Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2198
DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -67 BOX 19 �L .. 1 .` i .� ohm m Ll 02198 mm Rev. 3/86 r JCERTIFICATE OF v 1" iteA at Owner /applicant Name GU'! 4 ANI.) MARIE DRiIJaForme - SAKON MUNSELL, W Mang Addreee 12- SoO tel-3 .o DR MANOPAC. zip_ %o541 PUTNAM COUNTY DEPARTMENT OF HEALTH Dlvlslo of Environmental Health Services, Carmel, N.Y. 10512 1` Engineer Must Provide F,, _ 25 �- 81 1I► i�2 (` P.C.H.D. Permit a CT0 I-yTNAM. VAL -L-E 3 Q I ;Town or Village... T- Map _Block1 i ' . •w: 5TN MAP of Subdivision Name ROARW6 Bivow KSabdv. Lot q 4217- Date permit leaned t-A 4' 1 S 9 l Separate Sewerage System built by D(;iIJG (:oN MA( -TiNG GoRP Address ('o J>URNMAL DR Nop w..;L JGT N`1 Consisting of I Coo C> Gallon Septic Tank and 3oo t_1= - z4" (-�- RAPPEL_ Teze,-jcj•k Water Supply; Public Supply From Address or: ✓ Private Supply Drilled by IJDRMAIJ ANDtRSOtJ Address ft - goy-4,54 Pu ToAM yALLzn,( WN I i L. Building Type S i n1r;t_E G'AMij.X FRAME Has Erosion Control Been Completed?— U11, Number of Bedrooms S Has Garbage Grinder Been Installed? Other Requirements 0 I certify that the system(s) as listed serving the above premises were constructed essenti 11 a ehown.pni,; ', ns of �nj completed work ! copies of which are attached), and in accordance with the standards, rules and r atlon , n ac da wi 0e- '.fii0 plan, the permit issued by the Putnam County Department Of Health. '; f• Oats Certified by- Address TlMeST C G co'::z, Po bQ O v, 062 °�� Llgen$s No. dG2�g0 Any person occupying premises served by the above system(s) shall promptly take such action as may bei+ipeeiiatSrit�d)cuNe tR• correction of any unsanitary conditions resulting from such uage. Approval of the separate sewerage system shall become null and vofd=as- aoon'`as a pubt,: unitary sower becomes available and the approval of the private water supply shall become null and void when a public water supply becomes avallabhk Such approvals are subject to modification or change when, in the judgment of the Commissioner of Ith, such revocation, modification or change Is necatar/y.� Date �f7 ✓ -%� TItI* �J- ✓�d' j leV . Imaged at- war. o.aer /A�aede + P, , © a a e PUMMICOUMMAZIMMOYMAM DtsYrwa[ OytAti�s�WBald8 •e•kw.Can" N.T.low Foshi••rispool Fwdlr ,at /4 0) Z w C�'rWK'.AlS OF Fwtalt / , - 47. T 9" " +4a.-M ya l T"M •r vow - Tor 11tap�_ wet Z ... Imo, 5 - 9(9 L n... r 06--96— w+rrs Tyle S2 r►__i -C. .rte rot Are. 7L -71 6 F Pill SeNI.. I Depth vahnine Near ai �••�� -� D•elp Flow G P D �A+ ®© PCHD NNdcaMed b R•gttEred When PIO is •wpkted Saj Mole S MM& syetsn is event d - �i O owho+ sop* nat � p/� ' r I e v. C. itii M e.rh.letd:�y C r, �,i-cL YP rr ei ✓ca, fo l •F,/ Wow &Wkp Raie Slab' Fora Address «r lie ..swap Sop* Drilled by` ea Addis a. BOX 13, 1 3 /taw • /7 I represent that 1 am wholly and completely responsible for the design and location of the proposed syst•m(yi 1) that ten separate awe • dIS al s stem above described will be constructed as Yawn on the approved 'Amendment the►• to and in accordance with the standards. rules an regu a ons o • CoYnb D•Pwtment of HIanh, and that on eompl•tien.thw•ot a "C•rtiftCat• of Construction Compliancr' satisfactory to the Commialon•r of MNlthwill M tubmNt•d to the D•p•rtm•ht. ad a written guarant•• will M furnhh•d the owner. his successors, heirs or assigns by the build•►, that aid builder will plate In good .Op•ating eordNion any pert of aid $swap dispoal system during the period of two (2) Yves IntmWlatoly fo110wing tMdat• of ten fssu• anq of ten apprevel of the C•rtMkat• of Conttruttion Compliance of the orlginal,syst•m or any repairs thereto; 2) that the drilled Weil doaci •d above WIN N IOretad as shows on the approved plat and that aid well will be In In _k9ordence w the Ms, rules and rgTaiTons of the Putnam CowpY C"art" Of,! K Date -4 ;� /A !2 4 r• 22 SIM•d- P.E. :z- 00 IJ ®x �✓ © D M V k A License No-06 2-9 s� 0 APPROVED POR CONSTRUCTION, This SWOV'AI expirN two seers from the date Issued unless construction of the building has been undertaken and Is rOvOtabl• for sew• Of may b• am•rdb or modified when coMider•d n•eMary by the Commissioner of Health. Any change or alteration of construction IOOuku aa�new MOM A wed for disposal of domestic seaNery IWA46% a a private water supply only. s.,._ .�7'10-;LLX /!may' /. / � - --e --27 ♦ e 1�. W.U. Ron? I , 1 rvo• is r ,e. r►'<Y;.. 1!,iri? :� i � >j,,, can:. i. i-: ■ K iiL i l 1 m a.. Tobip BU-04 LA14� ,Datg Subdivision ARRxgyad V'LZI '11 1141 0309-11- Fee Enclosed 0 Amnlint- ps .suss .: ,:: ■ @ -:, i A{ n., ■ •7 -may:, rs �.R._, eJ t. -� � - 1 - v +v•- r,:T r; Lo. ;- rr.: -a 0.t -e,;•. oa 'r t, , i � ;I / �'� a Y1: r' ?v �4n,r p _ ' � : `� :: +tee• iM Sagan G* LJ Dq* PM ModuesdO12 go Rellukat WARM M Is camplabd O 0 represent that I am wholly end completely re"D Bible far tiro design and location Of the aropOnd &bow described will be constructed as shown on the approvod amendment there to and in accordance a County Oepertment of I+ wKl% and that an completion. thomf a "Certificate of Construction Cam Do submitted to the Dgwdn *. and a written "arantee will be furnished the owner, his sucom m In Good .operating OwAltion any govt of aid a®waga disposal system during the period of t on