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HomeMy WebLinkAbout2136DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -16 BOX 19 1 ru a 1 0 ir ., rr LON .4f ,, , ', r y ', } ` i I' - ' , 02136 n 4 f f,ORETTA MOLINARI R.N., M _S.N. - : - -Acting -- public - Health- Director' '^" Director of Patient Services 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 Mr. & Mrs. Blaney 15 Waterfall Lane Carmel, NY 10512 Dear Mr. & Mrs. Blaney: ROBERT... J: BONbI` :_a County Executive August 5, 2003 Re: Addition: Blaney, Waterfall Lane No Increase in Number of Bedrooms (T) -errtnef P "V TM##30 -2 -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 latest revision date of August 4, 2003 and this Department's approval'stamp. Based on -the information submitted, the above - mentioned 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. Approval is granted for sewage disposal only. Any permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Carmel. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke Public Health an ML /jp cc: BI (T) Carmel BRUCI- R. FOLEY Public_. Health Director - LORETTA MOLIN_ARI RN., .M.S.N. _ ''Xiiocidie Public Wealth _ Director Director of Patient _ Services 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 (84S) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY,) STREET I&WA-TERFALL WE TOWN GAP -MaL TXMAP# 50- Z- lCo J NAME 'R>LXJF'f PHONE -0 - 22$-581ZPCHD# 4dko a? ING ADDRESS JC5 _M (t✓°l2FAL. L.At E , GARNAEL , i JY 10512 DESCRIPTION OF ADDITION FoJIG4 ItJTEI? lot Qr— ahvEM6tJ 1 � 9 I,JTcI) PLAYaCCO4 ' KNP Z OP P UCGS iNTLivIBER OF EXISTING BEDROOMS �j PROPOSED # OF BEDROOMS (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 Road; Bi6v#ir; 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. OFFICE USE Comments Feb98 Whouseguidelines t� . v r.... r. •r.,rv.+rry ..+. - .,ry Y�v. •r. IV -rY 11 r1..rVL VLV �V V IJi V� • VV 1 W LL LVVV YL- 11 11 -� E J s, t. � ■C BRUCE R. FOLEY _ P.ub! �X � .�..... -�... �. _,. ...... _...�, . - _.. ....�.. _. -...: LORE.�•rA MO{,IIVARt ;:, : ?IrLS:N: fie edA • D!r¢el�r, . , �° OQL ' - - Associate Public Health Director •' _ . - - Y Director of Patient Services DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 Environmental Health (845)27S-6130 Fax (845) 278 - 7921 Nutstag SesviM (84S) 278 - 6SS8 W[C (845) 278 - 6678 Fax(945)278-608S Early tatervention (845) 278 - 6014 Preschool (845) 278.6082 Fax(84S)278-6648 {}TT W Putnam County Dept. of Health 4 Geneva Road Bre wster, NY 10509 Gentlemen: !_ i Wb.A RcA3LANol Residence Tax Ma " 2 Town—EUTWAMV L L eLl According to records maintained by the Town, the above noted dwelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: Z— M W 1 Building BFhouseguidelines T -d 908892S4 T 6 1d3Q 9N I a Ina eTO :TT Co Te IBC (p ► 00 IN A 00,7al—f AkO I R 119 Z S pff :7- J co 12 Z / . S J; N.25.18-')O*E 112.00 VALL�EY_ D LOT NO. 33-MAP OF U ' NION VALLEY ESTATES SECTION 2 -FILED MAP NO. 889A SITUATE IN .TOWN OF CARMEL PUTNAM CO. NEW YORK .SURVEY-APRIL 22,1964 - MAP- APRIL 23,19 A4 - CERTIFIED TO THE TITLE GUARANTEE CO. WEST CO. FEDERAL SAVINGS f LOAN ASSOC. CHARLES W. CARPENTER L. 1' 30 MAHOPAcN.Y. 80 I i Y. i. V. r--KI:5TI',jo , 606, Dcvrz I _'t W ATt--- tZ P7 A, L L Lit, Ak M MY �t,jav AT I OQ -ALF- -F)( MAP 4 �o -z - c� j p►c� 9,_ 4„ i Y. i. V. r--KI:5TI',jo , 606, Dcvrz I _'t Q - A WALL D&TAIL -S YiicAL- 5 WALL5 . � __.. • _ v ! Eve - -- -� � =� �: �. _. _ - \A1 tN oow DETAIL. T.Y�►GAL 3 w 5GALIE I Noma Germs I ® ® 1 WALL IE AND 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 