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Home My WebLink About1333DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.78 -1 -7 BOX 13 jo .. 16 � N i I r .,� �I k 01333 f Rev. 31.06 -1 777 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10,512 Engineer Must Provide �.- 1f P.C.H.D. Permit # OF CONSTRUCTIOr1 COMPLIANCE FOR SEWA( Located atT�! Owner /applicant Name K S Formerly Mailing Address ;e-,e 4--'7Z f Town or Vllla¢e Tax Map `f . Block y T. Z--1 .f . Snbdivisfon f am� - P Sabdv Lot H�� /f / Date Permit Issued _ /^ / 4 /e% Separate Sewerage System built by d d' • Address D ,✓� e / 4 / O oe Consisting of O C) o Gallon Septic Tank and / �F «" ff-"" F/- L-J-) Water Supply: Public Supply From Address ,q or:_ Private Supply Drilled by �a �G �'� Address _,'L,e OSV/E Building gyps W,90 FK i m,:5F- Has Erosion Control Been Completed? ° V, Number of Bedrooms _Has Garbage Grinder Been Installed? �0 Other Requirements &I,2e X 17- I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulations, acc rdance with the filed plan, and the permit issued by the r Putnam County Department Of Health. Date 42'/3 // Certified by P,E. `� R.A. Address 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 conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a puW': sanitary rower becomes available and the approval of the private water supply shall become nu n volt when a public water supply becomes available. Such approvals are subject to mo flea ti n or change when, In the judgment of the I o r of H�ea/lth h h revocation, modification or change Is necessary. Date %2IQ� By Zit/ /' l Title i �r a, YML, Environmental Services 321 Kear Street, Yorktown Heights, NY 10598, ELAP #10323 (914) 245 -2800 Torlish & Sons PO Box 271 Armonk NY 10504 -0271 COL'D BY NOTES d ;73- 3VW X I ANALYTE RESULT UNITS'' IS.U. ALKALINITY /d -,19- mg/L DATE REPORTED OCT. 2 51991 mg/L AMMONIA SANfPLING SITE mg/1 mg/L CALCIUM mg/L mg/L CHLORIDE mg/L mg/L COLOR Units mg/L CONDUCTIVITY umhos /can mg/L COPPER mg/L NTU COR90SIVITY LSI ingjl .. DETERGENTS. mgi'I: FLUORIDE mg/L HARDNESS mg/L IRON mg/L LEAD mg/L per 1.0 mL MANGANESE mg/L per'100 mL MERCURY mg/L per 100 mL NITRATE mg/L per 100 mL NITRITE mg/L per 100 mL ODOR TON LAB NUMBER For Lab Use Only Potable _ HNO3 _ pH LT 2 X <4C _ Nonpotable _ NaOH _ pH GT 9 _ <20>4C _ HCl _ Na2SO3 >20C STAT! _ H2SO4 _ ZnOAc DATE /TINfE TAKEN /!� ;?3 -� �•!,/S� pH IS.U. DATE /TIME RC'D /d -,19- PHOSPHOROUS DATE REPORTED OCT. 2 51991 mg/L SANfPLING SITE 11041, A97,re,eJi�k) AIy For Lab Use Only Potable _ HNO3 _ pH LT 2 X <4C _ Nonpotable _ NaOH _ pH GT 9 _ <20>4C _ HCl _ Na2SO3 >20C STAT! _ H2SO4 _ ZnOAc ' MF I�1PN P/A ® I X ANALYTE RESULT UNITS pH IS.U. PHOSPHOROUS mg/L SILVER mg/L SODIUM mg/L SULFATE mg/L SULFIDE mg/L SULFITE mg/L TURBIDITY NTU ZI1V C- ingjl .. SPC per 1.0 mL TOTAL COLIFORM per'100 mL FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100 mL These results indicate that the water sample ( [WAS NOT] [NA] 'of a satisfactory sanitary quality according to the New York State Sanitary Code, for the tested, at the time of sample collection. These results indicate that the sa le [WAS] [WAS NOT] ef a satisfactory chemical quality according to the New York State Sanitary ode, f t e parameters tested, at t of sample collection. NA = Not Applicable N = Not Present (Negative) SUBMITTED BY: P = Present (Positive) SA = See Attachment(s) ' = Also done bemuse Total Coiiform was present Albert H. Padovani, M.T. (ASCP) TNTC = Too Numerous To Count Director > = CT = Creater Than < = LT = L �ss Thin APPENDIX I PUTNAM COUNTY DEPARZKWr OF HEALTH .... _ _ DIVISION =OF - ENVIRONMENTAL - HEALTH 'SMVIOES _ lee7wie e-, g �",)/2 (WS Owner or Purchaser dfl Building Building Constructed b /s- Location - Street G 3— 3 Section Block Lot Tax Map Number Subdivision Name Municipality Subdivision Lot # /. )1510V IL Building Type GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 guarantee to the owner, his successors, 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 approval of thee- "Certificate 'of"Construct:ion'- Compliance" for 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 occupant of the building utilizing the system. The undersigned further agrees to'accept as conclusive the determination of the Director of the Division of Environmental Health Services 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 system. Dated this day of (.0 19 Signature Title /f-qC',�&. &yLl General Contractor ( - Signature W,4 2,619 O (id!