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HomeMy WebLinkAbout1326DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.77 -13 BOX 12 01326 i1r .; .i. ir �'6 i - � irk' r �. . �'. 01326 Rev.. 3186 CONSTRUCTION. PERMIT. Located PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health SerAce's, Carmel, N.Y. 10512 Engineer. to Provide Permit # 6- CERTIFICATE OMPLIANCE WAGE DISPOSAL S Subdivision Name Solid. Let o < Permit. # Uz-- or villme X775/ 72— X Tax Block Let Renpwal—O—Revlsion—O Owner /Applicant, Name- Ali-`XV41-f-W :)oRc;-'ef-lV�f Date of Previous Approval Mailing Address T.". 7Jp Building, Type Lot Area 0 V?Iel &7• Fill Section OnlY Depth,—Volume- Number of Bedrooms Design Flow G/P/D PCHD Nodfleadonis Required When Mis completed L on Sepd 'Y Separate Sewerage System to consit'of Q-3-0—G.11 Tank and!! 41'E' To be constructed by .0 Address Water Supply: -Public Supply From : Address or: atie Supply Drilled by. Address Other Requirements I represent that I am wholly'and complete) . ";*i.sponsible'to�:r the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shoeCW�oh the appid0ed amendment there to, and in accordance with the standards, rules and regulations of the , Putnam County Department of Health, and that o`n compiei io`i; i hereof a "Certificate of Construction 6ornpliincell satisfactory to the Commissioner of Health will be submitted to the Department, and guarantee will be furnished the owner, his successors, heirs 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 Immediately following thadati of the Issu- ance of the approval of the Certificate of Construct!;Dn Compliance of the original system or any repair they to; 2) that the drilled well described above will be located as shown on the approved plan and that said well will 'beinsidled- in accordance with the has and reguraTro—n$Of the Putnam 1 1 7 County Department of Health. I . ;i Date Signed P.E.-A- 'R.A. 76- f2 # ID . i! Address,,-,, i License N A APPROVED FOR CONSTRUCTION: This approval expire, W%l from the date Issued unless construction of the building has been undertaken and Is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction reQuires a new permit ,.014pproved for disposal of domestic sanitary, sewage, a ndjqj. or iv ter-syply only. .......... oat. y �Titla I — I bI Rev. 3/86 - --- r� PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services. Carmel, N.Y. 1051i Engineer to Provide Permit N PERMIT FOR SEWAGE DISPOSAL SYSTEM Sa vision Name Subd. Lot.# ®weea,LAaolicant Name on CERTIFICATE OF- �ipAgPLJ.AUN Permit # eZ.s�irf T��. or Village Tax Map J��r BlockILot L� lit Renewal_ ❑ Revision ❑ / Date of Previous Approval Melling Address Ll ir2 � 1212. Town /91ylmc �SiZV /V V" ZIP Eullding� Type A?X5 -1 a-2A1CA!5— Lot Area ' 9 1: ?J A ill Section Only Lj Depth Volume �i • Number of Bedrooms 7 Design Flow G /P /D PCHD Nod icadon is Required When F1Il to co>mpla" Separate Sewerage System to consist of�`� Gallon Septic Tank and To be constructed by l °+ Address Water Supply; Pablic Supply From Address or: y _Private Sapply•Drilled by — Address Other Requirements I represent that I am wholly and completely responsible'f&',the design and location of the proposed system(s); 1) that the separate sewage disposal systenn above described will be constructed as shown. on the approved amendment there to and in accordance with the