August 15, 2000 Mr. & Mrs. Blaney 15 Waterfall Lane Putnam Valley NY Re: Addition- Blaney- 15 Waterfall Lane No Increases in Number of Bedrooms (T) Putnam Valley Tax # 30 -2 -16 Dear Mr. & Mrs. Blaney: I have received and reviewed the plans for the proposed addition of the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated August 15, 2000 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 Putnam Valley. If you have any questions, please contact me at your convenience. WH:kg cc: BI Very truly. yours, William Hedges Senior Public Health Sanitarian .. ,-1 15 WATT- �FAI.L �„� 3' -8" g, -e„ �A2MeL, NY �A5tME'QT ,CALE I .. ©F���� c PUTNAM COUNTY DEPARTMENT OFtALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; .; 3t3EDRO0MS OFF Ce I Signature & I me _ p 1. TC J�L`I 7, i' t r t e g Li ff 1i �•, ,� l08" � �' I i s QOCKET 'DG171Z - ;; 30., X Cob` I Cxr5T�NC i iDv 0, AREA . OF WORK mRM � A _ —i rmz - E -4J I m I 3 m T rp I A $r F ozm� I II C-3 I t EQ. 1 \ .. 2" -- X ALIGN << _ N N x ;V-0 IX �I D Ig § I I It A '. 2•�SC 10" RAFTERS �. 7" X 10" RAFTERS I I t Ib' O.C. I v iw O.C. 7 -7 N I N O O 2 -4• 5' -8• A -_ -_J I A O 8 nl O S —I f� ,S to it t� 1j I 7, - I NEW -' - FOUNDATICN WALL. II �; s, BARRIEF TRAPRO i ICA " TOP OF I .r SHALL I. OF EX151 I . G.C. SNAi .. ALIGN (2) LVL F I I PUmMCGUWVDEl)WMMWOFHEALTN o a0 HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; A 3 BEDROOM$ h 8 A -q SHALL "TALL 3' -0" X DOOR FRAME AND WARDWARE FOUNDATION NOTES CONSTRUCTL N Z."ONC I I PUmMCGUWVDEl)WMMWOFHEALTN o a0 HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; A 3 BEDROOM$ h 8 A -q SHALL "TALL 3' -0" X DOOR FRAME AND WARDWARE FOUNDATION NOTES CONSTRUCTL N fi awsnrn woiga` ' - � , N4.N p" s+►re R. 1001b0' SITE PLAN L +18:00' 1 C)= � SGALANOT TO SCALE R ■50.00' L.5136' PUTNAN COUNTY DEPARTMENT OF MEAo' 1000, �� HOUSE PLANS APPROVED fOR B�EDROOM COUNT ONLY; .1000' o6oz0' .._ EEDR00143 Signature &Title Datr ..N.-EW,:A.0 Mm PIN BRUCE R. FOLEY LORETTA MOLIN RN. M.S.N. Public: .Health Director :.. ....__.. ... _ . - Rio,. - ... s. -..,. ....... _. :f(S,;p,Ci -at,�, Pt(, � 8allfl; IJiPBCt4P Director of Patient Services 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 (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 August 15, 2000 Mr. &. Mrs. Blaney 15 Waterfall Lane Putnam Valley NY Re: Addition- Blaney- 15 Waterfall Lane No Increases in.Number of Bedrooms (T) Putnam Valley Tax #10 -2 -16 Dear Mr. & Mrs. Blaney: I have received and `reviewed the plans for the proposed addition of the above = mentioned residence'. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated August 15, 2000 .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 : ..r ..._�. � .. � - •- - - mairifained. r.._ ... - _..__ __._.. _..... ... _............._. �.. . - � . .. 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 Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges WH:kg Senior Public Health Sanitarian cc: BI .J DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road B N BRUCE R. FOLEY Public Health Director rewster, ew YUM 10509 Tel. (914) 278 - 6130 F=(914)278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) STREET ����.- f�� e TOWN �� TXNM2 # d NAME 3 t'. !�� PHONE PCHD u MAILNG ADDRESS 40 DESCRIPTION OF ADDITION M1 BER OF EXISTING BEDROOMS 2. PROPOSED.