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HomeMy WebLinkAbout1502DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -3 -44 BOX 14 va � r' i • v i r „ EI 01502 V 'OUNTY 6EiiIhMkNT OFEMUIEt' PUTNAM C i. ARev. 3186 slon of Environmental Hesith'services., Carmel, N.Y . 16512.- .'Engineer to Provide, Permit 'R sl on CERTIFICATE OF -�G A ONSTRP0rNPERMlT FOR S DISPO AL SYSTEM Permit N owl A lAcated at M u LLE f F4 ni Subdivision Nam Subd. Lot TaX Map_'I -5 BI Mt Renewal-0 —Revision —0 6wilier/ApplIcantName' Date of Previous Approval Malft Address Ole) AE-'F-I -A NJ _E,,e-AL. �EV5L, To. ZIP Tc_ Building Ty, Lot Area FM on o* D-pth)WI volume PCED Notification Is Required When Fill Is completed Number of Bedrooms Design Flow G/P/D is Separate S 'pverais System to consist Gal n Septic Tank an d To be constructed by -rn k�lst zSt� M I Address W ater S P13'. UP Ptibllc $npply From Address or p sil L Other Requirements is tzs I represent rn,wnolllyand.�omol.tely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal ,system above dim'!h:, 11 be'constructed as'sho�vn on, t . he . approved amendment there. to and in accordancewith the standards, rules and re hoC9ula!:i5,nsoV Ine. r4xnam County Depart,mpqt, of , H"ffh; that on completion therero a "Certificate of Construction Compliance" satisfactory to or" r rr� .nor of Healthwill.' be iubmittedjo the:De 'partment, an d r 'a written guiiante a will be furn*ished the owner, his successors, heirs or assigns by the builder, that said.bulider,will place ­in good operating . c0dition ariy., part of - said. sewage disposal syit . em during the period of two (2) years immediately following the date of the' issu- ance of the approval of the Certificat• of Construction Compliance of the original system of any thereto; 2) that the drilled well described above will be located as sh6Wn.on the approved plan and that said well will be inst '. i . with a standards, rulq and rag—uraT—ionsol" the Putnam County Department of Date .7 Rtfl S ignewd P. E. R. A. 0. . Address \A PPRO FOR 9ONS.'RUCTION- This approval expiresone y"ocabie�foor b taus or may PI or modiiied when c6nside uires. a new it.- A r disp6sal of domestic' son By ,X F License No J le- date- issued unless con ruction o f t ie building has been undertaken and 1 ;y, by. mm� ,r f Health. Any charnor alteration of construction /ly e'. an r i t supply only. TRANSMITTAL # 7 T(.): Putnam County Health Dept. Date: July 17, 1986 County Office Buildinq Job #: Two County.Center Carmel, NY 10512 Attn: Mike Budzinski Subject:. Burdick Glen Lot #5 - Fill Permit The following items are herewith transmitted: Attached Separate Cove_ Q Delivered ITEM COPIES DESCRIPTION. 1 1 Construction Permit 2 1 Letter of Authorization 3 1 -Design Data Sheet 4 For: Q Approval _ Q Review and Comment Q Record Q use As Requested Other Remarks: Resubmitted for 4 bedroom design C File Signed: t d J. Robert Folchetti & Associates m F. O. 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I I I 1 ily' ,r! :I t $/ .iV IV 1 !�� I I I I i I I' 1 I, I I (i +ttt S zY r r. 1, - .�• 1, I: 1 j +. 4. p y ;f,s1 i I ' t �.. r I r t-'I, 1 I I ,'. I I f ,�'-H +•yt �t , n r I tl w4 'i t 't¢ I I ,•I { t ! ! l { I i5.r��Mr�g1 I y ,.tI1{ 1f ( p,��,�ja , t� iN'.J'rir { 3s !'. ' { )jj. 1 y ,f,,7 �cI r I I , I I' F � I i 5' l I• r; .. fI I 11 r- tdti!vt..hitF'•N ��::+..T.V'P.fM t •c1...:.l u..tt.r_!._. .t. ,I.. ..I:..ir 4�7.14�F,r1Ax6t,i it�t,: ..� ?.II. •. _. 1�.I . ": { I I:�.. 1..411— I�iiY�.• •. - 01 .-PUTNAK'COUNTY DEPARTMENT OF H13 ALTH DIVISIW; W -ENVIRONMEN'kAL HEALTH SERVICES Date March •25 1986 Re.: Property o f,7 Horizon Construction Located at Bullet Hole Road (T)Patterson Section. '73- Block 3 Lot 29 Subdivision of Burdick glen Subdv. Lot. # 5 Filed Map.# Date .ntlemen: Thi.s.le.ttor is to" authorize J: Robert Folchetti & Associates :a duly': licensed professional engine.er. X or registered'architect t.(.) apply, for` a- 6 ,i s t r uc' on Termit for.a separi.-ite sewage,_system, to so'r ve the. -a'dv e,-#Oted.property in accordance w-ith the standards, rules o: °. regulations egulation -a- omulag -pr s 'ated by the Commissioner of the Putnam County . Dopartment,-of Heaiih. and to sign all necessary papers on my behalf in C(",zxiiectio,n',with -this matter and, to-supervise the- construction of said s,,,,4tem or sy6tem#,., -3.n conformity with the provisions of.Article 145 or .V 7, Educdiion.Law., -th-e.7,Public Health Law, and the Putnam County Sani- Aor I Code ..y Very truly yours, Si Ccuntersigned �1011 P:E01 R*A.,, e051011 P. b. Box ,374 Telephone rto�r of Property C/. F Ian Realty & Development Corp. Rnni- Avenup. Address Brewster, NY 10509 Town (914) 278-2111 Telopho-ne V21 PUTNWA rOUNTY DEPT, OF HEALTH -'FUTNAM COUNTY DEPARTMENT OF HEALTI DIVISION OF ENVTRONMENTAL HEALTH SE'NICES COUNW OFFICE`BUILDING, CARMEL, N. Y. 10512 )ESIGN :DATA SHEET SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. lwnexr, i-lc „r��.1 C'.r�ry 4 °ncr:_1 Addresse AAw -t=Ayj4 , •gip i;ocated at (Street Sec. 3lock_ ,V Lot s 'Z Vie. nearestross s ree n !�un3.cipalityT4 -� .1.'r�i Watershed SOIL PERCOLATION TEST-DATA REQUIRED TO BE SU3MITTED WITH APPLICATIONS Ble :Number CLOCK TIME PERCOLATI V PERCOLATION apse p o a er water ve Not Time. From Ground Surf:Lce in Inches Soil Rate Start -Stop Min.. Start Stop Drop in Min. /in drop Inches Inch s Inches Notes: l) Tests to be repeated at same depth u itil approxi. t �equa1 rates are obtained at each percolation test ho i_e ..All date3 for review. 