✓Cx' OP ff Du J -Gerperati-eii iiaiiFe RE Gar-p. /-' Grl,eN�� l�TTro�v Address rev. 9/85 mk Zo Address ' 16 John M. Signs, M.D. _ ...... PUTNAM- COUNTY HEALTH- DEPARTMM:.:- .:. .-... .. _ ... _.. DIVISION OF ENVIRONI1ENTAL HEALTH SERVICES Deputy Commissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME ce Orig. Routine No St t Org n ADDRESS Orig. Request o ree Toyan M Noe Cui pl iance % Ccnp MAILING ADDRESS 14 71� �' FFinpiaint P.0. Boas Post Office Zip Code _ _ Group Illness Construction TELEPHONE _ Reinspection PERSON IN CHARGE _ Field, Sampling Only OR INTERVIEWED Field Conference Name and Title Other DATE / Y TYPE FACILITY TIME ,✓� `~ TIME LEFT ./�. ,.� �-� Explain FINDINGS: - •.:°:ice INSPECTOR: �'" `�'� �° "'� TELEPHONE: Signature and Title PERSON IN CHARGE OR.INTERVIE�IED: I acknowledge this Field Activity Report. SIGNATuRE: 16%86 I'IT %Z1LE: PUTNAM-COUNTY-- HFA�Tfi -- -DEPARTMENT:- _ ._ . _...._.. DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Carnnissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME �- �� Orig. Routine Orig. Canplain ADDRESS Orig. Request No. Street Town TM No. — Canpliance _ Canplaint Carp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE PERSON IN CHARGE OR INTERVIEn1ED Name and Title DATE TYPE FACILITY -s TIME ' pgRI�' TIME LEFT FINDINGS: Reinspection Field, Sampling. Only Field Conference Other Explain INSPECTOR: °` "`" " '" F TELEPHONE: Signature and Title-` ° "'`" PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: G- b_ FINLS yc_T =� -`= =� = C, 2.1 h: a= LC TH r_LL= ?CCc= == L`r cr--- -•rC'v c± p� .... CWNER MAM Lc_ bruz-h- etc- er 15' T G�76S6LJ V- i= I D_crCCAL c-_ c= t I I ZC =.r1 !CC L-_: E- U:_ a -crcVE p? S = .,=; L �'- �= �- - 1 , 000 �- a = CR c „-�r� � cif ILT -� 1 C_ r 10 f7 C_ C° G'- -_"_= crCL_ Stir' i - -_ - .V!_ C_, -.�. hLFc_tit�C - ^r asorrAveea L'l,anc r h. G- b_ s- area F= 1 11 s`ca - Dam cf plat =-:SnL 2.1 h: a= LC TH r_LL= ?CCc= == L`r cr--- -•rC'v c± p� .... Lc_ bruz-h- etc- er 15' V- i= I D_crCCAL c-_ c= t I I ZC =.r1 !CC L-_: E- U:_ a -crcVE p? S = .,=; L �'- �= �- - 1 , 000 b. -� 1 C_ r 10 f7 C_ C° G'- -_"_= crCL_ Stir' i - -_ - .V!_ C_, -.�. hLFc_tit�C - I r h. All pi C_ d i L-4 =es f r c•i with th i =-s C° of h.^._Y •wc ��JuC= I I =- DiEza: -C =_= = ='- -- _- SIC` ='' _ - -- cCCCrG.'__ c -O _ ft 4. D-= �= -� _ c____ to c__L— • C_ ci C c C. _ �.? cCC = =� ^ i ° 1 7 - �32 - :� _ - -- =- _ - -- - _CL; = =_c-= E ___ _ - ' =-c= wa-=- c-cte=t-' cz zcEct'e-= ,o 1 _ - _�,= C =..L 1Cc' CA Sl CCcc - - -i -� - =L� C_ < 0 I . L'a- . b _ Rcca a-, =cr ex- �=- - = -ca, 50` 1 S = c_ of t= Ch= tr 2_ t= - ?� E. Ci C l e w-_ t by pc =irk Crr Ca C'7 C! e 0 r_LL= ?CCc= == L`r cr--- -•rC'v c± p� Lc_ V- i= I e_ ZC =.r1 !CC L-_: E- U:_ a -crcVE p? t— -' ar== 1 C_ C° G'- -_"_= crCL_ Stir' i - -_ - .V!_ C_, -.�. hLFc_tit�C - I r h. All pi C_ d i L-4 =es f r c•i with th i =-s C° of h.^._Y =- -7-is SLC ^ES C d E_ cCCCrG.'__ c -O _ ft • C_ i JCL= ^C C -T_ -- C_'L: GrC� C G�CV t L�Ti z!S area I I _ b_ =-c= wa-=- c-cte=t-' cz zcEct'e-= ,o C =..L 1Cc' CA Sl CCcc 0 wtLL L;U1"LrLL' 11U1V Ar,rvr l ��• � y .e DEPARTMENT OF HEALTH * 6* _ - - -Division -0f•--Environmental- IIes2:th :Services -- - • - -- ��'W PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only •• - - - WELL LOCATION STREET ADDRESS: TOWAIVItLAC11.1cify TAX GRID NUMBER: 0 A 1p WELL OWNER NAME: ADDRESS: 672 G C WUS to) j L'00� AM-Z �, .) f P A.) * N ❑ PgiVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND. /HEAT PU P O A8AN00 D O BUSINESS ❑ FARM O TEST /OBSERVATION O OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 1-to gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING [REPLACE EXISTING SUPPLY ❑TEST /OBSERVATION - ❑ADDITIONAL SUPPLY NEW SUPPLY (NEW DWELLING) ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. STATIC WATER LEVEL_ ft. DATE MEASURED�� DRILLING EQUIPMENT ❑ ROTARY COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT O CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED O OPEN END CASING 'OPEN HOLE IN BEDROCK O OTHER CASING TOTAL LENGTH `op 4I � �,�� fL MATERIALS: TEEL O PLASTIC ❑ OTHER LENGTH BELOW GRADE 41Q ft. JOINTS: O WELDED XTHREADED ❑ OTHER DETAILS DIAMETER �r`� r� in. SEAL: CEMENT GROUT 0BENTONITE ❑OTHER WEIGHT PER FOOT _ Ib. /ft. I DRIVE SHOE:)(YES 0 NO LINER_ YES O NO SCREEN DETAILS DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? FIRST o YES ❑NO HOURS � -• - SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST It detailed pumping I P P 9 MPRESSED AIR ,formation attached? KAILED 00: ❑ PUMPED i tests were done is in- ❑ OTHER Cl YES O NO It more detailed formation descriptions or sieve analyses 'WELL LOG are available, please attach. DEPTH FROM suRFACE wafer sear- ing Well Oia- meter FORMATION DESCRIPTION CODE ft it, WELL DEPTH ft.. DURATION hhrte -min. DRAWOOWN ft. YIELD 9Pm. Surface �d . i4mt.