-fur OF BEDROOMS (FROM CERT. OF OCCUPANCY;OR CERTIFICATION FROM BUILDING NSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance vdth -� .. applicab16 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 3.1wo sets of proposed floor plan (drawn to scale, with name, street, and tax mp i� 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 sCert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFF, E USE Comments Feb 99 D PAR'rwNtv-( Division.. . 0 f [I Ivir 0*011le'r 4 Gcnmi, Road', . a r* w , i.t (9161) :.271 Putnam County bCpL. of He"1101 4'Geneva Road Brewster, NY 10509 GellUcillcil: According L records maintained by the Town, the above noted dwelling IS IS NOT In compliancc with 'Town code and the total number of Bedrooms on record IS This information has bccn obtaincd fro w CERTIFICATE OF 0CCUP7Y: • ASSESSORS RE-CORD: OTHER j Buildim'? 111SI)CC101 PUTNAM COUNTY DEPARTMENT OF HEALTH . Division of Environmental Health Services, Carmel, N. Y. 10512 .RTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Town of Putnam Valley - - a Town or village 'ydate? fall Laha Tax Map 4-1-15.9 clock Owner Jahn Snaglia Lot = Job 77 -147 Separate Sewerage System built by JO -SPnh Mnntndi Address KENNicuT gmI C Consisting of -1000 Gal. Septic Tank X*( 5) le china nits Drr�Vi di ng 175 S,.F,. Other requirements Of leanhi ng area each - total-875 S.F. Water Supply: Public Supply From * Private Supply Drilled By_ -- Albert Hyatt Address -Main - Street, Patterson ., N.Y. 12563 Building Type one family.-residence No. of Bedrooms 3 Date Permit Issued 1/10/78 . Has Erosion Controi�i,iseen Compi4edt -- - - -- t certi4y that the aystem(o -ass tiitad serving the aboye premises were constructed essentially- as shown on he plans of the completed work (copies of which aro attached), end In' ',accordance with the standards, rules and regulations, plans and the perMit ed by the nasn County Department of Health. Date 4 _.... ....- Certified by P.E. R.A. Address Ltee "nse No. -110 5 6 Any person occupying promises iik a by the above.system(s) shall prom iy is a such act n as nlay be necessary to secure the eorreetton of any untenitary conditions resulting from such usage. _ Approval of the separate sewera eni shall become null and void as soon ss a public sanitary sewer becomes available and the,Iippi6vai of the private water supply shall become null a void When a public water supply me$ available. Such approvals are :ub)ect to modification or change when, in the judgment of the Commis of Health, such revocation Ificatlon or .change is necessary. date BY O�tiC. Title b.to 50 00 UO M rplt A An NT -c &UT- Al A A C W -�p QPA V NKI L A r,: /. / (No Nou=s r- - . •__ - - „ .....:.._...,. - -P t am Val a Owner or Purchaser of Building MunIcipality . i M 4-1-15.9 Bui ing Caonstructed by Section WaterfallLocation - Street Bloc Building Type Lot GUARANTY OF'SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, worlflmanship, 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 skid °sys m constructed by me which fails to operate fora 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.negl:igent act of-t °he = o=ccur= -pant- of- the IiU; frq-- utilizing the system. The undersigned further agrees to accept as conclusive the de' -' termination of the Director of the Division of Environmental.Health Ser- vicasa o -fM he: Putnam.. County Department_.of -..He'alth as to. whe.ther.�ore not the failure of the system `to operate Was ciiised­ by�the �w ll'ful or negligent act of the occupant of the building utilizing the syetem. Dated this 9_ day of A=ri1 19 Signature.. Ll Title lir Corporation,, glue ame a4 a dre s`) 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 County Department of Health MO a � tow. _ OF' H iFirAtTHi Division of (En�i�6ZIM ta/ Health Services, Farm -4. ,. `Y: I 01,?2 �R AL? . 