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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
Associate Commissioner of Health
ROBERT J. BONDI
County Executive
-.. ,..._ - 1k09EWf`M0RRIS ;fE - - -..,
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
September 25, 2006
Hector Cartagena
4091 Old Route 22
Brewster, New York 10509
Re: Addition Approval — Cartagena, A- 215 -06
No Increase in Number of Bedrooms
4091 Old Route 22
(T) Southeast, TM# 35.6 -1 -20
Dear Mr. Cartagena:
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 September 22, 2006. 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.
"This Department recommerids you contact your local Building Departrrierit to ensure
setbacks and other current codes can be met.
5. This approval is for the proposed changes only. This-approval does not validate any
construction shown as existing that has not obtained proper approvals.
Any other permits or variances required are the responsibility of the applicant and the
jurisdiction of the Town of Southeast.
If you have any questions, please contact me at (845) 278 -6130, ext. 2261.
Sincerely,
Gene D. Reed
Senior Engineering Aide
GDR:cj
cc: Building Inspector, (T) Southeast
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 of Health
_'- L-ORETTA.MOLINARI, RN, MSN -y
Associate Commissioner of Health
ROBERT 1 BONDI
County Executive
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509 b
ADDITION APPLICATION RESIDENTIAL ONLY
STREET y0 �� �%l�� -� TOWN TAX MAP# _
NAME PHONES 27 t '/> iy PCHID#
"MAILING
ADDRESS
DESCRIPTION OF
ADDITION Ate
=fD9
NUMBER OF STIN7BEDROO S 3 �PiO�'POSE OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING.E'wECTOR)
"Any addition which is considered a bedroom requires formal approval of plans (Construction permit)
prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the
Putnam County Sanitary Code.
Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd,
_ Brewster, NY 10509, Phone: (845) 278 - 6130. --
�1. Certified check or money order for $100.00..
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
3. 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.
✓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
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention/Preschool (845)278 -6014 Fax (845) 278 -6648
SHERLITA AMLER, MD, MS, FAAP
..2 .r -Commissioner. of_Health �.....
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDi
v z_ �.�.. _.. _ _ ,,, ...::w_•Cgunry Executive . ,.. _, ..,.
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Town Legal Bedroom Count
Re: (Owner's Name)
Tax Map #: ` .
Address: Z .� 44- 12a ;6&a,,6�,�/ /J 7
Town:Li�.,/ —
Year Built:
According to records maintained by the Town, the above noted dwelling,
is ti in compliance with Town Code.
is not in compliance with Town Code.
The 'Legal Bedroom Coftfi is:
This information has been obtained from:
Certificate of Occupancy:
Other: ,�_ _714Z- IF
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Building I ector D to
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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
EXISIWG SUNROOM
NOT WORK TO THIS SPACE
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EXISTING BEDROOM
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EXIS NG LIVING ROO
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS J S a6
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ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCQOH FOR APPROVAL
-SIGNATURE & TITLE L DATE
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
BEDROOMS J S a6
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ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCQOH FOR APPROVAL
-SIGNATURE & TITLE L DATE
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
3 BEDROOMS A 1.5 - 496
7, M, *-39,6 -1-a -a
ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOV Z -
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PLANS MUST BE SUBMITTED TO THE PCDOH.FOR APPROVAL
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SIGNATURE & TITLE OAT
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY
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BEDROOMS A 2 ! -06
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ALL SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE
PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
SIGNATURE & TITLE DATE
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Sep 22 06 08:35a
Hectoi Cartagena
Gene Reed
Putnam Dept. of Health
1 Geneva Road
Brewster, N.Y 1 0509
Dear Gene.
.845 279 -1516
Hector Cartagena
4091 Old Route 22
Brewster, N.Y. 10509
September 22, 2006
First, 1 want to thank you for taking the time to speak with me about the concerns your
department has regarding my plans. I understand that the board is mainly concerned with
my plan to convert an existing bedroom into a dining room. I understand that the board
fears that someone in. the future may convert the dining room back into a bedroom and be
in violation by doing so.
