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35.06 -1 -47
BOX 17
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LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
Wafford
40 Lake Spring Dr.
Brewster, NY 10509
Dear Mr. Wafford:
May 27, 2004
ROBERT J. BONDI
County Executive
Re: Addition - Wafford, 40 Lake Spring Dr.
Increase O.Number_of Bedroorns_ ..__.___ _ .... :...._ .... _
- (T)Patterson, TM #35.6 -1 -47
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 May 27, 2004. The addition is approved with
the following conditions:
1. The total number of bedrooms must remain at three without prior approval by
this Department.
2. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Any other permits or variances required are the responsibility of the applicant and the
jurisdiction of the Town of Patterson.
If you have any questions, please contact me at your convenience.
Sincerely,
Michael Luke
Sanitarian
ML:lm
cc:BI (T) Patterson
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
May 19, 2004
Wafford
40 Lake Spring Drive
Brewster, NY 10509
Re: Addition — Wafford, Lake Spring Dr.
(T) Patterson, TM #35.6 -1 -47
ROBERT J. BONDI
County Executive
Dear Ms. Wafford:
I have received and reviewed the plans for the proposed addition at the above- mentioned residence.
The plans indicate that the proposed addition will consist of the following:
A finished basement with bedroom, den, study, and playroom.
Based on the information submitted, the above - mentioned addition cannot be approved for the
following reasons:
1.. The study and playroom are considered potential bedrooms.
2. The legal bedroom count for the dwelling is three . The potential bedroom count
of your proposed addition is five
3. The addition of a potential bedroom requires this Department's approval of a
revised septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than three potential bedrooms, or have
a professional engineer or registered architect design a sub- surface sewage treatment system meeting
present code requirements.
If you have any questions, please contact me at your convenience.
SAI S ,
Sincerely,
Michael Luke
Public Health Sanitarian
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
M P -1
ROBERT J. BONDI
County Executive
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
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET �IJL�? 4f I a TOWN Tl� �Y TX MAP #
NAME.& &" U(lA A ye PHONE O PCHD # A6370.
MAILING ADDRESS
DESCRIPTION OF ADDITION Ile l/
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS-'L
(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., 4 Geneva Rd.,
Brewster, NY 10509, Phone 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) .
* Non - professional sketches are acceptable
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 location, 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 Cert. of Occupancy from Town or Certification from Building Dept. with legal
bedroom count of dwelling. .
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McGlasson Builders Inc.
Owner or Purchaser of Building
Owner
Building Constructed by
Lakespring Drive
Location - Street
Frame
Building Type
Patterson
Municipality
LakespringMeadows Subd.
Section
Block
9
Lot.
GUARANTY OF SEPARATE SEWAGE-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
Beal, th., ._,and__he.rety..._guar.anty... to.. t.hP_rownea ,._.hi.s .. uac.e.s— ___._..... _
--sors, heirs or a`ssi-gns, 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 initial use of the sewage disposal
system, or.any repairs :Wade by me to such system, except where the failure
to operate properly is caused by the willful or negligent act of the occu-
pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
vices 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 15th day of Sept. 19 75' Signa
Title
.Lr corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
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McGlasson Builders train St. Carmel, NY C.,
W Lake Sprin& Rd. Patterson
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R. D. 5 - ROute 52
..Carffiel, N.Y. 10512
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p PUTNAM..:COUNTY .DEPARTMENT. - - a
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner & [rIAM2� &e Address
Located at ( Street Sec.
oa' /Q 4dic nearest
cross /;Q -*c 97X
Municipality, soh Watershed ce.0!&a
.SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
apse Depth to Water WaEer LFve
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
/ 146L
3
1/A& �Zhd /
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3 IA42 17 /O
Notes: 1) TeAts to be repeated at same depth until approximatelyy 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
OF SOILS ENCOUNTERED 'IN TEST- *HOLES :' -'
DEPTH HOLE NO. �_ HOLE NO.�
G.L.
6"
12"
18"
24"
30"
36"
42"
48"
5411
60"
S�i,� ►��,�
66"
72''
7811
Ph 11
d
76 " � �
•- 3NDICATE -LEVEL A Ul` R - IS - ENCOUNTERED --- Ao41�' _
2NDICATE LEVEL TO WHICH TE/R LEVEL RISES AFTER BEING ENCOUNTEREDA/ ®see a /l'p
TESTS MADE BY, �lrLF /� yet to A1j g e
DESIGN
So-1 Rate Used /Min/l "Drop: S.D. Usable Area Provided
No. of Bedrooms Septic Tank Capacity /® ®!J Gals. Type /�®►g�,9
Ab ,.orption Area Provided By _L.F.x24" �— width trench.
Other Arm
Adc'rress R.D. 6, Box 353 N. PRfNT`;y
Camel, New York 10512
THIS SPACE FOR USE BY BEALTH DEPARTP E1 T ONLY:
Soil Rate Approved Sq. Ft /Cal. Chec G, y A° Date
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