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HomeMy WebLinkAbout0952DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.41 -1 -4 BOX 10 1 96 = V isIi 1 I' mm III 00952 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 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Cory A. Levine, P. C. 57 Brewster Avenue Carmel, NY 10512 Re: John Graissl, Jr. 5 Homer Road Patterson, NY 12563 TM #25.41 -1 -4 Dear Mr. Levine: May 17, 2002 This Department issued a permit to replace the septic tank on the above mentioned parcel on March 22, 2002 (R- 67 -02). The permit issued by this Department was for the replacement of the steel septic tank with a 1000 gallon concrete septic tank. It is my understanding that the above residence failed a septic evaluation during the home inspection. This indicates that absorption area was not sufficient to serve the amount of water added to the system during the test. The replacement of the septic tank, without adding additional absorption area is not sufficient to address the problem. Additional absorption area should be added to insure that the septic system will be adequate in the future. Should you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH/JP CORY.A_LBVINE DENISE M. RYFF Paralegal GAIL F. SIGURJONSSON Paralegal CAROL A. FLANNERY Paralegal Of Counsel IRA M. SARNA° admitted in N.Y. & CT. May 17, 2002 CORY A. LEVINE, P.C. 57 Brewster Avenue Carmel, New York 10512 Putnam County Health Department TEL: (914) 225 -0111 FAX: (914) 225 -0110 E -Mail: NYESQ @AOL.COM RE: John Groissl, Jr. File No.: 4037 R -01 Premises:5 Homer Road, Patterson, NY 12563 To Whom It May Concern: Manhattan Office 145 West 67th St., 26th Fl. New York, New York 10023 (212) 496 -3964 Please contact Carmel office The septic test on the above referenced property has failed due to lack of completion of the work. In order for work to comply with Putnam County Health Department standards we understand permits need to be issued from your office. Please advise if the proper permits have teen. issued for the property. If you should require anything additional from this office, please do not hesitate to contact us. Very truly yours, Rry A. Le e SITE LOCATION OWNER'S NAME MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIALL USE ONLY A 1- V PERSON INTERVIEWED PCHD Complaint # ame & Relationship (i.e., owner, tenant, etc. DATE TYPE FACILITY 1053,3 jo, 6 --1-- 0 Z PROPOSED INSTALLER s S'.� Cn y> ,I- � PHONE y,S Z ZS Y 2 v ADDRESS \' , 0 7�,Dy, G-79 J REGISTRATION# E Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. :...� _�_I; o *- .reported pn+ �f o vne: a ee tc t� eo ^3i *. cts stated cn flue fo.�In: -------- .---- - - - -._ ....._.__. __ ......� .._ ... _. SIGNATURE V TITLE DATE .7 Z Z'� Z— Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved 1/ Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99ML 3 -Z-Z-- /a �. DATE Fr �" I 1 :-N� -ar' �aa x ii � r` 1. ✓J ' .�-�. 6.c "- �. ..�} ^''i - � .. i. _ � l` ! �1 �: 1 0diei Hl) Air r I , 1 , , I I I ( i I I �; f � I� ( ! j ff � o SITE LOCATION OWNER'S NAME MAILING ADDRESS PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OFFICIAL USE ONLY Q(, oq —a -?-- - _ i 1 o i % PERSON INTERVIEWED PCHD Complaint # ame & Relationship i.e., owner, tenant, etc.)pp DATE 16 AG Z TYPE FACILITY PROPOSED INSTALLER ? --SRS o, P 4 . PHONE — S ADDRESS 1C REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. Tc ,tis A 164' iz '' 46 4211 ng(�i-„1\ 2-9 , z a. ,..d.t. .�.�c'- t►ds- ;;,gin.._ i, cw vwn�i, or repo 'u ag2ni of owner agre to uic conditions ions stat %A On SIGNATURE TITLE 7 DATE %— "6 C < Proposal approved with the following conditions:. 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved Inspector's Signature & Title COPIES: White (PC) ID); Yellow (Town BI); Pink (applicant) PC -RP 99NE 1", � - X, P -, - — —, � e /DATE JD 4---J BI -STATE INC. 0. G. BOY, 592 tr-, A T FR - N.Y. 10609 SITE LOCATION OWNER'S NAM] MAILING ADDR PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES OFFICIAL USE ONLY qa�d' � 6 q '0 PERSON INTERVIEWED PCHD Complaint # ---Name & Relationship i.e., owner, tenant, etc. DA TYPE FACILITY 9 61--07- PROPOSED INSTALLER 5� rU ('f�iyS�. PHONE y�S "' LZS °- Lf,S 2 o __ ADDRESS P- O- 1�DY� 29 3 REGISTRATION# Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location may require submittal of proposal from licensed professional engineer or registered architect. st tars thi f _ ° -T - -Cr rernrtFa� onen+ of olxmer 2n*Pe to tl+e.r•nnr�,t,nns_„ �1?...�_�- _o1'n2-- -- -, Y,- .. Y... _ .__.._. __ - SIGNATURE TITLE DATE Pgposal =roved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. C. Location of installed components tied to two fixed points (e.g.,house comers). d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6 deep e. Installers' name and number. 3. System repair to be performed in accordance with the above proposal and conditions. Proposal approved L-,-� Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99NE 3 ZZ /o -L— DATE