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HomeMy WebLinkAbout1867DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.07 -1 -6 BOX 17 01867 0 17-2 J6' go .. . ' koNl- r kP I 01867 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Fred Tarquino 2267 Route 22 Patterson, NY 12563 Dear Mr. Tarquino: DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health October 23, 2009 Re: Accessory Apartment Renewal — Tarquino Three Year Approval 2267 Route 22 (T) Patterson, TM # 35.7 -1 -6 I have received and reviewed the plans for the proposed accessory apartment at the above mentioned residence. The proposal for the apartment has been approved as per plans bearing the approval stamp from this Department dated October 23, 2009. The apartment is approved for three years with the following conditions. 1. The total number of bedrooms in the apartment must remain at one without prior approval by this Department. _ 2:;...The total_numberyof.bedrooms in,thejnzCin hou .5e rrtust :remain at b approval by this Department. 3. The area of the existing sewage disposal system, and its expansion area, must be maintained. 4. 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. Respectfull Joseph SParavati, Jr., PE Assistant Public Health Engineer JSP:kIy Environmental Health (845) 278 -6130 Fax k84-3)2-78-7721 BI (T) Patterson ater Supply Section k845)2_25-5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 cc: Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580 PUI'NAM COUNTY DEPART34ENT OF HEALTH -R4 WJ E PLANS APPROVED FOR BEDROOM COUNT ONLY, ! C ) BEDROOMS. .ALL SUBSEQUENT REVISIONIALTERATIONS TO THESE HOUSE:; :1'LANS MUST BE SUBD ITTED TO THE PCDOH FOR APPROVAL, Ro irup fif a, a V SHERLITA AMLER, MD,. MS, FAAP Commissioner of Health -LORETTA MOLINARI, RN, MSN .9ssociate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ACCESSORY APARTMENT RENEWAL ROBERT J. BONDI County Executive APPLICATION Date: STREE / TOWN TXNIAP# NAM �G PHON L��` CHD# Ci MAILING ADDRESS V MAILING ADDRESS OF APARTMENT ; NUMBER OF BEDROOMS IN MAIN HOUSE NUMBER OF BEDROOMS IN APARTMENT i Please submit this form and the requirements found_ on the back of this page to the Putnam County Health Dept., 1 Geneva Road, Brewster, NY 10509 — Phone (845) 278 - 6130. - Approval is effective for a three -year period. The applic t must apply at the end of each period to renew the legal status of the apartment igna ur of A licant C� 51 Approved Date `v .,� To: 7�q p rUSE- TitleSS�3 O ICE COMMENTS Accessoryaptapp Revised 6/27%05 lm Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 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 76014 Fax (845) 278 -6648 r...: Jr SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN 4ssociate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAlM COUNTY.DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT J. BONDI County Executive Re: 2 62� Residenc TAX MAP# TOWN According to records maintained by the Town, the above noted dwelling;,. - .... _..�._.LS.._...... 1. _ -IN COMPLIANCE WITH TOWN CODE.- ..