'Town or Villager S Separate 5eweriiye+ System, built @y__r.Tn�E�C�IY Maa1(o]U�l gdgsess ��+' f'�j r • -� Consist +ing of, '- z_. _(4a1t..'SePtic iTank $'� 511' ' lea!C311Ln _ ]� S XjrADVl (31:110 7�T'% "�i -- F Other requiiements - Of leacah -ing ,arena - eac ±Y_ aotah -875 .S 1Natei' SupP1Y ,Pubho Supply' iF1►om * Private 'S'upply oYi)Nsd ,y Albe�r t4 H't - -, t - ;Aader at ne am' v. e' de'ce Building, Type t 11 040 fog �, -. r G6te 13erIt4lt 1ptiei4 ✓;Q� %$ Has Er "os oA " �}d4 taes t "1} nrtify that "t 9"M � i1stod, wv), � ,tiff +V,�9.plrthft�la ovate inatrt�fit i �dp�i�ltir'" Yy iii t DV�1i dtil _hir pNlnr O) Abo 3tei"0klN6d worlR ,,(96PN11 of Which are. dttee iXetll iid rceardtlrliCi with ',tffe sta9"lit"- ,rul S, raiYit4 x�uiatl6lla, blAn's, , athe4 tha lieitltit by' tl4"i . ffatYi Gounty IC�etlfrt111r11 fit .H"Ith. POOs. _ L e3e 7 4 ✓ 7'9 4t 111t, f ed ba+• - 1+.8 . R.A. - �4drdr, _ _ icen ire. 11'``� "6 ,° ' 4ny breore 1 tfbiylhp tli�rtfi fi aetvsd',by the abp io 4° . ct►tldtitons reediting team aach usifye, AppruVal ,nr' tlffi- atlpLP+tfe _._ atteilifOle at+d' th ► .aoprdl►al tit -the 0m elto water, gu004V stiitj,bowrreb. rfu tu+lee t to modMkat" or cKinge. W-660C iH the ; ;ui1"irlt er thb' C„n 21 rrt is i Ituth'$ Ih ilr t"y b o n itv i6: -4 corredloo Of any unpnitary �Ya�, rMtR nul6 and? ve1R4` ail; tt,,+lf r pu!►Itc, rbnttary sayer becomes a V61id VMW a public ate':wwy w►at' aviflrbfi .. . Such awrovalt are m - at' 1+Y4�tlthe, �u.9h xuyu�itton it'k�ttein aY tha�l►li .[d .ife�rYry.. ` Ti\ie _ R i - Y _L _✓, - - 3- MAIN . hw a.- �..,.,.._,..�., IF GRAVEI, • PACItERi FELT to FOOT fQRtyIATIQN ReSGRIPjIQM Cam, ra..Y� li t e" MINUTE I WIM4 PRi"FR {OIR114 O) v; of well Inslu tla� *FN.^9Ar 1pw�1 1rFrg�t�TR .mm�t�v�e1 �r pack (Incim. �etch exact location of W911 with 0.40POS, to al 1"11 va pa�tnenont /ancjmprECp, ' W.W.", A lull OFrwq PUTNA M !PIPPINTY' 'PRA"'i i11T OF "440" X79 QlVISOn all onyb9nm mm. NeAltlr garYlt. COUNTY OFFICE PU11.1,0INQ - G4►1f�A�4,. 1t90N -rr• ThII< %yli�Tll Ise Tq to Inpl ted I?y yr+ll �frlUnt and eauhmlttsl� to olwntX lli#lth Department. tgethar With 1 @09FIltpry rgpQ p1r MgIV00 9 g c�plq in�iratlnl,4 wgtpr Is. of sgtisfactgry bacterI4I qU lity pafQre ca�tificatQ of n�trufnion� (�alplipt a 14 !C e. �trf 41..Vr SUBl11AITTEDFY3lITHIN 30 QAYITi OF WALL COMPLETION �W�Q � !►pD�F�S3 qw-, 4 WI? q�, IEAt NqI�! yRAPa�S!",A l Tl�r (- *d ��T�19IaI�NN4NT fA04 EI DIRT W94 ELI CJEm (""� R1111 (°'� (''' j Ala oTa 13 tMQU�Ta1At t�N M 4.,2..1 . �--.i CID►li�lTlt#NIM� t..,..,f ( h) CABLE OTHER �ALIl6E I...a slaT i Alit Vt:KYAORN slo" (Bavdh) . CAGING T# .� ql p(ingh,99 WRI90T PEP. FQQi . TtXgAR nKRP YI$ IN pf l A � TR�i 4., J pA►owl? l..-I ew. a 4QWNI!440. Alp WAS p� �$R!� t4►P!ti �Ylf�!#fl - BfATl4(!SAOFI /k f4aU 4ualt+►U TINA 7�yT �teotl /) bopth of Campy Well Iqw land iyrfgm 1132 MAIN . hw a.- �..,.,.._,..�., IF GRAVEI, • PACItERi FELT to FOOT fQRtyIATIQN ReSGRIPjIQM Cam, ra..Y� li t e" MINUTE I WIM4 PRi"FR {OIR114 O) v; of well Inslu tla� *FN.^9Ar 1pw�1 1rFrg�t�TR .mm�t�v�e1 �r pack (Incim. �etch exact location of W911 with 0.40POS, to al 1"11 va pa�tnenont /ancjmprECp, ' �` L. � '.. t. ? �, � S' s t t �� . _.c �a'ttp# .g, �,,.. '°'�x�'+ -•s� _ sA,*'4 E„y+ r „� M: ?� Y .,£. S Si k. 1.'•!•ti f Yr j 1,<�oS.d.N t� a.�:i ? M1'n`41'*>y''"�,y. .`i4. [, �...4�.dCF STt,J�,•C]a 4, }'�}.','�'4"'t .gig' `,�,+. -.5,, ,' + "`* fit& "r.• .z`' i ..n h 1°�'`y� L'' °a` QVA-- YANA�LYTICA LABORATORY y- S,k4 '-- <�f'.. 