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Home My WebLink About2053DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.48 -1 -24 BOX 18 02053 X. 1 a r IL -� '. f I r I ti - r 02053 OWNER'S NAME PU1'NAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES 225 -0310 %FiC�PC , r R— S� - DIS SiSTEk -itu a3:tz _ PHONE SITE LOCATION mjp MAILING ADDRESS i /�f Po N 144 !A: ALC P f'(CI�. R. R. vii W�c, (i.e, PCHD Canplaint # owner,tenant,.etc.) TYPE FACILITY PHONE Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. Proposal approved _Z Proposal Disapproved Inspector's siqffiture & e to Proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate.showing: a. Owner's name. lr b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep' drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. SIGNATURE TITLE GATE L OPIS: WA be MD); Yellow (7tiin EI); Pink (Appliamt) N i 1vC.5 ?37 -.50'W /00.00' 45• 0' ; 55 OOp N / P „v x/25 .. moo, c” rio�� #/24 This map prepared ID. C —4P.�'...... 4 No p * /02 /v G3 °37 :SO �v /00.00 50.00' j 50 -00' *103. # 123 #/04 Pig - k U►y P,n/ �yC�s Pu✓ O 0(0, S0.00 t x -- (��Q V 5 G5s 37'50 "e /00.00 Qu 5 t . i4& 122 o 1\3 #/05 r 5±. 563 °37:-AO "'ff ±S.F A Q �7 5p -00 "PI � y O N ` sl J pipe (Foun/D) PINS .. A p 3T � �- 1 �y. 39 • • • • S E3'37 =50 �E 7'51 0 NOTES i.-Subsurface f eat4rres, if any, not shown. 2. —It is hereby certified that this survey was prepared ill, accordance with the existing Code of Practiccl for Land .Srcr veys adopted by the New York .State "lssoci.ation of Professional Lurid Surveyors. —: =ill certifications hereon are valid for this warp and copies thereof only if said -rn-ap and cvpies:beur<tlte,arrtipre�se� seal of the /c� 2 //34� � ercr� cyor whose sigfrvtllre cr ppc ur.c N C) ON �O i r 0 i 1 :1IAP OF SURVEY of L OTS 120 -/25 .11VCL-., � .Z0.r'5 /0 MA P OF - ,ovT/VAnil LAK TOWN OF. PA TT,ffR,50 Al COUNTY OF 10u7-Al q/A4 NEW YORK .Scale: i "= 40 Ft. Apr, -/ /d , 19i:i I certify that this snap was -made from an actual survey of the property. Survey completed on ,��r,-/ /?. ' 1974, :Map co- nlpleted orl ,4 r-,'/ rqlZ SNOW LOr LINE /2/1iZ2 MAy /9, 1-9(56. Certified to: � he T,,f /O (ozolvokc c�. 7 0c,3 I BURGESS & BEHR, P. C. Profevional Engineering & Land Surte)inQ 128 Gleneida Avenue C.atrgel ' N. Y t � N 0 NOTES i.-Subsurface f eat4rres, if any, not shown. 2. —It is hereby certified that this survey was prepared ill, accordance with the existing Code of Practiccl for Land .Srcr veys adopted by the New York .State "lssoci.ation of Professional Lurid Surveyors. —: =ill certifications hereon are valid for this warp and copies thereof only if said -rn-ap and cvpies:beur<tlte,arrtipre�se� seal of the /c� 2 //34� � ercr� cyor whose sigfrvtllre cr ppc ur.c N C) ON �O i r 0 i 1 :1IAP OF SURVEY of L OTS 120 -/25 .11VCL-., � .Z0.r'5 /0 MA P OF - ,ovT/VAnil LAK TOWN OF. PA TT,ffR,50 Al COUNTY OF 10u7-Al q/A4 NEW YORK .Scale: i "= 40 Ft. Apr, -/ /d , 19i:i I certify that this snap was -made from an actual survey of the property. Survey completed on ,��r,-/ /?. ' 1974, :Map co- nlpleted orl ,4 r-,'/ rqlZ SNOW LOr LINE /2/1iZ2 MAy /9, 1-9(56. Certified to: � he T,,f /O (ozolvokc c�. 7 0c,3 I BURGESS & BEHR, P. C. Profevional Engineering & Land Surte)inQ 128 Gleneida Avenue C.atrgel ' N. Y t 0 PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six . Center, Carmel, New York 10512 (914) 225 -0310 November 16, 1988 Mrs. Gwendolynne J. Kirby 5 Hemitage Road Patterson, New York 12563 Re: Proposed Addition Kirby Residence Hemitage (T) Patterson TM #31-3 -4 Dear Mrs. Kirby: C--- ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director. I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 17'6" x 26'8" addition, consisting of a new kitchen, dining and recreation room. The existing kitchen will be converted to a bathroom, and the existing dining area will become a small storage room /den. The two bedrooms will remain the same. The well is located in the front of the lot and the sewage disposal system t . is located in the rear. Lot 103 and 104 are available for future expansion of the sewage disposal system, should it become necessary in the future. Therefore,the proposed addition is approved with the following conditions: 1. The dwelling must remain a two bedroom residence. 