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HomeMy WebLinkAbout2107DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 36.57 -1 -16 BOX 18 02107 1jr .; 1 y I� . 4 Is `� M T .� �I or J z 'm �. '` l `. ., I ; y r an .. ., ol r f,6 L4 MEN Is No IN 02107 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health y LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J..BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health May 1, 2006 Dale Daniels 12 Lafayette Road Brewster, New York 10509 Y Re: Addition Approval — Daniels, A- 321 -05 No Increase in Number of Bedrooms 12 Lafayette Road (T) Southeast, TM# 36.57 -1 -16 Dear Mr. Daniels: I have received and reviewed the revised 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 April 27, 2006. The addition is approved with the following conditions: 1. The legal bedroom count for the above referenced lot is two. The new bedroom count by this Department is one. The total number of bedrooms must remain at one 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, restnctors for shower 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. 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 GDR:cj Senior Engineering Aide 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 le. c L! 7c) 4.A7 rl ct ,I I ,2 Y rat 19X� -:. -�5 AW{ x' 1� PUI NA � '1�Y<D0,14, f MENT -OF HEALTH AOUSE PLANS APPROVED FOR BEDROOM COUNT .ONLY, r d ^ S A-L- SUBSEQUENTT REVISION f ALTERATIONS TO TH ESE UIPUSE VLANS MUST BE SUBMITTED TO THE PCDOH FORS APPR ,VAL Zz SIGNATURE R 'f iTr.. 5 �d' Aa c� SHERLITA AMLER, MD, -NJ$, FAAP._.- ... " Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 26, 2005 Dale Daniels 12 Lafayette Road Brewster, NY 10509 Dear Mr. Daniels: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT .I._ BONDI .. County Executive Re: Addition — Application Incomplete - Daniels 12 Lafayette Road (T) Southeast, T.M. 36.57 -1 -16 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. The following was not submitted with your application: 1. The residence is noted as a one and a half story dwelling. Plans submitted show only one floor. Kindly submit additional plans showing all rooms on the half story or an explanation as to the nature of the one and a half story. -.._. -... ..___._._..- ._....2..,. The proposed- addition pkpycuxnote the number -of stories proposed nor the addition. 3. The proposed plans must show how the addition will be accessed. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR:cw Sincerely, Gene D. Reed Environmental Health Engineering Aide r h 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 October 31, 2005 Putnam County Department of Health 1 Geneva Road Brewster, NY 10509 Re: Proposed Addition for: Dale Daniels 12 Lafayette Road Brewster, NY 10509 I am in receipt of your letter concerning the proposed plans for the above address. The plans submitted is for the main level of the house. The one -half story in question is an unfinished attic used for storage. The attic height is measured at 6 feet high. The one -half story attic will be remaining as is. Sincerely, Ms. Dale Daniels SHERLITA.AMLER, MD, MS, FAAP ._..._ . .», ._.,.r;Co»tirizssioner�ofFfealth �"--'-• ' LORETTA MOLINARI, RN, MSN Associate Commissioner of Health November 14, 2005 Dale Daniels 12 Lafayette Road Brewster, NY 10509 Dear Mr. Daniels: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI Re: Addition — Approval — Daniels A- 321 -05 No Increase in Number of Bedrooms 12 Lafayette Road (T) Southeast, T.M. 36.57 -1 -16 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 November 10, 2005. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two 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.). 4. 