so of the approval of the Cortificato of Construction Compliance• of the orilliml system or any wD be WAted as dtown on the apgroveg plan and that said wolf will be Installed in accordonoa tvd tl County: teepertmmd of h/aestth. late /y "l figneed _ ✓ n_ n ..i _ _ _ - . n n- I, APPROVED FOR COIV$ Td11lCT1ON :Thlaawroval expires two the date issued unless construction r:3m06ahOO far 9"Go or may ba a WWW of 010011108 alien ►y by th0 Ommissionm of ""I tI . e cev �r� ,AIE 407 ®IfpOa00 Of ®dom08l6t off/ kale ara4©r gappiy only. 018$ 1 i! /`— ��IA/ry the Tltq ,A ( /v Of.m a■hwill Id builder *410 to of the Isms -. flcrit" abovo the Putnam undertaken and in in of, construction .._w o ....._ LORETTA MOLINARI Public Health Director 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 March 2, 2004 Garbowski 100 Oakridge Dr. Putnam Valley, NY 10579 Re: Addition - Garbowski, Oakridge Dr. No Increases in Number of Bedrooms (T)Putnam Valley, TM #30.18 -1 -67 Dear Mr. & Mrs. Garbowski: ROBERT J. BONDI County Executive 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 this Department dated March 1, 2004. The addition is approved with the following conditions: - - - -1.: The-total nurnber'of bedrooms must remain-at - dine- witliout prior appro'vatby 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., lie w* 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. Sincerely, Michael Luke Public Health Sanitarian ML:hn cc:BI (T)Putnam Valley BRUCE R. FOLEY Public Health Director $ ,t'01 LORETTA MOLINARI RN., M.S.N. o Assicrlee: Pi�bfir Health Director ^ Director of Patient Services DEPARTMENT OF - HEALTH I 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 ADDITION APPLICATION (RESIDENTIAL ONLY STR.EET{QO (AKF' 06e- 1) Q, TOWN Pc TAKYn U MAP# 30,16 7 NAVIE Gr AQGO U3 S 9 I PHONE, Ct 3 6. PCHD# 4 MAILING ADDRESS DESCRIPTION OF ADDITION )%Kfz iD6 DO, O, PL)TN GE- L x IC- \7JiMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS N,/ I 0s-?9 A\/ 200 lyl (FROM CERT. OF OCCUPANCY OR CERTIRCATION 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 Gen-eva.Road, Brewster; -1vI' _ 10.509; Phon' -6130. _ L' 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 9) *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 BFhouseguidelines BRUCE R. FOLEY Public . Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient . Services , .. DEPARTNMNT 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 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: OWCISa w Residence Tax Map o • (� �" �� Town �f ►n r►r\ According to records maintained by.the Town, the above noted dwelling IS Y IS NOT - -t -in corripliance`witfilown code and the total number of bedrooms on record is This information has been obtained from:` CERTIFICATE OF OCCUPANCY: •/ ASSESSORS RECORD: OTHER Building Inspector BFhouseguidelines /OoOkolo, 2 Me 30.143 -1 -b'7 I IMP 'PP(WT --i 3 p Az .- :- o _._..P..o.. A 3 raze f�ooe NEW PAz�mDd 4E- W A Lt Fop.... . w /WALL cz vi RAY ZDoO) ooOA4R AGE -O2 Tri1 30,13 �I –67. A s u-1 (f2DPbst"U T- -mtZ PLA �� AS Wo r3�CZ ��8 R ' ALN_ ��1C� 'L.�._-:L�.�__.P.f�sz�.�.�.�_. IQ1 . F I2E nom -. rl4l!�- NF- vJ pA2, rn o�V All G I�.�ZAvE ��''% — TDoc fZ o� -0 Why F'LavCZ � 9 W 11""'o t�: W /'RAY eoo(n A 0 C L' 1 DAkI2 7 E -,)2, - 'A 2�-b �y R. 9/o .26 PI A nl II II6��p�� f3,R�'3 a -cPrz C L, I PUTNAM COUNTY DEPARTWNT OF HEALTH HOUSE PLANS APPROVED FOR QEDHOOM COUNI'*ONLY; B D 004'JIS s f o Ile Signature fiGe gate �pGE �2 �11 30. CZ 1 " kr) uxux-v (�TNZ&ow -s P:l f2apost-t) /4y Y J � ; Boo t.. (Er.ld: . _ k 00 7-) `15T 8�i�'rY1 ! 0. 1T � 2-c,. o' q OA 1 CL n I �j 1 M. 5[0' �• r BRUCE R: - :70LEY::. .: LORETTAl -MO INARI R.N.; M.S.N.–I.— Public Health Director Associate Public Health Director IV Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 April 30, 1999 Guy Dring . 100 Oakridge Dr. Putnam Valley, NY 10579 Re: Addition- Dring- Oakridge Dr. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 30.18 -1 -67 Dear Mr. Dring: 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 this Department dated April 30. 1999. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by _... _.. this department. of the existing sewage'd'i §posal" sysfem; and its expansion afea,'mu`sfbe 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. Very truly yours, Michael Luke ML:kg Public Health Technician cc: BI DEPARTN NT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Far (914) 278 - 7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R. POLEY Public Health Director STREET Ica Lijv TO TX MAP # �D NAME GO : PHONE.Sro? PCHD # MAILING ADDRESS bld�=2 IU 16S-k7? DESCRIPTION OF ADDITION 6�1(LSkQcj- NUMBER OF EXISTING BEIDROOMS_,� PROPOSED # OF BEDROOMS.--e- (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 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. 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 Feb 98 4 L , t. W -poinAiibovzqiyDzpAnmmqroip HEALTH . 4d a I , # "B4011h swvkg& C111151111111L N.Y. 18612 1 m CERIMPWATE OF COM !7 # FZnW FM ZKWAGZ DUPOM XTnTK 4 cc "" Vo- I I -e -o 0. 'To" w V16" A'% 1,11t f Tax M" Z&sa at ak e . .9. F Date of Pm0seas Am",W bedidilog- Type S I n el W Ana FMM seeddlaWK Depth —Yokme Numb" at *1Iow.G---P. D PCEED Neffimlil— I- Itexislk.4 Whees FM Is westAisted SOP—" se-6011619 symbn to OEM" at- LQ22—G-41. Saloc T&Mk AMIA_ 0 q re. ✓ -V-,r e-.,, c- To be by Cmfa Addreas.