�wAri 'Z N rM WATER CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? )(YES; ONO ANALYSIS ATTACHED? YES ONO STORAGE TANK: TYPE e1-L *7T/&& CAPACITY alu GAi.. l4 PUMP INFO MATION , TYPE CAPACITY MAKER DEPTH MODEL VOLTAGs0� HP rQ wEL�jT7O�R� SIWN a E `Ad�aEs3itjpQ. sr irA7UaE I`', J/ by 9 a0ovo m Ooii�ty M::'tatOn 'im &noq of =%fEO RCPt Coksiomflo d: T_h oeibis 9w epu$a a< WAY- be awieweie MOW" a NOW ports t.. 'AOwOO60 .fo :V' Qet® 1'7 � / �t8.V . � _._....._. t®n► +iim ! aOouo R- � ko� �o� •�dor7_. 'o1.. ... 2iOn of i Yii®in® has b®Oh und"lian and is w Of Hm Kh. Any change Of attcration:lN Cor $toNCti®n - Title � � 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 # Street Address Town/Village/City Tax Grid Number WELL LOCATION E �- OW, to - Name Address rivate WELL OWNER „„o, �.� �,Jec Iorf' L,4r�si�o �/. %%%i9�oAe DPublic E OF WELL RESIDENTIAL OOPUBLIC SUPPLY TEST /OBSERVATION ❑ OTHERO(spec ify %_ -primary ❑ BUSINESS 2 - secondary ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY 13 AMOUNT OF USE YIELD SOUGHT jr- gpm /# PEOPLE SERVED lP /EST. OF DAILY USAGE Goo gal. REASON FOR EW SUPPLY SUPPLY- ❑ OPROVIDE (:]TEST/OBSERVATION DRILLING (:)REPLACE EXISTING _ DETAILED Ei✓ S L ° dvs� REASON FOR DRILLING '�y .!� /-� aU 6 %'P WELL TYPE RILLED "se,( DRIVEN E]DUG GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IPO.SS /6 IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:) Lot WATER WELL CONTRACTOR: Name �G =A� Address: _,Q�4✓STEt2 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF'PUBLIC WATER SUPPLY: ,DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: TOWN /VIL /CITY LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SEPARATE SH (DON REAR OF THIS APPLICATION OZ5� (date) 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 Issue: Date of Expiration: 19 Permit Issuing Offi al n alP , �-� Permit is Non - Transferrable G o S - e,�r, // 7'�o 10 cVG� 8/86 of /°l''re""e d¢ s �.o.- ,b ®,� A,0#' eo %f4 d �.�i`o •.� �' � C7' 6,. /9 ��/ P August 6,1989 Department of Health 110 Old Route Six Center Carmel, New York 10512 Attention: Mr. John Karell,Jr.PE Re: proposed construction permit WARNER PLACE,Patterson Tax Map 66 -3 -3 Dear Mr. Karell, In view of your refusal to grant approval of my plans, I hereby request an immediate schedule with the Board of Appeals, concerning this refusal, I./Ty Engineer and myself have cooperated in everyway possible to expedite this matter since it was brought before you February 13, 1989. This delay has been a true heartship for me for many Weasonsg and any further delay would just not be fair at all,considering the circumstances. I earnestly ask you to get me on the earliest possible . schedule to the Board.- Very truly yo rs, A"- Marian Cyprus 3055 Lakeside Rd. !viahopac, NY. 10541 Tel: 225 -2888 621 -2551 Date: To: From: Subject: PUTNAM COUNTY DEPARTMENT OF HEALTH MEMORANDU M-- ceep i�� y ll��- 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 Vincent Ettari, P.E. 1065 Spillway Road Shrub Oak, NY 10588 Dear Mr. Ettari: ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director August 4, 1989 RE: Proposed Construction Permit Marion Cyprus Warner Place Putnam Lake 66 -3 -3 (T) Patterson Review of plans dated June 29, 1989 and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article 1_I I" of the Putnam County" Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage disposal are considered inadequate as set. forth below, therefore, approval of these plans cannot be granted: 1. The proposed well is located 165 feet from the existing sewage disposal system to the east. The proposed well is considered in direct line of drainage and, therefore, a minimum separation distance of 200' is required. If you have any questions, please call me at ext. 304. Very lr.rul yours, 1 I , h { io'hn Kare 1, Jr., P.E. Acting Public Health Director JK:mk enc. cc: Marion Cyprus 3055 Lakeside Road Mahopac, NY 10541 •SENDER:' Complete items 1 and 2 when additional services are desired,. and complete items 3 and 4. Put your address in the "RETURN TO" Space on the reverse side:Tallure to dd this will prevent this card from being returned to you. The return receipt fee will provide you the-name of the -person delivered tb and the date of delivery..Fora itiona ees t Tollowing services are available. Consult postmaster or tees and check ox es for additional service(s) requested. 