2) Depth"measurements to be made from t)p of hole. PU �'g'��3��ti t,;;,;�7,pN . �, (DEPT, OF HE ALTil] 2 °I Z 2 -�_q 2ig j U 1 2\ 21 -- f 3 �+ era a ..:,�� ��. L 3 5 2 `Y'S7 �o v b Vic:' �::1 `G,''; 3 6, Notes: l) Tests to be repeated at same depth u itil approxi. t �equa1 rates are obtained at each percolation test ho i_e ..All date3 for review. 2) Depth"measurements to be made from t)p of hole. PU �'g'��3��ti t,;;,;�7,pN . �, (DEPT, OF HE ALTil] i ::. . , CNDZQA!t'EI ;�k T; °��A C �.yRT► Y4MMIO�, t�RI I �- ITCH Gk�4 ND WATER `IS' WHTCH WATEF3 'LT�L RISES , I :EIVCOUNTM ED AFTER EINa ENCOUNmFR'D yTp Da .. tl So�:�:'.#�ate: Usedl o • Abs u Ni�nfT'!Drops 0 •. �k Capacity By ti�ox2%+ s. D. .Us ble 'Area Provided Qals . widt _ �.___,_. (��'aw r ' 04 W S 1 0 1 ONLY : �`� ,'• ''� ChocV 3d aNiV� ��I ��RGtlff7Pl � �/�T "rs�m.. _•__ _ THIS.; $PACE FOR So11:.,.Rall :A 1?rovod ra USk. ]3X .:I£'ALTT DEPARTMENT' ;• Sq. Ft/Ml. " '•,� may:. C2. C1,100 PUT NAM r, 0 9EPT., OF HE.' ad � r e(G t U.':t n7f {•t r"', .j � I/ � f^t '�•' .,.,, �•?'�. +. i:, . r,•e satrM' -merx earmn1k,'rors.ia'r 1":i�rtmi"'n r:Y. e Putnam County Department of Health Division of Environmental Sanitation AFFIDAVIT CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health - In the matter of application for _ Burdick GlerL _ 1�LQtp— . L,— 'L and. E _ — _ _ _ _ _ _ I, _ Ed Heelan --------------------- , repre &ant that I am an officer .or employee of the corporation and am authorized to act for Horizon Constructio- n _ _ _ _ _ y ----- _ _ _ _ r _ _ (name o corporation) having offices at Whose officers are President _ _ _�(,� — _� � � °"`"!_' /`!• " ZName a d Address) _ -Vice- President;_ __ me and Addr ss� / (Na e ) Secretary — — — — r` --DIJ_ D_2ZA _ �_ ��!��*'�� —Lam• (Name and Address) _ Treasurer _ { --- _ (Name and Address) _ and that I am and will be individually responsible for any or a ac of the corporation with respect to the approval requested, ind sequent acts relating thereto. Sworn to before me this day Signed of 19 Title NojWry Public RICHARD I. GQl_DSAND Notary Public, State of New Yo No. 61573920 Qualified in Putnam Cry. No. Term Expires , 7 9 jzfo_ 31 Corporate Seal ENVIRONMENTAL ENGINEERS P.O. BOX 29, P#tE NEW YORK 10509 DEP.j. 0� tAEALTH 9Ep� Mr. John Karell, Jr., P.E. Director of Environmental Health Services 2 County Center. Carmel, NY 10512 Dear Mr. Karell: May 5, 1986 Re: Burdick Glen Lots 1, 5, 7, 3 (914) 279 -3346 This letter is in response to your comments of April 24., 1985. Lots 11 5, 7 -- Fill Permits only 1. A signed authorization was filed for each lot. A corporate resolution has been requested from Horizon Construction. 2. Two sets of house plans were filed for lot 7 on April 22. House designs for the other lots have not been determined except the bedroom count has been established at 3. These applications are for fill permits only, and a second design application will be required. It is requested that these lots be approved on the condition that house plans are submitted with the design application. 3. The number of bedrooms is shown on each permit application. At your suggestion it has been added to the plans. 4. A key has been added. 5. Fill section _slopes are shown on the details. Lot 8 1. Top and toe lines have been added. 2. The septic tank size has been increased from the allowable of 1,000 gallons to 1,250 gallons. C Mr. John Karell -2- May 5, 1986 3. a. .See lot -1� :5,. � - #1.. - - _.._._ .-,- _.,. __ - .._ _ _...,_r . _ . b. A key has been added. c: The slope of the fill section was already shown on the detail. We trust that these changes are sufficient to permit approval of the applications. Thank you for your cooperation. Very truly yours f Aj. Robert Folchetti, P.E. JRF:ks cc: File Attachment: 3 copies each -- Plans for Lots #1, #3, #5, #8 DAVID D. BRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services April 24, 1986 J. Robert Folchetti, P.E. & Associates P.O. Box 297 Brewster, New York 10509 Re: Proposed SSDS's Burdick Glen (T) Patterson Dear Mr. Folchetti: JOHN SIMMONS. M.D. Deputy Commissioner Review of plans and other supporting materials received relative to the above - captioned projects have been completed .with comments offered. as .follows: J Lots #7 5,1 1. A co.rP . orate resolution must be filed authorizing the applicant to act,on behalf of the corporation.. 2. Two sets of house plans are not provided 3. The number of bedrooms proposed does not appear on the plans ✓ 4. A key to the deep hole /percolation hole designations is not provided. 5. Fill section must slope from top to toe 1:2. Horizontal distance between top and toe for a 4 foot fill section is 8 feet, five foot, 10 feet, etc. Lot #8 \ 1. The extent of the fill top to toe is not shown on the plan drawing. 2. A 1250 gallon septic tank should be provided TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 2; J. Robert Folchetti, P.E. & Associates April 24, 1986 o . 