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HomeMy WebLinkAbout2118DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 44. -3 -4 BOX 18 02118 Is m IL t 02118 Roger Steven Blaho RR #1 Box 214 Purdys, NY 10578 Dear Hr. Blaho: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 20, 1992 JOHN KARELL Jr., P.E., M.S. Public Health Director Re: Proposed addition - John 8 Margaret McAuliff Fair Street (T) Patterson TM 379 -4 -3.2 I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the portion of the residence destroyed by fire will be reconstructed and a second story addition will be added (26' x 26'). The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: 1. The total number of bedrooms must remain at 2, plus a one bedroom apartment 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 replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. 4. A new well must be drilled in the north west portion of the parcel and the existing well abandoned. Approval is granted 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, please contact me at' your convenience. Very truly yours, ewe,, William Hedges Sr. Public Health Sanitarian cc: BI (T) Patterson ' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD ROUTE 6 CENTER - CARMEL, NEW YORK 10512 (914) 225 -0310 APPL I CATION TO AOANDON A WATER WE L L PLEASE PRINT OR TYPE r :SCRIPTION OF WORK TO BE PERFORMED: DATE: IWAIA"ll'-Z"I SIGNATURE: n 4it PERMI T This permit to abandon one water well as set forth above, is granted under provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the information delineated on the application for this permit has been completed. k 14 DATE OF ISSUE PERMIT ISSUING OFFIC, L STREET ADDRE TOWN /VILLAGE /CITY TAX GRID NO. ELL LOCATION: Aj 6 NAME ADDRESS PRIVATE ELL OWNER: C D x/y /C) _r/ PUBLIC ELL TYPE: DRILLED DRIVEN DUG GRAVEL OTHER EPTH DATA: WELL DEPTH ft STATIC WATER LEVEL ft DATE MEASURED 3E OF WELL: RESIDENTIAL — PUBLIC SUPPLY _ AIR /COND /HEAT PUMP _ ABANDONED -primary _ _ BUSINESS _ FARM _ TEST /OBSERVATION _ OTHER(specify) secondary _ INDUSTRIAL _ INSTITUTIONAL _ STANDBY NAME ADDRESS TER WELL )NTRACTOR: EASON FOR , 1ANDONMENT: Iveaj 4a9l'?�wl '-o :SCRIPTION OF WORK TO BE PERFORMED: DATE: IWAIA"ll'-Z"I SIGNATURE: n 4it PERMI T This permit to abandon one water well as set forth above, is granted under provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the information delineated on the application for this permit has been completed. k 14 DATE OF ISSUE PERMIT ISSUING OFFIC, L Putnam County Department of Health Environmental Health Services _ Two County Building Carmel, New York 10512 I, the undersigned, hereby certify -that the abandon- `- ument of my water well has been accomplished in accord- ance with the methods described in my application for a permit to abandon said water well_ (signature) (Date) (Print Name) (Address) M �p DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #UJ WELL LOCATION Street Address Town/Village/City (5 . '0 S Tax Grid Number �• �. — 3. WELL OWNER Name i % Mailing Address WC 6 rivate 0 O Public USE OF WELL 1 primary - secondary .]RESIDENTIAL D BUSINESS ® INDUSTRIAL O PUBLIC SUPPLY O FARM O INSTITUTIONAL O AIR /COND /HEAT PUMP D ABANDONED O TEST /OBSERVATION O OTHER (specify O STAND -BY OF USE YIELD SOUGHT gpm /� PEOPLE SERVED _ /EST. OF DAILY USAGE al REASON FOR DRILLING LACE EXISTING SUPPLY O TEST /OBSERVATION O NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL 13 ADDITIONAL SUPPLY DETAILED REASON FOR DRILLING WELL TYPE 00MLLED ®DRIVEN ODUG GRAVEL. _ OOTHER IS WELL SITE SUBJECT TO FLOODING? YES ✓ NO IF WELL IS LOCATED IN A REALTY.SUBDIVISION, NAME OF'SUBDIVISION: Lot No. WATER WELL CONTRACTOR: -Name Address: - IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES ,/ NO NAME OF PUBLIC WATER SUPPLY: �- TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED I'm-nPARATE SHEET "A 44& (date), (signature 'B?/e // 3-;z?!BS%L ✓44 sJE'ry/1���.� .�a.� ©r PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt }� (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in.accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations:;b'e: contained on this property and in such a manner as not to degrade or otherwise contaminAte surface or groundwater. Date o.f Issue: - Date of Expiration 19 `%� Permit 'Issuing 0 ial Permit is Non - Transferrable White copy:`HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 February 20, 1992 Roger Steven Blaho RR #1 Box 214 Purdys, NY 10578 JOHN KARELL Jr., P.E., M.S. Public Health Director Re: Proposed addition - John & Margaret McAuliff Fair Street (T) Patterson TM 379 -4 -3.2 Dear Mr. Blaho: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate" that 'the portion of _the residence:-"destroyed'. by -fire, will -be_- - - reconstructed and a second story addition will be added (26' x 26'). The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: 1. The total number of bedrooms must remain at 2, plus a one bedroom apartment 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 replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. 4. A new well must be drilled in the north west portion of the parcel and the existing well abandoned. Approval is granted 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, please contact me at your convenience. Very truly yours, , William Hedges Sr. Public Health Sanitarian WH/jp cc: BI (T) Patterson TITLE NO. RGP, 734564 CERTIFIED TO: : ✓OHN G.6MAiPGARET R. McAULIFf'E MARKET STREET MORTGAGE CORP. SECURITY TITLE & GUARANTY CO. IN ACCORDANCE WITH THE EXISTING CODE OF PRACTICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. CERTIFICATIONS SHALL RUN ONLY TO THOSE INDIVIDUALS AND INSTITUTIONS SHOWN HEREON UNDER THE TITLE POLICY NUMBER SHOWN ABOVE. SAID CERTIFICATIONS ARE NOT TRANSFERABLE. PREM /SE'S SHOWN HEREON BEING LOT A " A3 .YHOWOV ON MAP ENTITLED "FINAL SUBD/V/S/O/V MAP PREPARED FOR' EM /L 5ANT/NE1-L1 " FILED /.v THE PUT/VA A4 COUNTY CLEF?K'S OFF /CE O/V FEB. 4, /980' AS A4APNo. 17 445. I' r 2 2 W I I. O t! RLl' V /iTp ` AWLOMENA E F0a� a ; I LOT S - -/I- --,D MAP No, /746 is r �9 PPSI� ; { L I l V I a r. Q N a � thr C W iLI I —Res I ,� N� Y I cep. I t?t71 I I IQ� � . I I: o I I 4 I I � , C QI 0 e0 i A 0 n 0 0 3 V 4 2 T4U ol P� 0 . J 20 Q 0' V 4� r (1� D O WDOD.' POST a 9OARO FENCE FA/I? STREET SURVEY G SITUATE i All certifications hereon valid for the map and copies TOWN O� thereof only it said mop p or copies bear the impressed � seal of the surveyor whose signature appears hereo7i. ' // Unauthorized alteration or addition to a survey �/ �w w �/ MOP bearing a licensed land surveyor's seals 6! r I Vf'1 /w �F/� SURVEYED & PREPARED BY a violation of Section 7209, subdivision 2,of BUNNEY ASSOCIATES the Now York Sto)e Education L'aw. NEW /E I� 1� � /A/ LAND SURVEYORS. The location pf underground Improvements or SCALE: / 40' RURAL ROUTE #2 FIELDS LANE encroachments, tf'any esisl, are not certified NORTH SALEM, NEW YORK IC560 i i i