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 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 your convenience. Very truly yours, Gene D. Reed Senior Environmental Engineering Aide GDR:cw cc: Building Inspector, Town of Southeast 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 .;f I�EPAR"IM?v s OF 13:�AL"i:i BRUCE R roj.zy PuMc Heck, Direrc- Division of Ernirvnmantal Health Services r 6 Genava Road 13TOWster, Naw York 10509 M..(914) 278 - 6130 Fax (914) 2179 - 7921 PR02MSED ADD171Q:j APPLICAIIQNN (RESIDEENTL L-0 -Yl STREET - TOWS! XZVIAP # -54!0-S��' NAME FHOV CHD r QQ � h•:AMWa ADDRESS %vC��i�v �i f' • 3Z �, D1rSC'.RIPTiO:� OF p- DDiTIO:�I L IBER OF E :�' BE13R OILS PR PLlSE G'� BEDROOVLS 6 CERTIF(CATIt7 i FR�Iri SGILDLNC 15 ?ECTOR.) p��,C�C�'Z�TP'�'� Any addition N hich is cors::Ierod a bedroom. requires formal approval o p�� Coakuc icon � Permit) prepe::ed by a - r,:fessioral Engineer or Reg= st°red Aic'i tect Ln accordance with aoplicab:e sections of the Pu=n, County Sanita-*y Code. Please submit tEs fer=: and, the fo'lauing to Putnam Co=v Health D;,pt., 4 Genera Rd., Brewster, NTY 1.0509, Phone 2'S -6130. 1. Certified -check or,mgze; -b dsr for 5100.00 - - -- �. 5'setches of cxisting floor plan (drawn to scale,. all living area Including basement) * Non - professional skeichts are accep&ble 3. Two sets of proposed r:oor plan (drawn to scare, with =ne, street, and tax. rap T) �* iron -p.o essionai sketches are acceptable ✓4. Copy of dive} shAcwio; well and septic location, to Ll<e best of your knowledge. Include date of installation if kno.,vn: Label all ti.eLs and septic syste=s within 200 feet of the pmperty, lane. Centact this office wi any qaestions- Copy of Cen. of Occupancy frcm Town or Certification ft-a= Building Dept. Nith legal. bedroom court of dwellLg. OFFFC.'IE tr,)F coriirnew.s F-b 93 DEPARTMENT OF HEALTH Division i Of Environmental Health Services 4 Ceneya* Road, Brewster, New York 10509 (914) 278-6130 - Putram C6unry Dept. of Health 4 Geneva Road Brewster, NY 105G9 Re: Rcsldcnoc Tax Map Town - f- Gend!t.men: Acting -i Lo I According'. re-�o7ds maintax.t.d by the To\�-,L, the above noted dwelling IS inc;om-phan..."e ,j th lomtcd -d- .-,nd the CCIL'a'In'Urn&ir "f6edroomsonrecord This ;nfor,mation aas bce n obtal led from : : C-ERTIFICATIE, OF OCCUPAT-ICY: ASSESSORS REZORD: Building inscreclor t \jv r� Caw � i � ... . hY�.Ysyyry^ Nk6i I is ,.:. ..... .........................: :: ::. -.... i i 1 TOWN OF PATTERSON . oPUTNAM COUNTY Z PATTERSON, NEW YORK 12563 9 TTERSO�' Building Department January 23, 2002 a Telephone 878 -6319 Premier Abstract, Ltd. Routes 100 & 202 Somers, New York 10589 RE: TM — 36.57 -1 -16 PAL -17677 RAPP, RICHARD 12 Lafayette Road Brewster, New York (T/Patterson) TO WHOM IT MAY CONCERN: According to our records, the dwelling on the above numbered lot was evidently constructed prior to our Zoning Ordinance requiring a Certificate of Occupancy. The BUilding,Department does not have a file or record of construction or violation for this dwelling. All dwellings for resale MUST have heat and smoke detectors in each bedroom and hallways prior to closing. If you have any questions, please do not hesitate to contact this office. Very truly yours, C leryl L .'mith Building Department TOWN ROAD xxx STATE ROAD COUNTY ROAD PRIVATE ROAD PU'IMM (7" Y HEALTH DEPARTMENT DIVISION dE ENVIRONMENTAL HEALTH SERVICES 225 - 3838/225 - 3833/225• -3641 PROPOSAL FOR SEx^1AM DISPOSAL SYSTEM REPAIR ,gNER'S NAME Mrs. Ann Impieri PHONE 914- 279 -2066 _ ITE JOCATION Lafayette Road 20 30 -3 -5 ?AILING ADDRESS Patterson, N.Y. 12563 ERSON INTERVIEWED PCHD Canplaint # Name & Relationship (i.e, owner,tenant, etc.) ?ATE August 28, 1990 TypE FACILITy Private Dwelling 10POSED INSTAUM Dave Burdette PHONE 914-878-9074 roposal (include sketch locating all adjacent wells): JTE: Repair must be in same location and of same type as original sewage disposal system. ifferent location may require submittal of proposal fran licensed professional engineer or - gisteted architect. 