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Home My WebLink About1106DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.54 -2 -51 BOX 11 01106 . . lom L ` ie 'No I �- 6 g, 1 A , ' ; 0 ,, �I r-�: 6 Niel 01106 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 August 17, 2001 Maria Vallente 12 Randall Rd. Patterson, NY 12563 Re: Addition- Vallente- Randall Rd. No Increases in Number of Bedrooms (T) Patterson Tax # 25.54 -2 -51 Dear Ms. Vallente: 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 approval stamp form this Department dated August 17, 2001 The 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- eYpansion 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. Very truly yours, Michael Luke ML:kg Public Health Technician cc: BI(T) PUTNAM COUNTY HEALTHrDEPT x� Road- (9114); 27&8130 > , x Received of The Sum,Of.w n v �_- TH C7 Gash ❑Check ' 0'M O ❑; Credit Cartl 7 B.yRJ1J�c.ti -t k 't,. BRUCE R. FOLEY, P,.S Acting Public Health Ore DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROPOSED ADDITION APPLICATION _ fRESIOENTIAL ONLY sTP;_�T: � TOY,'N PAT��9N Tx hIA0 r ?�a•5�1 ' Z-'� I hk ',E; i Rai VAI- I..�NT� P'r�ON_ 2_1 -4 4 R PCHO, PERRHIT r M -0 ) MAILING ADORcSS �-+v'O t�t. P'Q'Nl? J VP TT E9-6C* 1 "`i • } � Description of-Addition N04 D1N1146 P-00M 4 V_1TC4f2N. M'AI�M?_ M Number of existing beciroo,llis Proposed number of bedrooms � f rom Cert if i Cate 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 PL V.M COMY HEALTH DEPAJUMj Yg 4 GEy_VA ROAD,, BRTD1STER, W 10509, Phone 278 -6130 with the following information. 1. Cartified•Check for $100.00. _ 2. Sketch of existing floor plan (all living area including basement, if any) Non- professional dravring is acceptable. 3. Sketch of proposed floor plan . Non. professional dr&ding is acceptable. 4..Copy of survey showing yell and septic location, to the best of your knowledge. Include date of installation if known. Include all yells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Tarn or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Corrents and /or conditions application Aug,ist 1995 My 1995 W evise- * 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 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: Residence Tax Map �.r2 64 ' -2- ToNvn PP� "f;T -9-60H Gentlemen: According to records maintained by the Town, the above noted dwelling IS _ IS NOT ' in compliance with ToNN-n code and the total number of bedrooms on record is , v This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER l rt - i r - 6zCd.�v v ilding Inspector r �t ` PUTNAM COUNTY DEPARTMENT OF HEA 1 Division of;,Environmenta7 Helelth Servioea, Cann% N. Y:-10512-' pe=ic a, CERTIFICATE OF :CONSTRUCTION COMPLIANCE FOR ,SEWAGE °DISPOSAL SYSTEM Patterson Y: _ ; f ; vvrtieguiNa 7o ge s Locates at Ptltric`QTI '1 Ake. Randall & Fc1lYV1'lle Tax `rise 56 clock'5 I Owner YOkO Wail IZCW / Fotverly Tax Map Lot .q. l 2�r] subd rat q :_ .... Separate Sewerage system built',aiy Rertnan';('rmstr�fi on Address 100 Frfleld Drive Rrf-er,__DL° Consisting o3 1000 pal „;'septic Tank and ! 336 LF of 2' Wide trench - 18'' of fill - Other. requirements ,.Water.SupplY r= Public $uPPly From X Private supply Drilled 13r PF BP_a.l° '& Saris IT1C Address 4 Putnam�Aveue :Brewster...New °York 10509 Building Pe .'1 Family 'Residence ^, w a `'' " No: of "Bediooms Date Permit Issued 9: Y �- 3 1 16-.8 'Has Erosion Control Been ComPletedl x - ,, 4 Pt y P�r . P .', I certify that: ,the systems) ae, listed aervin the, above remiaes'were constructed esaentiall as shown on the lans of the com leted work (copies of -which are attached), {and in accordance with•`tfiecstandarda rples andequlationa in accordance wi _ e fil 'plan `and the pormit issued by the Putnam County Department:bf Health Date July .29, 1}981f 4 Certifetl`Dy ' �- P E X_ R A 37 , Fa lesnss N o ,. _26008 S Assoclates'r Any 'Person occupying premises-served by she above system(s)nshall promptly lake such aetbn:as may pe neeesssry to secure tho correction' of conditions any unsanitary ., , . s blic sanitary sewer becomes resulting from" wcherivate .w ter. su'of l t shalebecome ull a dwoid heln ae pubek water voip as becom'ss .awilble. Such epprovals..are available and theapproval o P PP Y d sublecf to modification o`r .change when, `In the`judgmenY,of the'GOmrr%i er Health,.sueh reyo lori •modlfle i1cin }�siery Date V. r- �gY TNk Rev :.9 -81 se Owner or Purchase of Building Municipality Building constructed by Section Location - Street Block Bu7lding Type Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM I represent that I am wholly'and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it 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 guaranty to the owner, his succes- sors, 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 initial use of the sewage disposal 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 occu- pant of the building utilizing.the system. The undersigned further agrees.to accept as conclusive. the de- termination of the Director of the Division of Environmental Health Ser- vices 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 sy tem. Dated this day of 20 19E/ Signatu �^ Title If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health WELL COMPLETION REPORT 3171 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis of water sample indicating water is-'of satisfactory bacterial quality- before certificate of construction compliarice is issued..- REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME yoke Wah KOW ADDRESS 112 Old Mamaroneck Rd.,Whi.t.e Plains, NY' LOCATION OF WELL (No. 8 Street) (Town) (Lot Number) . Randall Drive Putnam Lake Patterson PROPOSED USE OF WELL BUSINESS n DOMESTIC ESTABLISHMENT D FARM 1 TEST WELL SUPPLY 11 INDUSTRIAL E AIR OTHER CONDITIONING (Specify) DRILLING EQUIPMENT COMPRESSED CABLE R FX ROTARY AIR PERCUSSION PERCUSSION ((Specify) CASING DETAILS LENGTH (feet) 301 DIAMETER( Inches) 6" WEIGHT PER FOOT 19 lbs . ® THREADED ❑ WELDED 1 5 OE X YES El NO C�A3R1T�T�- X YES LJ NO YIELD TEST X HOURS G.P.M. D BAILED PUMPED C� COMPRESSED AIR 6 5 YIELD (G.P.M.) 5 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) 10, DURING YIELD TEST (feet) Depth of Completed Well in feet below Land surface: 165' SCREEN MAKE ' LENGTH OPEN TO AQUIFER (feet) DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION. Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 5 Drilling in overburden P Hit rock at 5 feet 5 3o Drilling in rock,set casing, routed. 0 .165 Drilling in rock granite If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 4/27/84 DATE OF REPORT 7/10/84 IWELLDRILLER (Signatur r� 'ORKTOWN MEDICAL LABORATORY INC. P.O.eToz 9+9 321 Kear Street LOCATIONS: ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 or`Ktown Heights, N.Y. 10598 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737.8777 __.:_...... _ 245'32Q3__ _.._.:.......__ .._. __....... ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 - - - - $TONELEI'GH-AVE.INEAR HOSPITAL), CAR-ME-t-,--N.-Y, 10512-218.933•• LAB # „ N F �p lCe low L_ &91f561A, /'J V /2 G,3 J LABORATORY REPORT m9 /L DATE TAKEN: DATE RECEIVED:_ DATE REPORTED: SAMPLE SOURCE: _ REFERRED BY: BY:— 1 bill% COLLECTED atIn. ❑ ACIDITY .................. ............................... O ALUMINUM ................................ ............................... ❑ ALKALINITY ... ............................... �.,i ❑ ANTIMONY ............................................................... .... ke(00, ACTERIA, TOTAL /mL ..... ............ ..... ❑ ARSENIC .................................... ............................... 5 DAY ................... ............................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE ................... ............................... ❑ BERYLLIUM ................................... :............................ ❑ CARBON DIOXIDE. FREE .............................. ❑ BISMUTH ................ .................... .............................. : ❑ CHLORIDE ................... ............................... ❑ BORON ........................................ ............................... ❑ CHLORINE ................... ............................... ❑ CADMIUM .................................... ............................... ❑ COD .:......................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR ......................................................... ❑ CHROMIUM (tot.) ❑ CYANID.E.. ................... ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ DETERGENT. ANIONIC ..................... ❑ COBALT ........................ ,.......................................... ❑ FLUORIDE ........... ....... ............................... ❑ COPPER .................................... ............................... ❑ HARDNESS ❑ MPN COLIFORM COUNT/ 100 ml ...................... O IRON ........................................ ............................... T COLIFORM COUNT/ 100 ml ,tJ',,,..,...... O LEAD TCONFIRMATORY TEST .................... .......... ❑ LITHIUM.... .................................... ............................... . ❑ NITROGEN, AMMONIA ... .I ..................... ......... ❑ MAGNESIUM .................. .............. .. .. ......................... ...;. ❑ NITROGEN, KJELDAHL ... ............................... ❑ MANGANESE ............................. . ............................. :... ❑ NITROGEN, NITRATE ... ............................... ❑ MERCURY .................................... ............................... ❑ NITROGEN, ORGANIC ..................... ........ ❑ NICKEL ................................................................ ....... ❑ ODOR ....................... 