- :. IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS This information has been obtained from: CERTIFICATE OF OCCUPANCY:_ OTHER: Building VsPector " -aq 4e Da CERTIFICATE OF OCCUPANCY Im Water Supply Section (845) 225 -5186 Fax (845) 225 75418 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 6 0 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 June 27, 2002 Fred Tarquino Route 22 Patterson, NY 12563 Re: Accessory Apartment - Tarquino, Route 22 Three Year Approval - Town:Patterson, TM #35.7 -1 -6 Dear Mr. Tarquino: I have received and reviewed the plans for the proposed accessory apartment at the above - mentioned residence. The proposal for the apartment has been approved as per plans bearing the approval stamp form this Department dated June 27, 2002. The apartment is approved for three years with the following conditions: :..:1 -. -.. : The total number of bedrooms in the apartment must remain at One without prior approval by this department. 2. The total number of bedrooms in the main house must remain at Three without prior approval by this department. 3. The area of the existing sewage disposal system, and its expansion area, must be maintained. 4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours William Hedges WH:hn Senior Public Health Sanitarian CC:BI a .0 Qepwtrmnent Pu#w"Cou nty of Diviswo Of ErMr6m 4ww Heath e4 Vp -noted for conformance with i0cable-Rulft. and Regulations of the at aro Q U Department. I I Two IF 119P 4 Page 1 of 1 I �" En vlroamonial Services, rnc. ",�� 41 Kenosia Avenue �I' ai IVATFR, SOIL AND AfA ANALYSIS S Danbury. Connecticut o6slo I T?lephone 203 -792 -2229 Hyatt Pump Service: Tarkey Construction Mailing Information: Collector's Information: JMS ID: 085232 Name: Hyatt Pump Service Name: Charles Hyatt Address: 229 South Rd Address of site: Tarkey Construction Route 22 City: Holmes State: NY Phone: (845) 855 -5136 Zip. 12531 Fax: (845) 855 -5136 Sample's Information: Sample ID: 01 City: Patterson State: NY Phone: Zip: Site: Kitchen Tap Date Collected: 8/14/2009 Date Received: 8/1412009 Preservative: N/A Time Collected: 11:00:00 AM Time Received: 2:40:00 PM Temperature: 18° C Lab No.: J0906407 Matrix: Water Date Analyzed Test Name Result MCL Method 08/14/09 3:30 PM E. Coli Absent Absent Colitag 08/14/09 3:30 PM Total Coliform Absent Absent Colitag Comments: At the time of the analysis the sample was Acceptable for Total Coliform At the time of the analysis the sample was Acceptable for E. Coll CFU = Coliform Forming Units MCL = Maximum Contaminant Level .... �.. _Signature:_ 4'!�_rrGG_..G_ .Rev.IredBy:.1`..r,�. _.........._ .__.`.... Michael Lapman Sharon Houiahan, Director President State #: PH -0218 ELAP #: 11715 CONNECTICUT. NEW YORK AND NELAC CERTIFIED Toll Free 866- JMS -5097 I Corporate Fax 203 -79B -2408 1 Lab Fax 203-798-2107 1 w%vw.jmsenvironrnental.ocm � / � . � � ' - � � TEL 278-0952 FAX: /845\ 279-7075 � ' DATE 3/18/09 Stuart �� Bates, `~~~~~~.~ W. �~~~~~~~~� Inc. ° ,~ SEPTIC PUMPING " INSTALL NEW SEPOOG AND REPAIRS ° EXCAVATING TRUCKING ° BLACKTOP ° BANK RUN ° SAND & GRAVEL ° SNOW PLOWING ^ ^' 1148lARR RIDGE ROAD � RPr:mcrI=P mv�nrnu .~.~. � . ^ M FRED TARQUINIO � l457] . � |N\/# 2267 RI. 22 ^ � ` P&TTDR8O0, NY 12563 � � $275.00 2 Wfi��k rA�M-PMl PQ ji �'�•6 7' ,,; ,> PlITNAN1 COUNTY DEPARTMENT OF "RAP Tkj Division of Envirpnmontal. H"Ith Servioos COUNTY OFFICE 6UtbDINO GAtiiltiAL, tdEUN .YQtIIE . This raPgrt 14 tq ba FornplaYad by wall drillar and submitted to County Health Department together with laboratory report of __,I;Rfast.s ¢la 9 Water §gfnple indicating water Ill of satisfactory bacterial gtlality'bef6te certificate of construction pomolip. jj Ig �I r t3EPQRT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL CQ!!