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HomeMy WebLinkAbout2199DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18-1-68 BOX 19 I r 0 . .. � 3: �!i. �.. 16.. �� ` ml r ., Th 16' IL 02199 �\l PUTNAM COUNTY DEPARTMENT ;OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 105.12 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Located "at VA ?, d6 i&&J �L� 1Lr%'a„ ��.'e.0f4Q 11 Subdivi�siion 6%&,V OwnerJ'f- �se/yJ.ex� ✓l�ei/.t� i/l/1J0. Building Typef S /,ir/i�rN7l/i[i Lot Area Number of Bedrooms Separate Sewerage System to consist of Gal. Septic Tank To'be- constructed by i��y i� s ZAA ­ Water Supply: Public Supply From i Private Supply to be drilled by LVA &L UM4 Address Other, .Requirements ,F I represent that I am wholly and completely responsible for the above.described will be constructed as shown on the approved an County Department of Health, and that on completion therea be, submitted to' the Department, and a written guarantee wi place in good operating condition any part of said sewage c `ante of the approval of-the Certificate of Construction Corn will be located as shown on the approved plan and that said well Town or Village Section y 7. Block. �..�. ,. Lot 'y 27 Job Address Total Habitable Space �0 L Square Feet xo /77-L. lineal feet k�•r, width trench Address the system(s); 1) ;that,,the separate sewage disposal system a rda a with the standards; rules an regulations o e' u nam uct mpliance" satisfactory to the Commissioner of Health will hi su ssors, heirs or assigns by the builder, that said builder will e p rio f two (2) years Immediately following the date of the issu- ys m any repairs thereto; 2)'th�at;Ithe drilled well described above In accer th the standa�s; iuip pgp regu ons of the Putnam 1 ounty Department ofL Health. p rvFFe ®� v ; t«!!� / z R.A. --�— )ate /' / 7 �71� - Signed ��, P.E. Address l �dG N` " ���` License No. !�° 9S APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction f requires a new permit. Approved for disposal of domestic sanitary' sewage, an or pray t water supply only. Date F By Title r!�'J�ii r Rita 310.1 _: ._ ..., , ...._..._. PUTNAM- COUNTY DEPARTMENT 'OF 'HEALTH Division of Environmental :Health Services, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM ,yTiyh '! VAY- 6-y Town or Village Located at 7� �i %�1� n 1,7 - C Block Owner Y!i►!CG_.t/i J �r /i11.62'1/A1�,Q %i[1B Lot 493 Job Separate Sewerage System built by AaddmfiT — t&COAA`, Address &L°`_ 7'TL. -Coz A , &#Aft&AgeAA Consisting of 3FOO Gal. Septic Tank hoa lineal Feet X .7 N width trench Other requirements i 'o6QA d: Water Supply: Public Supply From Private Supply Drilled By Z46-4'_-11A1 A/54e- A9, _i4e_ 1A16 � Address Cy f-/Ofrc,) /J . lbw M i Fo b rAe) t) Building Type Has Erosion Control Been Completed? t�l _ _ I certify that the system(s) as listed serving the above em ses �Ffe attached), and in accordance with the standards, ru s d ►eg ia� Date ®C%' �� © ��%— K `' 9 FG o Cer • � ti� Address ms _1? Date Permit Issued /97& as shown on the plans o ompleted work (copies of which are /s, permit issuetl ��y a tnar"ounty Department of Health. P.E. >� R. A. License No. Y:3eo2 -y person occupying premises served by the above systems)ake such action as may be necessary to secure the correction of any unsanitary oditions resulting,from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes ',ilable and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are ect to modification or change when, in the Judgment of the Commissioner of Health, such revocation, modification or change is necessary. Yorktown Heights, N.