3. See comments 1,4 and 5 above .Upon receipt of submissions revised to reflect the above comments, these projects will be considered further for approval. ve t r r JIhn Kare 11 91 r. P.E. D rector, JK:pt Environmental Health Services c c J K File SUPPLY & SUBSURFACE Ste+ REVIEW SHEET - QoNSTRUCTIaLV PERMIT (Name of Own ) cams DATE REVIEWED:'Z a BY: �J � DOCUMENTS Permit Application lo '7 3 Corporate Resolution Plans -.Three sets 5� f Engineers Authorization Design Data Sheet (DDS) Deep Hole Log .Consistent Perc Results (3) 30" Perc Hole �J� Other House Plans - Two sets 3 a ✓ If PWS — Letter "Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan 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 Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing/Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage & Expansion Area Expansion Area;shown;gravity flow,suff. size _ If Punhed. Pit &, D Box Shown & Detailed iled House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 45" w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 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- Cartain,Storn,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well.to PL GENERAL Legal Subdivision Subdivision Approval Checked Etc- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same �''• � "F 66 1 / K 1. f r r •�:• :. V j5 `I r r ►�T'0 CTS' '.�.. "`��rl I r• I �Z ' At . 1J ill::. / ,r �I' !I I+ �(��; 1, ,. �% " . . ' `. ►!� 1 ` I ' / f • ' ' � �O. � . � `--tea I.� � ' 1 116 ! 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I }. 1 I 4i...j J�"4 1. sv W r. q.t s y� � +si,ta ' b�.ra "f`� it +� C•; i r ' .. ' . f � L ; . I ' i I. � i � t; a� };' i4� s ' - � ° � } "" �,' r�: r' }�`''(�r � I'� �• I � ::I� I 11 t tu>a r"� 4 SYS `:, I , '� .' I I y u I I I '. I '.{ '• ' i 1 �4- I I \ �� 5 ��'�1 { �� r ddC'I ( I , r � 1 I �r•'I I{ I i ;tll' I I I �: 4 1 - � I . , I { ''4 + ti t> �• .s ,� r Yi,� �a � + '� rt _., r t ' � , -1. I C � I• I ' � t 'i I �i } f r r�,' � �,� r 7 8. dddj r '� I E I t I �;.� 1 I.tr!.iLl.l .•r � � �; �'' I J ` !� I � .: I.. .. J I- .:..! �•.;4..I,. .�} I .- I,�µ-�ry�ly " i ,,l! ' �s �' ' J � i. t r I I I i , I I I . '� `• I i E;.� 1,1' O { \ I� J. ^'t '7 yw � t {� 7 4R rl ��� rl s" I I 1 ' I, I I � I ' I ., � 1 4 i I I, �', I I I � �,3 s l t _1 I I I d• I 1 •. I 'i I LT; 111 I 1 �t: I L.'•, I I I I 1 I ��- I - ' I � � ' ' I I ' :f I I P3 (� kt I.. I C• ' `f I ".' �,I � R: I MILAN I ' I I. I A.- .I I I I I � I ++ I 4 I b';j t + � �. + I � 1, � 5 I S - i J { .,I ,, ,qtr r� rt y'., `'F"� `• ��•. _r "qt �: I f ixl� �L.I� ,�..4 ;' , I I t ` :4• F I Ar J ,i. {py x�• : �. I� I If f�jiE �� ,ram �s■t 1 r ?s ��: ,s,..° i .• I �: ��� ;l ,: -1 rta {m.:,ti 4 3tcr "�'r i.r',. r�A;,iy���..� p.6 Apr, - W , I rr � J � I I t 1 _ •^•V�ek�,�' wh'� "'y .I iI {k44 �r � „ ' �k I 'a nk�. 11 ?v s.a s rt%*l^,...,�J . ; TRANSMITTAL #- 1 To: Putnam County Health` Dept .,APr: _.;_::, .. 86 .. County Office Building Job Two County Center Carmel, NY 10512 Attn: Mike Budzinski Subject: Horizon Construction Fill Permit t- (ra 44 The following items are herewith transmitted: Ex_-/ Attached Z Separate Cover /_ / Delivered Item Copies Description 1 1 Construction Permit _ 2 1 Letter of Authorization 3 1 Sheet 4 4 —Design-Data Drawings - Septic Sygt m 1 SSDS P1 n For: L X j Approval L/ Use / Review and Comment Record Remarks:_ Two copies of House Plans to follow. As requested Other CC: Mr. Ed Hee lan File Signed: j J.'Robert Folchetti & Associates Telephone # (914) 279 -3346 P. O. Box 374 279 -3155 Brewster, NY 10509 -0297 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date March 25, . 1986 Re: Property of Horizon Construction. Located at Bullet Hole Road (T) Patterson Section 73 Block 3 Lot 29 Subdivision of Burdick Glen Subdv. Lot # 5 filed Map # Date Gentlemen: This letter is to authorize J. Robert Folchetti & Associates a duly licensed professional engineer X or registered architect (IndicateT_ to apply for a Construction Permlt for a separate sewage system, to serve the above: -rioted property in accordance with the standards, rules - or�rpgulation . s 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 Code. Very truly yoursi s' y 0 P truly yo Property Sign 4d of Property C/ CountersigipLed- Realty & He lan Realty & Development Corp. P.E., R.A., 051011 Root- Avenue Address P. O. Box 374 Brewster, NY .10509 Address. Town Brewster, NY 10509 (914) 278-2111 Telephone (914) 279-3346 .Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH ` DIVISION OF ENVT.RONMENTAL HEALTH SERVICES COUNTY .OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address Located at (Street Sec. Block Lot ...sue 6dicate nearer cross street Municipality.. Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water a er Level No. Time From Ground Surface.in Inches Soil'Rate Start -Stop Min. Start Stop . Drop in Min. /in drop Inches Inches Inches 1 �Ra SLAV 5 G - 3 10iO lboo 3,31 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. 2 3g /d vd I 1 IPA 03 6,2) 4 1- 47-0 k 3 6, 3 5 /0! ;L ° J C'39 19 119 k 6,0 6/3 S� 3 Jo;/ 7 -035" ' i 1 �Ra SLAV 5 G - 3 10iO lboo 3,31 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. REQVIAED -TO d-BE, .STJBMITTED ,WITH APPMOATION ON .4 SOTL3 YENCOUNTF�D -TN ,TEST HOLES INDICATE LEVEL AT WHICH GROUND WATER IS.ENCOUNTERED INDICATE LEVEL T0.WHICR.WATER LEVEL RISES AFTER BEING ENCOUNTERtD TESTS MADE BY Date - -- D— Soil Rate Used C-- 0 Min/1 "Drop: S.D. Usable Area.ProvidedSSC2 -1L No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. Absorption Area Pro` vlded By 333 L.F.x24" �`�b�"� d'� `l�'sRul3 r� 1 1 5 >, Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: �S Soil Rate Approved Sq. Ft /Cal. Checked by i 1 Dom.. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH . HOLE NO.. � r HOLE NO. HOLE NO. G.L. - 6" ., w V\) LJA� _. 12" TAyJ Y14t 18 11 ,I�-� 24" Mot s— ✓� 3011 i nc�c A aZy" r-►4 Y � a� 36„ y 42" 48" 54 it d 1-0dr- 61rCA H 60" SwAD 66" 72" 78" 8411 INDICATE LEVEL AT WHICH GROUND WATER IS.ENCOUNTERED INDICATE LEVEL T0.WHICR.WATER LEVEL RISES AFTER BEING ENCOUNTERtD TESTS MADE BY Date - -- D— Soil Rate Used C-- 0 Min/1 "Drop: S.D. Usable Area.ProvidedSSC2 -1L No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. Absorption Area Pro` vlded By 333 L.F.x24" �`�b�"� d'� `l�'sRul3 r� 1 1 5 >, Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: �S Soil Rate Approved Sq. Ft /Cal. Checked by i 1 4-4hich ilia attached)'.an'd in' acco Putnam County Department• f HealEh'. oate 20'`' id er 1,4 Any person occuDYlhg premises serve) Condition -s resultI." rom`such usage a'valliblq and ths; approval of the, pri! suti)ect _tto* -m*' difiutlori o►; change % i rA f7 DEPARTMENT OF HEALTH ----Division Of -Eniirbrimdrital- Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only i1WELL LOCATION STREET AOURESS. TOWNIVILLMICH! TAX GRID NUMBER:.— A" LIZ-, . . . . . . . 73-3-29 WELL OWNER NAME. ADDRESS: A ;V6 11 9PRIVATE 0 PUBLIC USE OF WELL 1 - primary 2 - secondary e(RESIDENTIAL ❑ PUBLIC SUPPLY ❑ -AIR /COND. /HEAT PUMP 0 ABANDONED ❑ BUSINESS 0 FARM - ❑ TEST/OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND-BY ❑ AMOUNT OF USE YIELD SOUGHT A7 gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE j52L gal- REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY.--` : ❑ TEST /OBSERVATION O.REPLACE EXISTING SUPPLY. ❑ DEEPEN EXISTING WELL DEPTH DATA WELL'OEPTH K _ft- STATIC WATER LEVEL v ft. FDATE MEASURED DRILLING EQUIPMENT ❑ ROTARY 9'COMPRESSED AIR PERCUSSION 0 DUG ❑ WELL POINT- El CABLE PERCUSSION 11 OTHER (specify): WELL TYPE 0 SCREENED .0 OPEN END CASING. OPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH ft- MATERIALS: FSTEEL ❑ PLASTIC 0 OTHER LENGTH.BELOW GRADE tL JOINT R .0 WELDED THREADED 0 OTHER DETAILS DIAMETER in. -S: SEAL: ❑ CEMENT GROUT ItSENTONITE 0 OTHER WEIGHT PER FOOT Z 1b./ft. DRIVE SHOF' 9YES ❑ NO I LINER:OYES NO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST . OYES ONO HOURS SECOND GRAVEL PACK C1 YES 0 NO GRAVEL SIZE: DIAMETER . OF PACK in. I TOP DEPTH tL BOTTOM OEM — It. WELL YIELD TEST If detailed, pumping METHOD: 0 PUMPED 1 tests were done is in- IfCOMPRESSED AIR formation attached? 0 BAILED C1 OTHER OYES ONO It more detailed formatiori.,descriptions or sieve analyses 'WELL COG are available please attach. FROM DEPTH FROM SURFACE Water pear- ing Well Dia- meter FORMATION DESCRIPTION COOS, tt. ft WELL OEM ft, DURATION hr. min. DRAWOOWN ft. YIELD gpm. surface V _T70 L 46 WATER &(CLEAR TEMP-. QUALITY 0 CLOUDY HARDNESS 0 COLORED ANALYZED? 0 YES ONO ANALYSIS ATTACHED? 0 YES 0 NO STORAGE TANK TYP E—Cid-im-C-) CAPACITY 0-6 (,*,,jjbA D k&,,,;4GAL. "*A17 & SONS, INC. DATE ADDRESS Well Drilling S1011MRE Rte. 311 R.R. 2 Box 171A PATTERSON, NEW YORK 12563 PUMP WFORMATION TYPE & CAPACITY -7 — c' MAKER DEPTH HP MODEL le VOLTAG&j3V_ Hp rA f7 • 1 LAB # 93.007554 Yorktown Medical Laboratory, Inc. 321 Kear Street Date Taken: 8/i8/88 Time: IOpm Yorktown Heights, N. Y. 10598 Date Rc' p d: .._ . . _ . . .Time.: - - lA88 Director: Albert H. Padovani M. T. (ASM Collected By: u van Referred By: T- SULLIVAN, KATHY BULLET HOLE RD. PATTERSON,NY. 1256q L -1 Sample Location: Kitcrlen J LABORATORY REPORT ON THE QUALITY OF WATER INORGANIC NON- METALS (mg /L) Acidity Alkalinity Chloride Detergents, ?,;BAS Hardness, Total Nitrogen, Ammonia Nitrogen, Nitrate Phosphate, Total _ Sulfate _ Sulfide Sulfite . METALS (mg /L) Phone N t7t .- Phone N Sample Type: Repeat Test? _ (check one) MICROBIOLOGICAL (CFU /100mL) GENERAL BACTERIA Standard Plate Count '44o (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE �( Total Coliform C Fecal Coliform Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Copper _ Iron _ Total Coliform Index _ Lead _ Manganese _ Sodium KEY FOR TERMINOLOGY Zinc CFU = Colony Forming Units MISCELLANEOUS pH. (units) Color (units) Odor (TON) Turbidity (NTU) N/A = Not Applicable LT = Less Than (<) GT = Greater Than ( >) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR = Non- reactive Potable Non - potable STP INF STP EFF Other: Sample Status: (check each) Outgoing .— HNO3 _ HC1 H2SO4 NaOH ZnOAc Na2S203, Other: LE b °C GT h0C pH LE 2 _ pH GE 9 pH GE 12 _ _ Other: REMARKS /COMMENTS'•(For Lab Use)IELAP #10323 THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTIO . THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N/ MEET THE SATISFACTORY CHEMICAL QUALITY STANDARDS OF THE NEW YORK STA E D NKING WATER CODES ,/P` R TH,F, PARAMETERS TESTED, AT THE TIME OF COLLECTION. /x/ 1 klb-er Yadovani, M.T. (ASCP), Director 2/86(RvsdT /87)RWE PUTNAM COUNTY DEPARIMENr OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Cathy & Peter Sullivan Owner or Purchaser of Building Owner Building Constructed by Bullet Hole Road Location — Street Patterson Municipality Frame Building Type 73 3 29 Section Block Lot Burdick Glen Subdivision Name 5 Subdivision Lot # GUARANM 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 t- .._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 in-mediately following the date of approval of the "Certificate of Construction - Compliance ".for the sewage disposal system, or any _..