9rdu•�2 '�i�.r""4.� '"'�a '�''„`S R.'�'y :� >..�c ?°d '.�,r"[� - ,>?' F-. $Il� ^iStone'lei h?A'�entue���,t� �..'r.�r � >�F �.af �'� L :;�,. ry ,.x;�9s��, -y e.• .��:;�; �? fCollectFonDepof Y�ORKTyOWN MEDICAL -1 A6 IIVC zg- QY Fx ax- J` + ,t x , rY t h'i ° -y it .y N43 .,. § J �" :• C`.,+'"4' 1 k,.A�`' 4 'j°,' -'. (. ��' � Carymel�aN Y .10512 � � �', 'r' - i' .{�{� xt p.-' S !i`a.Y :! 4 3KCg`" � yw �. iai ." � F•t �f II 4 oL.- _ = � "�� "OFs((+EXA�NI'INATI'O,N�OF t,,x =���� ; �RESL1LrfS� WATER��� �. . y t y "N tc. � a'� • .y i �` '�j, �Y ` x ;1" b sr '33' v 7 A :v^e G ,17 *1✓ �k`afH ➢ - OWtNER{� rt Y+ K� t�� �f x n�� =X DATE RECEIVED T 4 �" i 'r`i � �>< � � "".. "i,. ��;s�" ``� ,� r„ v^ cs- 'S,R :ux 'r . ri- � h, ;y'�✓ . - 'o }.7' JOkiN SCAGLIA'�'' k s� <� I a`��` CITY, UII.L• AGE,TOWN & /OR�NAME�'OF SUPPL'�Y'�r•�; fi� Y � c�"�y � sub �� ", � >�,DA P TED � �'��� <'� � ��' �"'`` �� Y Y ay. 2 i Y .r\''G` f S' '�:G4$.Kw!• T 'k..„ "'{ i, 1. 1 Y YC, , 4, F,r _ s ry'},jw v_ .0 -�K .:•?i- - �"' .;x iK'� �. ss.`>•? y: i� �' � w,� � � �' 'tfiyr� t u _i � d .'.. - ?'° J` ,y,. •�. F t °�{ �`� o�, `�^�ss�.4 x�mi!� � It 'F`. "�' „er4: sG^a YhM' 'y�J �t+.F•� 4 ,.x +, t-. s -�{.> �` `�� �Yi f' ��a�� r �. 3 �� HOSE � � . s � s-F 4��r ' � 1 sr+ ! 4r�?� �'P ,, r� •} t^'c a ✓.� > ?V - 1_.._»..,. ..c_A.._ .'.b?'�. _t_.f5°.+ -; ._L`a..: .., ;._. _�9::..eti.��a.y....P',fy�2.. __.du�. �'�4.$y...n:. �r",�.'}v+iX�:2�'`_�f. r�`�,..'.,"....�. �"3, :11h. �...11,?S'afsr; T'.i�>�i �'i..�= ,`.`. .f .� :'..wJ.'�'. ..' . .`"- ._. ,^�.�.�',3 �.'`�' ?"�. ,all .- �>,•,;• 7 - ' '� C•„.._..c- � . �; ..-x� .y,F G"t�nn,"F"7"z�; sx..:,,,.,� j �.>.yy .e-.'m rrBACTtERIA P,ER +M+L are late count at,,35 °C fi � ,,;�!'- . ,a... '�, ......,,.,_„,�.- .'. x;"".....ai _�.:: ^ nee '• vsn ;GOLORMGROUIS Me�ti robable'.No1�00m1* ` "v r _ , R�RESI' DUAL 9CHLOO RINE % >AS RECORDED','AT < any T�a+tv5rvy"S '°+. NiTR�AilTES ash t. SAMPL�INGxPOINT q7 +P IN _ ,� O ,tT OF TRE.4TMEN'I ~Y ` 'Qa. `4.%i`p% '/T' CHLORIDES (CI , -t +mg rx t � C YJ•�}aYx „'}, '?. ` .tc ' _i< ly+'C.' f .t fi i ° ha,:.• ..cM� zl: n .w:4m&fi4,k? 5, y utk� +,r 1,. «_y �,LKtdi YS J��:,i Ya4o _� t j em£ca� 42'r 5'a> -I Jv '� .l, �.. 1y�+ +n'I"t�D±'�' f �;, €asc `HF�". y -`:•"5 ,.,' «sta +rd �"'w�c 1�t3fi�P:' �e�"➢����e:7;��?' �r �, ,_< � �,n'��;r"��n`a'. i' ;�:En Y aa:_��R S e�F ``` r 'r,riti �,* �' � �e .5.,. jY',i,� s�` 1F-mum E:,(�7 1 r . i �,�"�}' e ,s` �}-.� r �sg )W "'�''.:}.S 'C y ."*�';, c_'� � s- ,: •4 � 1 �c � ,^%x� ^' l� � n R� � `�'"*`xr d` t ..; ., �_ e� �� ��� x ,...``rr�. .d'� �9N,�- .T .,�i � � k ,8 �'',,� r, { �.,- x.�. - .'`; °., '��',�a -t', a': f y t'yy �Y., �•s �t%'. ,ax "..'`,. Y k i.. �r .. �#..t, J, , k. a� . : `l $ F 4 1 ti �',,• ',w �,, qq _ iido-�'`�'���.�rFK�•?<e�. '>'` %'' S@.ti�' % ".�"_ at�a..b.<k"Y•a �� �. ,,��aa�� ..�- �2" -•?} +,3^c �K� + .a, w \d r'.a r , 6.! 7h�"JO4� r 6., «. -• ul:fL . .^r..VS�S' �. r. .�i1 ... �+,�y. `- looY]'S' T.3'�^L 7 F •3�" h t� 'i i1T >5c 'ry^xYb!+} ,.�fi . 9 v� S ,X' hi�3 f "" ur llt t rY' '� -o" `%$'M ! ".: y-w �•r,,`q4- S;'�'' _.�. -K •,?• ". -i'U' "� terDa,.! r ...., fp ,. .. ��+2.'f s'4 / �FX �. Af� ! v,•a�. f'�f � n!b. '< Y 1 ?� m: y�,,e�� ^i: ^'p 3� ="x'L T, u: os,.�:�, ^}tf .: wY� =1'�. ^,_ . -'ni' %�iy.. q . ,, :£�'„�••r - '.. `',r»..a °'4°r„r•''a `.y. _ ..J-c. v- .a ..;x .- il, F .s.. _"? -:`.�7 ;r'.'r52 ..,�'° m£ -;>� �_.:•"7'x a.- ...z * -sex, t 1„ ,.,.