v IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER �4 n.. st u:-(s PLC MAN ' COUNTY'DEPA_RTM ENT OF HEALTH DIVISION OF E RONNIENTAL HEALTH SERVICES DESIGN DATA SHEET- SUBSURFACE"SEWAGE TREATMENT SYSTEM .� Owner - GAL yAI k' ,�5 TT Address / 6 Located at (Street) Tax Map Block �_ Lot W, a (indicate nearest cross street) Municipality ,. �.�r?'�iTZ�oc] Drainage Basin SOIL PERCOLATION TEST DATA Date:of Pre-soaking F3 �. ®s . Date. of Percolation. Test 8 13 o 0 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are odtainea at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, <_ 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Dep the to Water .. )From Ground Water Level Percolation Hole No. Run No. Time.:: Start - Stop , Ela se.Time . (Min.) Surface (Inches) '. Start Stop Drop In, ,.'Inches Rate Min/Inch j 1 w;�o- Il'7,0 3i, 13 %y -as112- WK 17.1 2 HVM. -/4-k 5 .k s1- l(. 0 1q ,Zg 'z 4 �Lr' 37 30 �Ls- 10 5 J/1 11111 3- �,$ 3 ! 0 l . 10 Z7 2 it; 03 1 l ►1 2-7 3 • NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are odtainea at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, <_ 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. DEPTH G.L. 0.5'' 1.0' 1.5' 2.0' 2.5' 3.0' 3.5' 4.5' 5.0' 5.5' 6.0' 6.5' 7.5' 8.0' 8.5' 9.0' 9.5' 10.0' TEST PIT IDATA► . DESCRIPTION OF SOILS ENCOUNTERED IN TEST BOLES HOLE NO. HOLE ISO. HOLE N0. `.% Fc Indicate level at which groundwater is encountered Indicate level at which mottling is observed A] 'hi g Indicate level to which water level rises after, being encountered Deep hole observations made by: 6, � r , _ ' `?_ c.;-c> , (4 Date 7 Design Professional Name: Address: Signature: I xg'" 3o4l PUTNAM. COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 7 DESIGN DATA SHEET- SUBSURFACE SEWAGE TREATMENT SYSTEM Owner P Address Located at (Street) Tax Map Block Lot (indicate nearest cross street) Municipality Watershed SOIL PERCOLATION TEST DATA Date of Pre-soaking Za tr Date of Percolation Test a /W Lo !—i ................. ... .. ..... 'N .. . ...... .......... t . ... ......... ... .. ........ . j. Dsg� Am ..... ...... t ... .. ...... Qp ........ n 64": 8;57 -q; 30 /0 2 9,,3 1 - laro � 30 X3. Y1 17A 3 10;01., /0; M 30 1 3 1 Yoe 1-7, 4 5 /0 -tV 9-7 3 -33 2 24 ;L'7 3 f,7 3 %X7— 9,IV4 /7 ;Lf — 27. 3 4 9"415-- 16F".01 /7 7 5 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. :5 1 min for 1-30 min/inch, :5 2 min for 31-60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD-97 DEPTH G.L. 0.5' 1.0' 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' 10.0' TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. 'I- HOLE N0. I A -- / HOLE NO. Indicate level at which groundwater is encountered lJo AJ Indicate level at which mottling is observed A1o,,jF—� Indicate level to which water level rises after being encountered Deep hole observations made by: �, 1 C� EIA ? G,�, E-(. Date Design Professional Name: -- Address: Signature: Design Professional's Seal 0 PUTNAM COUNT'S DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES K REALTY SUBDIVISION SITE INSPECTION FORM SECTION A. GENERAL INFORMATION Name of Subdivision /_UNkE ( ((Tj�V) �,C/County (J- ✓i7 Site Location �7 �, VW 2 It r / — S/,2 , 2 Distance to: Public water supply ? Public sewer system A .) o Building construction begun Ye 5 Extent ap►1 10i r Is property within NYC Watershed?.. '{::. N, Yes ❑ No SECTION;B. TOPOGRAPHY (Please check all appropriate boxes) 1. Hilly I❑ Rolling 0 Steep slope ❑ Gentle slope ❑ Flat 2. ❑❑ Evidence of swampland Low area subject to flooding ❑ Bodies of water ❑ Drainage ditches Rock outcrops 3. Do water courses-exist on or ro e adjoin the .............. ❑❑ Yes No N0 "� koir J P P rty ............... 4. Will these affect the design of the sewage treatment facilities ?.......... ❑ Yes dNo 5. Do watershed regulations apply in this development ? ....................... FZYes ❑ No 6. Will extensive grading be necess Yes No_, 7. Will extensive fill be necessary? ........................ ............................... ❑ Yes ❑ No 8.- Do filled areas exist in the tract?............ ......... ............................... ❑❑ Yes ❑ No - If yes, what is the condition of the fill? SECTION C. SOIL OBSERVATIONS 9. Appearance of soil: Sand ❑Gravel Loam ❑Silt Clay ❑Hardpan ❑Mixture 10. Observed from: ❑ Borings ❑ Bank cut �ackhoe excavations 11. Soil borings /excavations observed by on ZZ= 12. Depth to groundwater Aioiag 13. Depth to mottling_ -- 14. Soil percolation tests made by R'V. 15. Soil percolation tests witnessed by 6, . SECTION D. DRAINAGE 16. Will proposed grading materially alter the natural drainage in this or adjacent areas? ❑ Yes �No 17. Will groundwater or surface drainage require special consideration ? ....................... ❑ Yes ❑, No on on J on o � on �7 18. Will gullies, ditches, etc., be filled and watercourses be relocated ? ......................... ❑ Yes ❑ fNo Form RS -1 SECTION E. REMARKS 19. If a common water supply is proposed, has an inspection been made of the existing or proposed source and facilities? .......... ..........:.................... Yes ZN o Inspection data 20. Have previous sections of this proposed realty subdivision been approved? ............ 0 Yes ffNo If yes, describe 21. Will there be additional sections of this subdivision? .............................. ...........2.❑ Yes F7 No 22. Is it probable that the total number of lots will exceed 49? ... ............................... Yes No 23. Additional comments 24. Site observer /inspector and title 25. Date(s) of observation(s) /inspection(s) TEST PIT PROFILES Hole # Lot #. Hole # Lot # Depth to water Depth to water Depth to mottling Depth to mottling Depth to rock/imp. Depth to rock/imp. G.L. G.L. 0.5 0.5 1.0 1.0 2.0 2.0 3.0 3.0 4.0 4.0 5.0 5.0 6.0 6.0 7.0 7.0 8.0 8.0 9.0 9.0 10.0 10.0 Hole # Lot # Depth to water Depth to mottling Depth to rock/imp. G.L. 0.5 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 10.0 PiUTNAM COUNTY DEPARTMDNT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES W DESIGN 3 DATA SHEET - SUBSURFACE SEWAGE 'TREATMENT SYSTEM ` 1 � ' Owner �U�� j �' Address Located at (Streit) :Tax-Map � Block Lot (indicate nearest cross street) Municipality Drainage Basin SOIL PERCOLATION TEST DATA r Date of Pre - soaking Date of Percolation Test Hole No. % Run No. Time Tim Start - Stop Ela se Time min.) De th to Water rom Ground . Surface (Inches). Start Stop � Water Level Drop Inches Percolation Rate Min/Inch 1 R- 2 3 4 5 2 . - 3 4 5 .2 i 3 4 5 NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at eacu percolation test hole. (i.e. s 1 min for 1 -30 min/inch, _< 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. DEPTH G.L. 0.5' 1.0' 1.5' 2.0' 2.5' 3.5' 4.0' 4.5' 5.0' 5.5' . 6.0' 6.5' 7.0' 7.5' 8.0' 8.5' 9.5' 10.0' AMx.71 ias artaaa., DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. HOLE NO. It, a-/ Indicate level at which groundwater is encountered Indicate level at which mottling is observed 4.29,U,c Indicate level to which water level rises after being encountered Deep hole observations made by: Zg , g5 A, �?G �7, Date ! o Design Professional Name: Address: Signature: Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM 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 SOILS ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. �1- HOLE NO. .3 -L 58 S, 7,5 W . In Indicate level at which groundwater is encountered Indicate level at which mottling is observed 110A 1, � Indicate level to which water level rises after being encountered Deep hole observations made by: j<'j S.c , �:1i4. c Date -7// 9 os Design Professional Name: Address: Signature: Design Professional's Seal z 081107/2005 TUE 10:90 FAX 4 -+4 PCHD BRUCE R. FOLEY Public Health Director - DEPARTMEN- T OF HEALTH 1 Geneve. Road Brewster, New York 10509 Q 001 /001 LORETTA MOLINARI R.N., M.S.N, Associate Public Xeallh Director Director of Patient Services REQUEST FOR r WLD TESTING ATTENTION: u JOSEPH PARAVATi . ; XCEN-F, REED Allinformation below must be fully completed p; or xp au-V scheduling, DATE; � �' �` �-- ENGTNFER OR FIRM- - __t'Qnj -Ak �"' {%� i�;��r� !��C4� PHONE REASON: DEEPS; PERCS ;x ft VIP TEST; 0 ROAD/STREET- `r S' . i _' L y / TOWN: I/�� yl�ii�J TAX MAPIf. 7 IV Z Z ST J1RDTVTSI0N: - -_ -.