-lL"(' 'A.-eX J1 Addren on --rd" sqwtr PC U d i�_Rr eld A;-C 1?) ti be- 4-o 4/04i. 'a lJS "O*W I . I represent the�t I am wholly a" completely responsible for the design and location of the, proposed system(s).;I) that the separate ;bed will be constructed go shown'"Jhe approved amendment there to and In accordance with the standards, rulaSM—M.M.N.h.474"W" Department of Heifth, and that an completion thereof a "Certificate of Co ction Compliance" satisfactory to the Commissioner of Healthwill :,County nstru y sIae submitted to the Delafftment, and a written 14arantee will be furnished the owner, his succasoors, hairs et.r.asaigns by the bull6w, that said builder will -JON C in good operating condition any part of said sewage disposal system during the period of two (2) yetis Immediately f*IW*Irjg the.datt of the Issu- I thereto; 2) that the drilled well d4safted above j&nc* of the app"Oval at the,Certificate of-Construction Compliance of the original system or any repair ivrilil be located as Vwwn on the approved plan and that sold well will be Inst I rdance wit the 'dx&lardt. rules and requMM—niol the Putnam .:County 04" f Heafth. ;,Data Signed, P0 /3 ex -- Oy-o 4-arl' ;V >'O' zo I '.n. No eq�' i-LAPPROVED FOR CONSTRUCTION. This approval 41.pile$ two yews from the data Issued unless ionstructl;6A of the building has been undwUken and is "rWrocaoism for -pule or may be antanded at modified when con"wod necasaltry by the Commissioner of H4rth. Any chari94 or alteration of construction '. If I SMRW Mv. :f'r"W so • new Demit AMaved for:dlmft Y 94we", _!�O/or. private water supply only. Date 42= GV- Title 10/88.' 7. j -Y: ::;-;::. _..,.fir :.r. :0.1 a'' ='.r•: -. _ n.. LOW _ Ir ffl 4 e t =: Zm _ .. E a RA. r clef I _ 9-0° IV-11' o O c� 1 r -9 1/2 B..Rl $ z DIN ` °M"r J L ll ` r AcFRlS O F f ! vim-) ' N ,J 3315 11 11 W�GRER �4 z4 !z 24 • c? 4 k1 ,QQ — • f / "-� b 11 I 13 i 1 _ 13 1 13 LIVING 1 BR3 I eR2 13• -11' 1 ' 1 12'-6" SD W ICKF-R 11 •• V,j1C1�CR I. � . 2M m ,_ T -6" L W. 2 IV-11 vz' oi 2m g•1 1n NAM GGl'►! [)EPA • �e � 03FBAR N O 26X48 . -� � 339548�l Efl F� HQUSE puhS A 'r 3395 AD O 3 1 ( FLOOR PLAN 38R 28 RANC" i 8E.10 A COUNT ONlL1�; BUILDER du<le SUPEERI DR j i ,��e rndov schedule �GQRQ��aIJ o: CAM v4=L -0• 1 2° T o . 5ae T ° :._ - / 7 ! LITZ oecx 1-28-92 oats .No e " Date `� �� igCtature, & DATABASE NAME w.•::.:. d orNO M i. Ift'l 14 v z i� I All -NIP 40 I , oa 00, 0 / / / 1+07,o / / C`�s1 rJP+II hI JA oll FIN / i / 1Rl�t•l. I �� / Mot CO ��Q► WELL COMPLETION REPORT � Office Use Only DEPARTMENT OF HEALTH S� -" "- Div'i' s' io —n� 'Of "•Erivironmental ' HeaTith- Services " PUTNAM COUNTY DEPARTMENT OF HEALTH STREET AOURESS: WNW VirExam IV TAU GRID NUMBER: WELL LOCATION : r,. �� A"Aax 6/,t fl, NAME: A ORESS. (�- PBIVATE WELL OWNER G . /la �r; ✓e {�)'� a t� r T � O PUBLIC USE OF WELL ©'REST ENVTIAL O PUBLIC SUPPLY 0 AIR /COND. /HEAT PUMP ❑ ABANDONED 1- primary 0 BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY p MOUNT OF USE S" YIELD SOUGHT gpm. /N0. PEOPLE SERVED I EST. OF DAILY USAGE gal. REASON FOR .[]REPLACE EXISTING SUPPLY []TEST /OBSERVATION ❑ADDITIONAL SUPPLY DRILLING . SUPPLY (NEW DWELLING) []DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH ft. STATIC WATER LEVEL to ft. DATE MEASURED X° /y DRILLING r- ROTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG EQUIPMENT 0 WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE 0 SCREENED a-OPEN END CASING ❑ OPEN HOLE IN BEDROCK 0 OTHER TOTAL LENGTH I_ fL MATERIALS: 97 -STEEL O PLASTIC O OTHER CASING LENGTH BELOW GRADE / 9• s ft. JOINTS: O WELDED Ito- THREADED O OTHER DETAILS DIAMETER —_ in. SEAL: p- EEMENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT lb./ft. DRIVE SHOE. DYES LINER: DYES Q-NO SCREEN DIAMETER (in) SLOT SIZE LENGTH (It) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS ._....FIRST O YES_ ❑ NO y' HOURS GRAVEL PACK 0 NOS GRAVEL DIAMETER TOP BOTTOM SIZE: OF PACK in. I DEPTH ft. DEPTH It. WELL YIELD TEST If detailed pumping 4-ELL LOG if more detailed formation descriptions or sieve analyses t p p 9 are available. please attach. METHOD: O PUMPED tests were done is in- DEPTH FROM Water Well VCOMPRESSED AIR , formation attached? SURFACE Bear- Dia- FORMATION DESCRIPTION COOE O BAILED' ❑ OTHEA ; ❑ YES ❑ NO 1t. (t ing mete r WELL DEPTH DURATION DRAWOOWN YIELD Lurlace Cj. pups % r ,v It. hr. min. It, gFm. i -r - WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? ❑ YES ❑ NO STORAGE TANK : TYPE UQ,(k F —Ttol -B �Ls-o PUMP INFORMATION CAPACITY GAT,. TYPE S �b ' CAPACITY 9 WELL DRILLEA,NAME DATE MAKER �� c +. v.c� �i�w DEPTH 3i2 NOT a.ur tl�+ crM., .. ADDRESS b.S N SIGf MODEL VOLTAGE 1D HP .0 �o X v A I� C ik l� f l 1 6t (A G.h. S } >° YML Environmental LAB NUMBER 32.8452 "•YY?' Services rDATE /TIMETAKEIV 11 -30 -92 8:00am h 32j- Kear ..Street,.Yoxkteavn.Heights; NY -10898 11 30 -92 W9 . loam DATE /TIME RC'Dy. ELAP #10.323 (914) 245 -2800 DATE REPORTED I DEC n 2 1 Ann Marie Dring 12' Boniello Dr. Mahopac, N.Y. 10541 COLD BY I above NOTES 621-2518 RESULTS OF WATER TESTING X ANALYTE RESULT UNITS ALKALINITY mg/L AMMONIA mg/L ARSENIC mg/L CHLORIDE mg/L ` COLOR Units CONDUCTIVITY umhos /cm COPPER mg/L DETERGENTS n -g/L . .. FLUORIDE - ,` � . �-_ ..