1. 'D Show toi whom delivered,'date, and addressee's address.. 2.. Restricted Delivery "O (Extra charge) (Extra charge) '3. Article Addressed to:- 4. Article Number , 49111viered� date, and I I I I addresisse's address.' 2. 0 Restricted Delivery (Ex $e) Type of S '0 3• Article Addressed to: ❑ Registerid Insured ji y ❑ certified COD a rn "6� 0 Express ❑ %itu4.rRh.n ile A Always obtain signature of addressee w. /t!' • * or agent and DATE DELIVERED.— 5i i n ure d d V -80' Addrdssee',s Address (ONLY,'if X requested and fee, paid) -VA4ent j 6., Signature, g 7CDate ❑ Insured _ &C-nifi- 4 ❑ COD Return of Delivery cz 0 U 1P -Umurm: GofnPISU ItOlme I and a when services ices 1 3 and 4. are desired, and complete items Icardfrorn'being returned togu.. The return. receipt Joe willprovide you the name of theperson,delivered r6:and'thg date of delivery. . or additional -. fees,theJollowing -services are,avallabli i Con Put You► address, In the "RETURN TO"- Space an the card from beftretumilid to cu MM mum reWhYt fen I reverse side. Failure to do this ' will nivwkfa you-the name Will pro Vent this ,Wicle Address d'to V-8-nd-ftie dati of delhi&w_ 1,mirtinn. on dell red for Less O�wnge�ir-vi-c-e-BaFfouvaliaguge..*F..;Onmsul%nPostmivaester 8nu CnGcK tox(G-8) for additional jW_r7_vj 11s) requested. 1. 11 Show.towhom It , 49111viered� date, and I I I I addresisse's address.' 2. 0 Restricted Delivery (Ex $e) Type OT ZoOrVIC49:1 Registered Insured 3• Article Addressed to: Mum charge) 4 Artlell Number wWO "OJZA I�� Always -obtain -iii§nature"of addmses w. /t!' • * d: �Iaxutuo dress �T Of, IS e fflRegistered x requested and feepaiO) 7$,_gUf6r Agent ❑ Insured _ &C-nifi- 4 ❑ COD Return 7..—'Date of -Delivery ❑ Receipt r Merchandise Ise Always obtain signature of addressee :5.: Sl rte Address' or agent and DATE DELIVERED. S. Addy' -,"ddrom X (0my paid ) 8. -Sig ra —Agent X:� 7. Dow 'Do �1 Cr C-S of Fivery to 7 Ps Forn, 38111 Mir. 1988 U.S.Ak4O.' 1988-'212-86• DOMESTIC RETURN RECEIPT PS Form 3811, mar.,1989.: 4'U.S.&.0 1 gee 2 `885 DOMESTIC RETURN RECEIPT 7 1 complete 1 • SENDER: Complete items 1 -and 2-'Whe;n additional, services are deslred, -, I and omplete, Itervis'' -3 and 4:' `P6t your address In'the "RETURN TO" Space owthe reverse aide. Failure to doAhis Will'oreventthis., Icardfrorn'being returned togu.. The return. receipt Joe willprovide you the name of theperson,delivered r6:and'thg date of delivery. . or additional -. fees,theJollowing -services are,avallabli i Con for roes an a cneCK DOXIISS) 80 ditionarservice(i) requested toed, 1. - 0 SKowtowhom deli�er date, and addrdssee's address'. 2. 0 Restricted'Dellyery (F-wra charge) (Extra charge) ,Wicle Address d'to 4. Article Number /I��^": Type OT ZoOrVIC49:1 Registered Insured !" D wWO 6 :1 Express Mail 0 Return Receipt for Merchandise Always -obtain -iii§nature"of addmses w. /t!' • * d: &-agent and DATE, DELIVERED ,.." dress 8. Addressee's Address (ONLY if x requested and feepaiO) 7$,_gUf6r Agent X' 7..—'Date of -Delivery P&'Form-38 I T, Mar. '1988 *,U.S.G.P.0. 1988:--212-865 SENDER: Complete items 1 and •2 when additional services bre - detWed, and" complete item: 3 and 4. :'Pu,1dyouriddresi In the ','RETURN TO",,Spac0,,on,,the,ie ve'r'se, sidei't; Failure t6,�dci.,this*,wIII prevent thi: ca from being're�urnf)dt'p'u'Th�e,.,r6tum�rdceiit)t fed-will' . brovidd.4ou thinimerof the-p , arson del4erei to and the date of deliverv-.' itional tees t. e folkowing services are available. Consult postmaste! 5k� requested. for fees and chec ox as. for additional service(s) 1. 0 Show to whom delivered,, data, and• addressee's •addiiss. 2. 0' Restricted Delivery.., 3. Jkrticle Addressed to: 4. Article Number 7T,_ f Service, registered !gistered ❑ 1risured 0-6ertified ❑ COD Express Mail ❑ Return Receipt 106 for Verchandis • a AlwayA "d s obtain signature',of ad ressee or agent and DATE DELIVERED. e Address 8. -Addressee's Address, (ONLY if „x requ-ted- and. tee paid) 6.,-Si5nature Agent 7 Date of Delivery DOMESTIC'RETURN RECEIPT' PS Form '38 11 -Mar. 1988 *;U.S.G.P.O. -1988-212"q86 DOMESTIC, RETURN RECEIF PUTNAM COUNTY' DEPARTMENT OF, HEALTH ENGINEER TO PROVIDE' PERMIT # �� ON` -CERT�I FICATE OF COMPLIANCE. Division . of Environmental Health Services,,. Carmel, N. Y 10512. PERMIT I CONS TI'ON PERMIT -FOR SEWAGE DISPOSAL SYSTEM ' illage :. .