For this reason l have agreed to open up the proposed dining room by removing the door,
removing the closet and removing an entire wall to open up the proposed dining room
into public space. .1 have further agreed to convert a full bath on the first floor into a half
bath and move said bathroom away from the proposed dining room to complete the
opening up of the dining room.space.
When we tast spoke this Monday you related that the board suggested removing the
wall(s) which surround a closet located to the left of the kitchen entry. I have been
- -- pondering - that - suggestion all week and have consulted with professionals in that area.-_,.It,
appears that it would not be feasible to make such a change to the existing floor plan.
The wall in question appears to be load bearing and working in conjunction with the wall
to it's right which divide the kitchen and living room. The space on the second floor just
above the wall(s) in question has a cantilevered floor which hangs over the open living
room below. This would all, need to be re- engineered before, opening up the kitchen entry
and removing the wall in question_ I also discovered plumbing in the basement just
underneath the area in question. The cost(s) surrounding such an undertaking would
make that renovation impractical as I'm sure any reasonable person would agree.
As such, please submit my last proposed changes (sent on 9/16/06) for the board to
consider at it-s nekt meeting. Please advise them that I seriously considered their
suggestion and regret that it cannot be. done. Please know that I am guided by your
concerns and look forward to hearing from you.
Sincereiy,
Hector Cartagena
p.2
SEP -22 -2006 FFl s=ir TEL: 845 . 78 -792i NAMF:PUTNAM COUNTY DEPARTMENT OF P. 2
Sep 17 06 11:54a Hector CIaitagena
FAX
845 279 -1516 p.1
of
Date / /v
TO: Putnam Health DeptJGene Reed FAX# 845 278 -7921
ATT: Gene Reed CONTACT#
FROM: Hector Cartagena
CONTACT'# cell 914 260 -8570
RE: Cartagena,Hector/ 4091 Old Rotate 22
MESSAGE:
As per our conversation, attached please find a copy of the proposed changes to my
plans. As you can see the new dining room will be completely open to the public
space on the first floor. The full bath will be converted to a half bath and it has
been moved over in order to open up the dining room.
I hope the board finds these changes acceptable'as I can not conceive of any further
changes to open up the dining room.
Hector Cartagena
SEP -17 -2006 SUH LO:�4 TEL :845- 278 -7921 ts;E- ,ME.PurNAN COUNTY DEPARTMENT OF P. 1
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SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health.
LORETTA MOLINARI, RN, MSN
Associate Com'mi'ssioner of Health
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
David Raines
Town of Patterson Code Enforcement Office
P.O. Box 470
Patterson, NY 12563
Dear Mr. Raines:
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health '
August 29, 2006
Re: Addition — Cartagena, A- 215 -06
4091 Old Route 22
(T) Patterson, TM # 35.6 -1 -20
I have received and reviewed the revised plans for the proposed addition at the above mentioned
residence. Based on the information submitted, the above mentioned addition cannot be
approved. Per this Department's Engineering meeting on August 28, 2006 it was determined
that the room titled New dining room/Existing bedroom is a potential bedroom giving the
dwelling a bedroom count of four (4).
1. The legal bedroom count for the dwelling is three. The potential bedroom count of your
proposed addition is four.
2. The addition of a potential bedroom requires this Department's approval of a revised
system plan from..4 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.
Upon-receipt of a submission, revised to reflect the above comments, this application will be
considered further.
If you have any questions, please contact me at your convenience.
Sincerely,
Gene D. Reed
Environmental Health Engineering Aide
GDR:kly 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
PAUL P. PIAZZA
Building Inspector
TOWN OF PATTERSON
CODE ENFORCEMENT OFFICE
:- PUTNAM COLINTY.