__..._._...__. �._ HARDNESS mg/L IRON mg/L LEAD mg/L MANGANESE mg /L MERCURY mg/L INITRATE TOTAL COLI FORM mg /L NITRITE mg/L ODOR TON .1pH FECAL STREP, S. ".: Kitchen Tap . SAMPLING 7 West Rd . ,., Putnam Valley,'N.Y. 1057 For Lab Use Only Potable — HNO3 pH LT 2 <4C Nonpotable _ NaOH _ pH GT 9 _X<20 >4C _ HCl — Na2SO3 — >20C STAT! H2SO4 Z c F h4PN P/A RESULTS OF.' .WATER TESTING X ANALYri� RESULT UNITS PHOSPHOROUS mg/L SILVER mg /L SODIUM mg /L SULFATE n/L ` SULFIDE :- mg/L SULFITE nj;/L TURBIDITY NTU ZINC _rng/L SPC per 1.0 mL x TOTAL COLI FORM per 100 mL FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP, per 100 mL 1 These results indicate that the water sample WAS) [WAS NOT) [NA) of a satisfactory sanitary quality according to the New York State Sanitary Code, for the p ra ers tested, at the time of sample collection. These results indicate that the water sample [WAS] [WAS NOT) (ge a satisfactory chemical quality according to the New York State Sanitary ��e, fo�ie ar ameters tested, at of Samp le collection. NA =Not Applicable N =Not Present (Negative) SUBMITTED BY: P = Present (Positive) SA = See Attachment(s) " = Also done because Total Coliform was present Albert . Padovam, M.T. (ASCP) TNTC = Too Numerous To Count Director > = CT = Greater Than < = LT = Less Than pUrNAM COUNTy DEPARTMENT OF HEALTH DIVI SON ENVLRO► NTAL.- HEALTH_.SERWCE5_. 610V W-6-46 Owner or Purchaser of Building Building Constructed by We"71T POMP Location - Street (fil ��r►.� t�M ynu- Municipality sl ►- AtgL.G FKM l l-y Building Type 30, l8 I �7 Section. Block Lot �fi f�M MAP OF' IRakV-l061 IVM-K L.h kG Subdivision Name T-M . # 30g I If-4q Z Subdivision Lot # GUARANTEE OF SUBSURFACE SEin M DISPOSAL 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 guarantee to the owner, his successors, 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 approval of the .! CQr-t f c- ate-- of- -4C-ons -truct ion _Compl-ianc -e ".:.for the:..sarage::clisposal.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 occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether 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. r - Dated this ,� day of 19 9Z Signature ,� Title du General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk Cb/rporratt ai Name (if Cdrp. ) a I hv t :v tcx OR I Jff C-R TZT zar-hcls to c--=E--- :-:-.Cw I:er c7cle a- atase lc=- r=-r a=,rcy� h.- N--,=:-*-er-- CZ= ES C- C:- _c: r c EZ6-�;a crace - ac: CU�nji wcF:12-:Lz s i_—:_ a- B=as vrc:r:er.Y-7 C--cumEa h- All Tai r:es C- A!--, vi=es wi �-j 1. -e cf h^_ Eackfi--" C=n-ta-l"Is szcnr-,= < 4- in I. r= - imstElll=—�-- ac;==:imc ta aan C-r Eir-to ---------- F-cct-, mc h- acHe=,zate E� CZIEEICE-r, t. area lc=- --aa GS r. r C: v a v c -a - Date cf plac---1 I 2:1 b TH )-L Ti.---r-rier c- 1 C- bitzaarall sci--- r- c t C_ Et=r=, hrus-n, etc-, C-==- ri 15' L-C--- S:'S ar==- tha- e- ---------------- SE J D:--'z-=CaZL -C---tic tan.k 5-- 000-- 1 Ica 1 -- I I--------- -- C- ru=;-ium —`--a So' C2.==.- . . . . C:I=t- -------------- C- at sa-7-e Cr _. - -.n=l =-j 2 - C-- — :-i r — ----- C- L Z D -C m slcca c --c- c io 1 Ile 20 5: C. C i C-F C- re LI lG- DE::thl cf inin IA V zar-hcls to c--=E--- :-:-.Cw I:er c7cle a- atase lc=- r=-r a=,rcy� h.- N--,=:-*-er-- CZ= ES C- C:- _c: r c EZ6-�;a crace - ac: CU�nji wcF:12-:Lz s i_—:_ a- B=as vrc:r:er.Y-7 C--cumEa h- All Tai r:es C- A!--, vi=es wi �-j 1. -e cf h^_ Eackfi--" C=n-ta-l"Is szcnr-,= < 4- in I. r= - imstElll=—�-- ac;==:imc ta aan C-r Eir-to ---------- F-cct-, mc h- acHe=,zate E� CZIEEICE-r, t. DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER; CARMEL, N.Y. 10512 (914) 225 -0310 r + APPLICATION TO CONSTRUCT A'WATER` WELL PCHD PERMIT #_ WELL LOCATION Street Address Town Vi lage Ci y Tax Grid Number GAS ROct ,r� w. N/ �e- C S- 12j- 7,! L, -I Z WELL OWNER Name . Mailing Sk&rOA YKJA D Address G 05- -' - Wrivate Crovv /-10 Public USE OF WELL 1 - primary 2- .,secondary )d RESIDENTIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP D ABANDONED 0 BUSINESS 0 FARM 0 TEST /OBSERVATION 0 OTHER (specify 0 INDUSTRIAL O INSTITUTIONAL O STAND -BY O .AMOUNT OF USE YIELD SOUGHT %,J" gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE_6eL$a1 REASON FOR DRILLING EI REPLACE EXISTING SUPPLY NEW SUPPLY NEW DWELLING) O TEST /OBSERVATION 13 ADDITIONAL SUPPLY 13 DEEPEN EXISTING WE L DETAILED REASON FOR DRILLING V_v C� �v O _ e l r; .WELL TYPE ODRILLED DDRIVEN DDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES x NO IF WE L IS LOC TED/ IN A REALTY SUBDIVISION, NAME OF�SUBDIVISION: BOOK 1, Lot No. 917. WATER WELL CONTRACTOR: Name }� 1:1e- ct- o Address: i3 "A 13`, 13re,...tr�er 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 LMON SEPARATE SHEET q I - (date) (sign (ture) 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 thirty (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. i 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. f Date of Issue: �_� --� Permit Yssuing c Date of Expiration: 19_- Permit is Non - Transferrable White �Py: H.D. File Yellow copy: Building Inspector Rev. 10/88 Pink Copy: Owner PROFESSIONAL ENGINEER PLANNING CONSULTANT 525 Albany Post Road, P.O. Box 14 • Croton -On Hudson, NY 10520 • (914) 736.3664 Fax (914) 736 -3693 February 7, 1991 Ills. Maureen McHugh Zoning Clerk Putnam Valley Zoning Board Appeals 2 65 Oscawana Lake Road Putnam Valley, NY 10579 RE: Munsell West Road Dear Ms. McHugh: Please find enclosed the following: 1. Seven copies of the Revised Plot Flan. 2. Two sets of the proposed residence. Additionally, seven copies of the revised survey will be provided under separate cover. We would like to have the enclosed information _.._.