standards, rules an regu a ions o e unarm County Department of Health, and that•,on completioq thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwilll be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs 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 immediately following thedate of the issm• ance of the approval of the Certificate of Construction .Compliance of he original system or any ►e irs thereto; 2) that the drilled well described above) will be located as shown on the approved plan and that seid� well will be ins 1 in accordance ith the and ds, rules; and regu a ions of the Putnam County Department of Health. Date ��"' z) -- 47 Signed P.E. JV R.A. - 7� ��9 /ICE f�i2. /i2.fa' �:r. Address �'T�-tt��t� License No APPROVED FOR CONSTRUCTION: This approval expires.$w yyear from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necesiv9ry by the Commissioner of Health. Any change or alteration of construction requires a n w per it. Approved for disposal of domestic sanitary sewage, and / water supply only. p ���By DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914)' 225 -3641 - APPLICATION -TO- CONSTRUCT -A -WATER WELL. PCHD PERMIT # WELL LOCATION Street Address 2 At r� Tpyn Village City Tax Grid Number A4Tf s0 ° IeIM -- ISO -,4?-1s Z� r4 WELL OWNER Name Address Private Joi P�ZT !Z y OPublis Z(_ ' 0 SE OF WELL - primary 2 - secondary ,Q1 RESIDENTIAL ❑ BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP ❑ ABANDONED O FARM ❑ TEST /OBSERVATION. ❑ OTHER (specify O INSTITUTIONAL ❑ STAND -BY O AMOUNT OF USE YIELD SOUGHT Sy gpm /# PEOPLE SERVED .3-S_ /EST. OF DAILY USAGE 194IJ gal REASON FOR DRILLING .INEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY ❑TEST /OBSERVATION ❑REPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Aarw WELL TYPE ,DRILLED DRIVEN DUG GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES _NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. % WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ENO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY -• .-DISTANCE-TO -.PROPERTY .FROM_ NEAREST. WATER. MAIN: ,_... __ .. _.- ._......._ ._. . LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ON'REAR OF THIS APPLICATION ON FEPA TE ET 7-2L-9Z Lu (date) (signature PERMIT TO' CONSTRUCT' A •WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part.5 of the New York State Sanitary Code, and provided that within thirty (`30)'days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issuer- .2.3 19 97 Date of Expiration: 19 Permit Issuing Of cia Permit is Non - Transferrable ,, . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date D - Re: Property of AAIO��11-1 j,) f?O WJ CD1V7 ?A C T Located at 7 (T) i0/�T��/�Sy /�/ Section /Z ff Block "l " Lot } Subdivision of rNO�rM1� =D�'�f Subdvo Lot # Filed Map # Date P 3:17 Gentlemen: This Letter is to authorize /M/FW y btt ll//CI -JbO .SR• a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate, sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to'sign all necessary papers 'on my behalf in' connection with this matter and to supervise the construction of said system or systems-in conformity'-with the provisions of Article 145 or 147, Education Law,.the.Public Health Law, and the Putnam County Sani- tary Cod Counters P.E. , R.A. , # Very truly yo 1 A61, ,e1V) Address Ve ' r7w- l ?sZiv .4'n/ /Z S'G Telephone