1) The existing 500 gal. tank is to be pumped out and removed or filled with sand. A new 1,000 gal. polyethylene tank is to be installed in its place outside the bathroom entension. (A Polyethylene tank was selected because the area is inaccessible to a large vehicle). 2) An existing dry well is.to be eliminated and filled with clean earth. 3) The existing laterals have rocks in them with no disribution pipes. We propose to remove the rocks and add R.O.B. in their place with perforated distribution pipes. xposal ture & T Proposal Disapproved NE �pposal approved with the follgWiog conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number., , c. Location of installed components tied to two fixed points d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. to (e.g.,house corners). three precast 6' diam. x 61 d@@p 3. System repair to be performed in accordance with the above proposal and conditions. as owner, reported nt of owner agree to the above conditions. j C LGNATURE TITLE IS: WUte (FUD); Yellow (Tbwn BI); ]pink Wit) 36.57 -1 -16 ' D*&'S_ NAMb" M-.s_. Anne B1Th."LO,C-ATj0N` Lafayette MM" LANd-ADD1M-SS'-Patterson Na Dh August. 1, 1990 PWE'WED ii& puiTiriK-icbuNT'.,.iic..A-L-Tii' -DZP N2 S 225;3838/225-3833/225-3641- - M -_- -MS'MA. RE PAIR PE UPOWLFOT�.�Srl dk:DiSl��. zmpier . ..... .... pJJGN.E-;-' 91.4-279-2066 Road. '30n3-5 ,,N.Y. .1-2563 Re & R_-I&Fl_o_nihip li; ek ow%er..'tenant, etc. T -XPE .PK FACILITY. PrivgLte - piling Burdetj:e. 9�14-878-9074 Pi6 sal- ( indlbde- skbtch locating, all-'adjacent wells) NWg. Repair mu.5t, bd- in same lo6ation- and --of-�'siz6e- type as:,Qricjinai sewage BILE 'shl'-system. Diffeki--ht--loca ion- may.* requite` sutini, tt;al. Of propdsal --fran liqpnsed prof essior�Alen4inedr- or r6416t@`r', 66-'ar�iil test: - Is ­ta. -be-. pumped out and .removed or.,_Ulled - wi ti. sand. A new 1,000 gal. polyethylene tank is to be installed in its place outside the bathroom extension. (A Polyethylene tank was selected because the area is inaccessible to a large vehicle) An--existing dry well is to be eliminated and filled with clean earth.. Proposal- Disappi;9vec! /574d .. Date' r'4 sal- app6ii6d with` -_'the following- conditions: I.- , Procurement - of any' Town- permit', if apol'icable. 2:, S�ii fission' of as built repair r skp-tcfi in daplic'a'te showing: a." O.wter Is name. b,."Site Street Name, Town C and*TaX­Map'nuMbe*r.-- I- 'Location' of installed canporients tied to . tw6 . - .'fixed points (e.gi,,house W . tnprs). Y.*SypUm description (e-4.j 1250 gal. dqn&-btEi septic tank, three precai &d-" diam.-x 61 drywells S"rounded by ore fWt, + graV r'! s' - name and number': .. N Ji'th-- bei per:fdnTled -in - accordan6e Vith the above proposal anti odildi O' as:'. 8er6p-­-6,ft;9, of` , owner' agrdd,* t6' the above conditions. Ti ZL 36.57-1-16 Permit # I Permit Date a Compliance Certificate Project Title: proposed addition Report Date: 04 119/06 Data filename: Untitied.rck Energy Code: Location: Construction Type: Heating Type: Glazing Area Percentage: Heating Degree Days: Construction Site: 12lafayette drive patterson, NY 12563 New York State Energy Conservation Construction Code Putnam County, New York Detached 1 or 2 Family Non - Electric 11% 5750 Owner /Agent: dale daniels 12 lafayette drive patterson, NY 12563 5M 7 RE Designer /Contractor harry nichols harry w. nichols,jr pe 2050 route 22 brewster, NY 10509 845- 279 -4003 hnengineer @aol.com Ceiling 1: Cathedral Ceiling (no attic): 330 38.0 0.0 9 Wall 1: Wood Frame, 16- o.c.: 448 19.0 0.0 24 Window 1: vinyl Fr6rtle:pouble Pine; _48.. _. . — . 