(IPLETION ' � Y®\ �A . V ^� � � �� l 0.°i � �- . 6,J � ►A=��' �"�' �N� EEOCATIOPNO rs J N rt6ol t §APASEE3 plop Rt�1364 �j QUSINESS t:(9A[5�1� 4-.-! ESTA4f ISHMENT FARM €�T Wttr PUCLlt; j''"j AIR . �'"� OTHER t_ J 5UY¢LY 4 J ttIRUSTR9AL L. I CONDITIANIN4 LJ �f cl(rl PIULLINQ EQUIPA9EK X COMPRESSED ROTA � AIR PERCLISSIO14 q CABLE (' j OTHER PERCUS$ION 1•. ] (Specify) CAftt3p D�iAll$ UNPIN ( 10Qt1 20 .ft . DiAM$TER(lnchgN 6 in. tMFIG14T PER FOOT 17 lbs.. THREADED QwELDEQ e. YES NO YES t�Ja Yttltb (''� (''� Z'Rrs. G.P.�,O' sA1g. (�i PUMP9p COMt'AESSED AIR t? Yt "tDfU`gallons bYATK(p ME�St1R.€ FAD,,* t4"y SURF ACf;-5TATIC(SPPQlf taotl DURIN4. YIELD TE6T fleet) Y water level 0 feet 205 feet papth of Completed Wall In feet blow Land Surfacot 205 feet aCrt�w� ' f�f►i;E LEN Grn ovgN TO A(lul € €s (rqvti . QETAtt, 54,51 17.E 7 IF GRAVEI, PACKEDr pi¢motor of wolf including provet pack (Inchoa): GRA1f ti 1ZE (fr,chpal FRQAi ((veil TO (l�gt1 PERTH PROM LAND SURFACE Ff�t2MATi0l� DESCRip(10(y( Sketch exact location of wgll with (Ilatwoa, to m lf;41 two perm @n lendmerkq, FEET to FEET 0 6 HARD PAN.�C f1 Ila � +I l lPU -TNAM j� COUNTY, - 7 205. GRANITE If vFM was tested at differ ant depths during drilling, list below FEET GALLONS PER MINUTE ATii 11 cdt Cam. +PLt j4 �..i d����� TA OF T ta1✓'l/ Zt.t,. DRlt,t_E;R (Sign attlto rid . ,. ... ... , , . _ . , . .r.. .. 3 *Fred KTarqui ni o . PattersonY_ V Owner or Purc as.er or Building Municipality Tarky Construction Building Constructed by r Route 22 Location - Street Tax Ma 70 action 2 Block Frame 1 - Subd. Lot No. 1 Building Type Lot GUARANTY OF-SEPARATE SEWAGE SYSTE14 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 d amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succes- sors, 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 initial use of 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 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- - � v -i•ces -of� the P-.P- -County-•Department of Health- as to whether or not the failure of the system to.operate was caused by the will ul or negligent act of the occupant of the building utilizing the syst,06. Dated this 27th day of April 19 81 Signatur Title Owner - Tarky Const uctfon. If corporation, give name and address) Route 22, Brewster, NY 10509 THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam Countyrp' p �t're Un �;,o, to I' %ira 6 A I yel ,'PUTNAM COUN7N, DE21a DE HEALIH a d Patterson Owner or Purchaser bf Building Municipality 4 !A. t t Building Coftstructed by Section Location - Street I Block Building Type 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 County Department of Health, and hereby guaranty to the owner, his succes- sors, 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 followinc the date of initial use of 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 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 utnam..:Co.un.ty.D.epartment. of .Health. a .s-- to-- whe`ther--- 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. 