C4/0 27B -610 Telephone ( -.NAM COUNTY DEPAMMDN OF HEAL( DiyiSION.OF FIJVIRONMENTAL HEALTH SERVICES . DESIGN DATA SH - SUBSUFACC SEWAGE DISPOSAL SYSTEM" FILE NO. Owner Address Located at (Street) Oc . sec. /`%9X Block 1�' Lot R-/s'a/ (indicate nearest cross street) Municipality Watershed To /y' SOIL PER0MATIOW TEST• DhtA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking /437/& g :l 7 Date of Percolation Test /7- -/S -,?4 HOLE NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Frain Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min: Start Stop Drop In Min/In Drop i� Inches Inches Inches 4 5 Z? . 3 3 /r ST- 2;23 2 g Z,;� - - Z? 4 5 , l 2 3 ' 4 .5 .. /o NOTES; 1. Tests 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. fxom top of. hole. .. rev. 4/85 ......... B_ .. .._.. _._._. 2 /S 2g - Sy : Z6 2`� Z? 3 /r ST- 2;23 2 g Z,;� - - Z? 4 5 , l 2 3 ' 4 .5 .. /o NOTES; 1. Tests 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. fxom top of. hole. .. rev. 4/85 DEM. G.L. 2'. 3° ° 4° 5° 6° 7° TEST PIT T TA RD�UIRED TO BE SUBMITTED D ',j2rION OF SOILS ENCOUNTERED HOLE NO. HOLE NO. Z HOLE ..N_0,... . __.. :_. __.... . 81 91 Mb Roc�r 10° 12° 13° 14° - IIyDICA�d'E LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED 3 -0 " INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 3'.d> DEEP HOLE OBSERVATIONS WADE BY:- 04,15-4 j / /TGNc o CA' DATE.. /Z _ // -1�6 DESIGN Soil Rate Used -/o Min/1-1 Drop: S.D. Usable Area Provided o J J No. of Bedrooms Septic Tank Capacity gals. Type Absotption Area Provided By L.F. X 24" width trench Other Name ZAVR`_A1 51(le /il/ Sze' AsSoL pG. Signature F l �, Address 23 �,� /1l /EcO. DIl. SEAL LU LU ._ oc 11-11S SPACE FOR USE BY HEALTH DEPARUS - ONLY- F� No. 5612 Soil Rate Approved ft al, Checked FESSIO � . �� /9 by to N APPENDIX B .CFrNAM C(DUNTY DEPARZMENT OF HEALTH - DIVISION OF MrMWENTAL HEALTH SERVICES INDIVIDUAL MUM SUPPLY & SUBSURFACE SEDA,GE DISPOSAL SYSTEMS - =�. ei ( of Owner) REVIEW SHEET - CONSTRUCT N PERMIT DATE. -VIEWED: -ZU (Street L&cation4 /i�� DOCUMEN'T'S j � l � � q !J r Permit Application - �Z Corporate Resolution Plans - Three sets s /s. Engineers Authorization Design Data Sheet (DDS) - SUBDIVISION Deep Hole Log . Perc Consistent Perc Results (3) .Fill Perc Hole Depth cd House Plans - Two sets Well ✓ permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked _ Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump'.pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep results Two -Foot Contours Existing & Proposed .Driveway &_.Slopes Cut Footing /Gutter,Curtain Drains'(discharge OK), Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells &.SSDS's w /in 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees,Top of fil 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan 15' to Drains - Curtain, Leader, Footing 35'to catch basin,stormdrain,piped watercours 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 9 1 V RANDOLPH W LAURENT, P.E. HARRY W. NICHOLS JR., P.E. April 17, 1987 LAURENT ENGINEERING ASSOCIATES, PC. 73 'FAIRFIELD DRIVE - PATTERSON, NEW YORK 12563 % 914 -278-6108 CONSULTING SITE ENGINEERS Ri- CEIVED Putnam County Department of Health :' 110 Old Route 6 Center Carmel, N.Y. 10512 Atto John Karell, Jr., P.E. Re: Proposed SSDS- Lot,No. 1 Webster Place Patterson NY 12563 Dear Mr. Karell: Enclosed are the following: '87 APR 20 P 3 :16 