— /� LOT #: OWNER! �.._... hZ13' .i _r...� �1�.'U �Gr_ T _ NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTLNG IrES NO ❑ 'x*` -- .-- P- roposed "SSTS with in the drainage basin of West Branch orYoyds - Corner -Res ervoirs. o Proposed SSTS within 500 feet of a reservoir. reservoir stem or control lake. ❑ �' Proposed SSTS within 200 feet of a'svatercourse or a DEC wetland, ❑ : ' � Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. ❑ Proposed SSTS fora Commercial Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department wilt determine the N'VCDEP project status (Joint or Delegated) basal on the response. If you answered yLf to any of the questions. NYCDEP must witness the soil tests. This Departineut-will coordinate a inulually suitable time for field testiugvt•ith the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates 1N -YCDEP is required to.vaitness the soil tests, it will be tine sole responsibility of the de.9ign professional,to schedule .re- witnessing of the soil testing with NYCDEF. FOR COUNTY USE ONLY DATE: 7.. COMMENTS: PUTNAM ENGINEERING, PLLC 4 Old Route 6 Brewster, New York 10509 Phone: 845-279-6789 Fax: 845-279-6769 e-mail: -putnamengineering@rcn.com TO: 66i4f, _P FU.-'TrIAt% . ... ............ .... ..... ..... . .... . .... . ......... LETTER OF TRANSMITTAL Date: _- Q /¢- -- — RE: P/E Job: We are sending you attached under separate cover, the following items via ...... U. S. Mail, Overnight, Hand Delivery, Pick Up: Originals Reports Plans .... ..... . ...... Prints Photographic Exhibit Specifications . . ... .. .......... Colored Prints Other: Dwq. No. -- --------- Description These are transmitted: For approval Approved as submitted For your use Approved as noted As requested Returned for corrections For review/comm.ent Resubmit copies for approval Submit — copies for distribution REMARKS: L . .... ..... .......... . . .. ........ Copies to.: SIGNED*__ It enclosures are not.as noted. kindly notify this office. 07/20/2005 WED 10:53 FAX 4- +-* PCHD BRUCE R. FOLEY ,Public Health Director DEPART NT OF HEALTH I Geneva Road Brewster, New York 10509 13 3M —**I-@ 0 : � ( -t - Q 002/002 LORETTA MOLINARI RN., M.S.N- Assoeiate Public Health Director Drector of Patient Services ATTENTION; ❑ JOSEPH PARAVATI GENE REED All information below must bd kLft completed prior to.any scheduling. DATE: -1 ENGINEER OR FIEMM: �-roA-n W-4 !!@ R;ft&_ ; PONE #: Z-7 i —1`0-1 bq REASON: DEEPS:. ❑ PERCS; V PUMP TEST: o ROAD /STREET: P-16- Fcxa i c • . l.(�i TOWN; _ ,_�5�, -� TAX MAP #; 74 — j —4-L SUBDIVISION: 41A, LOT #; OWAR; ICDEP CRITERIA FOR low REVI>luW AND WTY'lVF,55ING OF SAIL 'I'FTING YES NO o.- .. - - -... Proposed 8STS within tbedralaWbadn of We stBranchorBoydsCorner Reservoirs. Q pX Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. o Proposed SSTS within 200 feet of a watercoarw or a DEC wetland. 0 Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required..• v PL Proposed SSTS for a Commercial Project. It is the responsibility of the desto professional to provide the above information prior to soil testing. This Department will determine the NYCURP project status (Joint or Delegated) based on the response, If you answered yes to any of the questions, NYCDV must witness the soil tests. This Department will coordinate a mutually suitable time for field testing with theDesign Professional and NYCDEP. If a project Ms been determined to be Delegated based on t1% above response and then subsequent information indicates NYCDEP is required to witness the soil tests, it will be the sole responsibility of the design professional to schedule re wittessing of the ail testing with NYCDEP. FOR COUNTY USE ONLY box x/2-9 / z� vo 8.30 too COM1V�1�'S• . (FIELDTEST) e Now or HAAA r SSYV5'OOT 86.80 t Rd Fix» i L 61.80 r 10 K � - - -- 1r 5� 1r�--- S8f30'A�2r 541' - S85W'��yy¢ 7S8624'OI p.12291 s77o W75W7- . Cons Ilan. set 1, 1 - - - -- -- - ----- ,�1 Oww aft set 1 -- AAmV ca.,en w �0�. V ti k ; = R- 40 par. �c %'� �-- ,01 1 a�r GLr�. c.e.,r to Fie �9s M � Q� �r�cry Q • NU/ sy r� ii CYasr *d FoWW ---1 %' 1 ! -- py� found ` � N7s�?/' 11f 78• t saw a POW O1 .may