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BOX 12
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01195
R.S. SLEVIN
.__._ R. D. q1-• Sul IIvarr Drive- •Patterson,-N.Y:-12563-'-.—',.-'
914- 279 -781:7
November 28,1988
Mr. William Hedges
Putnam County
Department.of Health
110 Old Rte 6
Carmel, N. Y.
Dear Mr. Hedges:.
Please find enclosed the plans for an alteration /addition
to my home for approval'by the Department of, Health.
I am raising the roof on onelend of'the.house to make a larger
-bedroom and bath, as you can.see by the plans, am eliminating a bedroom
on the first floor. The former first floor bedroom, because of the
space required to access the second floor with stairs, will be '
--- - greatly -reduced. -in'size''end. w111- -0-hly -b6 -useable -as•'a study /.'office•: -
The new size of this room will be�6 -9 x 10 0 +. The house will then,
contain the same number of bedrooms..
Thank you -very much for your time in this matter. I hope to
hear from you soon.
Sincerely,
i
Robert S. Slevin
r
GENERALREPAIR • CARPENTRY • CONSTRUCTION
PETER C. ALEXANDERSON
County Executive
1--
ENID L. CARRUTH, M.P.H.
Public Health Director
JOHN SIMMONS, M.D.
Deputy Commissioner
JOHN ,KARELL Jr., P.E.
DEPARTMENT OF HEALTH Director
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310 January 18, 1989
Mr. & Mrs. Robert Slevin
Sullivan Drive
Patterson, New York 12563
Re: Proposed addition to existing residence
Slevin - Sullivan & Sycamore Road, Putnam Lake
(T) P TX MAP 60 -5 Lots 1103 -1108 inclusive
Dear Mr. & Mrs. Slevin:
I have received and reviewed the plans for the proposed addition to the above
mentioned property. The plans indicate that the existing residence is a three bedroom
dwelling constructed in 1975.
The proposed addition is to convert one of the downstairs bedrooms into a small office
and stairway. A partial second story will be constructed consisting of a master
bedroom, walk -in closet and bathroom.
,---Although- the total square footage of the dwe,'k ingwill'increase, the number, of
bedrooms will remain the same.
The sewage disposal system was designed by John Prentiss and approved by this
Department on March 4, 1975.
The system is located in the front of the residence and consists of a 1000 gallon
septic tank and 920 square feet of absorption area. Approximately 50% expansion area
exists in this area if repair or replacement is required in the future.
Therefore, the proposed addition is approved with the following conditions:
1. The dwelling must remain a 3 bedroom structure without prior approval by this
Department.
2. All plumbing fixtures must be replaced or upgraded with water saving devices, i.e.
low flush toilets, flow restrictors for faucets, showers, etc.
3. The area available for expansion of the sewage disposal area must be maintained
for that purpose.
Approval is granted for sewage disposal only.' 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 concerning this matter, please contact me at your earliest
convenience.
Very truly yours,
2
William Hedges
Sr. Public Health Sanitarian
WH /jp
cc: BI (T) Patterson
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PUTNAM COUNTY DEPART'M1E+NT OF �HJE ET , w b �
D /vfs(on of En�ironmenta/ Health Services, Garrnel,` M'xY .10512.
1P,atte>?so
CER FICATt�- 4� CONSTR'UCT "0111 COMPLrIAN.CE FOR EWAGE DISPOSAL SYST�N1 ,
1 `, c
_ Town 6r'vliUse,"
7Located
's 24x
��{n SG syainor. +,Rds _ , Tiax
asi A _fi�� 5 -
- o
- - - - got= _ � _ yb
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Separate.Sewerage System Ibuilt by wj11ham peva��, +h e'. =� Ad`dressi PUtlldm Ld�Ce� -Nib
1 � � IiheaU Feet 'X, - a„ 4,1
Gon"sisting. Hof % t I Gai: Septic, Tank _ = ' � , + �_ - width tr Bch „
V_
Otfier' requirements None. Dtf�er Than 1,�1 x '0" fl • °
a�
Water Suppy Pubiic'tSuPPIY .From
a X,_ meal {8i SOns TnG
Private SuPPIy Drilled By -
x
Addres"neQ�te'r�f N'a
1
- T - d
B'uiltling''Type O #��e �N;o of Bedrooms Tee Date Permit Issued 9�2`frA's
_en borHas Erosion ContoB pdx
fisted servin' •t6w66oVe rem',ises,w'ere•Iconstructed essential) WS ,t +on theApfans of the comp "letednw_ or,k (cop'ies of Which are
cer -tify -that the(system(;s) as L _ 6 P , - - - Y -
bitt ffhed,), .a nd. in accordance with the standards; irdid a:nii ,regulat -ii plai filed; and the permit- ,iswed ,b - f PA, Count "y Department of Health S.
