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HomeMy WebLinkAbout1199DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.62 -1 -78 BOX 12 I rm .. , k. F A6 NT 4. ,',� { ~• �• 01199 S 4ERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner, of Health MOLD OBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET 2,9,3 a44;�Zn TOWN TAX MAP # `�`f � NAME / PHONE y - Yo 1 l9 PCHD# _,d q I ' 3 MAILING ADDRESS DESCRIPTION OF - - -� ADDITION ' A NUMBER OF EXISTING BEDROOMS PROPOSED # F BEDROOMS_ (FROM CERT. OF OCCUPANCY OR CE TIFICATION 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 Dept.,1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. . . 1. .Certified check or money: order for $100:00: :- ..2..' Sketches of existing floor lan (drawn to scale; all. livin area including basement, to be shown'and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA-1) 3. Two sets of proposed floor.plans (drawn to scale = with name, street and tax map #) *. Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA 1) 4,... Copy of survey, showing all well and septic locations on the subject propert y to the best of your knowledge.. Include date of installation known. Contact this office with any questions.. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS X14 11 rss;:� -.� At -s t, -.2kj 7NaW i.,lll. CSC .�,. �en,p /•LH.� ✓,JG ffz T�1:rt1.' L plc( ... / !y �( -YK.'t .S Mo /�y,c (L'Y�w � ffSN .GUWi1l•� ��OJ- �, /lr._....)'il.r�i +yfMP Q"Tv�JrJy -�GJ /�_/va• d!�� y .. ttr. L..e,SAIly /GyJvf� 5�ee�S iz- uYecC..yl Environmental Health (845)278-'6130 Fax (&45)2.78-7921 Rater Supply Section (845) 225 =5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 , Nursing Home Care Fax (845) 278 -6085 WIC (845)27&6678 . Early Intervention / Preschool (845) 228 -2847 Fax (845)225 -1580 SHERLITA AMLER, MD, MS, FAAP 4 ,� ROBERT J. BONDI Commissioner of Health County Executive LORETTA MOLINARI, RN, MSN Y��� ROBERT MORRIS, PE. Associate Commissioner of Health Director of Environmental Health . DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 Town ]Legal Bedroom Count & Provosed Additiod Status Re: _(¢ii?�� (Owner's Name) Tax Map .# a� L Address: 3��. Town: Year Built:,�J` .According to records maintained by the. Town, the above noted dwelling, is in. compliance with Town. Code. �47 Is not incompliance. with Town Code, The Legal Bedroom Count is:' This information has been obtained from: Certificate of Occupancy: i Other: A7awe_ The .plans fort e proposed addition are considered:.. New Construction ��2�•� . �� ..�'��% _ . Addition to existing house only Teardown and/or re =build allowed under Town Regulations :.. Building I . pec o.... 6. Environmental Health (845) 278 -6130. Fax (845) 278 -7921 Water Supply Section (845) 225 =5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC. (845) 278 -6678 Early Intervention % Preschool (845) 228 -2847 Fax (8.45)225-4580 CpG SHERLITA AMLER, MD, MS, FAAP 4 ,� ROBERT J. BONDI Commissioner of Health County Executive LORETTA MOLINARI, RN, MSN Y��� ROBERT MORRIS, PE. Associate Commissioner of Health Director of Environmental Health . DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 Town ]Legal Bedroom Count & Provosed Additiod Status Re: _(¢ii?