�7iK. uf�',:fry' ?J.. _ } _ .,�,, .. ._�x u'+" k i'z : $y. rs'H a^.v<r.T pc3,,. These „results mdicate3tlictathewater�wasYfESas of „aa "satisfactory aanitar r'ualit :whenthexs m'lewas collected - �,r. , ,+ u; ,r r :: §" Y� Q Y.�.,�, K *�°, �., e J. tJ•o..,' " ` ..yamw `�_.•• t= ,� + _ �, S.'< �h ays',:L u,S- i`•,�,.�,,�,; �. .+ x R.t F - •. q ] ..,1 ,a��.. ry�i2 rV.. n^7r'2`A•Tr.,, y.? �'-' h, a, ti,- E.UtTk"- 1`.•s. $1' 1.= a itSl•�. 'Jy``•"n,r'c�{,,?�,.. „ail 4 Y.Y } FT! ✓!-Yt 's:..i A p?`i. _ 'a '1i'` tG;` t�. 1t_, i »;. ,¢"a. 5.,a� brw `3 �� .d'�j,. _j '�.,y "'P•' -F tY. - "{,.,�• � _._H .,- � ?c, /,� ,'.3,`x"4 '�"e f 4 U. y ��; � p yJ. GS, f: � -t . .+' _,,L i"'.: 'tP 4(.e�.n `k lh�, �-''' �•., i�'t,y, �. r , P.. y F ''i, ... �.- "S j S:hP'i ^�3.t;3"Se!. -2'`': b'`�U�'Y r:•4 ,Y'.LW "'rhft :y�Xf ,:3k�i?,iF'��4''V4,+"Wfr` ! oJxPt2l ?' - dr . 9'. ,. 5 \: y .y-t ,. ...u,Y ��' +s�?�i „a -- ,-s ,,��� ��'��„« . L.._� s,.^�''a'�' ry � �?; f, `tr�a. �.,. s ��SL£ 3•.t� o .1 � ,,e :fix � '�"� ' v�.`•�'. �, v``a"�'?� -' „ : /yr���n`,� . �:,a.,, rv`gy ^"`� �{ T`r��'.''s,��."aeii *"kE;:s'4`e"Y4.� a.. ` °,'d.,.. r a +.xNra s-',.e -dam &'•„�>`�” s�x� c: '� 'L'�".<.�T1 r ;�� r 5µi ����. itf� c 1a a a e r." +., y �`• +..,xe �. �. sM .;=d:. « i'. r.v^•r= y.. ',�, a. �'t' .i1 -� .6 ?^,.`-,,. fi'k:'n r,.'TZcx�4. t �.t t , ) Ali s k +r� R� Fi sPADOYANI rM ; T2 ASCP S :.y ' i Yra'it r 7 i�t' r. .•..f t �, i NMI' aJ r ...;wr7'.:i �.,:1` A +'+ q,. ' n w �?..; 1<'Sn F,« - <,� 'f ,. 'H'h }�.r+gSr'.., �, t..'h..L 4..,...µ�13kC- �'`"4, 'n*..xi%� +'7 `". ^ "k �y.�w d*5. rNM,7..:.- , -�ti'' ^n ...V y; x i^ e"'�zf<_'; `,'��6Z .'v','• , .s . t�- %. at' ,L L ,F+^ 55- .y-Nmt 5 r 'y� t,,. 3y� xi3•a �� X +f',yN�<, t' .k w•i:'S -�`� t' y fpi =,?- -.-, x ari M yt w� -- •�,Ft14 � z-.. � �c ..i a f .3`": Sfi �i h � '43�# �:A ,65�+...zi,� r ,z � .t� 'ks S ,+ .Z � ��'.'. � T' .r<. f °�. 4..\.«„pf _t >£�'�.y� t.ar .L'6'R. A��' A,N ..:_•.. . F� b JN �. K 5 z Notes: 1) Tp:�ts to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. y c. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION . OF ENVIRONMENT NTH .SERVICES AL. - u%+A it COUNTY OFFICE BUILDING, CARMEL,.N. Y. 10512, DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL.SYSTEM FILE NO. Owner John Scaglia Address.. Box 1:89, Mahopac,. New York .10541 Located at (Street aterfal l TM - - . Lane ...mac.. Block - -... Lot ica e neares cross s ree MunicipalityTown of Putnam Valley Watershed ,N.'Y :C• _ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS "Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse p to a er:._. a er... Ve No. Time From Ground Surftde in Inches Soil Rate Start -Stop Min. ..Start Stop Drop in Min. /in drop Inches Inches Inches #2' 1 8:00*- -8:48 48 27. 30 3 48/3 =16 2.8;;49 =9:37_ 48 27 30 3. .. 48/3 =16 3 9:38 =10:26 48 2.7. 30 3 48/3 =16 i 3 .....48 _. ...... ... _27- 42... ;48 3. .3 :,9::,43 1!0 :3,1, 4.8 i 2.7 ' 30'. , 4 . 5 z Notes: 1) Tp:�ts to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. f' PUT111'N1. G�OUrI``l !D>'Al�'r 'a F, ZTK Dis[,an of r�h� /ronmentl Flalth S�tL/rces4 cG?afinel; IN Y 7!05P3 C�N$TFiUCTIgf� PERMIT F;O i .'SE fUA�E� Dls OS�►IL + VVT_n�M P�I;�nam Va 1, l ey Town or "vgllage i` 7 0Jq!iSv3t `i 4 tsi rTr "� ^tr L` rl't rf =. „vC :b4 "$a `T _ ,h45- �. ,.� ts: ++Itwnr rit;,.,,,"�%Q��?'�'Wl�' �" r - ° `Wt6 I•� - - ip 1 I 1 1 ! Forest iPer{c �xM 4- 15.g Job - Suddivision M E3 t C _5 I ;r'w'm G 15p i>i' p owner Jahn `$Ce'tlUl�l <a � � � � ;� Address - a — } ,}r R` 3 � z: r a jow -optic INew' Yo,rl� `1015+1. 9 es "� 8.6 M� _ "Builtling Type r StLot Areaab_ s r a ��, 4 ;,.nF � !s� y+y o •Y '` �izu �`�`�?i3sr x. � � i � � KTpt 1,9Hab,�teble SpaCeu g�NVO�b S4uare ;Feet X_,,iNumber of�tBedrooms , :. 