�.�nc perated.into t e;pree,�ivu subgnittai. ahis-information is provided and' has been revised based upon the concerns raised at the January 31, 1991 ZBA meeting. As can be seen the house location and configuration have been modified. The present application is now for a 13' side and 5' front yard variance. The house in now 52' wide and 2 6' deep. This represents a reduction in house width of 9' and an overall shifting of the SSDS 14' closer to rest Road. The modification will now allow for the septic system to be located closer to the Nest Road and consequently farther from the existing wells located off the rear property line. The proposed well location has also been revised and is now 5' from both the north and west property lines. There will also be provided a berm of impervious material placed adjacent to the proposed last septic expansion trench and as shown on the attached Plot Plan. This will further ensure that G ° :::-�: °frr:th event tYiere s'a:septid failure-it will= b6"'cointaih&d dd -site. Both bf these modifications have been discussed with Bill Hedges of the Putnam County Department of Health and both have received a tentative approval. The formal application to the Putnam County Department of Health shall be made pending the receipt of the variances. The result of the proposed modification will result in an increase to 133 from 124' for the well on the Mazza property and an increase to 155' from 147' from the well on the Sherry property. This information is being submitted such that the application. can be placed on the February 14, 1991 agenda for further. consideration. If you have any questions or require additional information, please don't hesitate contacting me at the above number. Thank you for your time. in this matter. in. this III /mrm cc: Bill Hedges, PCDH w /enc. Timothy L. ( Professional 0 PUT- NANN:COUNT -Y - HFMhTii- .-DEPAR`i WI- DIVISION OF ENVIRONMENTAL HEALTH SERVICES John.M: Simmons, M.D. Deputy ;C.manissioner of Health - FIELD ACTIVITY REPORT - Sheet of r / INSPECTION NAME iil / -U S/ �4C Orig. Routine Orig. Complain ADDRESS' t�. J���''71,7 _ Orig. Request No. Street Town 9M No. Campliance Complaint Camp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TE BPE ONE s. PERSON IN CHARGE sOR INTERVIEWED , ; r Name - and. Title Y L .DATE . " G/_ TYPE FACILITY TIME C� ` SCi TIME LEFT Reinspection - Field, Sampling Only Field Conference Other Explain FINDINGS^ f� r P / C _ r� �'� °► t G.^✓'� - -mac '`' '_.. INSP BOOR �� Sig ffture and Title PERSON•-`.IN -CHARGE OR INTERVIEWED: I ackncv;ledge this Field Activity Report. SIGNATURE: TITLE: _ .-- -... Y . + 4• wa........•.. i.• 'c.vo_9ax.'.1.F94^S- +x.�1m'CC3 S- it:�Ppwt•'- k95R'P,° Tw DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y.. 10512 (914) 225 -0310 • APkiiCATI'ON "'TO —COI55TRUCT A WATER WELL / PCHn PFRMTT fi / V 'ra <� / (� WELL LOCATION Street Addres rzs Town/Village/City Tax P��-v�oa«. �/a. l�� S -q Grid Number - Z WELL OWNER Name `SVW_. -d'yN V14., Mailing Address o " G M o- / idPrivate O Public USE OF. WELL 1 - .primary 2 - secondary RESIDENTIAL 0 BUSINESS D INDUSTRIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT PUMP 'O FARM O TEST /OBSERVATION b INSTITUTIONAL ❑ STAND -BY O ABANDONED p OTHER (specify, O AMOUNT OF USE YIELD SOUGHT >gpm /# PEOPLE SERVED /EST. OF DAILY USAGE 600 Sal 13 REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION 13. ADDITIONAL SUPPLY WNEW SUPPLY NEW DWELLING) 13 DEEPEN EXISTING WELL e - -b . I 4-o LC G o fa c_ s2 P REASON FOR DRILLING DETAILED REASON FOR DRILLING • WELL TYPE DRILLED; []DRIVEN []DUG ❑GRAVED 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WE IS LOCATED IN A.REALTY SUBD VISION, NAME.OF SUBDIVISION: ti o k Lot No. WATER WELL CONTRACTOR: Name P7 ir .jeo_ 5,o ex Address: Box _ 5 6, IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY ••-•-DISTANCE •TO• PROPERTY FROM NEAREST WATER7MAIN:• LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET—See- 5606 ( ate) V (signature) 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 thirty (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 p vi by the Putnam County Health Department. �� • Date of Issue: 0 /3 19 101 Date of Expiration: ID 12_ 19 'Permit Issuing Official Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Rev. 10/88 Pink. Copy: Owner Orange copy: Well Driller z .r 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 Timothy L. Cronin, P.- E. P. 0. Box 64 24 Maple Place Ossining, New York 10562 Dear Mr. Cronin: ENID L. CARRUTH' M.P.H. Public Health Director September 20, 1989 Re: Proposed SSDS: Munsel West Road P. V. 9 -2 -18 JOHN KARELL Jr.. P.E. Director Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1. Minimum required linear feed of absorption field is 300, please revise plan accordingly. 