�� (Owner's Name) Tax Map .# a� L Address: 3��. Town: Year Built:,�J` .According to records maintained by the. Town, the above noted dwelling, is in. compliance with Town. Code. �47 Is not incompliance. with Town Code, The Legal Bedroom Count is:' This information has been obtained from: Certificate of Occupancy: i Other: A7awe_ The .plans fort e proposed addition are considered:.. New Construction ��2�•� . �� ..�'��% _ . Addition to existing house only Teardown and/or re =build allowed under Town Regulations :.. Building I . pec o.... 6. Environmental Health (845) 278 -6130. Fax (845) 278 -7921 Water Supply Section (845) 225 =5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC. (845) 278 -6678 Early Intervention % Preschool (845) 228 -2847 Fax (8.45)225-4580 aq BU..1 LDI NG PLRMIT Town .0f P Y. Permu N° .1256' Date ---- �' - - --_'QL_— Permission is hereby granted to: ft to erect - - - ---- - - -- -- - - -- - -- =-=-------=----------- - - - - -- -. a-s -Per- Plans, filed rind -cipproved -by--fii' .ie.B- uilding Inspector ,at II (Location Building Inspector This Permit must be kept on the premises until completion of al.l. the authorized work. Note: The holder of this permit is required to familiarize hirnsolfwith all ordinances under which this permit is granted. Any violation of these provisions will result in immediate revocation of this pormit. i I I o Q 1 Oj �1V o P �'QTn9M (;ouatY Depar u*en-c :ux riduil,i, i vSsion of Envir -o entaZ. Health Servicag . j ipproved as noted for conformance wit% • applicable Ifules and Regtilations of the I . %tn= Q( Health Department... r� �, y ; �'a�u� .^ •. .4�mi'k 1J!'7i� !`� �t t � • t39'� I i i.w, •fi,�e r . } j I 9 X � S DATE :ISSUED 1/8 THIS IS TO CERTIFY THAT Daniel opromolla ON THE PROPERTY. OF Same LOCATED ON 25 Canton Dr: HAS BEEN SUBSTANTIALLY CONSTRUCTED TO THE'REQUIREMENTS OF THE BUILDING'CODE ;-ZONING: - ORDINANCE AND LOCAL LAWS OF THE TOWN OF PATTERSOM NEW YORK AND MAY BE. OCCUPIED AND 108ED AS Second'.Story Addition to a:!Single Family Dwell;n 'Building Permit Dated .Z 8.... Permit No..1256.... Application No::A -QZ75: ..... SECTION .........61............ BLOCK ....... ....4........... LOT ......... 0.2............ . FEE $ 15.00 2562 -1 -78 - BUILDING INSPECTOR l" i PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Auguast 29, 39aa Mr. Daniel Qpmratimalla 25 Canton Road Pattsraan, N&e York 12563. • Re: Dear �{r. Qpsraaeal l a :. ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E.' Director Proposed addit =an to existing ressidence 25 Canton Road (T) Patterson, TN 65 -4 -6.2 i have r6rceived and reviewed the plans gar the ptroptasod addition an the above mentioned lot. The glans indicate that an additional h&droaae Trill. he created by the addition mg a B6 1ont darscsr. The residence ie3 psreasntly a three (3) bedroom dwelling. The addition caill result in a total ag gour 441 b&droams< . _ __. _._....._. age -• -sersage�.. ciaSPaasa3" "s�Ptat:esa -•eras araginally deli ®sled for a three 43) bedroom residence with irmom designated 'lor expxanml on . I The sewage disposal system cansists . of a IQOOQ., .gallon septic tank and 9 aO lineal g.oet al 3 Boot