0.............................. ❑ PALLAOIUM ................................ ............................... ❑ OIL & GREASE ............... ............................... ❑ POTASSIUM ....................................... ,....................... ❑ pH ........................... ............................... O RHODIUM ......... .................... ........................0...... OPHENOL ....................... ............................... ❑ SELENIUM '....................................... ,............................ ❑PHOSPHATE (ortho) . .................. .................... ❑ SILICON ........,. .......................... ..............................� ❑ PHOSPHATE (condensed) ... ............................... ❑ SILVER ...................................... ............................... ❑ PHOSPHATE (total) ....... ............................... ❑ SODIUM ..................................... , .......................... 0...... ❑ SOLIDS, SETTLEABLE; mill- ......................... ❑ TIN ................... ........................ ............................... ❑ SOLIDS, SUSPENDED ... ...............:............... ❑ ZINC ............................................ ............................... ❑ SOLIDS, DISSOLVED ......... : .......... .............. ❑ .................................................... ............................... ❑ SOLIDS. TOTAL ........... ............................... ❑ .................................................... ..............................: ❑ SOLIDS. VOLATILE ....... ............................... ❑ REMARKS:..................................... ............................... ❑ SPECIFIC CONDUCTANCE .............................. • ❑ .................................................... ............................... ❑ SULFATE ................................................... ❑ .... . ............................................ , .......... , .................... ❑ SULFIDE ............................ O SULFITE ....:.......... .... ❑ SURFACTANTS ............. .......................... . .. .... .. ❑ ............ ............................... ............................... ❑ TURBIDIT`: ................ ............................... O .............. ... _.. _..... THESE RESULTS INDICATE THAT THE WATER WASG� OF A SATISFACTORY SANITARY QUALITY WHEN � THE SAMPLE WAS COLLECTED. I THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHETIICAL QUALITY OF NEW YORK STATE ADMINISTRATIVE RULES & FOR THE PARAMETERS TESTED'. REGULATIONS, DRINKING TER STANDARDS (PART 72) all .. I: JI - IIT I a' PA. 'kLLJ-- AT.RERT H. PADOVANI -M.T (ASCP), DIRECTOR: o PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. o iiL OLD M,0t -A&3Z IEK P-0. Owner i`C� /�{�� O�Address y�lN�� pI�AIN IC��onS' Located at (Street ( PTV 14�/ Sec . Block Lot 1 I 6dicate cross s ree Municipality. Pb-NA`I 1A1'— Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole 2�. I 23 44 Number CLOCK TIME 22 PERCOLATION 22 PERCOLATION Elapse Depth to Water Water Level 3r' No. Time From Ground Surface in Inches Soil Rate Start -Stop. Min. Start Stop. Drop in Min. /in drop Inches Inches Inches ZI /Z 1 12� 58' 1 10 2 l 9�Z 2 j 2 I�io -I; 33 2�. I 23 44 OVI 3 33 -1 :55' 22 1 °) 22 3 4 i :�5& 1_20 2-4 I c) 22 3r' /I 5T,20 -1 +4 2 1912- 1 2 102- _�, `o).... _I. .. . i � ._ .. ZI /Z Z12, �_ ...._.....5_ � 3 i-,4-t, 2-1 4 141-2`07, 2 15 2 ) 7l � 5' Z'006' 2: 2 21 /-a 1 1 %L0%0L1 V I;L*q 2 M 5 HE*"i , 1� 1` Notes: 1) Te':�ts to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. r�\ 1 I'• I i it 'I l DEPTH - (,.L. ..- _ 611 1211 1811 24" 3011 3611 4211 4811 5411 6011 6n611 72' 1 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES , HOLE NO. HOLE NO. HOLE NO. 7811 8411 12-6 CK INDICATE LEVEL AT WHICH GROUND- WATEJ? IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES.AFTER BEING ENCOUNTERED TESTS MADE BY Date `Der— DESIGN_ . _. .._......._ ........._......_......... - Soil Rate Used $' t D Min/1 ".x'op : S.D. Usable Area Provided; b No. of Bedrooms O(i0 Septic Tank* ' Ca city Gals �t-.� Absorption Area Provided By 33'7 L.F. 24 ' �/idtliF Name _ Signature Address 57 1 R ��T ry '�o. zvo�g 4�';�' THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Gal. . +Checked by Date c- e tm'ent.�,, OF t _42 'e Date _ k�a W; AN- % 7 'RE V'1: L N 0, v. W;P- 4 46� - zal I� V �73: cp TYPI V Tony co 't FRAM M I N.. 24'L._ G.W. NOTES JUNC* .2..__SEPA1 15 FT. 3. ALL I AREA 'SYS-T9M -R -THE, U. 4,11:t, 8 ES11 -�.M ;N TA' *�ipaw Counij y S KN D -,;7 p4artinent -Of PITCH-0 Environment' al Health U34ibe, D I SPOSA rx 7 L:Lj M 9 Apyro,6tc ad, bt d for conformance- with" FI,RST.'F.1 c- e tm'ent.�,, OF t _42 'e Date _ k�a W; AN- % 7 'RE V'1: L N 0, v. W;P- 4 46� - zal I� V �73: cp c- e tm'ent.�,, OF t _42 'e Date _ k�a W; AN- % 7 'RE V'1: L N 0, v. W;P- 4 46� -