� T wn or Located at , �%� Tax Ma Block Lot .. . Ren wal. .R Subdivision, �1� �ff7�(1' %� vis on _Q t '1 T Owner /Address CS iCsL/ 05 G`3laeP to Of P evi S. Ap val ,- / / ynsslo/�gc, N: y, 1 Building Type �' ✓U'�3d �C� Lot Area - - - .� �. Fil Sect on ly ❑ Number of Bedrooms 3 Design Flow G /P /D` F.C. H.`Dl Not' Dario squired Separate Sewerage System to consist of 00 L) Gal Septic a k and t3 To be .constructed by Ad ress '. AA Water Supply: Public Supply om —A Private OPI to be drilled by Ad ess ` Other Requirements .. I represent that I am wholly and completely esponsible foi.f 'design and location of the proposed system(s); ij that the separate sewage disposal system above tlescribed will be constructed as shown , :the approv amendment there to and in accordance with the standards, rules an regu a wns o s Putnam County Department of Health,_ and that on ompretWn t reof a '!Certif icate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and .a wri ten guaran a will De :furnished the owner, .his succesSOrs, heirs Or assigns by the builder, that said builder will place in good operating condition any part f'Said wage •d�sposah.`system Curing the period of two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of nst ion `Compliance of 'the originatsystem or any repairstheieto;'2) that the drilled well described above will be located as shown on the approved plan an at-said well wlll be installed In ac rdance. with the standards, rules and regu as -Ti o s oof the Putnam County Department of Health. Date Signe `. P.E.�R.A. Address P! � Y }icense No. reyocable4.for cause or may amended or modifietl when considered ,-necessary' by the ' Commissioner of construction of the wilding has been undertaken and is APPROVED FOR CONSTRUCTION: This a , royal;ex ues one ear from the data issued unless constc Health. Any change or alteration of construction requires a new Permit. Approved for disposal of dorries6c' samta "ry`'s"ewage, and /or.'private'water Supply .only. Date. By Title _. Rey., _6/65_ 0 c') E 5 U- W (L -_n 0 LL RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL 'See Reverse) I s ,4 - - Street and No tatF and ZIP Code &J CIO Postage Certified Fee S-ec:il rel;very Fee !'�stnc',ed -'.?i!very Fee -rI .4' V. z�r Fees . .... . .......... 7 Postmark 0' 1 0 $ '90L P 067 146 217 REC'_IPT FOR -,'.'E9TIFiE0 'V]A,'L 'OVERAGE P; OVIDED -R -qNATlOfJAL.%1AIL --:4014C .!:JTE j'sce Reverse) I Sent I Street 1 t'�o. _�jid P S S� Code 0., e a ZIP Coce Postage Certified Fee Special Delivery Fee P.e.s;r:c:ed Delivery Fee Return 73ece,pt showing to Date Del- whom and hate. an":A,!des, TOTAL Po— . e: F O'S Postmark Date lsot or 'k .p - ------------------- 1- 7 ----------- !k, C5 i CD I rn INN Z cm ;is -M cr A-j MM cz:i co Ln cn LAJ M Uj > PS Form 3800, Jun-; 0 12 e 4 C3 cr Ln PS worm 38UU, Jun s 353a cn Ir 5z C3 Er M z M LU c- PS Form 3800. June 1985 7: 'T 0 1:3 -n cr CD C 0 Ln T M M W O '2'�. . ;D- Fax Fieback 5 Windsor Place RFD 1 Patterson New York Jos. & Fat Scalfani 246 Calhoun Avenue Bronx NY 10457 Rbt. & Ruth Fuller RD 1- 15 I'lindsor place Patterson, T ?Y Oberman N, Ylein 101 v1.31 st St. ?' ?YC 10001 m. & Debra Gronke 24 Hazel Drive Patterson, NY Andrew P, Grace Jurgens 25 Lakeport Drive Patterson, N.- Y. Tax 'ap. 66.2.1 Tax '-'ap. 66.2.5-2- Tax ?`ap. 66.2.4 -3 Tax Vap 66.3.1 Tax ;:ap 66.3.2 Tax .r.-'ap 66.3.4 77 ---------- ............... -- ----- ----- ---------- ------ ---------- ----- --------- .............. 7777� ........... 69 e II ------- 'All ------ ..... ----- - ----------- ................. ----------- cr) 1,LL - --------- !I rI ---- ----------- - ............... Zj LIJ ------------- ....... ---------- ----------- 1,LL - --------- !I rI ---- ----------- - ............... ------------- ....... ---------- illl illi VIII l ,q tY . 