trena)aee3. Baa&d on t2me inlormaticn eubmAtted, and a Iield intapisctian al Augumt 29, 19aB the addition is approved with the following cand3tiana: S. Based on the original design, 60 lineal leet a.1 3 goat wide trench must be Anmtalled An the approved expansion Brae, -as indlanted on the Onewegs ¢Imperial rep 6lri pmsr -mIt" 2. The availability lar sEuture expeamsion or, repeals- be saain.tained for, that purpose only. 3. The, arms- built" drawing of the additional teewaga disposal system be nubmi tied and approved by this Dep►artomsnt, pxrior to the issuance aff a PCerti1icat& ag Qccup ancy o . 16. All plumbing iixtua-es be replaced or updated ulth water saving devices ti. e_ law :Elu&,h toilets, glow a,sstrictors for lauaeta and ahou&r heades, eta. ) . > l]pr„cc;uctl 1 a Auguat 29...19a8 If you bavo any quast:Lmn= conmor -ning thAm. ma.ttar:, ploaoo contact ma at your ccnvonionca. WHYjp cc: RI (T) Pattarccen ilk EC Vary truly yaurs,' William Hodgas F- nvironmantal Hoalth Sanitarian .d .......... ... I . �71TR�4__'- PUTNAK COUNTY HEALTH DEPARTIM' �t4 DIVISION OF x.. ONE HEALTH 7M E; PROPOSAL- FOR. SEWAGE DISPOSAL SYSTEM REPAIR MM'S NAME OEM tn_r) I PHOM SITE I=TION MILING ADDRESS T 10T70M INTERVIEWED Ffw"� l'!* 111?ffij:X1i "M I Z�*Ji W 0 1A DT PCHD Cmiplaint 0 Name & Relationship (i.e, 't6naat....etc J. • q .4TWE FACILITY ci23�,�P" CL�j M C PHCM IK O Proposal (include sketch locating all 'adjacent wells): NOTE: Repair must be in same location and of same .t ag"Biri, swage', disposal system. Different location may require sutmittal. of proposal from licensed profi6ssional engineer or registered architect. rLWUJ.tXt=11t_ V.L 'CUIY L%JW11 1J=U1L.,L6j? L.L CLyLJ.LJL%AMLAL=a Submission of as built -repair sketch in duplicate showing: 4 . Owi-er I s name. b:. Site Street Wame# Town and Tax Map number. c. Location of instalied carimpepts tied to two fixed s L . points (e.g. phone oorner d. System description ('eig. 0 1250L gal. concrete septic tank, threes precast 6' diem. x 61 dw drywalls surrounded by one foot + gravel). ea Installer's name and number.. 3. System repair to be performed in accordance with the above proposal and conditions er, 1. as owner, or r agent of agree to the above conditions. SIGNATURE TITLE DATE' VMte MD); Ydlao. MCM HE) 0 pillk ( kTumt) », r-' - - --- 7.�_ . ' ''--_-_-_,��7 �-- '--�=�='- --`'----r- -- -�--'-�-`-�=r-��-�--- � _- '_ YORKTOWN ENV Room. VTAL SERVICES :..... _ . (Dh*ion of Yorktown Medical Laboratorybr.)_. _ ? 321 Kear Street,-P.O. Box 99 Yorktown Heights, New York 10598 Telephone (914) 245 -2$00 Fax (914) 245 -3170 Office Hours: 9 on to SPM, Monday — Friday j Sanrpk=bwiWbir i7eadline: 3:OOpm daily •-► ACCODNT CALL SLIP Important!!! Keep this reference slip. available if you wish to obtain verbal . j resnits on a sample. The information-on this slip will be-needed to obtain. • . information or remdts'on your sample. Thank y 9.300604 44i .Lib #: Date: Account Name: , Address of property -client reference#: OPP Tests Requested: r For ksults or samale status by oho Eer. "0 d To -check on' the' current stadis...of a sample. or for verbal resnits, please (riL L ONLY BBTW W N 2 - S PM WESXDAYS. The lab personnel are only