pate ICMtif6iedllby lP'E,A__
Tr
3 C e. P i,'J - - Lese 'o 2
Address ' hcn N2
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14Any ,,person roceppyin9.•premises;SerAved by th'e.`above systems) shall'IprompYly take such action a�may be�nece ;nary fo secure:the correction of any unsanitary
conditions, resulting Y'rom such ;,usage alpp�oval`'of `the separate seWerage`system shalliltiecomej'riull +andvoid as. soon as,' a;putilialsahitory seWer,becomes
> o
^.available and .the approval of the' private water supply shall become null Land void when a! Ipubtip ,water supply, lbeci mes aYaiiab'le.; Such = appro'va`ls are a
sutijentr to modificatwn_ or change when (m 4he %fudgment ofythe7 Commissioner ;of Health such ravocatiori modification :or change „ is anecessary,
A.
bate _ s 3 ' - � � �BY z _� t � •-�. Title` Aplbl
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0
0
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0
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A
- Box 224 - BREVSTER, N. Y.
WATIES ANALYERS REPORT
sAMPLE No. 3377 _
SOURCE: J,A,Bijou - faucet — well supply
Sul'l Ivan Drive & Sycamore Larne
Putnam Lake., New York
COLLECTED: Feb, 119 1975
Bit: J,A,Bijou
BACTERIOLOGICAL. EXAMINATION
Coliform Count, MF Method
0 per 109 ml.
This result
'n
source of
the sample was
sM1
A
- Box 224 - BREVSTER, N. Y.
WATIES ANALYERS REPORT
sAMPLE No. 3377 _
SOURCE: J,A,Bijou - faucet — well supply
Sul'l Ivan Drive & Sycamore Larne
Putnam Lake., New York
COLLECTED: Feb, 119 1975
Bit: J,A,Bijou
BACTERIOLOGICAL. EXAMINATION
Coliform Count, MF Method
0 per 109 ml.
This result
indicates the
source of
the sample was
of satisfactory sanitary
quality when
the sample
was collected.
Feb, 14,9 1975
r
Owner or Purchaser or Building Municipa ity
Building constructed by Section
Su S 6� All
Location - Street Block
BuivIding Type Lot
GUARANTY OF SEPARATE SEWAGE SYSTEM
I represent that I am wholly and-completely responsible for the
location, workmanship, Iriaterial,.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 herebyiguaranty to the owner, hi.s 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 oflinitial 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 syste
Dated this 2=� day of 192y' Signature
Title
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREi (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
e p
° 0000 Ynsp ° b
11,1 NIAL SITE DISPi:CTIOid oe, yes o Ccrrrents
Property lines or corner:, 'ro," nd p e a 0 0 0. 0
Can estiira.te house loc-:::ion °. 0 0 0, 0 0 0 0 0 0
Will driveway need cut a 0 0 0 a 0 O 0 0
Must .trees be removed -note these 0 0 0 0 0 �V,�� 7,r.
Is deep hole r- - 3PPesentat iv]e of . ent re SDS 'are-a,
ea, S ��
Additional deep 'roles needed. e e 0 ° ° ° 0 0
Sufficient S S. air -a available cons deri:_g
drive 'V!ay cut, house location,.separati on e p ;
`distances., etc. 0 -0 D o 0 o a 0. o a o o
SEEP 110 P4T
Depth °
Water elevation: _ o -
Rock eleve tion:
Soils description. °. cs•rr ��� ----;-
Date:
i T
S, TE r_..s� �.., _ o_. I�LgL � � Insp. b
House located where shown on approved plank
wep e.e .- v•+':.•• ^� a . • •e ,e yV r • V Y :..•V e e o e o e o o 0 e _ ._ -
.W1 °4..r 3 - w'.. -, fY LtaGul eel - - - - - -- - _. ➢ - - • -- -- .. —_ .M.
..�.� -
Width .of trencz c N'om`e
Slope of tile, line and trench acceptable.p ° o
Room allowed I'or exp ns i on ti encT"1es o e 0 _
O�rer 5e, fta from ssa.rlb, .:atercovrse o 0 0 0
.Natural soil not st ri Mped or . SDS area .
unnecessa- i graded e e.° e 0 e 0 0 0. 0 0 a
10 it irkaintal"ned fro:: prop °line and
2Q ftp from house o 0 0.0.0 0 0 0 0 0 0 0
Separation of tr`nc'�h from hous°, well
etc O foli
I-, '. - -
RENIEW CHECK SH = T
/j
Meets Std. Remarks
Ye s 11 IN 0
DOCUMENTS
Rouse Plans 0* * K.
Design data -sheet
Fercs presoaked?
�Iih% 3" pert. test -dept-h.
Vonst. results for 3 runs
D. , Hole log 0. K._
,orporate Affidavit for ot-hear than individucs'l
kuthorization for engineer
retter from Water Supply if applicable
T'variance requested-such noted on plans & apps
XETAILS
p
�if char -ge is proposed,) 3xisting contours. shown: show new conto urs)
dopes for driveway-, cuts*, etc. shown .
later service line location
eooting-drain., etc. location I.
fop slope, bottom slope of fill
?ercolation-tests and deep test pit location
septic tank size and conformance to std..
i B.R. h6use minimuum
louse setback shown.