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 REGISTERED, RETURN RECEIPT REQUESTED September 25, 1989 Marion Cyprus 3055 Lakeside Road Mahopac, New York 10541 Re: Variance Request Cyprus Warner Place Putnam Lake (T) Patterson TM 66 -3 -3 Dear Mrs. Cyprus: ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Please be advised that the matter of your request for a variance from certain provisions of the Putnam County Sanitary Code has been placed on the agenda for the next meeting of the Board of Health to be held on October 16, 1989 at 7:30 the -Conference- Room at the--Boces Complexi -310- Old Route -6;- Carmel; - York. You or your representative must attend the meeting to present your case. By October 6, 1989, fourteen sets of the most recent plans must be provided to this office along with a written explanation of the hardship that will be experienced should the Board decide not to grant the variance. You are also referred to the attached "Neighbor Notification" procedure which must be satisfied. If you have any questions, contact the writer at Ext. 304. e ytruli yours, hn Kare , r., P.E. Director, Environmental Health Services For: Board of Health JK:pt cc:JK File V. Ettari, P.E. r' L PET ER C dt_CANDERSON G-Unry szecucive DEA:14,R I ME.VT OF HEALTH Division Or Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 BOA-RD OF 97AT.TR V= .R_L`TCF RB'OIIESTS N- m-IGHBOR NOTIE :CATT_ON ENIO L CARRUTH. ., P K PUClic Health Director JOHN RdRELL Jr., p.a. Director Beg___ng January 1, I °8� appeals (petitions) requests to the Bca_d of Eea_th for a Via= =once from prov_sIcns of the Pet =an County San =tat -y CvQe will not be be =a by tie Beard until such, tie as the D_ =e =tor of Eav_ro —e=tal Eealth Sarv'_ces of the Department of Eealth is provided with proof that notif-i cation of the date of tIIe Variance hearing, was made to all property owners contiguous to the property in QLe5ti0IIS. A location IIiap with COntiguOuS properties shown along with the prone = �p .owners same _aiaa Tax MaP -must also be provided to the Depar�ent. Not_ = _cation shaT1 mean receipt by eaci contiguous property owner of a coop of the a_tache3 notific =tien fora along V =h a copy, of the latest site plan. Proof of receipt of notice by contiguous property owners can include either of the following: - I. Copies of registe_ed mail receipts _ 2. Copies of the notiscation form�sigped by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to the meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result, in the Board delaying action on the request until proper notice is executed. The proof of notice shall be submitted to the director, of the division of Eav'__on-aental Health Services on or before 2 P.M. on the day of the hearing. 0 c PETER C. ALEXANDERSON County Executive September 25, 1989 Dear Sir: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Re: Variance Request Cyprus Warner Place Putnam Lake (T) Patterson TM 66 -3 -3 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Please be advised that a request for a variance from provisions of the Putnam County-Sanitary Code relative to the construction of a sewage system and well proposed for the captioned property will be heard by the Putnam County Board of Health on October 16;-1989 at 7:30 P:M. in the Conference Room at the Boces Complex, 110 Old Route 6, Carmel, New York. If you have any questions, concerns or information which may bear on our deliberations, you may appear at this meeting or contact the writer at Ext. 304. Because scheduling sometimes are modified at a late date, if you are planning to attend this meeting you should contact the Department on the day of the meeting to assure that this item is still on the agenda. V r t ly y' r s, , ohn Karell, Jr., P.E. Director, Environmental Health Services JK:pt cc:JK File 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 REGISTERED, RETURN RECEIPT REQUESTED September 25, 1989 Marion Cyprus 3055 Lakeside Road Mahopac, New York 10541 Re: Variance Request Cyprus Warner Place Putnam Lake (T) Patterson TM 66 -3 -3 Dear Mrs. Cyprus: ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Please be advised that the matter of your request for a variance from certain provisions of the Putnam County Sanitary Code has been placed on the agenda for the next meeting of the Board of Health to be held on October 16,.1989 at 7:30 P.