4 :: r *x ; 7 r c -a - r ..yf I ! ' l k^,, �^''' r kudcww- '6 'if •m!w > -� > i L 't x��T 1 ?t'iWiriRe Sewerage System }to, consist tof,„ 1 OOj� 3„IGa1 Septic rtank rr- £ rlineal� feet, X a , g- 3 iRfth treheh _. .. __ ,A t 1°• `r Qv w tiro W`i Sr.:iFt x �'" up --e cast �c ©Acre , e g... - TO be CUr9'SirUCted by,��' ?rfot S�eFa� �e C. tie C� : 5 �,�, y,.�` ti, b °h�'cTS..- "`tAdd►es5 -.p . � ! -n. � � r�'Y'"* `�.. � •§ vac w �' � 1 >� t � . � �. .. , �� „s � ! - - kiWater Y"" o't- Publtc _SuPPIY fFirom� z x ; ,-'a Y"L a�yr -'s r ' a Private, �5upplyg t`o Abe tdrdlled '�by� r ., o o � a x 4 e.. ; '. l � r -�.��T S �s mss, ;-��r �.fi c •y �r i � ,�'"" a: +r ��' �, � ..r y ,. . lOther. ,Requirements .t_ - wtio'yl and cola letei res on "s�b'le for thefde{ign�rand location of the proposed system(sa`,;1e) 'thpf ,the separate sevtfage disposal system W t represent t .# (1::am I Y __ p Y P -_ _ . above ,described. wall be constructed as showwn on'theapproved,emendtneni trFiere to an "ditiin acgo "rdarnce wUth the, standards; rules an regU ations o. e . u ram °. +Courit' !Cle artrrieht :of. Healtls: and t•hat:,on completton'.,t_hereof a ":'Cert�ficale of +.Construot)On Compliance ? _sat�sfactory to ,the Comrnissiorier of Hea(th'wilf o tie wbm'itted to the, +De :arfinent =': land! ;a: written, guarantee wd l•ibe ,furnished the ownerNhs``wccessors Iheii "s orsassigns by'thefbuilder.,that said builder will _ P place ih good, Cope ►sting condition anY' Pert of 3a'id sewage 000 ance 'of' the approval of` the Certdfigit# �Qf Consteuctaon. Conwiia will ibe .located as.shoW,n,.o:n the'approved'.jplan `and that said, wall wil i ? "County Depart rent of iHeaith- Date - - - F r $ygni >' Address „RR $ , ImU 9100 - M : 4- %APPR0VED FO`R'..GO�VSTiR!UCT!I;ON- .T- Fi;is, approval elcRtre "s_ one yi ,ievoca6fe for';c6use ,or may be amended o ►;mod�f ec] wherncons�de e regutres a new permit Approved for disposal of domest�san F fl K s)em duYjr(g the i p , of two (2,) Rears irp, diateiy fioltd-j.rlg the date of the 'issu =- it)iet or�gin51 syst_ rrF any 'repairs hereto;''.) ithat the drtlied weii.doscribed: above al.led 5n ,co►dan '.� nth +the standards "lest and *eguia ioris� rot �lhe Putnam, °- �,. - _. _`.Y,o g License o 06 1 5t ,MaM ac New the date :issued unless, co Ow- n tof the Ipuilding ha `been ^undertaken antl is ssa lb Y ,;tfie (Go,mmission of.'' ea'th JP;ny {change or Iterat=ion of construction an ivate . a� TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. - '2 HOLE NO 611 1211 18" 24".. 3011 361f 6 _ 4211 4811 54 11 Sand, Clay & Stones Sand, Clay & Stone Sand, Clay &.Stone b -6011 66'! 1f 721- 7811 84 9611 81 INDICATE LEVEL-AT- WBI-CH,GROUND WATER .IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 71011 TESTS. MADE BY Joel Greenberg Date J.- 14/77 Soil. J.1ate- tfske'd,,j 6 -2.0 Mi rVi 11 Dr op: S.D. V6able Area Frovidb(t,­5 ; 'QQQ, 5/f No. 'of - Bedrooms 3 Septic Tank- Capacity 1 "0.00 Type P "re =cast concrete Absorption-Area =Prov ed 1y_1-20 L.'F.x24" aED 4- rrent _F._ ti er Pre- cast concrete alle s a. NN Name Joel LawrencE Greenberg Signatitif Address RR 8, Muscoot North Mahoaac, New York 1054T Y�, 0"0 5 THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: OF NEB Soil Rate Approved -Sq. Ft/Gal. Checked by Date PUTNAM COUNTY DEPARTMIN T OF HEALTH SERVICES )ate December 15, .1977 Rem Property of`. John Scag l i a Located at Waterfall Lane Sectlorm 4 -1 -15.9. Block Lot i Gentlemen 4 This letter is to authorize Joel Lawrence.Greenberg a duly licensed professional.engineer or registered architect ** (Indicate)° to apply for a Construction Permit for a 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 construction.of said systerrm or systems in conformity with the provisions of Article 145 or 1479 Education Law, ublic Health Law, and the Putnam County Sans- ��RED qRc tary Code o g REN`E G y 4V v Very truly yours 9 Signed Z1, A cf J�A,14� NA. ,� er r0 arty 0• . 