____._ _._.... repairs -ode- by--me- to- sueh-system;- except--where --the--failure -to, operate -properly' -is--- -' ---..__w 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 Environinrntal 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 20 day of Oct. 1988 4 General Contractor (Owner) - Signature Corporation Name (if Corp.) Bullet Hole Rd., Patterson, NY 12563 Address rev. 9/85 mk Signature ALOE h Al Title Corporation Name (if Corp.) Bullet Hole Road, Patterson, NY 12563 Address I,- O*q _-., -1- IV. V. VI. FINAL SITE INSPECTION .;CATION� .4CdtOAjM Date Insppct by bA Ai'QO-kij-6jVN Tm # OR sumivisim LcT # -7 .5 - 3 NO CCMMENTS DISPOSAL ARFA a. SDS area located as per app roved plans b. Fill section - Date of placement 3CO C %A 2:1 barrier. LGM WIDTH �AGGXPTH c. Natural soil not stripped V/ d. Stone, brush, etc., greater than 151 from SDS area. e. 100 ft. fran water course/wetlands. SEW-AL -E DISPOSAL SYSTEM a. Septic tank size ti1 00 � 1,250 b. Seotic tank installed level c. 101 minimum from foundation d. No 90' bends, cleanout within 10 ft. of 45' bend V/ e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION ]BOX --properly set g. MRENCEES 1. Length reauired - 333 Lena -h installed 2. Distance to watercourse measured. ft. 7" 3. Installed according to plan 4. Distance center to center v 5. Sloce of trench acceptable 1/16 - 1/32 "/foot. 6. 10 feet fran prccerty line - 20 feet - foundations 7. Depth of trench < 30 inches frcin surface 8. Roan a-Ilcwed for expansion, 50% 9. Size of gravel 3/4 - 1 '§ diameter 10. Depth of gravel in trench 12" minimum 11. Pipe ends capped h. PUT OR DOSE SYSTEM-9 I. -Size-of--purp 2. Overflcw tank 3. Alarm, visua;Afi;dio 4. Pump ta�s accessible manhole to grade, 5. First,-bbx baffled 6. P7d!e witnessed by Health Departnent --' estimated flow per cycle HOUSE a. Hcuse located per approved plans. X b. N=ber of bedroans L/ WELL a. Well located as per approved plans b. Distance fran SDS arL-;; measured ft. c. Casing 18" above grade. d. Surface drainace around well acceptable. IV I OVZRALL WOREMASHIP a. Bcxes properly grouted b. All pipes partially bar-kfilled c. All pipes flush with inside of box d. Bar-t-,fill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to e-xist.watercoursE g. Foctinq drains discharge away fran SDS area h. Surface water 2rotecticn adequate i. F-r--csion controi provided on slopes greater than 15%. 4- PUTNAM COUNTY HEALTH DEPARTMENT ~ DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health - FIELD ACTIVITY.REPORT - Sheet of ��� INSPDCTION NAME Orig. Routine Orig. Canplain ADDRESS `(� QA LAyt-& dd pa ; elq 7.� -a9 _ Orig. Request No. Street Towir TH No. Campliance vw, � Complaint Camp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE Reinspection PERSON IN CHARGE Field, Sampling Only OR INTERVIEWED Field Conference Name and Title / Other . DATE TYPE FACILITY TIME - ARRIVED TIME LEFT lain FINDINGS: INSPECTOR: �G�/LC� [.fA�� TELEPHONE: Sianature and Title PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: � c-�:, m- N°r*"$+,+.T. _n �,� r r� .,• �,, s+� � � -. ,'.�' � h*--"F'" {�"i ' r may+ �, � rr�Y*�-,�r.-- f�-rt i .. , ' ; -�a& a '�t ,3""�j,�-� za'�•�+�sr -. ;. t 1,,� '" ,� "�7-•a .+�'"•`,' "! . a ? � Rv t5 ` I'n PUTNAIK COVxTY DEPARTMExT OF HEALTH rf r it (' l f ion of Environmental;Healin Servloee Carmel N Y 10511 Engineer to Provide Permit M on CERTIFI TE MPLIAN 6 CA OF CO CE ` Permit N s r fi ' CONSTRUCTION PERMPl R EWAGE DISPOSAL SYSTEM ka I: _ - t cT Pa terson ye B l l e t Holy •Road Town or Pillage - Sabdivteton Nerve Burdick, - Glen... �:-Sttba:�iot q 5 Ta: owns : /AppucentName" Cathy& Peter .Sullivan Renewal^ � RevieWn Date oUPrevlons Approval ❑ � , MaillngAddreea 10 Rn�lp Rta� Town LaIR® Casta�l, —NY' �P 1DS12 r. 42899 Bailding Type Frame Lot Area FID Section Ouly Depth volume Three 6'00 ,... Number of iledrooms Design Flow G/R /D:- PCHD No_ ,tfficatlon °le R«tnired When Fill ie completed Separate Sewerage,System to conelst of Ge�on Septic Taolt o a T• To be constrbcted by 9 Address' watei S _PO b Pnbuc'Sopply Flom Afbirei}s or: X Private Supply DrWed by Add►eiu+. ome,Regairemente *Re hires :about_ 300 :Cu Yds common -fill to be . 1 cad "'n. r" us:_e aviation 1 represent that`1 am wholly and completely iesponsiblefor thedesignAnd location of the proposed systems) ) that theseparato sewaye.dosposal= system . .. above descr�b -d will be, constructed as shown on the approved amendment thereto and rn� accordance w�th,the standaids rules °an raga a rout o e'� 4. nam County Department ;of. Na41th antl that,on completwn theeof a Cert�ficste of Construction;Comphanca SaGSfactory to .the Comm�sslonerCOt HealtAwill be subm�ttedcto the Department and a wutten'yguara� tee will De turnKhed t'he owner hrs successors heirs or assigns by the DWlder that said bwMer will place'�`vn good,operat�ng cona�t�on xany,:.part of �spitl sewage disposal system during the periodTOf two -(2j years immediately follow mgtthedete oftthe_iuu- ance;of the approval Of the CErbf�cate'Of COnstruCUOn Complmnte of the original system or any repairs thereto 2) that tha* driliad.well'defc►ibed above will ?tie located -as shawn:on the approved plan anQthat seed Willi wUl beanstalled ,m cordance w th the stands s rules sno- raga a ons of "she Putnam County Department of Health ' c Date ,. i ignetl a P E R A Address # 9 Fair Street met NY. 105E L,cen :e`Nd; �s approval expues.essmyesr from the date issued unless Construction of the budding has been undertaken" and is APPROVED FOR CONSTRUCTION Th' re4ocaDle for: Cause or,may be amendeC or motldred whemcoiisrdered necessary iby the Commfisioner of .Health .Any Change O[ :alfe►atfon. of,conftruction requires a - new, permit •° Appro -iii or disposal of "domestic ssndsry�sewsye' antl /or i star supply only- Dated ez. l /.