able to provide such information to * during thii.tima ..To obtain any information ova the phone, you must provide the LAB NUMBER ag it• appears on this receipt. No information will be released without this.lab #. i Ph =- be certain d at the quoted analysis tmio has eiapscd bafore calling, . else your safnple results may not be avaiyable. Thaalr you very much for yowtoopersdon andpatronagcL FQ.R RESULTS CALL (9 14 P1V1 245 -2800 BETWEEN 2 — S Pate L Z .t 2 �' G/ Certrfied by; P: R.A. Address ��` r ' Litense ~ No. �•3 11 ;Any.' person occupying ,premises served by the above system(s) shall promptly take such action as may be . necessary to secure the correction of any unsanitary I 4conditions resulting from such, `usage. ,Approval of ..the separate' sewerage.system shalt become null and:void as soonl•as a public sanitary sewer becomes } available and', the-4` pioval of-;tfie� private water supply Shall become.'null. and ;void when ;a public water suppl es available. Such approvals are r subJectf to:+modificatiori or change when, in the.judgment ofahe Commissio of Health, °modific ion or change is necessary. Date BY T e Form L-3 —gs 7 -70 „t Q�IURTa'8 07 W1ESTCE13 772 DIEPAIRTHENT ®IF' ILA ®I�A� ®IIUIES AND RESEARCH: vaumus"NOWTOPIk 10= RESULTS OF EXAMINATION OF WATER Laboratory number ... .. ry . 5:51 7 ......... ........ Le-Collected by ..................... :................................................................ .................:... r. . Date: Collected ...... —­'21 4x721 Received ...... ....... ............................... Reported ................ .:7,9,2 E3.,721........... , i Place q� County.. , . Putnam Hamlet. Township) Samplingpoint ............ .................. ... ............I Owner ........................................................... Tenant ........................................................ BACTERIAL EXAMINATION. Chlorides p Bacteria per ml., agar, 24 `firs at .3 '50' C ................................. s. Nitrates ............................... p p m. M.P.N.* per 100 ml P .................. :................... `e:. 2. r ........... Comb. Test for coliform group: Residual Chlorine: Free Membrane per 900 ml . Fecal a Y00 mj pH Value 0 00000aa000 t o 0000000000 These results indicate the 'source of the .sample �, of a satisfactory bacterial quality for the indicated use when the sample was collected. Henry Siegel, M. D. *Most Probable. Number Director so Z.1 � 260' 2 6 33� 38 t� A P POV x /A E I� .SUP 1~ to L tai T 5 ,. tt ,t t .611 l.k r V, .xr\ i ^L � �U a/ r.• - q y5,�aca : r' i °UTN COU14TY FgHCALdH f A KEC� J ( f 1VI§lON.OF.;�' ENVIRONMENTAL HEALTMI SESu.ui� 5601 < f y �t,►.° LL ;'�3�F��C�k'i'�,,,�RUCk.��tC -� C� << ' ;;\ r�4,{����, ���.L��,Y,- DAi�P�Vi�`(�Cobl�! s ,. s. r tom! y � ! ' 1 k 4 4 t � G � ! tl t ti c r � . ` 'Z C.0 :l� i• ' `1 Ll�),v4 i hdt ^ra yi iY14 ryy1 - t 3'- S.. .. .. .• ....... ., }.,., 1,..•n .,r,.kNxr ?c o+ "n, r fit ,�c)l.r .': ul• .tA, m�: :gw .1.`t .. x, ....o».[....,.,. rr _..�., s..�....•.: ., ,. .< .. n; ?