27th A ri 1 Z Dated- this day of p 19 81 Signature , Title i If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam Co' oznt D Health gg 'PUTNAM COUNTY 1 t - PUTNAM COUNTY DEPARTYM T OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES i Date_ 18 May 1979 Re . Property of Fred Tarquinio Located at . Rte. 22, T. Patterson zdvm h TM 70 Block 2 Lot 1 Lakespring Meadows Subd, Lot #1 Gentlemen: ' This letter is to authorize John H. Prentiss, P.E. a duly licensed professional engineer XX or registered architect (Indicate). to apply fo.r a Construction Permit fora separate sewerage system; to serve the.above noted property in accordance with the standards, rules or regulations as promulgated 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 cons truction:. 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. C tersi.i P ° E . , W.0 X4 # 29206 R.D. 9, Fair Street Address %F Carmel','NY 10512 914- 878 -61.70 Te ephone Very truly ours, Signed eie- *-9 glee 14 St. Teorge St. PleasantiOle, NY 10570 RE :' 1 \ Ad ress 914 - 769 -4111 Telephone c �Q N�• 2926 ��� THE STPT��� 9`s - PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH, SERVICES DESIGN :DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner /�/�t�te'11& Address )i G 7dardlaP Located at (Street) /6 f- - am. 74 Block Z-. Lot (Indicate nearest cross street)4t., 4ws fad jeld" Municipality p,� -sOh Watershed C/oy .SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse. Depth to Water Water Level No. Time: From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop Drop in Min/in.drop Inches Inches Inches 4 1 �' 5 \� 2 /¢fig / 5 I 2 3 4 5 r Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ob- . tained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 2 47 3 0" 36" 42 t1 48 11 5 41} .I 66" 72" lad 8 4" e-7 754,w e5k INDICATE LEVEL AT 6HICH, 9RO NU D WATER IS ENCOUNTERED A%07e INDICATE LEVEL TO WHICH WATER EVEL RISES AFTER BEING ENCOUNTERED A/oW TESTS MADE BY ,1 Date �f�" DESIGN .Soil Rate Used /( °)0 Min/1" Drop: S. D. Usable Area Provided 7SW � _ No. of Bedrooms 7%,!Imp Septic Tank Capac it _ - Gals. Type�v Absorption Area Provided By F.x24' PRa4 idth . trench: Other Name John H.'Prentiss, P.E. S' � Address R. D. 6, Box 353 Carmel, NY -10512 PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved Sq. Ft. /Gal. �FT11E S1AT�� Checked by Date PUTNAM COUNTY DEPARTMII3T OF HEALTH DIVISION OF ENV IRONMENTit; I` WLTH -'SERVICES Date 18 May' 1979 Rea. Property of Fred Tarqunio Located at Rte. 22, T. Patterson tjM TM 70 Block 2 Lot 2 Lakespring Meadows Subd., Lot #2 Gentlemen This letter is to authorize a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit fora separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated 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 cYonstruction.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. yo rs., �pf 4 Signed `r 14 St. George St. Pleasantville,- NY.10570 Co ersign d. o PR Address a�•.i #Ai ?.qty .A., # 914- 769 -4111 Telephone Address Ce" . s .'lea I AS a 2 ryQ�thE'$I�t A 4-878- 67 741v e ep one PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN:DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO* Owner Address Located at (Street) A!e 70 ' Block 2- Lot. 2- (Indicate nearest cross street)L��$p��r��� Municipality 6m Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATION ins Number CLOCK TIME PERCOLATION - PERCOLATION Run Elapse Depth to Water Water Level No. Time.-- . From Ground Surface in Inches Soil Rate Start Stop Min. Start Stop Drop in Min%in.drop Inches Inches Inches �' 5 2 3� . 