011015 0� Gounter.signedo Address" P.E., R -APS # 11056 6 _ Teliptione RR 8 Muscoot No'rt h (Seal) Address Mahopac, New York 10541 914- 628-6613 Te ep one Nnist trees be rer�oved -note these Is deep hole repro- entative of. entire SDS•area Additional deep holes needed. Sufficient SDS area available considering driveway cut, house location, separation distances, . etc. . .. a MIT HOLE MTA Depth: -Water °elev.ati.on: Rock elevation:. Soils .d.escra. r)tion Date FIlIAL SITE INISPECTIONT Ins p. hy.:.: House located where. shoi.,n on approved .plan SDS located where approved .. Length of trench m- asured Width of trench average S�ope of the line-and trench acceptable Room allowed for expansion trenches. ... Over 50 Tt - from swamp, vaItereourse 11 ttiral _aoil.:not: stripped or.. SDS area �.__ .. umieces so,rily gra.doir.`_- , 10 I't. maintained from prop.line.an 20 f t. from house : Sepa' tion of trench from house, well etc. follows plan . - umber of bedrooms checks Stones brush stumps rubble etc: greater than 15 f%-.' 'from nearest trench .:.. 15 I't . of . peripheral soil horizontally. from trench Junction boxes: properly set Could surface. run off from .drivctaay, ';roads,. ground surface,. etc. channel noar SDS. area", Does lot drainage appear 0. K.. in area of SDS FINAL GLIDING OF SITE 1CCEPTABIX- Mr- - Str Remarks b es o DOOMT!,IIT S . qua e. aM.3'ia. _ Y\j Design data sheet , Peres presoaked? I'in- 30" perc test depth . Const. results for 3..runs. D'..Hole log O.Y. Corporate Affidavit for othe�� than individual: Authorization for engineer l Letter from Mater Supply if applicable ! If variance requested- .such.noted•onplans & appso D~=TAIIS - if change is proposed.,) ° Dist " contours sho�m (show new contours) Slopes for driveway cuts, etc., shown _ %P-ter service line location ­-Footing drain, etc . location . . Top' slope, bottom slope of fill A// Percolation tests and deep.test pit location T Settic tank size and conform ce to std. 3 B.R. house minimum louse setback shown TY stribution box ftg. below frost t , All water. within 50 ft . of .PL shown ,ole; Plan and profile SDS` - A]l -other wells and _SUDS closer 200' ° shown or reference.. made : 'Property, boundaries (metes and bounds - clearly sho SEPARATION DISTANCES SPECIFIED ON. PLAN 10 to P.L. 20! '-to. Foundation walls :00' to Nearest well 00' to stream) march, lake, etc. Incl. 15' to Curtain drain 10' to water. line (pits -201) 15' to storm drain 10''to. large trees 10' from foundation to septic•ta:nk 5' to pipe from leader drain & .foo 1nE. 0 . . . _ (- • � boo �.�. i � ..' - ! llu.4 :. �' �' „� _. - -. o .iae -.a. - u. .. ...,.e -:,_,. .mss -+o,.- � .�_»,. .. v- -. v•.r,re ..... _ .Yt/. :<: x. '-a:;.�s•�em�n.•.�v... �w ......... . ..... 40 0Z3c r/i l 8 a A'10' sX` 85"_ GT` 1T�; gg' - - of � �•. `�„ � 64sws.� 6 ' a� \� + 6pTtT.�gp� -r ; 7. rT • � 1AO/ III. � •+ �: F \ t . ... _ .� .. _ .... .._. c. - _ .. . - .. } �.�-.. is :3 \�•i, ?!!,ak �,�a i..c, �° Ra.� - : .•.._ .......,_. .. .. . , w ._. ...,� i bp T . fill FT . , 1'OQ:oo: APPROVE= L7