-Y...10598 YORKTOWN MEDICAL LABORATORY Wt.. P.O. Box 99 321 Kear Street RESULTS OF EXAMINATION OF WATER DWNER -- llAlt YttC t1VtL i PARAGON BUILDERS 10-25-73 CITY, VILLAGE, TOWN &/OR NAMI OF SUPPLY DATE REPORTED BOX 712, MAHOPAC I NY 10 -27 -73 4944 245-3203 $,AMPLING POINT WELL- V. MARINO WEST RD. PUT. VALLEY LOT 493 BLOCK 2 TAX MAP 9 LOT 17 BACTERIA PER ML. (Agar plate count at 350 C). 4 COLIFORM. GROUP (Most probable N6, /l00ml.) LESS THAN 2.2 HARDNESS# TOTAL -ppm DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm. 'LOURIDE (F) - mg. /1. These results "indicate that the water was YES of a satisfactory sanitary quality when the sample was collected. 7 A. H. PADOWINI, M. T. (ASCP) p..... 'o WELL COMPLETION REPORT 3(71 PUTNAM COUNTY DEPARTMENT Oi- HEALTH Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by well driller and submitted to County Health Department together with laboratory report of BliaCyss'i3f water- saTnlple 'ind.iCatirg`�APater'is'a;f �atls'Fat ory bacterial gctalr�y befure c2rtilicafe of co is�r[ictibn com)aiiarTDe,IS.:1sguB REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION i T ) . -t> I NAME ADDRESS OWNER PARAGON BUILDERS INC. Box 712, Piiahopac, New York (No. I. Street) (Town) (Lot Number) LOCATION 17 OF WELL -- Oak Ridge Drive Putnam Valley • :PROPOSED BUSINESS X` 0 DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL �`� PUBLIC AIR OTHER P LJ SUPPLY � INDUSTRIAL � CONDITIONING � (Specify) i DRILLING COMPRESSED CABLE OTHER EQUIPMENT ROTARY AIR PERCUSSION t_J PERCUSSION El (Specify) CASING LENGTH (feet) DiAMETER(inchesJ WEIGHT PER FOOT �j DR�E SHOE (�j (�` \A AS BASING T�D7 DETAILS 22 6 19 i THREADED L._I WELD.D LJ YES ONO � YE., NO — YIELD (O.P.M.) 10 YIELD - Q HOURS L G.P.M. 1 O o. TEST BAILED PUMPED COMPRESSED AIR I WATER MEASURE FROM LAND SURFACE— STATIC(Specily feet) DURING YIELD TEST j feot) Depth of Completed Well LEVEL in feet below Land surface: 185 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN DETAILS SLOT SIZE DIAMCl'ER (fnchos) _ GRAVEL SIZE (inches) FROM (feet) TO (feet) IF GRAVEL Diameter of well including PACKED: gravel pbck (inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch.exact location of well with distances, to at least two permanent Landmarks. _ FEET to FEET 0 ._... 2 Overburden ; #'�'•r.p> 4� �� r x3. 4 nn 3 '� •v4 t ti4. "�' f .?Y4 e!�_.- ,. al.+.Z _. n �� Ti .2 22 Piled' um Dark Gray Rock' " }Y %7 f M. , '12,0-(.- 1.1ard Grav Rock _-22 ... .. ^' 120 185 Medium Gray 'R ock is r . . � _ A Y- %,,W r 4H fia kL }� 3' v 5,+y. t ke V; )�rl,yr,,i S `• .#.,�'�a.'�Y X[y_. *1 M Y.ly`'�t't •'.t� i� '-�S .'x'�' a k a c i .,ti., j I t . - fi ` I�j µ P� A ' : `llY •S If yield was tested at different depths during drilling, list below ..... s _, r �c.•�,. h1,! xs 1' ^ FEET GALLONS PER MINUTE :�� rz k R f t �)n 1 y4i ) ',' k, Il �{ t 5 l+ 7te S. •(� 4 DATE WELL COMPLETED 81517 DA'I OF�a c'PORT 8/21/73 WELL DRI i nat r `LEE- LIT���ERLIl TR�SLLING-.CO. T ) . -t> I �a N 1 NO Owner or Purchaser of building. Building C structed by /eo Location - Street k Block Building `lope Lot GUARANTY OF SEPARATE SEWAGE 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` guaranty 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 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 negligent act of the occupant of the building utilizing 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.- utilizincrthe, Dated this day of 19 Signature i3KGs7 TLE SOU Ur Al /sY� /h/9dfbvi9` /V./_ Title (if corporation,. give name and address) 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 'SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LOR_ET_TA._M_OL_INARI, RN_,_MSN _ _ . TMAssociate Commissioner of Health ROBERT J. BONDI County Executive _........._ _....__ ._ROBERT- MORRISJ %_. . ` ........... Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 [� ADDITION APPLICATION RESIDENTIAL ONLY N 0 T too STREET VR �t'.