� 9y Tide �j 6.. DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION -T0 CONSTRUCT A- WATER .WELL " " `` PCHD PERMIT # WELL LOCATION Street Address Bullet Hole Road Town /Village /City Tax Grid Number T. Patterson 73 -3 -2 WELL OWNER Name Address gtPrivate Kathy & Peter Sullivan 10 Roslyn Rd. Lake Carmel NY 10512 O Public USE OF WELL 1 - primary 2- secondary W' RESIDENTIAL O BUSINESS O INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT Five gpm /# PEOPLE SERVED Six /EST. OF DAILY USAGE gal REASON FOR DRILLING MNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION OREPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Redidential use WELL TYPE ®DRILLED ODRIVEN EIDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: y,, Burdick Glen Lot No. 5 WATER WELL CONTRACTOR: -Name - ? - Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY -DISTANCE TO--PROPERTY- FROM NEAREST- WATER- MAIN: --Over _One Mile LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED (See Dwg. 1, Job #S.0.2385 By John ❑ ON REAR OF THIS APPLICATION ®ON SEPA SH re P.E T 1 December 1 6 (date) ignature 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. k Date of Issue: ��'--1 S� 1.9 Date of Expiration :c:�a' < 19 ' Permit is Non - Transferrable I 8/86 ermit Issuing f ' al APPENDIX B PUTNAM COUN'T'Y DEPARUSWr OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS required 60 ft. max. Parellel.to SHEET - CONSTRUCT ON PERMIT _ DATE . ,. EWED BY: �......_ (Street Location) YES NO DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth s/s SUBDIVISION Perc -- 1 (3) Fill &0 C -. cd House P] s - 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 isti_ n_ g . & 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 Bedroams Wells & SSDS's w /in 200 ft. of Proposed System 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 fi' 20' to Foundation.Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, lake Unc. expa 15' to Drains-Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercour. 101.to Water Line (pits -201) 50' intermittent drainage course Septa Tanks 10' fray Foundation; 50' to well 15' Well to PL 9 d' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH.S'ERVICES COUNTY OFFICE_ BUILDING, %CARMEL;' ­N. -Y. ' "10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Owner I<ff& v't Per 5'u I 1 4 Address (c� H re Rada Located,at (Street Sec:- T Lot Z9 indicate near s cross s R re PkrB1ockd lc Gleam 5116A.1 Cd-&* Municipality �a g Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE- SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION RUP Elapse Depth to Wa er, Water EFve No. Time From Ground Surface in Inches Soil Rate _Start -Stop - Min. Start Stop Drop in Min: /in'drop. Inches Inches Inches. . i c^ r 2 @_ct J 4A i Vt i c Ma �eyl (a ( Tevn PeV7_-1 a tiosj 665 .. _ .. - . (_ 1. — l U _ N - .c _ 5 -(o Y,P_2�Qo 5. 2. 3 5 . 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 from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO._ HOLE NO._ 1811 �. _ ...... .. 84" .. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER -LEVEL RISES . AFTER BEING E N_ COUNTERED ," o P (1981 _ perms Vic( i14�_ �3G _ :DESIGN Soil Rate Used 8-(o Min,/1. "Drop: S.D.- Usable Area Provided No. of Bedrooms Septic Tank Capacity. 6b d Gals. Type Met 4c,14" Absorption Area Provide 3 L.F.x24" b" rfinch-.- P BYE' � Jt1`iY. �v11YN0'7 \lYQ J N PRE.Nr" ��ti. FI il JOHN H. PRENTISS, P.E. Address RD9 FAIR ST 914- 878 -6170 0 THIS SPACE FOR USE BY HEALTH DEPARTMT ONLY: 0 PrGrp , . Vs 7) OF rHE SiPS� Soil Rate Approved Sq. Ft /Gal. Checked by Date SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Jason K. Mitchell DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Mission Arts Design Group Inc. 2 Raymond Drive Carmel, NY 10512 Re: Dear Mr. Mitchell: Addition — Approval — A- 161 -07 No Increase in Number of Bedrooms 315 Bullet Hole Road (T) Patterson, T.M. # 34. -3 -44 L- ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health August 7, 2007 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 the Department dated August 7, 2007. 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 shover .heads and faucets; -etc. - - - 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any 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 (845) 278 -6130, ext. 2261 Sincerely, 4�c' � Va Gene D. Reed Senior Environmental Engineering Aide GDR: ens cc: BI (T) Patterson James Baumann 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP _ Commissioner o .Health... _ .......... LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI -, -- County,. Executive, DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT MORRIS, PE Director o ADDITION APPLICATION RESIDENTIAL ONLY STREET !