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25.41 -1 -4
BOX 10
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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
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DATE
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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.
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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
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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.
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TYPE FACILITY
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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.
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_ ° -T - -Cr rernrtFa� onen+ of olxmer 2n*Pe to tl+e.r•nnr�,t,nns_„ �1?...�_�- _o1'n2-- --
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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