0.340 - e 16_ T Floor 1: Slab -0n - Grade: Unheated:, Insulation Depth: 2.0' 27 0.0 28 The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construttii nts. When a Registered Design Professional has stamped and signed this page, they are attesting that to the .befiief, d rofessional judgment, such plans or specifications are in compliance . this Code. Bu der si ec mpany Name D e LU i w 140 66124 OOf fi 0 >851�P/ proposed addition Page 1 of 1 ._. - Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health November 14, 2005 Dale Daniels 12 Lafayette Road Brewster, NY 10509 Dear Mr. Daniels: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBRRTT'Ji"BON61 - County Executive Re: Addition — Approval — Daniels A- 321 -05 No Increase in Number of Bedrooms 12 Lafayette Road (T) Southeast, T.M. 36.57 -1 -16 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 November 10, 2005. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. ry _.. 3. All plumbing fixtures must be updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets etc.). 4. 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 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 your convenience. Very truly yours, W4;e-�' 7-,), a-�' Gene D. Reed Senior Environmental Engineering Aide GDR:cw cc: Building Inspector, Town of Southeast 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 G .... r.... i ... i........... I• .. .. �. c� e�e C3� AOL • :,:. • .. • . '� =•tea �.-� ���� �� ,.���.�. g xcr J � QOI&i ftTNAM COUNTY T`094ALTI€ HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, f BEDROOMS l m � � �" p ALL SUBFEQJEr T"Ph LSIONI(,LTEi3ATION= TO THESE HOUS9, PLANS lt!VST BE S JBAUTTs -,L �. -L "' PCDOH FOR APPROVAL - c� -7 '1' Roaj S4 is t PUTNAM COUNTY DEPARTMENT OF- HEALTH ,'HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, ;2- BEDROOMS ALL SIJBSEQUENT REVISIONJALTERATIONS TO THESE HOUSIF PLAN MUST EE SUBMITTED TO 'rHE PCDOH FOR APPROVAL A : TUIJfvyrTLE L. ll v zk-e- cl Ckl)Lr) Va A�lc) "-s a wkfoil L% ww, -, ci -J e v - _ own o -_ f Patterson. Zoning Board of Appeals .ry. . Determination ZBA OFFICE USE ONLY Case # 04 -06 Tax Map: 36.57 -1 -16 Applicant: Daniels, Dale Application Description: Area Variances — To construct a 10 %' x S' addition 239m Referal Q Yes. ® No Date Sent: Public Hearing Date: 2[15/06 Site Walk:❑ Yes Fl:-. Noa: `'�' Situ Walk'Date: Decision of Board:Granted Decision Date: 2/15/06 - Resolution # 04 -06 Conditions if Any: See Resolution Date Filed with Building Department & Town Clerk: 2/21/06 Melissa A. Brichta Zoning Board of Appeals Secretary A Building Permit must still be obtained for this request if applicable. PLANNING DEPARTMENT P.O. Box 470 1142 Route 311 Patterson, . 12563^ Melissa Brichta Secretary Richard Williams Town Planner Telephone (845) 878 -6500 TOWN OF PATTERSON FAX (845) 878 -2019 PLANNING & ZONING OFFICE ZONING BOARD OF APPEALS Howard Buzzutto, Chairman Marianne Burdick Lars Olenius Martin Posner TOWN OF PATTERSON COUNTY OF PUTNAM, STATE OF NEW YORK RESOLUTION # 04 -06 IN THE MATTER OF THE APPLICATION OF Dale Daniels TM# 36.57 -1 -16 PLANNING BOARD Herb Schech, Chairman Michael Montesano David Pierro Shawn Rogan Maria Di Salvo FOR AN AREA VARIANCE OF §154 -62 (C) Buildings on nonconforming lots To Construct a 10 %' x 8' addition to the existing dwelling. INTRODUCED BY: Board Member Olenius:: „ SECONDED BY: Board Member Burdick DATE OF CONSIDERATION /ADOPTION: February 15, 2006 WHEREAS, Dale Daniels is the owner of real property located at 12 Lafayette Rd identified as Tax Map Parcel # 36.57 -1 -16, and WHEREAS, Dale Daniels