P.O. Box 470
Patterson, New York 12563
August 23, 2006
Mr. Gene Reed
Putnam County Health Department
1 Geneva Road
Brewster, New York 10509
RE: TM — 35.6 -1 -20
CARTAGENA, HECTOR & MELANIA
4091 Old Route 22
Brewster, New York
(T/Patterson)
Dear Mr. Reed,
Telephone
(845) 878 - 6319
Fax
(845) 878 - 2019
Please review the enclosed floor plans for the renovations /addition to the
Cartagena residence relocating the bedrooms to the second floor. I have spoken to the
homeowner and the plans for the first floor have been redrawn removing the tub and
closet and opening up the wall to create a dining room.
- - -: - :Upstairs there- is-one existing bedroom and new construction relocating the-other
two bedrooms; thereby keeping the dwelling at three bedrooms.
Please review and respond to my office for Health Department compliance.
Thank you.
DIR/cs
Sincerely,
& � &M. e-'I�
David I. Raines, c4.�
Code Enforcement Officer (acting)
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health..
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Hector Cartagena
409.1 Old Route 22
Brewster, New York 10509
Dear Mr. Cartagena:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
August 15, 2006
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Addition — Cartagena, A- 215 -06
4091 Old Route 22
(T) Patterson, TM# 35.6 -1 -20
I have received and reviewed the plans for the proposed addition at the above mentioned
residence. Based on the information submitted, the above mentioned addition cannot be
approved for the following reasons:
1.. The legal bedroom count for the dwelling is three. The potential bedroom count of your
proposed addition is four.
2. 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.
Upon receipt of a submission, revised to reflect the above comments, this addition application
will be considered further.
If you have any questions, please contact me at your convenience.
GDR:cj
Sincerely,
Gene D. Reed
Environmental Health Engineering Aide
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 of Health
LORETTA MOLINARt,- RN;•M -W— -
Associate Commissioner of Health
July 25, 2006
Hector Cartagena
4091 Old Route 22
Brewster, NY 10509
Dear Mr. Cartegena:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT I BONDI
County Executive
ROBERT MORRIS, PE'-°
Director of Environmental Health
Re: Addition - Application Incomplete
A- 215 -06, Cartagena
4091 Old Route 22
(T) Patterson, TM # 35.6 -1 -20
Review of the plans and other supporting documents submitted at this time relative to the
above regarded program has been completed. The following was not submitted with your
application:
1. Sketches of existing floor plans (drawn to scale, all living areas including
basement are to be noted on the plans).
Upon receipt of a submission, revised to reflect the above comments, this application will
be considered further. v
GDR:mcb
Sincerely,
.0�. �! P24
Gene D. Reed
Senior Engineering Aide
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
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COUNTY BOARD OF HEALTH '
PU.TNAM �j^` COUNTY
GERQLDINE A. ZAIROYS KI I.D. ' CA
5 3641
DANIEL SELDIN, D.D.S. ` JOHN SIMMONS, M.D.
Vice President DEPARTMENT . OF HEALTH Deputy Commissioner
'� RAYMOND JONES COUNTY OFFICE BUILDING ROBERT J. CADDEL.L. F'.F.
Director of DANIEL ROTH CARMEL, NEW YORK 10512 He ith S� vicesronmcntol
KENNETH C. CARLSON . ELAINE K. KRIJ GI:R, R.N.. M.A.
Director of Nursing
".JOSEPH PITTELLI, M.D.
MELVIN PLAVIN, M.D.
April 9,1973
Mr. John Prentiss
'P.0: Box 353
Carmel, N.Y. ° 10512 '
Re: Lots 38 & 39, La]<espring Meadows,
Town 'of Patterson
Dear Alr. ' Prentiss:
A review has been made of the submitted plans to construct
d'-sanitary sewage disposal. system on each Of the proposed buil.di.nn
sines men Liultrr6 ai,uvt .
The plans were acceptable, pending receipt of house plans*
.
and letters of authorization on each..
9 I
February 5, 1974
Putnam County Health Dept.
County Building
Carmel, New York 10512
Attention: Robert J. Caddell, P.E.; Director
Environmental Health Services
Re: Parcel on Old Rte.. 22, Lakespring Meadows Subd., T. Patterson
Tax Map #70, Block 4, Lot 12, Filed Map #872 (Lot 39).
