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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.70 -1 -62 BOX 12 I,tiL ;r; -,, I lim - 1 1 :-.- At 1 I . . I I 2� his ILL 1 E6 1 01282 LORETTA MOLINARI R.N., M:S.N. Acting Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 March 26, 2003 Byrne 7 Sullivan Dr. Patterson, NY 12563 Re: Addition - Byrne, Sullivan Dr. No Increases in Number of Bedrooms (T)Patterson, TM #25.70 -1 -62 Dear Mr. & Mrs. ,Byrne: ROBERT J. BOND'I County Executive 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 from this Department dated March 250 2003 The addition is approved with the following conditions. 1. The total number of bedrooms must remain at two without prior approval by this dep=tmeiit. 2. The area of the existing sewage disposal system, and its expansion 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 MLAM Public Health Technician cc:BI 'T'RTR RTRT7TTTfTRTR TTI7RTTT _TRTTiT RT RTTTTT/7 7TT _LTT_T_RT_TT7R_TnTTrTAttf7t'Tn n n'�RS TR TRT RTR RTT/TTITT TR7R7R TTtl BUT U1 ;9 Ii � DEPTT 0253-10 1 Geneva Road „ (845) 278 =6130 Brewster, NY:10509. Dµa c Jas o3. - -- Received of The Sum Of _ Dollars $ /00 0 For t* 736 -/a y7 THANK YOU! 0 Cash [I Check RV.0. ❑ Credit Card By /V m DEPARTMENT --OF HEALTH --- Division Of Environmental Health Services °4' G °62va' Road; Brewster, New York 10509 (914) 278 -6130 BRUCE 'R.' 0LEY..P..s _..Acting Public PROPOSEO ADDITION A.°PLICATION _.( ESIOENTIAL ONLY STP T : ��.f.9 .0 +�J� : TaIN p"�- TX MAP r �M`.. PHON PCHD PER41T F' I LI KG AOORESS -�✓ Description of Addition��, 7 7V1. Number* *of exi sf f ns b_edroa7s Proposed number of.. bedrooms. .... ":frog ;certificate of Occupanc or Certification fm-.T-Building Inspector A.ny addition which is considered a bedroom requires formal approval..of. p.1a -Is. . (Construction Parni,t)' prep-�red'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 PUN* COU►fTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BR_dSTER, NY 10509, Phone 278-6130 with the following information. .11.'Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including b =_senent, if any) Non- professional drawing is acceptable. 3. Sketch of proposed floor plan. Kon.prof,essional drawing is acceptable. Copy of 'survey showing,v�ll and-,septic location; to - the beA...q�f .your. . knowledge. 'i rclude" date.of installation if known. ........... Incluft"all'v101s and septic systems.witfiin 200 feet of property line. Any questions plea-s-e contact this office. " - 5. Copy'of,'Certificate of Occupancy from- Term or Certificatt4on from- SWIding Department of legal bedroom count of dwelling. OFFICE USE Coc:cents and/or conditions - application August 199j' " �Ivly ga95 (e.,v`_S_ -) . e e DEPARTMENT OF HEALTH Division ; Of Environmental Health Services 4 Geneva" Road, Brewster; New York 10509 • (914) 278 -6130 BRUCE R. FOLEY. R.S. Acting Public .Health Director Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: Z4<,127�a Res' ence Tax Map �` �� ✓� Town Gentlemen: Accor ing to records maintained by the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER Building Inspector I I M r I m I , I l; O q IIi I II i VI d R r � I m m o i 0 I II N o m YY 3AING 1Nvcfv; — G °p St I NI T � — • I � L I I •I a 3, � +1- -� La m 's W m a 3 a Lo 9 — m b Q_ I � Y � d <�a m i A rj N / a 'n \ 3 F' 01 0 M ev i W N N > PUTNAM COUNTY DEPARTMENT OF HEALTH .. _ __- .: y _ ..'D�'- Y.-- ��]�OON :•0.1�: E��j�RR4�N�- ?