to Three (3) prints of Drawing S -1 "Proposed SSDS - Lot 1" dated 3 -20 -870 2. "Construction Permit for Sewage Disposal System" dated 3- 20 -87; 3. "Application to Construct a Water Well" dated 3 -20 -870 40 "Design Data Sheet" 5. Three (3) prints of "Property Survey ", dated 3-3-87; 6. "Letter of Authorization ", dated 3- 20 -87; 7. Two (2) copies of Residence Floor Plan (s), for "Bedroom Count Only". We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Sincerely, LAU ENT ENGINEERING ASSOCIATES, P.C. Harry W. Nichols, Jr., P.E. /map CC: Mr. Andrew Jurgens w/ one copy each PiTrNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEZniAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT 4sp. BY: (Name of Owner) '(Street Location) / INITIAL SITE INSPECTION I YES I NO I COMMENTS Wetlands on/or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed...... .... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................. D. H. 1 Lot I Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft Soli Descri tion J c_� ✓1 d. �V D. H. 2 Lot Depth to G. W. Depth to rock Soil Description 0 ft. �0 3 ft. 6 ft. 9 ft. 12 ft. D.H. - Deep Hole I G.W. - Groundwater D. H. 4 Lot v Depth to G. W. Depth to rock �- 0 ft. 3 ft. ?)" -6- ft. 9 ft. 12 ft. Soil Description ink � ' (.ip 4 e, DATE: FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench.acceptable......... Room allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ... ......... 10 ft. maintained fran property line and 20 ft. fran house.... ........................ Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally frantrench ..... ............................... Boxes properly set .... .... ..................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... L J FINAL GRADNG OF SITE ACCEPTABLE.. ..... �— PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD.INSPDC°=NREPORT ... i I DATE: U./"2� s4 , ✓ � J I J 1+-�. INSP. BY (Naml of Owner) (Street Location) ' INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on /or proximate to property .............. ProPerty lines or corners found .. ................ Can estimate house location.. ...................... Will driveway need cut ............................ Must trees be removed - note these ................ Deep holes representative of entire SDS area...... Additional deep holes needed..... . ....... ."... Sufficient SDS area available considering driveway cut, house location, separation distances etc... Adjacent wells /septics ................... .......... 2 D. H. 4' Lot Depth to G.W. Depth to rock Soil Description D. H. i Lot 3 Depth to G.W. �5-6- Depth to rock --- 0 ft. � �oP 0 ft. 3 ft. ' 3 ft. 6 ft. "� 6 ft. Length of trench measured Width of trench average v GVW� 9 ft. l I 9 ft. 12 ft. 9 �''' 12 ft. Soil Description W D.H. - Deep Hole 1' G.W.- Groundwater D. H. 0 Lot S Depth to G.W. Depth to rock -� 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil G ` / 'IC)c . cz"- clew c I DATE- FINAL SITE INSPECTION INSP.BY- Y13S NO CATS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ... .......... 