4 5 Notesi 1) Tests to be repeated at same depth until approximately equal soil rates are ob- . tained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. BRUCE R FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Fred Tarquino Route 22 Patterson, NY 12563 June 27, 2002 Re: Accessory Apartment - Tarquino, Route 22 Three Year Approval- TownTatterson, TM#35.7 -1 -6 Dear Mr. Tarquino: I have received and reviewed the plans for the proposed accessory apartment at the above - mentioned residence. The proposal for the apartment has been approved as per plans bearing the approval stamp form this Department dated June 27, 2002. The apartment is approved for three years with the following conditions: 1. The total_number of bedrooms in the apartment must remain at ne without prior approval by this department. 2. The total number of bedrooms in the main house must remain atJJ=& without prior approval by this department. 3. The area of the existing sewage disposal system, and its expansion area, must be maintained. 4. 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 add the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours --` - . `._. --r ---_ - - William Hedges WH:lm Senior Public Health Sanitarian cc:BI .12tt . 18 tT 2 4T 30 36TT 42" 48 Tt 5 4tT 6 OtT 66" h 721t 781-t- S� v . 8 4TT INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED A/owe INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY �/_ J g�j = /� / ?g /��, ��� Date DES i GIN .Soil Rate Used * -/p Min/l" Drop: S.D. Usable Area Provided !2040� 54 No. of Bedrooms-21ree Septic Tank Capacity /0,0 d Gals. Type j4.VSob ry Absorption Area Provided By 333 L. F.x24tt �: tt width trench. Other I a G pFESSIONq� �o N PRe / Name John H. Prentiss, P.E. Si Address R.D.--6, Box 353 , Carmel, NY 10512. t_ PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved Sq. Ft. /Gal. �°FrraE sTr•SE Checked by Date .. .. TEST PLT DATA REQUIRED ' TO BE . SUBMITTED WITH APPLICATION . DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE N0. '" :.HOLE NO. HOLE NO. G.L. 611 q'o�iC3 J�g7 E' .12tt . 18 tT 2 4T 30 36TT 42" 48 Tt 5 4tT 6 OtT 66" h 721t 781-t- S� v . 8 4TT INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED A/owe INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY �/_ J g�j = /� / ?g /��, ��� Date DES i GIN .Soil Rate Used * -/p Min/l" Drop: S.D. Usable Area Provided !2040� 54 No. of Bedrooms-21ree Septic Tank Capacity /0,0 d Gals. Type j4.VSob ry Absorption Area Provided By 333 L. F.x24tt �: tt width trench. Other I a G pFESSIONq� �o N PRe / Name John H. Prentiss, P.E. Si Address R.D.--6, Box 353 , Carmel, NY 10512. t_ PUTNAM COUNTY DEPARTMENT OF HEALTH Soil Rate Approved Sq. Ft. /Gal. �°FrraE sTr•SE Checked by Date DEPARTMENT OF HEALTH Division . Of Environmental Health Services 4 Geneva' Road, Brewster, New York 10509 (914) 278 -6130 - - Putram County Dept. of Heait ?; 4 Geneva Road :C1�rSLr NY 10�C9 Cenur-men: BRUCE K JOEY. H g Aeling Puhiia Mealth Rd: %GG Cf lily V Tax Map --5-3 , %' Town ?ccoiding tc re -ords maintained by the Tu",t, the above noted dwelling, is i`?TT in compliant° �'. nth Toti�, coc+- end tree total numoer c bedrooms on record 15 This info-iration has been obtai.