•. . , _ • .. ' r t t PAT 6 , 7Z C C�.KY® ly 'CaR t V ' � �� 1 S 7 I•�Z- 4 p n nc` + +6 L •ate' t • 55D onti o L L � AID 5 I R�, �� W�� � � ►sa�� goo ' 2 WIT N 2� W C: A x'6.4 - iS r P e PLOT ?l AN. - n. r y yh^ , `t4 Cdr /1 t u uisfoFNCL 24 wal ,. ! t t i . q t .I I yl to A F 3 260' 2 6 33� 38 t� A P POV x /A E I� .SUP 1~ to L tai T 5 ,. tt ,t t .611 l.k r V, .xr\ i ^L � �U a/ r.• - q y5,�aca : r' i °UTN COU14TY FgHCALdH f A KEC� J ( f 1VI§lON.OF.;�' ENVIRONMENTAL HEALTMI SESu.ui� 5601 < f y �t,►.° LL ;'�3�F��C�k'i'�,,,�RUCk.��tC -� C� << ' ;;\ r�4,{����, ���.L��,Y,- DAi�P�Vi�`(�Cobl�! s ,. s. r tom! y � ! ' 1 k 4 4 t � G � ! tl t ti c r � . ` 'Z C.0 :l� i• ' `1 Ll�),v4 i hdt ^ra yi iY14 ryy1 - t 3'- S.. .. .. .• ....... ., }.,., 1,..•n .,r,.kNxr ?c o+ "n, r fit ,�c)l.r .': ul• .tA, m�: :gw .1.`t .. x, ....o».[....,.,. rr _..�., s..�....•.: ., ,. .< .. n; ?•. . , _ • .. t� A P POV x /A E I� .SUP 1~ to L tai T 5 ,. tt ,t t .611 l.k r V, .xr\ i ^L � �U a/ r.• - q y5,�aca : r' i °UTN COU14TY FgHCALdH f A KEC� J ( f 1VI§lON.OF.;�' ENVIRONMENTAL HEALTMI SESu.ui� 5601 < f y �t,►.° LL ;'�3�F��C�k'i'�,,,�RUCk.��tC -� C� << ' ;;\ r�4,{����, ���.L��,Y,- DAi�P�Vi�`(�Cobl�! s ,. s. r tom! y � ! ' 1 k 4 4 t � G � ! tl t ti c r � . ` 'Z C.0 :l� i• ' `1 Ll�),v4 i hdt ^ra yi iY14 ryy1 - t 3'- S.. .. .. .• ....... ., }.,., 1,..•n .,r,.kNxr ?c o+ "n, r fit ,�c)l.r .': ul• .tA, m�: :gw .1.`t .. x, ....o».[....,.,. rr _..�., s..�....•.: ., ,. .< .. n; ?•. . , _ • .. PUTNAM COUNTY DEPARTMENT`.�OF ,HEALTH Division;of Environmen[a/ Health Services Carmel' N Y. 10512 ' CONSTRUCTION `PERMIT FOR SEWAGE: DISPOSAL `SYSTEM��N o "ia?'sotV , Town or Vi1Tge LdCated -at - Set ' t on�i• � � ` a oct ,Subdivision rh/T ���� j Lot . `v_- G Job Owner" ,�q/, QO�o44Il Address Building. TYpe Lot Area —� 1 >> 3 Number of Bedrooms Total Habitable Space Square Feet r ©© Gal "Septic °Tank lineal feet`X width 'trench Separate Sewerage :System. to cottist of ���' To'be constructed .-by. Address Water supply Public ,Supply From `Private Supply.,to be drilled by ; g r � "• � 1 1, tl 1 ' Address Other' Requirements S v I represent that I am wholly and _completely responsible for'the design and location of the ,proposed systern(sj ' 1) that the separate- sew ge disposal. system above described will be constructed as shown on. the approved amendment -there to.'and in,.accordance'with the standards, rules an regulations o e, Putnam County Department 'of­. Health, ,and that on completion thereof a ".Certificate of Construction Compliance ".'satisfactory to the Commissioner of Health will be submitted to the'; Department;`, and: a written,guarantee will be furnished the'owner . is successors •heir ;:or : - assigns by the builder,' that said' builder will . place in 'good .operating. condition any, part: ,of said sewage disposal system during the period of two (2)',years immetliately.,following the date of the "i ;su - ance of the,appro`val of the Certificate of Construction Compliance of 'the oiig` al system' or any repairs thereto; 2) that'the drilled well described above will be located as shoirJn on the approved plan and that saidSwelP will`be installed ccordance with` the stand , 'rules and regu a ons of. the Putnam - COUnty;Dep ment of Health. / P. E.. R.A. Date i __ Signed �� wE i�i4 %vim �`.