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedroans checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally fromtrench ..... ............................... Boxes properly set.... .... .................... Could surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE ......... —� 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 June 18, 1987 Mr. Randolph Laurent 73 Fairfield Drive Patterson, New York 12563 RE: Dear Mr. Laurent: Proposed SSDS Andrew Jurgens Webster Place (T) Putnam Lake Lots #1, 2, & 3 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Review of plans and other supporting documents submitted at this �a�time relative to the above - captioned project has been completed. Commments are offered as follows: d 1 Each lot should be assigned a number, i.e., Lot # 1, 2, or 3 �-- for reference purposes. Q The overall layout of the three lots and relationship of each proposed well and SSDS should be.shown. ,1J 3: The location of the stream should be shown on all three sets ...... ' ���-o -f -pl-ans . or -- this distanc.e - .f.r.om.. ahe....s..tze-am ..t.o_._ t.h.e ... prop.erty lio.e.., should be noted. At the time'of inspection, property lines were not easily f. ADS area appears marginal fo.r a four (4) bedrooms, dwelling. If four bedroom approval is desired, exact locations of house-; -SSDS'-6F6as and well loca o - "to noted, and areas—staked by license surveyor pri — _ The location of the three lots in relation to DEC wet land 8R -5 should be noted. 1 1a�n tests on all three lots must be witnessed by this Department. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, ♦ J William Hedges, Jr. WH:mk Sr. Environmental Health Technician DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 I- = - - .-- - -- ­- - -- = APPLICATION -TO- CONSTRUCT'-A -WATER WELL PCHD PERMIT # WELL LOCATION Street Address tiV'�' ,fly Ui /Village City Tax Gr d Number t���sz �' R,_ Z WELL OWNER Name Address / Private AA1,!Xi!5_ LS/ Sv1ZCI��%S Z J' Public USE OF WELL D primary 2 - secondary RESIDENTIAL 4BUSINESS ® INDUSTRIAL 0PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP ❑ABANDONED 0 FARM 0 TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL 0 STAND -BY AMOUNT OF USE YIELD SOUGHT_ _gpm /# PEOPLE SERVED ,7--5- /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING *NEW SUPPLY ❑PROVIDE ADDITIONAL SUPPLY ®TEST /OBSERVATION 0 REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name %r /• / 7 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: X/A TOWN /VIL /CITY .-DISTANCE., TO-PROPERTY FROM -NEAREST WATER MAIN: -- LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON REAR OF THIS APPLICATION SEPARATE SHEET Y•- - AAIIAAAI 11Y (date) 14 (s' azure) PERMIT TO-CONSTRUCT A.WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty .(30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. r--- Date of IssueL a_519_Z ��-- Date of Expiration: 19� Permit Issuing ficia Permit is Non - Transferrable Avis, HOMES". 'GO" fik" RIM 6N AV'15,Ak AVIS MODULAR SYSTF=M. CU57.T-0M SE:Rl FT' I? tL EL C.) U -ISVAF-b DORM.1 war= c—r :> > 2: rz� -CAPE KV4 El L3 L PHONE —' z—__ at+.- 3: 3w 0 0 0 0 ID ID 3 KITCHEN BA714 BEDRM*3 O :7 2 N 0 of LAL CL 0 u we LW co BReti COM C,0UNTX DEPARTMENT OF HEMP 0 HOUSE PLA up BEDROOR GOUNT. ONLX _,BEDROOMS- Ve > n Signature & Title DaDate? � Ln cn CL.- c Avis, HOMES". 'GO" fik" RIM 6N AV'15,Ak AVIS MODULAR SYSTF=M. CU57.T-0M SE:Rl FT' I? tL EL C.) U -ISVAF-b DORM.1 war= Avis, HOMES". 'GO" fik" RIM 6N AV'15,Ak AVIS MODULAR SYSTF=M. CU57.T-0M SE:Rl FT' I? tL EL EL -ISVAF-b DORM.1 FLOOR PLAN :> > 2: rz� -CAPE KV4 El L3 � -.~~T r� . / � .' ` \ . ' � � -.~~T r� . / � .' ELlb mu ML FBI � -.