Well Location
Gentlemen:
I accept the well location of 80 feet from the proposed
disposal area on this parcel..
This is shown on Dwg..I, S.O. 1148 (Sanitary Septic
Systems ... by- .John-.H.-.Prent-i-ss-; P::E:•,
Very truly yours,
Vincent LaMorte
Locust Drive
Brewster,.NY 10509
Date 2/4/74
Re:'
.. Property of. - Vincent La Morte
• Located at Old Rte. 22, Lakespring Meadows Subd., T. Patterson
Section Tax Map #70 Block 4 Lot 12 .
Gentlemen: _
This letter is to authorize John H: Prentiss, P.E.
a duly licensed professional engineer X 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
connecrlon wi,in this matter .and to. supervise the construction of said
system or systems in conformity with the provisions of Article 145 or
1.47,` Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
IUM
rs�ig ed:
R.A ., # 29 6
Very truly ours,
Signed r/
Owner of Property
Address
R. p. 6, Box : 353 Telephone
Address 9/4- ° >9 °64�B
Carmel, NY 10512
g14-878-6170
Telephone
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No. 2990
�FTHE S'(ASE
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date
Re: Property ofd /�c
Located - at
(T7�� Section 7Q Block Lot
Subdivision of UCrSii /�� /S
Subdv, Lot Filed Map # 012- Date
Gentlemen:
This letter is to authorize
a duly licensed professional engineer or registered architect
(Indica e
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
,._ ,_ayst-em_ -or. - Systems in-- aonformi ty with the provisions of Article 145 or
147, Education Law, the Public _Health Law, and the Putnam County Sani-
tary Code.
Very truly yours,
Signed
Coun-ntersigne Owner of Property
.s R.A. ,
Te.lepho
W
Address
Town
Telephone
- ruTN'AM COUNTY DEPARTMENT OF HEALTH Permit q {
Division of Environmental Health Services, Carmel, N. Y. 10512
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CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
_ �,j i7 Town or Village
Located at /L�...ii� - ++ ��f'>
Tax Map � Block Lot '
Subdivision subd
.•,.,. :..�.�.'..._, __ - _ .. Renewa -Revision
- - Owner /Address " "` -Date Of Previous Approval
-- 0
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Building Typely1_LE3_ Lot Area Fill Section only 0
Number of Bedrooms Design Flow G/P /D� P.C. H. D. Notification Required s
Separate Sewerage System to con st of jCDCDC> Gal. Septic Tank and
To be constructed & _
Address � CU C
Water Supply: Public Supply From
Private Supply to be drilled b y
Address
r
Other Requirements y
I represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
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 u ham
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of HePu na 11
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 tru sewage disposal system during the period of two (2) years immediately following the date of the issu-
will e l the approval of the Certificate la Construction Compliance of the original system or an re
will be located as shown on the a Y pairs thereto• hat the drilled well described above
approved plan and that said well will be installed in ac d e ith th a ds rule and r ula ons of the Putnam
County Department of o- f�Health. Q� � � /y5� �/�t
Date F= t° 1 -,7-7 A AU
Address -;��Cl
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued
revocable for cause or may be amended or modified when T�T necessary by the Cor
requires s new permit, oved is sal of dom y ewage, d /or pri
Date
Rev. 9 -91 —�—" BY
P.E. R.A.
----� erise No. -r t
istruction of the uilding has been undertaken and is
Of Health. Any change Of alteration of construction
S r, 0 C P -33 -84 -'
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PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a
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- Division of Environmental Health Services, Carmel, N. Y. 10512 f.
Patterson
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Town or Village
Old Route 22 Tax Map 70 Block 4 Lot 12
Located at
Lakespring (Meadows Subd. rota �9 Renewal _0 Revision __❑
Subdivision
0 Date of Previous Approval
Li
Maria $tan _RobQrtCQn
Owner /Address &
Residential Area Pill section Only ❑
'
Lot
Building Type
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Number of Bedrooms --- Design Plow c /P /D 600 P.C. H. D. Notification Required
48 LF of 4' x4' leaching gal 1 eys
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Separate Sewerage System to consist of 1000 Gal. Septic Tank and
To be � Uetermi ned Address
{
To be constructed by
Water Supply: Public Supply From
To be determined
X Private Supply to be drilled by
Address
J t
Other Requirements
'f
I represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system'
to in accordance with the standards, rules an regu a ons o e u ham
above described will be constructed as shown on the approved amendment there and
Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill
builder
builder�ttheda
.