has made application to the Patterson Zoning Board of Appeals for a variance of § 154 -62 (c) of the Patterson Town Code to construct a 10 %z' x 8' addition to the existing dwelling, and WHEREAS, 154 -62 (C) of the Patterson Town Code requires a lot with an area equal to or less than 19,500 s.f., minimum lot area required to enlarge a principal structure shall be equal to areas shown in the schedule; Applicant's lot area is 8,000 s.f the maximum principal structure size allowed is 667 s.f.; Applicant proposes a total of 681 s.f.; variance requested is for 14 s.f, and - WHEREAS, Chapter 154 of the Patterson Town Code requires 15 feet for the front yard setback in the RPL -10 Zoning District; Applicant will have 14.5% variance requested is for .5', and WHEREAS, the proposed action constitutes a Type H action under 6 NYCRR Part 617, and therefore, requires no further review under the State Environmental Quality Review Act (SEQRA), and WHEREAS, a public hearing was held at the Patterson Town Hall, 1142 Route 311, Patterson, New York on February 15, 2006, to consider the application, and WHEREAS, The Patterson Zoning Board of Appeals has given careful consideration to the facts presented in the application and at the public hearings and finds that: 1. the proposed application will not produce an undesirable change in the character of the neighborhood because the proposed addition can only enhance the property values of all surrounding, 2. the benefit sought by the applicant cannot be achieved by any other feasible means because the Applicant is already putting the addition towards the interior of her property and not extending any further towards the frontage; 3. the variance requested is not substantial because the pre - existing home is already .5 foot into the front yard setback; 4. the proposed variance will not have an adverse effect or impact on the physical or environmental conditions in the neighborhood or district because as shown by the schedule the varlance requested for more square footage is minimal, 14 square feet; 5. the alleged difficulty necessitating the variance was either not self - created, or not sufficient so as to cause a denial of the requested variance. NOW, THEREFORE BE IT RESOLVED, that the Patterson Zoning Board of Appeals hereby grants the application of Dale Daniels the variances as requested to construct a 10 %z' x 8' addition to the existing dwelling. AND BE IT FURTHER RESOLVED, that the variance granted herein is subject to the following special conditions: 1. That the siding and roof shingles on the addition should match the existing structure. If UPON ROLL CALL VOTE: Board Member Bodor - yes Board Member Burdick.. - `''-'Board Member Olenius - yes Board Member Posner - yes Chairman Buzzutto - yes VOTE: Resolution carried by a vote of 5 to 0 STATE OF NEW YORK ) ss.: COUNTY OF PUTNAM ) I, Melissa A. Brichta, Secretary of the Zoning Board of Appeals, do hereby certify that the above is an excerpt/summary /fair representation of the Resolution adopted by the Zoning Board of Appeals of the Town of Patterson at a meeting of said Board on February 15, 2006. DATE FILED: CL Melissa A. Brichta Secretary Zoning Board of Appeals PUrNAM COUN'T'Y HEALTH DZPARI E-N`r * DIVISION OF ENVIRONMENTAL HEALTH SERVICES 225-3838/225-3833/225• 3641 PROPOSAL FOR S&qAGE DISPOSAL SYSTEM REPAIR V-M'S NAME Mrs. Ann Impieri PHONE -TF LOCATION Lafayette Road 9147279-2066 30-3-5 - 1ILING ADDRESS Patterson., N.Y. 12563 MSON INTERVIEWED PCHD Capplaint. # Name & Relationship (i..e, owner,texiant, etc,) iTE August 28, 1990 TYPE FACILITY Private Dwelling ZOPOSED INSTAtIER Dave Burdette PHONE 914-878-9074' :op (include sketch locating all adjacent wells): )TE: Repair must be in same location and of same type as original sewage disposal'system. .fferent location may require submittal of proposal frcrn licensed professional engineer or .1isteted architect. 