/ .1K Ille 9�7 TOWN ; TAX MAP# � NAME 40M15P.t/ PHONE PCHD# --0 t7 MAILING ADDRESS DESCRIPTION OF ADDITION OWO- NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OE BEDROOMS_ (FROM CERT. OF OCCUPANCY OR CERTIFICATION 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 BrewsterNY' 1 U509, Phone': (845)278 -6130. Certified check or money order for $100.00. Sketches of existing floor plan (drawn to scale, all living area including basement) Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non- professional sketches are acceptable /4. Copy of survey showing well and septic locations to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. t/5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax(845)278-6648 AUG -07 -2007 09:29 mv� MISSIONARTS DESIGN GROUP 8452282594 P.01 i1 r t S De Mis-sto- S :i"g—n, Orou" inc. " ArAilecture on a Fitier Scale" To: Gene Reed From: Jason K. Mitchell Fax: 278 -7921 Pages: 3 Phone: 278 -6130 ext. 226I Date: 8.7.07 Re: Batunatin Residence CC: File TM # 34-3 -44 ❑ Urgent ❑ For Review ❑ Please Conitmtuit ❑ Please Reply ❑ Please Recycle Attached please one copy of the Existing Basement and one copy of the Proposed Basement fix James and Jennifer Batunann's Residence located at 31 5 i3Jet Hole Road, Town of Patterson, as per your request. Thankq. QRYn,oM l�+.�CN,�,�i tly 1051 ■Phi 845.29-8. 2333. ■ F= 845.ESS.S594 ■ Mwo AqF lC' c7i,,oL��m ■ F CP-AV4L 5PACE PUTNAM COUN'lY DEPARTMENT OF HEALTH PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS 7,/A,*- 34.— 3 ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL I - - I& TITLE 'DATE EX!5`_N& ROOM 5L AB ON C-RAPE : S E D A=—)EMEKT PLAN; bfiUmflnn RfSI"D';.t n cf. TAX !'lfl -0. LAYWT 70 —7 F L EX�5-- INO UNF:K1:5HEP 00 i,,ropo5eJClkL�eS MissionArts DesignGroup inc. r r T ' -0' IST V m 71 ,v F, —I— — u N I I II m \ I II IF C7 L — —I J ----- - -_ - -- c \ I – – – – gg II 9� I I I � I m I \ o x. fl, II �> -nI 7C7 I AA I� z 1 rn 9 I• v r � I I D A ° Z �rn 11 - rn� x I La =alX I _ x� °C) = N b u �A A a MIT I ,D NO O $i T- A d x AO`< d O 1 In 0 pi y • XI I P PUTNAM COUNTY DEPARTMENT OF HEALTH 5 HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY A -W -07 ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE z, S PLANS MUST BE SUBMITTED TO THE PCOOH FOR APPROVAL E a s`��S►. �� so� �_ SIGNATURE 8 TITLE DA TE V 3 r'h l/1 Ill n M a I f I I 1= I N -n I DMA x I b I m I b I RA I r I UP ? ro I D .Z I�Ix rn IO I< N II -I J I� T1 z a X41 I X II D I> rn71 n I N I I I �x 8= �rn A ?X R 0 A W 0 !AM PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY 3 BEDROOMS .4-141-,07 T.M. #3f, - 3 ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL ` IGNP.TURE F• r!TL DA E 3 4- 3 I 22'-0" EX15TIN& TWO OAR -76A-RA(5E — EXISTING ROOM 34'-0" M, Li EXISTING BREAKFAST EXISTING EXISTING A C==A KITCHEN I DINING RM. LIN DN I Q i L - -------- - - - - -- TO UP Ell EXISTING Ex LIVING EX ROOM — — — — — — — — — — — — T — — — — — — — — — — LT fs E X I S T I N6 Fl F -ST FLOOR PLAN DesigmGroup MissionArts Design SCALE: Ile" = 1'-0' inc. 5 fl U M fl H H RfSI D f H C f I� N C " CfQJl W. No— TflX AfiP no. N -3-44 --- tP4y—J!Daw ph,,-846.228!333 C—I,Nyici2 F—. 845.2!8.2594 i V s f" 22' -O" 14' -O" 34' -O" EXISTING FAMILY ROOM BELOW Vzr=xS,TINr7 00 EX _ ATbOF EXISTING EXISTING . BELON BEDROOM BEDROOM + E EX #� BATH GL #2 — EXISTING EX GL _ TWO GAR ATTIC EX _ Q GARAGE STORAGE HALL O N BELOW DN I EX EX LIN GL tw �' EX GL G EXISTING EX15T1 NG ROOF BELOW 7 MASTER Ex Ex BAT RE55 BEDROOM 0 — /7\ EX GL O E X I S T I N G S E C O N D FLOOR M1 PLAN A A MissionArts Design CJroup C i m N .4 i' 22' -O" 14' -O" 34' -O" I i I I (:. EXI5TIN6 I EXISTING I FAMILY ARAGR ROOM - V 5LAI3 ON GRADE I I S-' AB ON GRADE I ! 1 � - L !1- I I - -- J EX15T;NG n-- UNFINI HED LLL J j {� , BASEMENT I.:. I I i —~ — -- _— -� UP MI [t EXISTING SGALE: VS" = s• -o• BASEMENT F L A N MissionArts Design Uroup fl I U I fl n i 1 m 11 m p f S I V: f I 1 C t c Ob.21.o-r 1 i nc. �t�r_5.c<,mrr Aj. rn a {:"r, ?cry =• T n M fi A l II f I I' O- 44, °{:�Ei tiwi U[ae '•jvA: 3:c i3wEi 33 m N O C6 h Ig 'vj'waa >a�as• .. M 66•�.Cic 104 6O N75AO-0E 466' i 3 1 y •, I. fr IU • ' �kenwAU EASEMtsrr 4 I yRAME i i p3W�d nti rQ oe �w'RoNO s i q:fptR T. PREPARED FOR; RareR 0. SULLIVAN 4 AATNY SULLIYAN SURVEY MAP OF L 0Z 5. NOTES SUIRDICIK GLE U1w.tpea.nt Imprwra.,lt, .07.dy0tt,.ntlWUmnla, . 1 II .M, I:pf .npl.n. SJ>\Irurlgiyq Oi Nry ♦E yJ BAMiJt, TOWN OF PATTERSON PUTNAM CO. ' N.Y. sw✓.y.n M —t dAnt..Rh .r igiq m+.w.m..gnnlrw = a6' F9 t` SCALE: 1" .50 APRIL 21 . 1986 00 o0ApN0 Oy 11. N.r Yak 9101. 4.agc1ad0A of ?Iblwionol $ ♦ NOM F"CATION LOCATION 12114187. •'r Lad U—m, r•.t) ?. .s %�.�• cram d tree dupvl.rd, atW ei a L[adN Lmd $anYr, b 19tOd. N; o1« ♦0;. �1 �•pF. .ICJ 1 C.mlry .bt qia mop w. mal. nOm ✓i� , Pirt11:01b.N en .010 fv w. .ro 1 .od sap a tOPM baa tM inpwmd p .s s HMI .d f M W y il n m ."of In pap7. sorre S MOn -is q IIlm l .onpx rra. wo- W.— n.r.ew tdnpl tt. 1pAll ! r19.t. Na) TACOWC SURVEYING 8 ENGINEER /NC P.C. 11C pttN.a. ft.— b Ld S .. -- pre ma ..NO'm rem a0H1.0 �SM.i ti141 pw I s-,,. GbO., Oki, r n7.y ii fn. Wman. taCl.