-led from: ^ERTIFICATE Or OCCUPANCY: ASSESSORS RECORD: � J..L HER Building ins�:,ctor i $ DEPARIENEINi OF I-MALTH Dlv4rfon of Environmental Health Samees 4 Genava Road Brewster, New York 10509 rel. (9:4) 278.6130 Fax (9I4) 278 - 7921 BRTJCE R FoLjty Publi Hecirh Drr�c cr STREET oUl-d-_� ZMAILMADDRE DESCRLPTiON OF ADDITIM -T NUNMER OF EXISTING BE] (FROM CERT. OF (OCCUPANC11 OR CERIIFICATIO-s FROM BL IL:)N G ItiSPECTOR) *A,av addition which is corn :Iered a bedroom requires formal approval of plans (Con uction Per it) preperled by a Prcf= ssioral Engineer or Registered .Arc! tect in accordance with. aoplieab:e sections of tll t Put-13m Co:r,ty Sanita-ry Code. Please submit this fern: and rh.- fo'Iowing to Putnam County Health Dept.; 4 Geneva Rd., BrewS:er, :tiY 10509, P^cae 27SS- 6130. I. Certified check or money order for 5 100 .00 Ske -tches of existing floor plan (drawn to scare, all living area including basement) I Non- professicml sketc'=s are accept = Die 3. Two sets of proposed Loor plan (drawn to scale, with name, stree', z--d 'x, r:^ap T) * Non- p:ofessionai sket,hes are acceptable 4. Copy of survey showily; well and septic location, to the best of your Lrawledge. Include date of installation if kno-.Avn. Label all wells and septic systems within 200 feet of the property lire. Contact this office wi'h any questions. 5. Copy of Len. of Occupancy frcrn Town or Certification fray! Building Dept., ith regal bedroom count of dwe?IL-g. OF i('C commea s rib 93 - j - PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Patterson Town or Village Located at Route 22 Tax Map Block, 2 Owner ~ Fred Tarlluinio Tax Map Lot N 1 gubd, g 1 Separate Sewerage System built by Arthur Burdick Address Brewster, NY 10509 Consisting of 1000 Gal. Septic Tank and 370 L.F. x 24" Width Trench Other requirements None Water Supply: Public Supply From X Private Supply Drilled By New Britain Wells, Inc. New Britain, CT Address Building Type Frame No, of Bedrooms Three Has Erosion Control Been Compietedt Yes Date Permit Issued 12/12/79 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, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. _ Date 11 May 1981 Address Certified by D. 9, Fair St., C06 ' P.E. n R.A. 1, NY 10512 License No. 29206 v 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 vol on as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water su ply bec mes available. Such approvals are subject to modification or change when, in the judgment of the C of Health, suCIN revocati n, modif hangs Is necessary_ Date r By Title DRKTOWN MEDICAL LABO -AA tORY INC. P.O. Box 99 321 Kear Street Yorktown Heights, N.Y. 10598 245 -3203 RESULTS OF EXAMINATION OF WATER Fred Toreuino , VILLAGE, TOWN 6 /OR NAME OF SUPPLY kitchen tap #C1346 YML #4556B LOCATIONS: ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245 -3203 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566 737 -8777 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 - 1 STONELEIGH AVE. (NEAR HOSPITAL), CARMEL, N. Y. 10512 278.9330 4/6/81 BACTERIA PER ML. (Agar plate count at 350 Q. 9fm COLIFORM GROUP (Most probable No. /100ml.) 0 MFT HARDNESS, TOTAL -ppm DETERGENTS - mg /L NITRATES (as N) - ipg/L IRON, TOTAL - mg /L AMMONIA, FREE (as N)-mg/l. pH= CHORIDES - (mg /L) \v ` These results indicate that the water was YES of a satisfactory sanitary quality when the sample was collected. ` ?G7 PU'TNAM COUNTY DEPAR'TMEN'T OF HEALTH 50186 j i aNa� 4 F� c 1 Division of Environmental Health Services, Carmel, N. Y. 1051 ^_ / CONSTRUCTION PEF6AIT FAR SEWAGE DISPOSAL SYSTEM Sout+,east f 4 rrewsa,. .Route 22 Town or Village Located,.at.:.