~~T r� . / � .' ELlb mu RANDOLPH W. LAURENT, P.E. HARRY W. NICHOLS JR., P.E. April 17,. 1987 LAURENT ENGINEERING ASSOCIATES, PC. 73 FAIRREL' D DRIVE PATTERSON, NEW YORK 12563 914. 278.6108 CONSULTING SITE ENGINEERS Putnam County Department of Health 110 Old Route 6 Center Carmel, N.Y. 10512 Att: John Karell, Jr., P.E. Re: Proposed SSDS -Lot No. 3 Webster Place Patterson NY 12563 Dear Mr. Karell: Enclosed are the following: RECEIVED '87 APR 20 P 3 :21 1. Three (3) prints of Drawing S -3 "Proposed SSDS - Lot 3" dated 3- 25 -87; 2. "Construction Permit for Sewage Disposal System" dated 3- 20 -87; 3. "Application to Construct a Water Well" dated 3- 20 -87; 4. "Design Data Sheet" 5. Three (3) prints of "Property Survey ", dated 3 -3 -87; 6. "Letter of Authorization ", dated 3- 20 -87; 7. Two (2) copies of Residence Floor Plan (s), for "Bedroom Count Only ". We would appreciate your review, approval and issuance of the Construction Permit at your earliest convenience. Sincerely, LAURE T ENGINEERING ASSOCIATES, P.C. Har yvCW. Wichols, Jr., P.E. /map CC: Mr. Andrew Jurgens w/ one copy each . NAM COUN'T'Y DEPAR'IIiENr OF HFAL'� DIVISION OF RMnMR4WM HEALTH SERVICES DESIGN •DATA'-SHEET— SMUFACL' 'SEI-WE- 'DISPOSAL'-SYSTEM . _ • -FILE NO. =I Owner Address z s 6AA� /ART P12. 004T relPfoi✓ .tom! Located at (Street) V1,1- I�S742_ PG, Sec. /4;% Block !Y' Lot 9-1YY4' A?_1X ?1 (indicate nearest cross street) Municipality - P / 7 >�c'2S�/c/ Watershed G(Lv Al n c L, r_ I t .J r tric%n�'r.�Fa,ITC�� � ?:•-�alTi -i som PERQOj ON RnQ(JIItEn TD HE SUBMITTED WITH APPLICATIONS Date of Peroolation Test • Date of Pre -SO �? =a � -�4-� - 12 HOLE NU IBM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Frog Water Level No. Time Ground'Surface In Inches Soil Rate tart -Stop Min. Start Stop Drop In HWIn Drop X013 Inches Inches .Inches 1 2:�s -Z :38 ;23 Zy 2-7 3 S 4 5 �79 13 i 3 :71"C> x;23 Z6 4 5 2 3 . 4 5 NAPES: 1. Tests 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 Fran top. of hole. .. rev. 9/85 TEST PI1 TA REQUIRED TO BE IN APPLICATION o ' DEPTH. HOLE NO. / HOLE NO. Z HOLE NO. G.L. 2° 3° 4° 5° t 6° 7° 8° 4° 10° 11° 410 Lc/,9 T,E2 . /Vlo go cf4( A7 u 12° 13° 14° INDICATE LEVEL AT WHICH GROUNDWATER IS ENOOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: 6712,C6, Al/7G/) G d G k DATE: 1Z -I/- DESIGN Soil Rate Used Min/1°' Drop: S.D. Usable Area Provided No. of Uedroans Septic Tank Capacity gals, Type Absotption Area Provided By L.F. x 24" width trench Other �pE NE ,.y0 � Nar G4li%L,E�(/T 4 1/✓E,ER /NC,� q�sSoGaCSignature Address 2-7 �f% //L DEL /,� O%� SEAL — q V p T � I W 941 7Fe -SOAI Rift C 4"A MIS SPACE FOR USE BY HEALTH DEPARTM=- ONLY% 90FESS10�� Soil Rate Approved sgeft/gala Checked by Date o, PUTNAM CUUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH.SERVICES Date 3'Z--,>'g 7 Re: Property of %i/!/D1444—Lv j 96/w5 Located at (T) /TE%l.