*, Cft. m my 24, 196 m Ma f 2 , � w V 1 Ld.oa 37707 ✓t. r I Nrn YORK ST /7r ii"l SEJ C /Np Su p✓6fYOR BURGESS BEHR_ :ICrvsr',y0. 49141. OROf£SS /ONAC LAA'O SURVEANG s,NISVMAO A0AO — CARMEL.N,'f. 1 f I 1 7 I 1 it r, is i� 1� i SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count ROBERT J. BONDI County Executive Re: 4 (Owner's Name). Tax Map #: Address:f����' Town: �v Year Built: According to records maintained by the Town, the above noted dwelling, is y in compliance with Town Code. is not. in compliance with Town Code. :. The Legal .Bedroom Count is This information has been obtained from: Certificate of Occupancy: Other: Building specto� Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services.(845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 MiSsionArts Design Group, Inc- 2 Raymond Drive. Carmel New York 10512 Phone: 845 - 228 -23j3 -- Fax: 845- 228 -2594 e -mail: MissionArtsDG@aol.com TO: Putnam County Dept. of Health 1 Geneva Road Brewster, NY 10509 LETTER OF TRANSMITTAL Date: June 22, 2007 - : - Alf Baumann Residence 315 Bullet Hole Road Town of Patterson T.M. No. — 34 -3-44 Project #: 3185 We are sending you attached under separate cover, the'following items via ❑ U.S. Mail ❑ Overnight ❑ Pick Up ❑ Hand Delivery ❑ Originals ❑ Reports ❑ Plans ❑ Colored Prints ❑ Prints ❑ Photographic Exhibit ❑ Specifications ❑ Other: Copies Date Dwg. No. Description 1 Health Dept. Town Compliance / Bedroom Count Form 1 Health Dept. Addition Application 2 6 -21 -07 Existing First Floor Plan 2 6 -21 -07 Existing Second Floor Plan 2 6 -21 -07 Proposed First Floor Plan 2 6 -21 -07 Proposed Second Floor Plan 2 6 -21 -07 S -1 Plot Plan ( Existing and Proposed ) 1 4 -21 -86 Copy of Original Survey- Created - _ _. ___.__..:.... __.� ........ . ... ... .... �._._...._ - .- .._by.BWgess &.Behr Updated. by_ " Taconic Surveying 1 10 -20 -88 Copy of Original As -Built - Created by Prentiss, P.E. These are transmitted: • For approval • Approved as noted ❑ For review /comment Remarks: ❑ Approved as submitted ❑ For your use ❑ As requested ❑ Returned for corrections ❑ Resubmit copies for approval ❑ Submit _ copies for distribution SIGNED: Jason K. Mitchell Copies to: James Baumann Joseph M. Sinisi, President, MissionArts Design Group Inc. File 1. EXISTIN6 FIRST F SCALE: 116" = 1'-0" 6fluMflnn f. F L,!A N RfSIDfnCf T q A M O P no. 34 -3 -=44 MissiorArts Design inc. A— 1— Fr" S� W F.. m.ses.e594 22' -0" 14' -O" 34' -O" EXI5TING FAMILY ROOM BELOW �O EX — EXI5T1 NG RbOF BATH - EXISTING EXISTING BELOW BEDROOM BEDROOM #3 ex BATH Ex GL #2 f EXISTING EX GL TWO GAR ATTIC EX GARAGE STORAGE HALL O N BELOW ; nN . Ex EX LIN GL % L EXI5TING EX GL EXISTING ROOF BE�ON MASTER EX Ex BAT RE551 BEDROOM O - m �F =7 E X 1 5 T I N G 5 EGO ND F LOO f R P L A N A A MissionArts Design�Jroup SCALE: 1/6" = 1' —O" (06.21.01) fl U/A flnn Rf SIDfHCf inc. 'At�Ll�t k.— . F—S..al<'. .:. J�:C. Co MK1k'I4NR$ IM:iIC:N CfGJ•N(:.. M.t T fl X M O P M o. 34-3-44 C „ „nt1. VYi 51 °- �az 815.eo3,o5p4 t 6tkUrwd all located by: Surveyors survey -- _ - 29 -- - — _ We III drlilars report Enolnso�s mssurernents.L.t- Tank, boxes, pits, galleries St. laterals located :by:Contractor- E nq weer: He o lth dapt: Field inspection by: Health dept ® dot e:_ Enga neon dote : This is co cer;ify.that the sewa disposal system was constructed NOTES: indicated on `this plan and that system was in•,,pected by me befor was hovered outer. The system wa constructed in accordance with a standard rules and regulations o the P.C.H.D. S the N. b MENSIONS A uB- Ct= �JZI- fo f A - C 7r��i� A - E _ �.1 rr^- P_�� B - E S$ _' �?�� �s Foot. IRKE 31 A H s -�QT pI%B - H SANITARY SYSTEM DESIGN "AS'BUILTn OWNER: ^- LOCATION Totit n:2/iZTy� C ounty:C_ %� SVBDIVISIO�N,�g2Zc -I Map: �7� iJ-��- — — — Block'. — LOT N'2- 8 u il de r.- Survey or: i Dot JJ-��-- - lroN 1 'e: /O -Z� -� Scale: ��' Sofx,2 JOHN H , P R E N T I S S P E. DW CONSULTING ENGINEER RID , F -'4 <« r) to R M E L NY 10512-(9 1 878 -6170. 21_oyRC� R..o.P�• . 1 � , ' 23vG M �.G� 1 g9*r ¢mob• 340 -oN 11 0 It35(A41�G -17. Tppx1'h. -Ty 1 1D I,00v ar�l., P�ra+hr 3 VeO rLoa,lI I VA _ - • U j� // " � ISO i . t s*%noo 0unty DePaY cmen'6 tat bealLli Division of Environmental Health Servicee t 9pproved as noted for.confornance with applicable Rules and EsElilations of tlfv lutnr Coun y Healtii.Departnent.. , :Sy QTI0.tllT T; t p t 6tkUrwd all located by: Surveyors survey -- _ - 29 -- - — _ We III drlilars report Enolnso�s mssurernents.L.t- Tank, boxes, pits, galleries St. laterals located :by:Contractor- E nq weer: He o lth dapt: Field inspection by: Health dept ® dot e:_ Enga neon dote : This is co cer;ify.that the sewa disposal system was constructed NOTES: indicated on `this plan and that system was in•,,pected by me befor was hovered outer. The system wa constructed in accordance with a standard rules and regulations o the P.C.H.D. S the N. b MENSIONS A uB- Ct= �JZI- fo f A - C 7r��i� A - E _ �.1 rr^- P_�� B - E S$ _' �?�� �s Foot. IRKE 31 A H s -�QT pI%B - H SANITARY SYSTEM DESIGN "AS'BUILTn OWNER: ^- LOCATION Totit n:2/iZTy� C ounty:C_ %� SVBDIVISIO�N,�g2Zc -I Map: �7� iJ-��- — — — Block'. — LOT N'2- 8 u il de r.- Survey or: i Dot JJ-��-- - lroN 1 'e: /O -Z� -� Scale: ��' Sofx,2 JOHN H , P R E N T I S S P E. DW CONSULTING ENGINEER RID , F -'4 <« r) to R M E L NY 10512-(9 1 878 -6170.