2. Note diameter of C. I. sever line on plan. 3. Design date, i.e., perc and deep results to be noted on plan. 4. Locate SSDS(s) across nest road, or if SSDS(s) are greater than 200 feet from proposed well note this on plan. Enclosed find the re wired arba e - 5.... - q......_._...oar .ao 4riader..c nstructiCgt n6te;._pleabe ' "revise _. ......: .........- no i�ccordingly. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. 7 ()truly yours, b&1 Robert Norris Assistant Public Health Engineer RN /jp enc. G 2 - T``- In"6rder'to verify soil percolation rates, Department representa- tives will be witnessing percolation tests-as follows: - Any lot less than 0.5 acres in size. - Any lot with percolation rates of 45 -60 minutes. - Any lot where all or most of the area on the lot available for sewage is utilized for the,primary and expansion sewage areas.. - Any other lot where our engineering review indicates a concern relative to the soil rate. The Departmental representative will observe a minimum of three 30- minute runs in each of two holes in the sewage area. This will be performed after the holes have been presoaked and after initial percolation runs have stabilized. 8. One additional "construction note" has been added relative to garbage grinders, as follows: "5. The sewage system design shown hereon does not provide for installation of a garbage grinder. Such installation requires the approval of the Putnam County Department of Health." Such installation requires increased septic tank capacity and trench length. 9. Depth guages will be required on all fill sections at each corner and one in the center of the fill. This must be noted or shown on the plans. 10: 'As a reminder, FEMA Flood Plain Maps,-(State) and local wetland maps must be consulted for all projects as appropriate. The 100 -year flood elevation, (State) and local wetland boundary must be shown on all plans. 11. See Appendix Q. PUTNAM COUNTY DEPARTmERT OF HEALTH - DIVISION OF ENVIRONMMAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPEMON REPORT _ _..... , _ ;..DATE: ._ r� f .O:. 3NSP. BY:y � (Name of Owner) (Street Location) INITIAL SITE INSPE7MON YES NO CCM4ENTS Wetlands on /or proximate to property.............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ............................. Foist trees be- remved - note these ................ Deep holes representative of entire SDS area...... P.dditional deep holes needed......... ..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacentwells /septics ............................ Access to oronosed well location for drillina..... Lam, D.H. 1 Lot - Depth to G-.W. Depth to rock Soil Descri tioc 0 ft. 3 ft. 6 ft. 9 ,ft. 12 ft. D.H. 2 Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Description �s D.H. - Deep Hole G.W. - Groundwater D.H. 3 _ Lot - Depth to G.W. Depth to rock 0 ft. 3 ft. 6 f t. 9 ft. 12 ft. Soil Description of DATE: FINAL SITE INSPECTION INSP.BY: YES NO CCMMERrS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable.......... Roam allowed for expansion trenches .............. Over 100 ft. fran watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... . ... ......... 10 ft. maintained from property line and 20 ft. fran house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set ............................... Could surface runoff fran driveway, roads,' ground surface,.etc., channel near SDS area.... Does lot drainage appear OKJh area of SDSoe...... FINAL GRADNG OF SITE P.CCEPTAHLE .................. L ,' r PI'ILIALA C C:,'L\'I^% CEPAR -E LAID V—I- 7 -�'!. 4+ 17 V (:3a.T,e or C`.vr fir) A GHEME{ B OF E31,T'-? DrT-rSICI OF rN4ZRCLIMM r• �.a.L.zj SZ:?4?C✓S Su -PPL -f & SUESU F M MP= DISr�.�.,L StSZ��S .. RE%TL,v .C= - - CSjIS1.^l. W E7� YC.F L BYTE !�='J —; +� : !_ Pn_rZit A --cl ica ticn Ccr-- -crat- Resoluticn Plans - 721--r e sets Encino , Ps:tZOr_zet_ca P--51cn DaL Si?eet (DL`S ) D� ac_2 L.^c C cIISiSte -nt Perc 'pes.f' _= Parc Bole Dect-i sL�Drv__LcN �nr-- (?) =1 i CA He -e P! s - T: c s === _ well 1/ p2-m; Variance =-- _uzSt -- C_X —E AIL Ll Su 15.1cn Su�:cir_'s1c : A�cr��zi C.� =:cif E:i yr VY. :? S :{..•� [,"� L��_ - I I we;--, and (mc•w"-/DEC p =- _ _ R & -D) crrt�ur_ I i I . Fill _ . 100 = - _ -_! F= Of = -'- & I L I D cr J Ecx •„__nc,, /C -r - F-- SYS Clc 10 - -- l0 yr. f I ccc -CJ ft. reserva1z' et--. i51 ft. tzic ai 1 /Ca 1 1. i .C-CtiC Tctk - Si3 i we? l D`r�_l, S=r�7i ce Li e if come I( C.crost5 `L'cti Cn Not= nic -Fbct cont--u-'s :Yistinc Dr �Vu%Ic-'Lv & Sloces C-1t FcoLir� /C-d e_r,CII—tai:� PSr` & DAD HoleS T -=-'Ce Re*r,'rasan_tctive of pr_,r. -1 and ex-- anslc.^• _ EX_,. 'Isicn P=te'; shcr.-n; _rG•,71tTT f_�A,suf_. size 2= �'' =Pit & D Bcx Shcw-ii & HCllse - h'o. cf Ersdra=..s Wells & SSuS's Win 200 Lt. of P= ''e --ty Metes & Ecuncs - Hcusa cc?' =aCk NCCaSsa-r% (Tight lot) HOUS2 Sager - 1/411/ft. A "O; `j'/Te pi_.e No B2-as; Ma:c_ Een ^..5 45° w/c -_=ncut SED —PATI�1 DISZ-NCE; Sp =C? r = CV PLAN Fi,- 1 cS 10' to P.L., Drive av, Free T_E s,Tcc cf 1 20' to Fcundtica wads 100' to well; 200' in D.L.O.D, 150' pi == 100' to Str=.. =rn, wat= Yc-Our_e, tka (inc. e`__ 151. to Drams ==fir =min Lacer, F�tinc G'tj,,� +-_ . C �C.'1 Lw 5 ia1 StCr .-I-M A , Z) ed we ��'' i_ 10' to Water Line (t,1t = -20' ) 50, int�*-ai �t`nt dr_i r =ce cc, r5= Se- c T.nks 10' i=.:A ROunCat_cn; 50' tJ w`'i' i CHAIRMAN HERBERT LEVE9s: ON VICC - CHAIRMAIi DR. ROBERT MAZZARISI SECRETARY SOL LIRTZMAN TOWN PLANNER JOEL GREENBERG i .