� '1CI icense, No:" L �O . Address �,� 1 '� APPROVED FOR CONSTRUCTION.. This approval expires one-year from the date - issued ;unless :construction of the building has been undertaken 'and is revocable for .cause or may be` amended or modified whe "n considered ne ry by" .the Comm n r of 'Health: Any change- or alteratio f construction, .. requires a new permit. '. A�ppro #d forrddisposal, of dome i ar�yr s ag an r privy u ly.`only. Title Date J��;�T/ By (J` r !J """'T D E�'F R I LE T H 7-7-- • ? S T ON• 'T D LE S I G "i A Z-t - DA T E T R-A T; E, I I ITA,� -,n:ZAT SYST--- E, D T FTTv "'0 .7/ PERCUL-*�T! # Address s,- IS 7 IV VIC EGAL14 Located =t- s Sec. o 2'-, (T� --C- CS irce O� s'--ed So -L _7j T -7 E D ID Z"D r o, 1 0 ,zoi L . --; Li Hole C7C,C-, --T p 7 T T PERCUL-*�T! No irce O� ..C.-..-=s So -L St F-r oo S-Lo:) m i- In cl-. s in Ir 2 1, Co 4 /10 2 3 4 3 S 'l-est to 7✓e at s-Me - c,8-pt-i util 1and'': S0 -1 t e S e 0-J s at test 2.-1 d a ta t e oz' 2) -1) ='e fro7i +-o:) o' a e zi UI I � TEST PIT DATA REGt T.7)7:) .0 i- %Lj3'!I TTED • :T'=={ APPLICATIO\ DESCR T PTIO� OF :,,S or DEPTH HOLE NO. a ,HOL -N0. HOLE NO. _ G. L. 6 r1 T� P Soy 12'" 18 t 24r* 30` SA/vo� 36". 42 *• 4S' 5 4' 66" i2' 7 G'• 8 4, _C_ INDICATE L= �'c.L AT �',HICW G?0 " \D ' %AT�R IS ��'C0L'` "'-' 1--Z7) -- /Vo�►1� ILi_lICATE L=tT, TO ;i': -[ICH rATE LI_ =;� a_TcP r E` ;CGli \'TEED TESTS `_aDC 8Y (7:.1- Date ' z ` D.: 5011. l\ _'s c - il`/l D ='v ). S. D. 1:s 0. I c _d _- ---- No of 5'0 = oo -.s g S= Ptic Ta::k Ca D = =t5 `?o o _G _n . TypE !-/4m -oN2`L AbsorP Rio n A ea Provided B Igo L. F.x2': 35" Y ; r't — - OF ids J,• r /f/ 4.1�\0.`�_ S Name�€o�'� NEB id , ^ � �, e "' �.� Address �� N .4 vt SEA - -- V \ � ^�l� -' \('_ • � 0 * ^�T PL _`AM CCU• \l _ DEPA.�l._.N_ OL C1i=n"'LT So_1 ra- e ?proied SC. Ft. /Gal. Checked - Date OWMI S NAME SITE LWATION �•. j J , t( PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENM HEALTH SERVICES 225-0310 PERSON INTERVIEWED PCHD Complaint Name & Relationship (ice, owner,tenant, etc.) DATE TYPE FACILITY (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 fran licensed professional engineer or registered architect. i 3 A Proposal approved _ Proposal Disapproved Inspector's Signature & Title Z Fzz < r Date- Proposal approved with the following conditions: to Procurement of any Town permit, if applicable. 20 Submission of as built repair sketch in duplicate showing: a. Owner's name b. Site Street Name, Town and Tax Map number. co Location of installed components tied to two fixed points (eogo,house corners), do Systsan: description (e.g., 1250 gal. concrete septic tank, three precast 6' diamo x 6' deep drywells surrounded by one foot + gravel) e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owne0or Vr agent of agree to the above conditions. SIGNATURE TITLE 24/ ::� DATE zI: mite (PCHD); Yellm (Tam HE); Pink (Anliamt) cnis +i r�s If rfd ` 00 47 0 Ii 9 Ne.w P ................... .............. ............................. T-� go, 900 - VA1*61 CNIA �:t C 7, --1 NS U. 2: M" Shepherd General Contracting (914) 279 -9180 ISS E. DWn S¢. Brewster N.Y. 10509 Putnam County Health Department Division of Environmental Health Services ��u a� 1988 r) 'R TT.,'(ImTITLI To install 60 foot of field on exspantion area. as shown