-M. --in-the Conference Room. at the Boces Complex, 110 Old Route 6, Carmel ,- -New York. You or your representative.must attend the meeting to present your case. By October 6, 1989, fourteen sets of the most recent plans must be provided to this office along with a written explanation of the hardship that will be experienced should the Board decide not to grant the variance. You are also referred to the attached "Neighbor Notification" procedure which must be satisfied. If you have any questions, contact the writer at Ext. 304. Very rul &,.r., s, ohn Kareis P.E. Director, Environmental Health Services For: Board of Health JK:pt cc:JK File V. Ettari, P.E. 011 I. c P:'PER C AL(ANOER5CN C.unry :sacutiva DEF14,RTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York, 10512 (914) 225 -0310 BOAR:? OF RFAT.n Q--A RT s'TC REQUESTS NEIGZ-BOR NOTI= (CATION ENIO L CARRUTH• M,pK Puclic Health Oi,sctar JOHN XARELL Jr., P„ Oirec ar Bee _-,g January 1, 1989 ague= - - - --- Is (pe:_t_oas) requests to the Bca=d of Health a vac_a ce fro= rov_sions of h t= for P t e Ps c� Count San_Lar -.7 Code will not be heard by t =e Board unt_I s_Icjj tie as the Di rector of Eavironme_tal Health Sery lees of the Department of Ee -=Its is provided with proof that notification of tie data c the Variance Ileac L�, Vas made to all property owners coat-.I:_'o ous to the property in au_sti ons - A location map with contiguous properties saown along with the property ow -aers name and Tax Mapr-must also be provided to the Department. Not___cation sha77 mean recelot by each contiguous property ow�er'of a cony of the attached note == caticn form along nth a copy of the latest site plan. Prop: of rece'_pt of notice by contiguous property owners ca, include either of the following: _ 1. Copies of registered mail receipts 2. Copies of the not--'-'-f: form sigped by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to the meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result in the Board delaying action on the request until proper notice is executed_ The proof of notice shall be submitted to the director, of the division of Env'_ro=ental Health Services on or before 2 P.M. on the day of the hearing. 1 !R o PETER C. ALEXANDERSON County Executive September 25, 1989 Dear Sir: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Re: Variance Request Cyprus Warner Place Putnam Lake (T) Patterson TM 66 -3 -3 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Please be advised that a request for a variance from provisions of the Putnam County Sanitary Code relative to the construction of a sewage system and well proposed for the captioned property will be heard by the Putnam County Board of Health -on October 16, 1989 at 7:30 P.M. in the Conference Room, at .Boces.,..,.... Complex, 110 Old Route 6, Carmel, New York. If you have any questions, concerns or information which may bear on our deliberations, you may appear at this meeting or contact the writer at Ext. 304. Because scheduling sometimes are modified at a late date, if you are planning to attend this meeting you should contact the Department on the day of the meeting to assure that this item is still on the agenda. VV 'r 4Karell, y y' rs, ohn Jr., P.E. Director, Environmental Health Services JK:pt cc:JK File .u.-•. _• ., ��• .�. ..: _ .... ... .. .. .. .. �, .. '\- :.-.�. ._.... n..Y. �. .....P -. ..;tit;.. .. .... .r i! .� t ".. ., >..., r, .... as- • _ ] K. Y ! r z f �f7r t 2 .l v � 1• 1 .+5 fi{ � I f r August 6,1g8g lth "p'ermltt¢ ,f ::r i t � 1"��ifr1" iPti 1 t } f. S t Tax Map 66'" ':- .). .. • `Dear Department of xHe ] K. Y ! r z f �f7r t 2 .l v � 1• 1 .+5 fi{ � I f r August 6,1g8g lth "p'ermltt¢ ,f ::r .:,;..Sty,.. :•,+ Re tpropos�d ,�constr.:uctlon ' x TWA RNER PLA CE; P atters n' ` Tax Map 66'" ':- .). .. • `Dear r \ k � St } i' b ! i j 1Ty -,.. F 4 v l i �. i A Mr.` Karell P to hereby' In, - view;o.f`.'your,, refusal ,,grant.`appro'val�'of�.xny tplans, ,I request an .immediate... schedule. with ,the ;Board of. Appeals, concerning :.this ,refusal._ My Engineer and'myself.have cooperat,ed'i:n everyway possible to expedite this matter since it was brought 'before you: February 13, 1989. This delay has been a true heartship for .me for many reasons and any further delay would just not be fair at all,considering the circumstances. I earnestly ask you to get me on 'the earliest possible schedule to the Board. 2�FT l � l� 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 March 22, 1989 1�t � is ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Mr. Vincent Ettari, PE 1065 Spillway Road , Shrub Oak, NY 10588 Re: Proposed Construction Permit Warner Place - Patterson, NY Tax Map #66 -3 -3 Dear Mr. Ettari: Review of plans dated February 13, 1989, and other materials relative to a construction permit for the above captioned property has been completed by the Department. Based upon such review, and pursuant to the provisions of Article III of the Putnam County Sanitary Code, you are hereby advised that the proposed method providing water supply and sewage are considered in- adequate as set forth below, therefore, approval of these plans cannot be granted. 