� - _ - Tax' -Map #• 70 . Block - 2 Subdivision— 'Lakespri ng Meadows _ _ Tax Map Lot # 1 Saba. # 1 Owner— Fred Targui'nio Address 14 St. George St. Building Type. Frame _ 43379 ` P1 easantivl l e, NY 10570 T - -- Lot Area __ /�05 Number of Peldrooms - _Three Design Flow 600 Gal . _- — Total Habitable Space 1092 ` Square Feet Separate Sewerage, Syitern to consist of 1000 Gal. Septic Tank and 429 ft. 21 trench / ( ) ( x )leaching pits To be constructed by ? _. —.__— Address - .i Water Supply: _ _ Public Supply From _ I' T— Private Supply to be drilled by ? i Address Other Requirements ._None_ I represent that I am.whoil� and completely responsible for the design and location of the proposed system(e)j 1) that the separate sewage disposal system above described will be constructed as shown on the approved attachments hereto and in accordance with the standards, rules and regulations of the Putnam County Department_ Of Health, and that on complgtion thereof a "Certificate of Construction Compliance" satisfactory to the Commission- er of Health will be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the build- er, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the stan- dards, rules'and regulations of the Putnam County Department Of Health. Date l8 May 1979 V Signed" P.E. X R.A. Address R. U • 9, Fair Street Carmel NY 165'12 License No. 29206 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considerT as ry by the Com m issi r of Health. Any change or alteration of construction requires a new permit. App rov @d fo► disposal of domestic sani ge, private er supply only. Date fay' T� By Title + —�— � 701 S01868 PU'TNAM COUNTY DEPAR'TMEN'T OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERIVATt,.FOR. SEWAGE DISPOSAL SYSTEM Patterson Town or Village Located at Route .22 Tax Map 70 Block 2 Subdivision Lakespri•ng Meadows Lot 2 Job S01868 Owner Fred- Tarquinio Address 14 St. George St. Building Type Frame Lot Area 42605 ` .1 P1 eas,antli l 1 e, NY 10570 Number of Bedrooms Three Design Flow 600 Gal. Total Habitable Space 1384 Square Feet 1000 '` 333 L.F. x 24" Width Trench Separate Sewerage System to consist of Gal. Septic Tank and To be constructed by ? Address Water' Supply: V Public Supply From X Private'Supply to be drilled by ? Address Other Requirements 1811 Run -of -Bank ftl 1 Section (4026' 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 above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system oe any repairs thereto; 2) that the drilled well described above will be located -as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regula i —ons of the Putnam County Department of Health. j pry, Date 18 May 1979 Signed' �` �°� P.E. X R.A. Address R.U. 9, Fair St. C mel , NY 1051,22 License No. 29206 APPROVED FOR CONSTRUCTION: This approval expires one'year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when consider cessary by the Commiss' ner of Health. Any change or alteration of construction requires a ew permit. Approved for disposal of domestic,san' cry �ge,and/ privet s Date °� �%�'� By r Title O33 /. 92' 168.92 m M ON / I / Grove/ i oWe /I / _ J � Deck / Frame Drop Deck ( O /n /et Frame r - --Shed- Conc. IS TORY FRAME DWELLING $ v P weir Drop inlet Open Porch l Frame C P 1 /A� ?/ a w � c � N a' 3 W m 0 y 0 94� m c m 0 I ... '\ 163.00' .. ./ j. Ott 326.00' / Drop In /et Drop /n /et-.