2. The area available for expansion of the sewage disposal system (lot 103 and 104) must be maintained for that purposes. 3. All plumbing fixtures must be replaced or updated with water saving devices i.e. low flush toilets, flow restrictors for showers and faucets, etc. Approval is for sewage disposal only. 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 concerning this matter, please contact me at your convenience. Very truly yours, --'- J William Hedges tai /jz Sr. Public Health Sanitarian cc: BI (T) Patterson P,)r)E MOAIuMeIVT is- AY) TE*.5 I.—Subs"Irface features, if (III - 1'. /rot sho-, %-1 -11. 12.—It iS 11CIThAl certified that this SIII"Z*'C.V TOUS prepared I . /I (ICc0i'dance -'cith the cxist Cod'. (if PractiC.• fol, Land Su•.•YS (1(1011tcd bY the Xc-zc )'o.rk Slat,, ASSOC1,06oll Of Prol'-ssimi'll Laild S111-1-c.vors. c•rillications hC;'COP are z.alid for this Inap and copics ther"of ('111 ' X, if said leap (IIId copics heal' Mc I . mprcsscd seal of //w '7L'I I*(/II(I1III'(* Oppi-ars VW I OS C S 2 ICA rr - 31 Z.075.120-125.11 VCL. � Z. 0 r.5 /00 104. MA /0 OF �0& 71-VQ /V I'L A K TOWN OF PA T7,ffk` 0/%1 COUNT V61; /L)ZJ7/V/q/1,4 NEW YORK 19 17d I certify that this Ma-P -'vos inadc front all actual survey of the property. Survev comPleted oil . r" -� /.7 , 19 7 .110P COMPIctcd oil. V Ccrlificd to: , A)c� T //r / 1( 7 o (i - . . BURGESS & BEHR, P. C. Prtfti.(ional Epiqineering & Land Surre)ipq 128 GlefICIL.1a Avenue Car'mel, N. Y. . .... ..... .......... ......... . .... .. 3 PETER C. ALEXANDERSON County Executive DEPARTMENT. OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 November 16, 1988 Mrs. Gwendolynne J. Kirby 5 Hemitage Road Patterson, New York 12563 Re: Proposed Addition Kirby Residence Hemitage (T) Patterson TM #31-3 -4 Dear Mrs. Kirby: P- 0 ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy. Commissioner JOHN KARELL Jr., P.E. Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 17'6" x 26'8" addition, consisting of a new kitchen, dining and recreation room. The existing kitchen will be converted to a bathroom, and the existing dining area will become a small storage room /den. The two bedrooms will remain the same. The well is located in the front of the lot and the sewage disposal system is located in the rear. Lot 103 and, 104 are available for future expansion of the sewage disposal system, should it become necessary in the future. Therefore,the proposed addition is approved with the following conditions: 1. The dwelling must remain a two bedroom residence. 2. The area available for expansion of the sewage disposal system (lot 103 and 104) must be maintained for that purposes. 3. All plumbing fixtures must be replaced or updated with water saving devices i.e. low flush toilets, flow restrictors for showers and faucets, etc. Approval is for sewage disposal only. 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 concerning this matter, please contact me at your convenience. Very truly yours, William Hedges 14H /jz Sr. Public Health Sanitarian cc: BI (T) Patterson TV L, r 11 3'-5 �41 WITH 41 Z—g e-M, + -A4 r&QOQsr'" `PLAN a, L ,-4-r�1 C011C. 5LW- 'VW4\LL \V.; ----COWUL'6G. VW7.-O- w;& \' E:veAZY O-r"ML -ror, C.OAw-,-E -rO ,-4-r�1