1. The proposed well is in direct line of drainage..of the adjacent-SSDS; the required separation 'distance is 200' but only 170 is provided. 2. The plans show a 16% slope in the SSDS area but the slopes appeared greater than 20% at the time of the field inspection, the maximum slope allowed is.15 %. 3. The water table in the lower portion of the expansion area appears less than 2' from the surface. If you have any questions, please call me at Ext. 304. J K : jr cc: Marian Cyprus ry, tru yours, oh n Kare 1, Jr. PE irector Environmental Health Services PUIMM.CD.LWY, DEPAFaMEZU. OF HEALTH., bIViSION.0FENVIRONMENIAL HEALTH SERVICES DESIGN DATA-SHEET-SUBSUFACE SEWAGE DISPOSAL-SYSTEK,.. FILE 1b.- Owner eWv5 Address- // _ Located at (Street) A42 671_ sec. GG Block 3 Lot -3 (indicate nearest cross street) municipality S 0AI Watershed SOIL PERCD=CN TEST DATA REQUIRED TO BE SUBblr= WITH APPLICATIONS Date of Pre-Soaking Date of .Percolation Test ��/j�.. tk HOLE NL14BM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start-Stop Min. Start stop Drop In Min/In Drop Inches Inches Inches 3 o3 J-,' /.f 1.2 2,,� oil 4 5 2 4 5 et 2 3 4 ....... . ...... .... ....... ...... 5 ...... 10s C re deDth until a1mroxura v eau so il rate are obtained at each percp!;At- x_= for review. _j Depth neasuj,� ts,t-o be -, top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO.BE SUBMIT wE WTTH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED =IN TEST HOLES DEPTH HOLE NO. �_ HOLE NO. HOLE N0. -3 - -- G. L. _ ��G i✓ /e- oi2G�¢i✓i c l� IL 2' �SA�✓� Si4�� y Gwi 31 4' 6' ,"O'er a 71 8' GE�G�" AT 75' 9' 10' 11° 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNMED / �✓ �!' /C ` INDICATE LEVEL TO WHICH LATER LEVEL RISES AFTER BEING ENOOUNTERED i,✓ hale #� DEEP HOLE OBSERVATIONS MADE BY: i� DATE: Q DESIGN Soil Rate Used Min /1 ". Drop: S.D. Usable Area Provided �200x� No. of Bedroams -3 Septic Tank Capacity 000 gals. Type �✓� Absorption Area Provided By . /33.3 L.F. x 24" width trench Other Z d. �x � /6/�!/ � Wd Name /n/d�n/f �J� ti4-Q le Signa Address O SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: �'�,, r 46 r Soil Rate Approved PP ' sg. f t /gal . Checked by °� � ,, >�. � to Ap3PE- btC lB i CvL,' GE.°a. DL�ITG1C� CF E:W � C��' TL*�L ri (.L � `?" a _� .. & .`emu JRF3 St Y� :'DID � L _SYcT s - _ — CONSLRE=. CNi Pz- m-r** tt t �;'nIni� � p ru � bra r_ . `:��r- P(ac e ears BY wL Fly - r (; NO I DCGa�`� `TrS C - I— _ mnl y - F+' CLnr�T J �LII_1Clr_Z _C*1 ' ✓I I r--T eC L, c� n ` ns r,,. - - DEP-a Chi r _gc 60 va z_ & _ �' ��i' I I r ?`1 rf G cG �c i D c.r J.Ec � ,T__ e sez. - _ In 1 ev n S d �P �S I ✓1`` : C,:c�` ^'et' cn `c - . (r--ricer rat- a deep r I T�tiC— r'Ct_ l ntCL._3" L {t c .1 • C t..= rClr n Dr S.1disch, C ✓i ; I . 'per,- &- Deem Ec -_..Lcca- ted " 1 `RE7Les�'1LaL1vc 0L �'r*C v ,c'C c�c-nc Cn r r 1CQ pr yC.CwTI� a \lt_i i Cv�<<7- I 10 f L S�zc�' i rot "tit - ✓ . Eausha. -Cf- r- :.Sti_s 5..i.S's w/ ri 21j0 fL. c _r .,ccC� 1 - G�rtrl P: be E.^L[1re i RC12 Ccv2'" _ _1 /i,it /i tr drrt7 `ivZC DT OQ ' ^:y _t a5 w"% C' i^.11r c PZr . "c h c•aRPSTC�I 1ST-22. t=: c�CT r =71 Gy ,Fr y cs tr tax -'T F Wc� I S u ( to W�l, GO�' 1 i.D L 0'.Df ` ' r C 10 to- .Dr�;,G W t -1�: I• —�'"� FCv� T n ' 35'te =-tcz v. G n c" t r- rcrGi^ T (Pits w� ne i I 50 r int _r-ni =^L C TES l - .10 fycti _ ours` "� c tL w i F n," ,50 r , _ from the desk of— JOHN KARELL JR., P.E. Director Of Environmental Health Services / ✓ VV JAJ l� 'll i Z £ ' 0 D O O C) �x W a N lJ. rn O 4 w w < (t h N � f w ^ V N V Du - O D W $ La rTl N J f1 r O iJ 0 O D m � i D v O �< N O C m A m N m D Z 1 Z xn t T D C Z N m v a � V v w p O G m N O Z m N r _ O Z ul r Z T ' 70 w i w � V r 'll i £ ' 0 D O O C) �x lJ. rn w w < (t w N � w w ^ V V Du - $ rTl N J f1 p iJ 0 D _w U) CD Dw O p m- W Ow O OD m 0 O 3Z Dm Z -4 DO IZ mm ,pm 0 >O J iJ I tM U151AINUt I U UUt -<NLK COMPONENT OF HOUSE A B C D SEPTIC TANK 31.3' 30.5' ! PUMP PIT 51.3 18T' D - BOX 104.4' 10 2.3' J - BOX I 103.7 104.8' i 2 104.5' 1 104' i ENDS A 47.3' 48.7' B 50.9' 48.5' 160.5•' 160.4' C 159. T' D 160.5' i d y t i