� a� 0 0 Q � � V � o �Z O j Q O C � N � q� .Gr °sp2rNf �2 Con'7 F ' White Line Asphalt S. H 5203 SURVEY OF PROPERTY While Line PREPARED FOR jI I Flog Walk \ Po /e o. o i OI S1TUA TE IN THE p fl) rn � \I o/e :ept by c licensed Land Surveyor, is illegal. PUTNAM COUNTY p Ip c � N ontanho /e NEW YORK A h SCALE l "= 30 ft. NOVEMBER 22, 1993 Lot 2 as shown on that certain mop entitled ?s filed in the Putnam County Clerk's Office ? 872, We hereby certify that the survey shown hereon was completed by us on November 22, 1993 that this mop was I ... '\ 163.00' .. ./ j. Ott 326.00' / Drop In /et Drop /n /et-.� a� 0 0 Q � � V � o �Z O j Q O C � N � q� .Gr °sp2rNf �2 Con'7 F ' White Line Asphalt S. H 5203 SURVEY OF PROPERTY While Line PREPARED FOR Po /e FRED TAROU /N 10, ✓R. S1TUA TE IN THE P. VEYING 9 ENGINEERING, C. �/� TOWN OF PA T TE/Tp S'ON :ept by c licensed Land Surveyor, is illegal. PUTNAM COUNTY us mop and copies thereof only if said mop ?( the surveyor whose signoture appears hereon. NEW YORK ants, or encroachments, if any, have not been SCALE l "= 30 ft. NOVEMBER 22, 1993 Lot 2 as shown on that certain mop entitled ?s filed in the Putnam County Clerk's Office ? 872, We hereby certify that the survey shown hereon was completed by us on November 22, 1993 that this mop was completed on November 22, 1993 and that this survey has been prepared in accordance with the existing Code of Practice for Land Surveyors adopted by The New York State Association of Professional Land Surveyors, Inc. TA CONIC SUR BEY /NG & ENGINEERING, P. C. b y NEW YORK STATE LICENSED LAND SURVEYOR Qy� LICENSE No. 49144 7 I O I Al 9' 49' 30" E /6 3.00' 00 nl N N I l 2' 4z, d os .5R.Fr. s O 33/. 92 /6 s92 1! 43,364 .5;p.Pr. �y,aY r �oJ 4 c Fame i✓ _ Res:'des� .Dri ✓cwa y � / . 1 in O I of ti ta o• 3 � 1 � Ix u L Z. Ih 3 I o C W o x, Qj f, l0 ,fit' b I � TITLE NO. SURVEY OF PROPERTY �reP�re�i F r FRED 7-,9i2Q U /N/O sd ;q✓ P�oPeify Bc.:`y Lc11 / 41 2 O� i117,0 of LAKE .5 ,-A- /N6 /t.�EA00l�s %w^l OF 11�4 rrreSoi✓ f'4,1r1v4Ai eauAlry, /f/Y, Said map filed in the . P41rv,4,w County Clerk's Office, Division of Land Records JIEc. ✓, i9s9 as Map No. 972 Scale: I"= 60' Possession only where indicated Surveyed Feb. ?, 19B/ and map prepared Feb, 4 19B1 JOHN MARANO LAND SURVEYOR+ Iri,�i � '� •I��I PUTNAM COUNTY, New YoffState Licen ed Surveyor No. 3GG9J�+ OEM DEHEA1LT41 Guaranteed to:�" F7`Tr I ! ! APR 15 1,20 JOHN H. PZ In accordance with the minimum standards for title surveys of the New York State Land Title Association. S 9 °49'30" �✓ �� }�,_ f //326.00 - Edy� of �--T BeEwsra /(/ Y. S TA TE- O vre 22 % I// Ire e SO A/ -. ■ ,John/ i✓ /AF2AN0 1 35/ .a7AN✓ /C L! ,PoAO LfjNO �f' ✓Ei� � �jEA,fANI ✓iCCEn!y, /95,79 Licensed Surveyor ' in tiro States 04 rd-z. 747.9092 ; Now York and Connecticut I Inil N _ 34 79 • is -.. c.r.;y� - - - - - _ - - - :. SANITARY SYST. M G "AS HV LI .: - � � t' ° �+dr ,• '� Q�� _-_. __ � , ce,.^� :�r�N •ate: a�. � ..._ _.._ _._..._.... 1 � r ; �c _dCtiTlt}.fi2..citrQiiif:— 25r{4e�Z z, Towh:.:_.!._O "�"..''.3t.EEt .. County L:.fCtiit t�_ $4Ote: fib /c 6fpes 9ef B xos _. SUBDIVISION:_ �4�v gm Meda ardS �F /� 872 t f ,, 9X3 _ - ° c__ t -- _ Block-. _ �� _ . _ _ __LOT MQ.__ _} — BRIIOer: owejg,M _ Surveyor- Prawn- h i" t]ate, ^ r 5cvfcs r Job td s J0`rjN t1 PP Fij_3T1JS C.`ONSULT!NG EMGINEi~P, • � I�J S7 4AR E I. P'i 10312 —(9141 Q - .�:xx�,�-ax»�c� °w� a= >:�.�,wr.��e . .: ,.rs° - .��••� �.e�,...,..- ..-�.. -- :.. r.�.�..a �� „�,.•..� �.-.» »..,...v- �....:...,...<.....,. ..<...�.. .