� TOWN u' �%� TAX MAP # ISO, I g, NAME V K � �� a9�e 1 ��9 1 n PHONO 5•L273 y 7 PCHD #�0 6 I MAILING ADDRESS DESCRIPTION OF ADDITION C©ve_i im NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS S (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., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 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, to be, _ ....shown._and. dimensioned and use of each room .specified).:.(See::Section 3_c..of.Bulletin _ _ . __.__.... _ ...... _..._._....... _�..... _ _._..._.. _.. 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) 'r Non- professional sketches are acceptable and preferred. (See Section .3.d of Bulletin HA -1) 4. Copy of survey showing all well and. septic locations, on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. ,J.S. .Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling: OFFICE USE C OMMFNTS 5. Environmental. Health (845)278-61'30 Fax (845) 278 -7921 Water Supply Section (845) 2255186 . Fax (845)225-.5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax *(845) 278 -6085 WIC (845)278-6679' Early Intervention /Preschool (845) 228 -2847 Fax (845) 2251580 .ALI'VA AMLER, MID; MS, FAAP Commissioner-of Health � `c ROBERT J. BONDI County Executive LORETTA MOLINARI, RN, MSN' y04 ROBERT MORRIS,. ]PE AssociateCommiss iwt�srof!fe�ltl. - °� ° °, > °d4 ` "' Dire `clor'ofEmvironinental'Health }. DEPARTMENT OF HEALTH I Geneva Road. Brewster, New York 10509 Town Legal Bedroom Count & Proposed Addition Status Re: MARINO (Owner's Name) Tax Map # 30..18-1-.68 Address: . 8.8. Oakridge Drive T own: Putnam Valley . ' Year Built:. 1073. According to records maintained by the Town, the above noted dwelling, i5 . Fes_ in compliance with Town Code. fs not in compliance with Town Code. The Legal Bedroom Count is: .3 This information has been obtained from: Certificate of .Occupancy:. C.0 #73 679 (en4 • ° ' Re si denc e ) CO //91- -124 (Closet and Walkway) Other:, The plans for the proposed addition are considered: New Construction xx Addition to existing house only Teardown and/or re -build allowed under Town Regulations 6. EnvironmentaUHealth (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax' (845) 225 -5418 Nursing.Services (845) 278 -6558 Fax (845) 278 -6026 'Nursing Home Care. Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (845) 228 -2847 Fax (845) 225.4580 1/17/11 ..Date _.. SHERLITA AMLER, MD, MS, FAAP Commissioner of Health ROBERT MORRIS, PE Director of Environmental Health H " _OEFARTMENT Vincent & Maryann Marino 88 Oak Ridge Drive Putnam Valley, NY 10579 Dear Mr.Marino: OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 February 3, 2011 Re: Addition - Approval — A- 006 -11 No Increase in Number of Bedrooms 88 Oak Ridge Drive (T) Putnam Valley, TM # 30.18 -1 -68 PAUL ELDRIDGE 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 the Department date February 3, 2011. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at 3 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_tlush. toilots,- _....,_..:. _......__,:.. restrictors for shower_heads.and- faucets; &c: This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. The'approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Respectfully, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley 3-1—c q)t- —SclCrNATURE & "6DA E I i � � J 5.1 t z' vJii' � J "a.•hy tF. R . s �� ni.k41�.` wr• d 'i 1 fll '� l c -1 its h 4 e b p"k•Y 4 N. f a 3'w L T ty " t1.E •➢ l,l: & i^ 1F ss ^M .�" r 3`d /T gAk`� �y lY 60 N 6L., - Ams 17: k -t �Vw O `4. T! �f "Y"AA, A 5-1- mv A 'F As ............ -A ---------- z sa r y 77': Ams 17: k -t �Vw O `4. T! �f "Y"AA, A 5-1- mv A 'F ---------- z sa r v v� Icv'►gcje 1J r, _f Acv- I�7 /l_. - - -- 0.. j s o slim w� /'n 11 `� � /' °�-� �ncr ✓` i`5 xcb -�- t L� `% l�,e— ,'ter Le � V'�-� �����, �_ � I i i t PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date February AS, 1973 Re: Property of Vincent J. and MaryAnn Marino Located at Town of Putnam Valley 17/ Section y Block G Z- Lot. "5th Map of Roaring Brook Lake" Gentlemen: i This letter is to authorize Al 7777E,0,&—z duly. .. - licensee- pr--ofe.ssi.onal, _engineer_- .... or -reg stered - ,*rch tec-t- .. ---._ ..._......_ .: � ..:- ......_. (Indite e •- . _.:.. ... •. 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 Leper tLLJVIIU Of Health, and to sign all neueasary papers on my behalf in connection with this matter and to.supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Educat'.N blic Health Law, and the Putnam County Sani- �P N`f�w�J- 0 tary. Code 3 Countersign p0 /.30X ? 08 _(Seal) Address 9'7 71/7 'I phone Very t Signed e ep one �Y a � dIN&Eesly j rlitwo Owner or Purchaser of building o � BuIldirt Constructed by Location- Street Municipality Block / !,OeAll tom �7 Building. Type Lot r GUARANTY OF SEPARATE SEWAGE 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' guaranty to the owner, . his successors heirs. or assigns.,. to, place >in. - good -.opet aging condition °any'_ra..o.f'said °system constructed by me which fail "s to- operate for a 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 negligent act of the occupant of the building utilizing the sys tcm.. 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. Dated this 260 day of 19' Signature /,1aojo W, s Title Al- L ` (if corporation, give name and address) 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 �� � _t�� _ ,�� ° ]I. *�`• r B��ae � is - i f Y .ut��%� *� • - _.w%m ears, _ .r �°a�wn.. Y _ T Fs� ;� ,; ,ji i _ ..0 �� i'_„.�, JN��. �i,►rP .''��+� t r � i� ��. 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(:r - a• - - APP •ryI p9 ° ..�- y i i ys h,,ty c.�.sa }L'fi7 8 ii, As ESTABLISH EIEV ATION OF HOUSE TO PROVIDE DRAINAGE CF LOWEST FIXTURE _ TO SEPTIC TANK AND FIELDS ......AREA RESERVED FOg SEWAGE DISPOSAL CO l _ SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION TO NFORM TO STATE if AND LOCAI. STANDARDS AND REGULATIONS ..... . . .. 1, I ,l \ \ 1 PP OVEj I f, Y 41 73 1 . � / I L' PUTII COUttTT kvi. ' NlAL H F /FTti �1�7.� O.` ,E�•�: ?.c? /��S f3.�Gi?r /_r7,� c ._ .INAECIOR, DIYISTDN'OF ' L OT N= i- BIYIKOAMENT.L fiTi1It�EAwC°J E� 1 r` fj 7`J X . /),9J N 'tss /C //3 p L F'L 77- N4e / - " "— °' -`—' iF',vft,✓cis of Tr/JEtlE L'�c. .c/ ,!S „L /� f, /” 23& o --� - -- PROPOSED 1. SEPARATE SEWAGE DISPOSAL *; SYSTEM E.v7- -PZ- c e / i1:Jg Ift / „p yQ' I' "Q�.:' -� TOWN OF ' s ; z' ) J jG�Uiit/ �,1fl COUNTY. NEW. YORK :DATE _6 -Z -7� vs s�9�av v :JOB NO. . SCALE 508. PERCOLATION' RATE .......... B ..... IN 9o0� zi�0'4� SULLIVAN THI£DE` GALLON SEPTIC TANK, DEEP`TEST S5;!�xr<t a CONSULTING ENGINEERS LF X �`6 ASS. TRENCiii !• 'CLARK-PLACE YABOPAC. NEW YORK I 1 i a I• n E� el , ++. j \ \ 1 PP OVEj I f, Y 41 73 1 . � / I L' PUTII COUttTT kvi. ' NlAL H F /FTti �1�7.� O.` ,E�•�: ?.c? /��S f3.�Gi?r /_r7,� c ._ .INAECIOR, DIYISTDN'OF ' L OT N= i- BIYIKOAMENT.L fiTi1It�EAwC°J E� 1 r` fj 7`J X . /),9J N 'tss /C //3 p L F'L 77- N4e / - " "— °' -`—' iF',vft,✓cis of Tr/JEtlE L'�c. .c/ ,!S „L /� f, /” 23& o --� - -- PROPOSED 1. SEPARATE SEWAGE DISPOSAL *; SYSTEM E.v7- -PZ- c e / i1:Jg Ift / „p yQ' I' "Q�.:' -� TOWN OF ' s ; z' ) J jG�Uiit/ �,1fl COUNTY. NEW. YORK :DATE _6 -Z -7� vs s�9�av v :JOB NO. . SCALE 508. PERCOLATION' RATE .......... B ..... IN 9o0� zi�0'4� SULLIVAN THI£DE` GALLON SEPTIC TANK, DEEP`TEST S5;!�xr<t a CONSULTING ENGINEERS LF X �`6 ASS. TRENCiii !• 'CLARK-PLACE YABOPAC. NEW YORK I 1 i a I• n E