in plot plan submitted for the party of "Opromolla. ". Trench is to be 3 feet wide and 18 inches d.eep a,s specified by The Enviornmenta.l Department as per visit on 8/9/88. Reason : Adding one bedroom 0,vl 1 c) v1 (L d� c OC' } o boa � �o e ° �o a 0 0 � �0 4 a.o °o 7 qz� 0 4 �aLnawa �ount� lieparcmeati cis ttet"" ion off Environmental Serviobi % ipproved as-noted for conformance with applicable Rules and Regulations of the ?utnam County Health Departments. . � e d 0,vl 1 c) v1 (L d� c OC' } o boa � �o e ° �o a 0 0 � �0 4 a.o °o 7 qz� 0 4 �aLnawa �ount� lieparcmeati cis ttet"" ion off Environmental Serviobi % ipproved as-noted for conformance with applicable Rules and Regulations of the ?utnam County Health Departments. PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 August 29, 1988 Mr. Daniel Opvamalla 25 Canton Road Pattorsan, Now York 12563 Doerr Mv. Qpramalla: ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director Rat Prapaaod addition to existing roaidence 25 Canton Road CT) Pattoraon. NY TM 61-4-6.2 I have received and revioved the plans for the proposed addition an the &have mentianod Sat. The plant indicato that an additional bedroom will he'croatod. by the addition of a I& foot, dor•mor. The rosidonce is presently a three (3) bedroom dwelling. The addition will rocul t in a total of four ( 4 ) hodrooma. The _sevaga disposal system was or-iginally designed far a tixrc>c �3;-e:.cif�:�az resiuonco with racm ricsgr.�':oz' io: expansion. The movage d1opomal =Vote= consists of a 1000 gallon septic tank and 18O lineal feet of 3 foot tronches. Rmaod on the information aubmittod. and a field incpoction of August 29, 19,EkS the addition is approved with the fallowing canditiona: 1. Rasod on the ariginal deign, 60 lineal foot of 3 foot vide trench must be installod in the appravod oxpansian aroa, as indicatod on the °sewage di =pamal repair pormit ". 2. The availaitility for future oxpan =ion or repair be maintained for that purpaso only. 3. The "as- built" drawing of the additional aovago dinpacal =ymtom be aubmittod and approved by this Dvpertmont, prior to the iaauanco of a 'Cortificato of or- csuponcy ". 4. All plumbing fixturoa be replaced or updated with water saving devices ii. o_ law flush tailot =. flaw raatrictarc far faucotc and ahowor head=, otc.1. ,,Opram�t21a -�- Auguat 29. 19a$ a- 11 you hQuG- any qusmticmnm concG-rnAng t2sfjm mat -L&r, plsaimeq, contact. M& at your, ccrnrss•niaaace. VF3ry truly yours, Wll2iam Hisdg&m Eriv3ronms•nta2 HGIM2tA Sanitarian Id MY p cc: Till (T) patts r•san ix Ec ` - -rL AOX. _ S I . - `:.t1>5 ��.C.a...►_S. w1TMVtJ goo' - t � - t t - - .. sl'r r;" "tAP h i ; N4 c vr#_ j IN ,VLq i t, r. :a TEE 'O SF CONSTRUCTED IN TFtE RULES AND tat UULA.71i US ()% 7'HE i4F tiE ti.i�i _ GC]f "fyrF of =SHALL NAjl rit ACII +_;. E! s N r:4 #'E(' (Er, BY OE :GP# Rye tF.{i<'Lk P�J THE L:)f,.r'.il iiCAL! a r 4t E F 197 rr- a FT TF2F `; ^t: sV !.`i J� Ai^ I'm !gF "r HEALTH PIT,. j fjr `} ; 16" I'ER F YO T- OUT, - ' - - .,.� • i1;517N OF c 1 1,.,�� _ems .:1 .� T 1.....� � . .._, _ r. g1Y#ROta..EnSAL HEALTH SERVICES tunrrrrr i- 2- k- Vtiarss pain.' r� i .:.r_ _. �.uT'LVlhL Uj >F13 - .DOfe .! i-3 _7w� 1212 71' TV X39: ■