� c�.t/ S e c t i o n_Zjf Block " LotZl --/Y96 RECEIVED SubdiN&I6idhEi Uf:.. ,FA TH SFn�l�y. Subdv. Lot # 3 Filed Map # Date '87 APR 20 P 3.21 Gentlemen: This letter is to authorize A410y W. AMC 11063 " -JQ a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate. sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to'sign all necessary papers on my behalf in: connection with this matter and to supervise the construction of'said system or syst ems 'in con formity'with the provision's of Article 145 or. 147, Education Law, tary Code. Countersigned: P. E. , R. A. , #_ is Health Law, and the Putnam County Sani- Very truly yo Sigrid Owner o 411461IZ51-17-4�1�W FA/C, 4SY46, ,P, Address 22 6q gyp/ Telephone 6,910 Z�S -�iag M ss ,fi � / a 7,�'�i�i . Telephone r, �I I LORETTA MOLINARI R.N., M.S.N. T Acting Public Health Director Director of Patient Services June 19, 2003 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. Becker 2 Webster Place Patterson, NY 12563 Dear Mr. and Mrs. Becker: ROBERT J. BONDI County Executive Re: Addition - Becker, Webster Pl. No Increases in Number of Bedrooms _. . (T) Patterson TM# 25.77 -1 -3 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 6/19/03. 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 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, C� Michael Luke M lm Public Health Technician cc:BI (T) Patterson PUTNAM COUNTY DEPARTMENT OF HEALTH �X 1 S? • F o J ru p I o ►`( HOUSE PLANS APPROVED FOR ' To H "15- T• n /d ST -e �� w BEDROOM COUNT ONLY; `5.(• E' J 9-:.. b T ti t — 3 BEDROOMS %Y�Gu xw7 6 /!1 %3 ➢5� ✓ ✓✓ Signature & Tive Date ' 31 /x- - E IST jodlV�• a S,.wke b, i � J O 3 NeA.T`DET. 151 5T ^�,. �cS; 3���_r,�-•3 T 3h t L6 E � p • N N w X4 V✓oob STUq$ pit 5►no�c.E _ I .Y y 8 f �� s t+e®T N tzoc.%L HEO *ETO CEI� /../G �L/rGfF/ m ' 4"1DET- ` -ro GlosE operJ „�4—x q' P•T. s�L�pNr S oZoCf N✓D STJQ DE T.9CS uJOOD 5T S I 15 f Go n/ �. x g ” �. TE v �v �i's}��'� Qoc�c �► 5�� Le R_Iw I,.lsvt_. � 1 � f- D �p F`itc�m ouTSIt) U I Z \ it C LAX — 5TU'D`ti' ©FFicE Flr►isH-toMe c-0 I O Ex1e-T. EX Ts- tog. N Q rl aI � - " wfJ S Vic ( 4 x .�• /acD ST%1Ds �2emov6 EXIST. 8 iNBpov✓ i 2 4, (Z 13 1tlSuL. R-13 fAsvL&-Troa 14-9TALL 14 6`-) 2x6 noo►2 � ? „ 'L jx4 Z x I0" 1.1��IF HEMDE •kA QT• 5o pLATE pT, ejeTT. M 3X3 ^7 s � rr) NFw 1✓Ev`� i �x/S T �ocJ�/D• -y 1,e r Y—d�- is PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BEDROOMS - z 0' NNr PUTNAM COUNTY L)EpARTA4EAIT OF HEAL7.H HOUSE PLANS APPROVEI) BEDROOM COUNT OjvLV- FOR --;LBEDROOMS 2;L 4' n na�u7e I n PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; BEDROOMS oe Signature & Title Date �-y �n-J- -Do-.7) (.- .O �1 �XIS`T. F D -P-1 T Icr-� rlELJ ids �.i`5.(• .. ► s w . --4./ S T 'rodNo \,u o ... ti 1 O Smokt (; 1 } b ev FAr� k 3/�2 a aT e �, .`3h It HeAT�DET. /S STA1� �•. - - —� tI. ,3 Q _ -- Ew • ti _ w SMOjC -E X4 Y✓o.�b STUB$ 5 Fb RVA9T 14 i HEO oET© C- - E1 I n/4 �G/ /G j�/ �,/ 7 `L 014114T DET_ i ® TO GLoSE - ff41.,C� �'�� P•�. sittplAT o �C.dK�w ni Mvn� �n Co ►a C. �jLo 'DST. �•Xg'�uJovD STU S I `j✓ID STJO IST. Coma, Xg P.7:e�Q%f pTE' ✓, iZG sc�%1 , R KIT 44e& -T -�� ItJSUi I /J i (� 1 ° y �r 211 WfD S VDS 1 2X4 µ/ocD STJDS Scamovs EXIST. WINDov✓ I R 13 In1suL . R- 13 inlSUi.e T�o�1 IasYnLt NS.� Zx 6& nook I i fa° SitE�Tl1 iL l�z " s 1 2.- ix 10" NEnDEV_�IFrJEeDED� 2 XA v p r• t5o PLATE 2X4 EeIS %g All N ,vr w i • TIE Y./ � �./E'w �X -IST, �mcJn/D• �x�ST. N�.oDE/z.' - ___- I gz?OZn-CE LdltjcJ D.f /vr/G. y 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 June 16, 2003 Becker 2 Webster Place Patterson, NY 12563 Re: Addition - Becker, Webster Pl. (T)Patterson, TM #25.77 -1 -3 Dear Mr. & Mrs. Becker: County Executive I have received and reviewed the plans for the proposed addition at the above mentioned residence. The plans 'indicate that the proposed addition will consist of the following: Finishing a garage into a study and playroom. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The study is considered a potential bedroom. 2. The legal bedroom count for the dwelling is three . The potential bedroom count of the dwelling with your proposed addition is four . 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer. Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. ML:lm Very truly yours, Michael Luke Public Health Technician w T PUTNAM C®U�- HEALTH DEPT6 _ "0254�5 1 dene,va Road••. (845)278 -618 Bramter, NY 10509 Date q Received of The Sum Of Ooze it'd 1/D Dollars $ oo For c 'rS,39 7 78G THAN YOU! ❑ Cash ❑ Check b M.O. ❑ Credit Card By 1 ,1'i'JAAt `CZ L Y ar 's DEPAR i NSEIv i OF H ALTII-i !vision of En imnnwntal Health Services 4 Genava Road ETQWster. New. York; LOS09 Tel. (914) 278.6130 Fax (914) 276 - 7921 BRUCE K FOLF,Y Public Hach), Dirac:"' STREET TO ' �' %,�G¢��^ -T MAP NAIVM�� HD A 1-5 4 -03 MA.II Wa ADDRESS DESC.R21 TiON OF ADDITION NUMSER OF EMST1aING BEl)ROOILS PROPOSED 4 OF BEDRO NIS 0 (FROM CERT. OF GCCUPANCIe OR CERTIF(CATIOIS FROM BL'I DNG INSPECTOR) *Ally addition Nvhich is cons tiered a bedroom requires formal approval of plans (Coazzuction Permit) prepa ed by a = rcf_ssional Engineers or Registered Arcirlitect in accordance with aoplicab:e sections cf the PuLixt Co,=ty Sanity -*y Code. Please submit this fcrm. aa;:d the fo:lowing to Putnam County Health Dept., 4 Geneva Rd., Brervst:r, NY 10509, Phcne 27's-6130. 1. Certified * check or money- order for 5100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) w Von- professionO sketches are accept =ble 3. Two sets of proposed f-Ioor plan (dravm to scare, with name, stree'., and tar: rap -4) * Non- profcssionai sketches are acceptable 4. Copy of survey slCowin, well and septic location, to the best of your knowledge. lnclude date of installation if krlo ; )Vn: Label all wells and septic systems within 200 feet of the p :operty.ae. Contact •his office wi-h any questions. 5. Copy of Cent. of Occupancy frcm Town or Certification fron! Building Dept. with legal bedroom court of dwelling. OFFFCE I��F C:ominew.s r:o 93 DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Cene4 Road, Brewster, New York 10509 (914) 2 78-6130 Putin_rr. County Dept. of Health 4 selieva Road Brewster, NY 105C9 sFlUd' R._FOLev. kc. r._... Acting Punno Maa�ch.0�re :tar Re: Residence Tax Ma o j Town Genti::men: ?ccoidi.ng to re -,e *ds mai;itaired by the Town, the above noted dv eliing, is .S N0, in compiiance N�Ith To%N code and the total number of bedrooms on record is This informatioln' has been obtained from: �ERTIFICATE Or OCCUPANCY: ASSESSORS RECORD: M" HER zz'ew Buildin ins;,ector L —7—'7 | . 000 it �,Iu�•z '7PCoZ0'�' Gad E (AAA.P) Q N p5l ilen fa,14- -T9 91 29- , P.) IATOF) MI-J �I1J --lR Weir- I 7WC, N� F311lto2 ENIU43 I314(.Lt e11t «at.e.tl J �,I�l7o I UJ ICm.OxJ' A*l u MA .7--F- .r [a¢ I\/E- Lj3r kjcv7. ei I w I P m6 I A-�,, HOk1►_1 C, r`-j AAA - ' fN_ c-)' F--,J�K4AAA;k PILE-r-> AAAP-016145 K FI LJE t d 113,51 cgA2T,rlEL� ,n -r1-IE ic1�.� 51� L - �6�/Ii i4h C Lr4blJ A605Cf- fATIOW M-lo 'IT TiJtr ,$ G4_AV -AJ rI'-e CC.) roe •cAxnelcenoLk, ,LLDIC -&MZn� WEYFJOW Wwk11FY '111.47- 9µ1b filJ�vE:! vlAb PT CRA-Q41> ILl �GDV_AAt k'_F 41fTll 'ruE VLOSIr1UGh c4cE COP FMAC M& We L LID `�VKY AI ,opr =. 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