- --..� f aEM110 : ,.R. ARLENE GREEN KARL SPRADO ZONING INSPECTOR TOWN OF PUTNAM VALLEY MA*RVIN O•DELL ZONING BOARD OF APPEALS ZONING CLERK MAUREEN MC HUGH 265 05CAWANA LAKE ROAD PUTNAM VALLEY. NEW YORK . 10579 INTERESTED PARTIES NAME DATE LOCATIOn = TAX MAP U 7, t,," ✓.�y fyo5 -7 - 44 age 557 7 0 00,v N is hk�57- 2,.41D, ao,�� `-To box NV . F i CHAIRMAN HERBERT LEVE9s: ON VICC - CHAIRMAIi DR. ROBERT MAZZARISI SECRETARY SOL LIRTZMAN TOWN PLANNER JOEL GREENBERG i .- --..� f aEM110 : ,.R. ARLENE GREEN KARL SPRADO ZONING INSPECTOR TOWN OF PUTNAM VALLEY MA*RVIN O•DELL ZONING BOARD OF APPEALS ZONING CLERK MAUREEN MC HUGH 265 05CAWANA LAKE ROAD PUTNAM VALLEY. NEW YORK . 10579 INTERESTED PARTIES NAME DATE LOCATIOn = TAX MAP U 7, t,," ✓.�y fyo5 -7 - 44 age 557 7 0 00,v N is hk�57- 2,.41D, ao,�� `-To box NV RE: West Road, Putnam Talley; Section 9, Block 2, Lot 18 4 Dear Sir/Madame: Please; be advised that development on the above referenced lot is anticipated and will be in accordance with ;the attached plan entitled "Separate Sewer System for Sharon Munsell". Asa contigious property owner, we have been requested to notify you of the activity. On many of the parcels the location of existing wells have been located. Please verify the location. If you have any questions feel free to contact Mr. John 8arrgil, Jr., Director, Environmental' Health Survey, P.utnam:countyat 914 - 225-031,0; or;Tim:_, „- - ° Cronin= lI i l; the,-engineer l -have retai ned to assisi me inobtaining the permit at 914- 941 -5421. Very truly yours, Sharon Munsell j TOWN OF PUTNAM VALLEY ZONING BOARD OF APPEALS PUTNAM VALLEY, NEW YORK 10579 FILE C00y"Y E _ Name of Applicant: SHARON:MUNSELL Address: P. 0. Box 605, Crompond , New York 10517 Location of Property: West .Road (Town Road) TM # 9 -2 -18 Nature of Request: Front and sideline. Zone:' RBL . • . . • . • . . . variances for a proposed house'. Survey by John S. Romeo, dated ' January 2, 1991. Front - 5i. and Side - West 13' Date of Advertisement: January 23, 1991 and February 20, 1991 'North County'News Date of Public Hearing: ',January 31, 1991 and February 28, 1991 Place of Hearing: Town Hall, Oscawana Lake Road, Putnam Valley, N.Y. Members Present: Sol Lirtzman ................. .Chairman Herbert Levenson.. member Vice Chairman Karl Sprado....... , , member Arlene Green ............... ....Secretary The matter having duly ccme on to be heard before a duly convened meeting of the Board on the 28th day of Feb. '91, . and the facts, b; matters and evidence produced by the applicant, the Zoning Inspec- tor and interested parties having been duly heard, received and considered and due deliberation having been had, the following are the. FINDINGS OF FACT: The subject premises.are located in the RBL district with the following, setback requirements: Front.- 75'; Sides - 40'; and Rear - 751; on West Road, which is a Town road, in. ,:a filed subdivision known as Roaring Brook Lake. The proposed house will nQt conform to the front and sideline setback requirements, however, a practical difficulty exists and such difficulty cannot be obviated by a method other than a variance. Upon review, the Board determined that the criteria; for an Area Variance have been met. There will not be a substantial change : <in the character of the neighborhood. This action will not be detrimental to`- the adjoining properties. The character of the neighborhood will be preserved. This is the minimum variance that will provide relief. ' A short EAF has be :,,:submitted as per SEQRA requirements and a negative declaration is in order since it appears that there will be no major impact on the environment. THEREFORE, based upon the above findings of fact, it is hereby ORDERED, that the application or appeal be and the same is hereby GRANTED,.subject to the following: 1) Them* imam amount of trees are to be cleared and as marry hP left around the perimeter of the property; and 2) PUTNAM COUNTY DEPARTMENT OF HEALTH =. z DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION Name of Project /00 0o k r c4e-- (T)M 8' w T1VI9 Year of Construction Size of Parcel SECTIONt.' TOPOGRAPHY (Please check all appropriate boxes) 1. 1 . ]Hilly gizomng Mee P . Slope /Gentle Slope ❑Fat 2. ❑Evidence of wetland Clow area subject to flooding ❑Bodies of water CID' Drainage ditches 0JR /ock outcrop P 3. Property lines evident? NO D' O 4: Water-courses- exist- m, or-adjacent -to rdrcei ❑...... _ ... ,�, ._.. _ _._ __ ...._.:__...._. _._:_:_..__ �. 5. Existing individual wells within 200ft of the existing SSTS? ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. ❑Level MZGentle Slope ❑Steep slope B. []Well drained 17k roderately well drained []Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) �� ❑Extremely limited []Somewhat limited rlAdequate ft x ft D. Ii\TSPECTION Date 9 Inspector No evidence of failure lEvidence of failure ®Evidence of seasonal failure 0 h ----=------------ ----- - - = - -- ----------=-=---------------- - - - - -- --- - - - - -d ------- - - - - - -- r + (Indicate North ) cj HOUSE �1 ------------------------------------------------------------------------------------------ - - - - -- (1) Indicate location of SSTS A. Size and type of septic tank gallons [I'Metal 13 Concrete OPlastic B. Type of absorption area 1. Fields ft. 2. Pits 3: Gallies ft. Indicate setbacks; -front street, backyard, -and side -yard - dimensions -..:, (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY 11PWS []Shared well L�Individual well CI(Drilled []Duc'r DCasing above ground COtiI\ ENTS : REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: I •• • �1• i I� OF DIVISION. OF •• •; M V• 'I E• Mme. DESIGN DATA SHEET- SnUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owcier V� ! a l r2 v� 5 P. 11 Address c'^ e v 1 IN - e Located at (Street)' We 4 I� w e Sec. �_ Block Z Lot i- (indicate nearest cross street) Munici ii h 0.v,,. a � E'- Watershed Lac. e Pa vI.