11:1 watel' WJAJ1111. JV' I U.- -r-U 0LI1_JW'11
Plan and 'profile SW
--her well-
All.oL S, and SDS closer 2001.
shown or reference Trade
Property boundaries (-,n-.te- and bounds-clearly s
EPARATION DISTANCES'SPECIFIED ON PLAN'
)"to P.L.
to Foundation galls
)I to Nearest well
)I- to stream,*March lake, etc. incl.expansion
51. to Curtain drain._
)I. to water line (Pits-201),
51 to storm drain
to large trees
)'
',from foundation to septic tank
D to pipe from leader. drain & foozing rain
M
.,
Putnam
MW County Departsaent of Health
- Divi'sion_.of Enviro ta-1 Heatath--Services
AF°F°IDAVIT - CORPORATE OWW APPLICATIOZ
FOR PERPffIT REQUIRED By X PUTNAM
COUM SAZITARI CODE
(Please type or print in iak )
Tao Commiasioner of Health o In the utter of application for
I9 0 0 o m o °Joseph A. Bi tou _ e _ _ ° e a °9 represent
that I am authorized to act for. the
° _o m m ® Jeri co Developers Inc,
- ° orporatlon)__ ® °_e
having offices at RFQ 1, Bast Branch Rd..
Patterson; .NY 12563 whose officers ar a
Presideht Jojeph�k fi!OLU' 11 lg E. Branch Rd. jatterson &jY j2563e m
(Name &Home adNir� ss
Vice-Pres. Virginia M. Bijou, RFD. 1, L Branch Rd.., Patterson, NY 1.2563
o° 7. Tame XHome A FessT� °� °�_ °� me °°
se 0 Lawrence J. Bijou,.RFD 1, E. Branch- Rd.,'Pa terson, NY 12563
°__ ®.�a___m ® °�Hama&Hoa�$QAddrass m o4m 00 --- - °°
Treas,
by Resolution.adopted 19 0
with respect-to the. permit requested and all subsequent acts relating theratoo
Sworn to before me this day Signed �
of �✓ 190 °
Tit President
otary c
L. PtTOlf
d pak in the Stow Of N=303h
Remdm m Putnam Cam
GE-M-28 P County OeWs Ito. GE-M-28 �zm n E)mires M SO. "74
'April 159 1972
- PUT1'%M`COUNTY DEPARTMENT "OF.: HEALTH' '- ."
DIVISION OF ENVIRONMENTAL�HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPPARATE SEWAGE DISPOSAL SYSTEM FILE'NO.
Owner J S, 4, /3, -Am -Address ' S'wft Vdhj, .Sveew.evo JeA e
QkMa .:
Located at (Street 6dicate Drorr�ro�. }.. 6
Block '
n eare cross's re -6 44,*C 40 00' �8
Municipality. 040Wr3bti Watershed
. -'SOIL PERCOLATION TEST DATA REQUIRED'TO BE SUBMITTED WITH APPLICATIONS
2 1-
3 .>9-
5
Notes: 1) TeRts-t.o beVrepeated at sameldeptn until approximately equal soil
rates are obtained kt" -each percolation test hole. All data to be submitted
for review.
2). Depth measurements to be made from top of hole.
Role
Number CLOCK
TIME
PERCOLATION
PERCOLATION:.
No.
'Start.-Stop
Ei-apse
Time
Min.
7, p ov a er
From Ground Surface
Start Stop
Inches Inches
Water ve
in Inches
Drop in
Inches
Soil Rate',.
"Min. /in drop
.
1
3
1�
I
2
S
yS
1
3
4 .
2 1-
3 .>9-
5
Notes: 1) TeRts-t.o beVrepeated at sameldeptn until approximately equal soil
rates are obtained kt" -each percolation test hole. All data to be submitted
for review.
2). Depth measurements to be made from top of hole.
TEST .PIT _DATA, REQUIRED. TO BE _SUBMITTED - WITH - APPLICATION _
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES-.
D8PTH HOLE NO.�= HOLE NO. HOLE NO.
G.L. ai /
6"
®o
12"
v
18"
24:u..
o
3011
361'
42"
4811
54
6o"
66"
7211
7811,
8411
INDICATE ''
L AT
INDICATE LEVEL TO
`'TESTS MA1)F
RV i),-,
'56il Rate Used 16-,k) XW111Drop: S.D. Usable Area Provided
No.. of Bedrooms f 4evv Septic I Iry
:Absorption - • •-• C &� width
Other
York 10-12
... ���
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i
THIS SPACE FOR USE BY HEALTH DEPARTMT ONLY:
Soil Rate Approved Sq. Ft /Gal. Che G by 41
orpHE StatE�
Date
Date
tructure
-suive,yor S.
flers report
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Health
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3jTi9ht'joint!- ra
pile m SOP11C tank to box and between all boxes
4 Baffles to insure equal distrobution may be required.
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