1) The existing 500 gal. tank is to be pumped opt and removed or filled with sand.' A new 1,000 gal. polyethylene tank is to be installed in its place outside the bathroom entension. (A Polyethylene tank was selected because the area is inaccessible to a large vehicle). 2) An exi's'ting dry well is.to'be eliminated and filled with clean earth. 3) The existing laterals have rocks in them with no disribution pipes. we propose.. to remove the rocks and add R.O.B. in their place with perforated distribution pipes. -oposal approvea-'-�-, Proposal Disapproved 11 7' I Signature & to -pposal approved with the following conditions: Procurement of any Town permit, if applicable. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,bouse corners). d. SysUm. description (e.g., 1250 gal. concrete septic tank, three precast 61 diam. X 61 di@@P.' drywella surrounded by one foot + gravel). e. Installer's rkmm and number. System repair to be performed in accordance with the above proposal and conditions. as owner, er, eported aont of owner agree to the above conditions. .GNNTURE TITLE DATE 15: W-dte (PCID); Yellow Mbt n BI); Pk*, (1qDLicant) ------------- -IN 4. bvod.,- . . ......... rqlc b4w li is------ --- - 1W PUMAM 0X0MrY HEALTH DZE)AR1M N r DIVISION OF ENVIRONMEMAL HEALTH SERVICES • 225 - 3838/225- 3833/2253641 , R- 198 -90 OWNERS NAME Mrs. Ann Impieri PHONE 914 - 279 -2066 SITE LOCATION Lafayette Road# 30 -3 -5 MAILING ADDRESS Patterson, N.Y. PERSON INTERVIEWED PCHD Canplaint # Name & Relationship (i.e, owner,tenant, etc.) DATE August 28, 1990 TYPE FACILITY Private Dwelling PROPOSED INSTALLER, Dave Burdette PHONE 914- 878 -9074 ? roposal (include sketch locating all adjacent wells): 4OM: Repair must be in same location and of same type as original sewage disposal system. )afferent location may require submittal of proposal fran licensed professional engineer or registered architect. 1) The existing 500 gal. tank is to be pumped out and removed or filled with sand. A new 1,000 gal, polyethylene tank is to be installed in its place outside the bathroom entension. (A Polyethylene tank was selected because the area is inaccessible to a large vehicle). 2) An existing dry well is to be eliminated and filled with clean earth. 3) The existing laterals have rocks in them with no disribution pipes. We propose to remove the rocks and add R.O.B. in their place with perforated distribution pipes. roposal approv�,�. Proposal Disapproved to M, nature & roposal 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. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points d. System description (e.g., 1250 gal. concrete septic tank, drywell:s surrounded by one foot + gravel). e. Installer's name and number. (e.g.,house corners). three precast 6' diam. x 61 gyp: 3. System repair to be performed in accordance with the above proposal and conditions. as owner, reported nt of owner agree to MATURE the above conditions. TITLE ' DATE E5: Wi to (PQD); Yel.lew Mai BT); Pi -c VglicEnt) 4 .;' LA7 34 6 LOY 34% I LOT 34$ L.O-f q g I �n vc � LOT L.OT 35o • N D °OE,'2o ^�. � 80.00' e . O i.eoa Poe o.l'soom . I SMSD T , L.OT t-oT L I . 396 I 395 344 LOT '393 Ol 0 I wnn,,r J ocaK. I �fy STORY �Rla MC P6C' uw"" ( R @PL Id O� I GM4 -- -- `• I � ' I Pe »C.s OtiQ 6TORY � W r V Me •p ' Vfa4PA► I I N a: o¢P,. RbV rp ��Ool3�ZO °l.l.i e.6'•awaT I 80.00 �vntc . I I I I 1 LF1�.A`*'ETTE RDA1� ZOMC pgMby DaddLOde4.P.LS. AREA= 000 S.F. Lww Swverro 12 CgAlenr Drive East Carnal, N.Y. 1061a OR O. 18 3 �C RE S loos) 2 "fi .1..�neraaridl�ue.r . ,a.l.am ar ,odlo.nr r..