County Department of
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the
a
during the period of two (2) years immediately Issuf IWT
place in good operating condition any part of said sewage disposal system
Construction Compliance of the original sys r a repairs thereto; 2) that a dri led well described above
Putnam
ante of the approval of the Certificate of s of the
will be located a shown on the approved plan and that said well will be install in nc h he stand f s, rules a d
Health.
County Depa ent
X
5eN
�. E. R.A.
Signed
Date4Ra68
Address
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued less construction of the building has been undertaken and is
issioner of Health. Any change tion of construction
revocable for cause or may a amended or modified when considered essary by the C
It. ed for disposal of domest, ni wage, and /or e P IY only.
requires a new per ppro
�
& BY
Title
Date
Rev_ 9 -Rl
4
is r .. e ,, F'• F ,� 6 i y.
A PUTNAM COUNTY- DEPARTMENT OF HEALTH
ta
r, si
DiOision of 'EnV/rOnmental Health Services Carme% N Y
�:?�fy�f'�l�Tlc�fil �ERfl`i FOR 5E1N�►yt iii, ?OST�� �"YSlEnli x } °,i�E .a 4;�Pttef'Sbn `
k Town or Village
4 _ t0 1d Rte 22 3 s Tax Map #70 4,
Locatetl at gei�kGafn 561ock
Subdivision
Lakespr,ing Meadows, ° °'Filed Map #872 (slot #39)" LOt 12 "' Job S01 1.4
{ Vincent La Morte Locust DR
Owner Address
BUIIdin9LTYPe 'Modular.. 1;�E '�LOt Area" In�2 A BreW$ ter,, I�1Y10509� y r
a Three = - 1200
Number of Bedrooms Total'. Habitable Space ° Square Feet -
a _ I`000 231 36 1 nth
Separate 'Sewerage System ao consist of Gat Septic xTarp lineal feet X width trench
d?- :. 4, r r { t t i r `� K d t y •,,.4 a','
To be constructed by ? r x�1 v Sr Addr._ess
Water Su I Public Sub 1 Fro
Pnv ate ` Supply to bas drilletl bye k r
Address4
Other Requirements 24'! Deep R o, B F1 i I,SeCtlonsx
1. represent that 1 -am wholly and completely {responsible for the design and location of ";the proposed, system(sj :1) that =the, separate _sewage disposal system
above described will be constructed as shown on the approved amendment there to and 'in accordance with the standards rules an. regula ions o e u nam ,
County ,Department of Health, ,and that one completion thereof a Certificate of Construction Compliance sit isfactor.•y to the Commisswner of Health;w}II
be submitted to 'the Department `and a written guarantee iwiil`be :furmsh`ed the owner his successors heirs;of ,assigns by the bwlder that said builder' Will
-v
place in `good operating" condition, any part of said sewage disposal system during the period of two'(2);years �mmed}ately follow}ngahedatWof the "issu
-
ance of '.the approval of -the Certificate of., Construction Compliance tof the orig,nal system ;or any repairs thereto 2)'that the tlrilled well described" above
will be located as shown om -the approved;plari and thatisa�d well will be' installed_ m accordance 'With ".�standards`,rules and regu aL�T ons of ;the PuErtam
County Department Of Health x
Date 2 :51.%4' E.