����AL�C�• SER�iCE�. -. • -,- ._ . ..., • � A y tl DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT SYSTEM � / _Owner daAIF Address ct L _ Located at (Street) !,S-UL, t � Tax Map Block Lot (indicate nearest cross street) Municipality-.. . P-1,12- ��"/� S ,() Watershed _ Date of Pre - soaking 1 , 2 3 4 SOIL PERCOLATION TEST DATA -^ 673 — 9 F Date of Percolation Test �4 — fZ De P th .to Erom Gi Time •: S (] urface.. n:) 3 0 �- and Level on::` iches) Drop In Rate Stop , Inches .... MI nch ................. : 3 I 3o 5 •39 1253 2 30 3 4 D 5 1 M 2 '? 3 4 , 1 1 5 I I i I { I NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. "'' - Form DD -97 Shect of PUTNAM COUNTY DEPARTMENT OF HEALTH .,- ,_ DI' vISiONOFENVIRONIVIEEN 'I'AlLkiE4�'L��SE�2VICES - - - -. - - -- . .. FIELD ACTIVITY REPORT Street Town State Zip PERSON IN CHARGE OR_TNTFR VTFWFT): T)atP Name and Title TYPE OF FACILITY.: FINDINGS: 71-iF— &Z-e6QZq7-10N AlbZ E 0/1 ITTN_SS_ I acknowledge ,receipt of this report: SIGNATURE: 02/96 Title D ,., RECGRD -(WWR O-NE-C-4W 4E+--' RSNUON-.. Time: Date.- t,0112, Person calling: Phone #: &,2LO�-2,987 g 4c- (< iez 1, Reason O Inspection: (Deeps and/ Scheduled Field Meeting Time: Date: Y N Tentative/to be confirmed ( ) ( ) Town: Road/Street., c/A'VzT-W Tax Map #: Comments: (D�E AV) TOY ES 674 9J rOok r 12563 valb".%al TI nd 164 alnes Corners follow 41 A teinbeck Corners I-A LJ* harks lu Mount Ebo Corporate C3 eFor ro a C) 7 41 A teinbeck Corners I-A LJ* harks lu Mount Ebo Corporate C3 eFor ro a C) 1 THU, SEP -17 -98 9:12AM TOWN Of O MEL 914 628 2987 .�=-'p ®iiectTalkMa10 1 $ 1 { Q $ { { ALV T READ • ' IJ r / / i / ^ r i / r � r / ~ J` ti 1. ♦ P. 01 ,`1 v - 1w 119: lei It VAN/ /sI �/ •y�! ` j 1aS 1� 1\ 1 \ \ \\ \\ \ I jp / 1fj • / / i 11 1♦ 1 1 \ \ \ \ \ i ►i' \ 1 1 \ i \ wl' • 1 1 1 1 11 1 �L 1 �.1 lei 4� C 1 A aar+u A 4�y�� I=1 ICI 1ni1 IHI 1�1 1 I I I I THU, SEP -17 -98 9:14AM TOWN OF CARMEL 914 628 2087 P.02 -. _...... ...: _ _ _ s _ , } { ;f ' °.• ". �. •' .a a p"r`'e' a sii:,. y�'..`. • •Q„y���'��.. ��},''�.,�. �� i_.x. r •••.f . 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"�6t�+''o"' :..f.:; , ter: - •"' ... _._ --c.. .. . ���{L �• � •'u��'iF'Y �����•; '.,t, ,���i rBa lg:•�:,.�'��,'•/���{{ yy�{�[Q¢J���'+ }• ""'gym. � r { �, �''?9, I-rt�,, �', v. .•� F_Jyc:+�,�!!?.'4,:.i1 i` TOTAL P.02 PTT ��So� � � UL C / l/.9 lV. ?ZcQ, 2 3 , 70 -- ( - 6 2 ir G3 TEST PIT PROFILES (v WAI L- R� - �( N - Hole # _ Lot # Hole # o�_ Lot # Hole #_ Lot # - Denth,t) ,%.vater, ...Depth to water _ Z "' 'ljepYh to water =__ - Depth to mottling &o yl Depth to mottling A& K e Depth to mottling Nov e- d Depth to.rock /imp. 3 ©`' Depth to rock/imp. jt� Depth to rock/imp.. - J\ ry G.L. G G.L. G.L. To�JSai (�of� -Soj/ 6 "�m,osmaft r� 0.5 0'.5 0.5 1.0 t` t,4 G' 4 1.0 Rr 0 ;1 1.0 - 2.0 em 2.0 c 2.0 c -� 3.0 to a X4 - 3.0 3.0 A, ti r 7Zo� k B�, oyry 4.0 ,� �' o y 4.0 A. 4.0 W G - 5.0 5.0 5.0 a 4 b o 6.0 6.0 6.0 S�ttor4 G -c) 7.0 7.0 7.0 - � 8.0 8 ` -0 '� 8.0 8.0 - I qs 9.0 9.0 9.0 - t 10.0 10.0 10.0 Hole # Lot # Hole # Lot # Hole # Lot # _ Depth to water > epth.to water..._ ,,.. DPnth_ tn. Wgter -. _ --- _........__ Depth to mottling Depth to mottling Depth to mottling - Depth to rock/imp'. Depth to rock/imp. Depth to rock/imp. v _ G.L. G.L. G.L. _ u 0.5 0.5 0.5 _ d 1.0 1.0 1.0 2.0 2.0 2.0 - ° 3.0 3.0 3.0 t- - 4.0 4.0 4.0 - S 5.0 5.0 5.0 _ v 6.0 6.0 6.0 _ 7.0 7.0 7.0 _ 8.0 8.0 8.0 9.0 9.0 9.0 _ V 10.0 10.0 10.0 o - � i