(csu, +rvd SOIL TEST DATA REQUIRED TO BE SLBNII= WITH, APPLICATIONS Date of Pre - Soaking g f, Date of Percolation Test . /_ HOLE NUMBER CLOCK TIME' PERCOLATION PERCOLATION Run Elapse Depth to Water EYom Water Level No. Time Ground Surface In-Inches Soil -Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches r� l tZ 2 2' _ l Z, 5 3CZ..7—AS 4 s 7-,- _ 3 5 2 3 4 5 NOTES: 1. Tests to be repeated. at same depth until approadmately equal soil rates are obtained at each percolation test hole. All data to•be suimi.tted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 DEPTH G.L. 1° 2' 3' 4' 5' 60 11' 12' 13' Nt i L IL C TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCODED IN TEST HOLES HOLE NO. HOLE NO. -�_ HOLE NO. �✓u l I -c U 1 I 'ice Qr r + t 14' - INDICATE- LEVEE, -A.t -T d3KICEi.-GP.OUCF AWrL.R -IS- ENMLT ?' -t� ay�2 n `c�v✓tS -e -�_� -. _ . _:. _ ... INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - —Zoo)- DEEP HOLE OBSERVATIONS MADE BY: LL Cc k-A DATE: C, - DESIGN Soil Rate Used Min /1" Drops„ S b. Usable Area Provided Z No. of . Bedrooms Septic Tank Capacity /000 gals. Type C'on Li-e. 4- Absorption Area Provided By 2 �U L.F. x 24" width trench Other Name vn u L ✓i Signatur I i Address SEAL f-)IIA IVk `-1 lv 7 THIS SPACE FOR USE BY HEALTH DEPAR24ENP ONLY: Soil Rate Approved sq.-ft/gal. Checked by Date TOWN OF PUTNAM VALLEY " ZONING BOARD OF APPEALS PUTNAM VALLEY, NEW YORK 10579 p COPY Brr,i,iijan @rbtr Name of Applicant: SHARON MUNSELL Address: P. 0. Box 605, Crompond, New York 10517 Location. of Property:, West Road (Town Road) TM # 9 -2 -18 Nature of Request: Front and sideline. Zone:' RBL ' ' . ' ' ' ' variances for a proposed house. Survey by John S. Romeo, dated January 2, 1991. Front - 5''and Side - West 13' Date of Advertisement: January 23, 1991 and February 20, 1991 North County News Date of Public Hearing: January 31, 1991 and February 28, 1991 Place of Hearing: Town Hall, Oscawana Lake Road, Putnam Valley, N.Y. Members Present: Sol Lirtzman .................... Chairman Herbert Levenson.. member Vice Chairman Karl Sprado......... member Arlene Green... .. .......Secretary ' The matter having duly come on to be heard before a duly convened meeting of the Board on the 28th day of Feb. '91, and the facts, matters and evidence produced by the applicant, the; Zoning Inspec- tor and interested parties having been duly heard, 'received and considered and due deliberation having been had, the following are the. FINDINGS OF FACT: The subject premises are located in the RBL district with the following setback requirements: Front - 75'; Sides - 40'; and Rear - 751; on West Road, which is a Town road, in a, filed subdivision known as Roaring Brook Lake. The proposed house will not conform to the front and sideline setback requirements, however, a practical difficulty exists and such difficulty cannot be obviated by a method other than a variance. Upon review, the Board determined that the criteria for an Area Variance have beenlmet. There will not be a substantial change in the character of the neighborhood. This action will not be detrimental to- the adjoining properties. The character of the neighborhood will be preserved.. This is the minimum variance that will provide relief. A short EAF has been submitted as per SEQRA requirements and a negative declaration is in order, since it appears that there will beano major impact'on the environment. THEREFORE,, based upon the above, findings of fact, it is hereby ORDERED, __..._ . that _ .. the— - application. -or appeal be and the. same ^is -hereby - GRANTEDj�- subject.-tb, the following: 1) The minimum amount of trees are to be cleared and as many trees as possible shall be left around the perimeter of the property; and 2) The applicant shall obtain a Building Permit within 180 days,of the date of the signing of this Decision and'Order by the Town Clerk, otherwise this Decision and Order will become Null and Void. The decision of the Building and Zoning Inspector.is hereby rev rsed... Dated; Putnam Valley,�N.Y. this 14th day of -March 1991.. Zoning Cle � CIA irma STATE OF NEW YORK, COUNTY OF PUTNk4 ss: 7 On the 14th day 'of March .'91, before me personally came Sol Lirtzman, Chairman of the Zoning Board of Appeals of the Town of Putnam Valley, N.Y., to me known as the individual described in and who executed the foregoing instrument, and acknowledged that he,executed the same. ANNA N. BURNS NOTARY PUBLIC, STATF, OF NEW YORK QUAUFIEDIN PUTNAM COUNTY Notary Filed, Office on 14th day of N0.4607700 ofMYtlieS"fRR'StOi. &R2: Putnam Valley, N.Y. March 1991. Town Clerk.