R -D ,k :._BOx- -3 armed NY 105.2 29206.::
Address L License No:'
APPROVE'D'FOR CONSTRUCTION This approval expires o e year frorri•tlie date- -i"ued uriless construction of the- building'has been •undertaken,and is
revocable for .cause or may,;be amended or',modif�e
d.when c ` s eretl- necessary by then Co is ner of Health Ariy: change. or alteration of tonstruetion requires a n w. perms Qpproved;for.disposal of. dorri is an�tary sewaV afar supply only
/sy is
Date p BY Title
57" ,-4- -
f
r�A Vu, ..,..
i�
is
ik
.:a
3
The,qeorge `Westinghouse
by Continental `FZomeS
�s r
US 50 SE
ELEVATION L
US 1 georg,
C.
BEDROOM-1
12-Ox II-11
BEDROOM -2
13-0;r 11-11
24'X 50'
1200 SQ. FT.
HALL
BEDROOM -3
11 -6 x II -11
Refer to Working Drawings for more exact dimensions.
ELEVATIONS AVAILABLE: H, J, K, L
-W— MW
KITCHEN re
DINING y ■■
• ■■
LIVING-ROOM
17 -0 x II -II
CONTMONTOL i® t ctiaore\!�
In order that product improvements may be introduced at any time, specifications are subject to-change without notice.
I
i
S'
FOR THE UTMOST IN B AUTY,
CONVENIENCE AND DESJGN ...
IN
t
QUALITY
CONTROLLED
HOUSING
MEETS OR EXCEEDS
FHA - VA & BOCA STANDARDS
i
For choice of interior - decorating: schemes
refer to data sheet entitled "Professional
Interior -Color Schemes."
For specifications and options !ask your
Continental representative for data sheet
entitled "Unit and Material Specifica-
tions."
gory ®]�
O Homes
NEW ENGLAND
DIVISION Of WEIL , McLAIRI
ROUTE 3 /DANIEL WEBSTER 14IGHWAY
NASHUA, N. H. 03060
TEL. (603) 888 =2191 r DIVISION
ri
�o
PLANTS: BOONES MILL, VIRGINIA
MAL:DEN,- MISSOURI WM
j
WEIL- McLAIr
f"
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
.. _ .�:�..� -,, .,..a . ��.� �, . �- �GOUNT��•aFFICE� BUILDING; CARM�'�;;` "N: �'Y: _ "_`1C75��:..,�. _ . _ „r .,..,. _ W_-
DESIGN DATA�SHEET- SEPARATE SEWAGE DISPOSAL- SYSTEM FILE NO.
r �/
Owner �eA iF Z15�,,/ o4i%/Address
Located at (Street Sec. 70 Block' Lot /Z
6-Mic—aTe nearest cross street)
Municipality Watershed_ IL&
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
ae
Number
CLOCK TIME
PERCOLATION
PERCOLATION
RM
apse
Depth to
Water
Water'Level
No.
Time
From Ground Surf ace.an Inches
Soil Rate”
Start -Stop Min.
*Start
Stop
Drop in
Min'. /in drop,
Inches
Inches
Inches
1
/d •' Ifs �- 1D.'2Z
2
2 ?
2
312'3(8
° AV; 6-1
Z�
2 7
5
27
/Z - ®CO
1
2 _..
3
5
Notes: 1)
rates are
for review
2)
Te':�ts to be repeated at same depth until approximatelyy equal soil
obtained at each percolation test hole. All data to be submitted
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. HOLE NO
G.L. l L-
12"
18. qtA
OL
_..
r .
3011
42'•
48"
.60"
66"
72"
78��
84".
INDICATE LEVEL AT WHICH.GROUND WATER IS.ENCOUNTERED
._ .
IhDICATE,LEVEL TO WATCH WATER LEVEL RISES AFTER- BEING_ENCOUNTERED
- _- ...._. Date -:_ . _ . ...... . .........__....
DESIGN
Soil Rate Used -� Min/l "Drop: S.D. Usable Area Provided- ') SF
No. of Bedrooms - Septic Tank Capacity j Gals. Type
.A
Absorption Area . Provided By L. F. x24 ". jb`f width trench,.
Other
Name igna ure
Address SEA o 'NZ4/
QQ� yl� +qC` 0�
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: s;
Soil Rate Approved Sq. Ft /Gal. Checker. ;;w- to