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HomeMy WebLinkAbout2211DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41. -2 -26 BOX 19 A' ' L , i 6 02211 Michelle LeBlanc 63 Seifert Lane Putnam Valley, NY 10579 - Dear Ms. LeBlanc: DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New ,York 10509 (914) 278 -6130 June 25, 1992 Re: Proposed addition LeBlanc, Seifert's Lane (63) (T) Putnam Valley JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 30' x 24' second story will be added consisting of two bedrooms and'a bathroom. The existing residence will be renovated to convert the two existing bedrooms into a living room and family room. The survey indicates,that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. ;Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: number - -o€ bedrooms; must -re: ain•,at- -two- without- pr..ior. 'approval. by. , this... Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal.only. Any,other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp. cc: BI (T) Putnam Valley t i DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 May 29, 1991 Michelle LeBlanc 63 Seifert Lane Putnam Valley, AMY 10579 Rea Proposed addition - LaBlanc, Seifert9s Lane (63) (T) Putnam Valley Dear Mr. LeBlanc: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 209 x 249 two car garage will be added with a great room constructed and a second story. A 69 x 109 addition will also be added. The existing residence will be renovated. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. .:...._� _2. ...The _ ar -ea..of -the . ,sristing - .sewage disposal- �systemg - and -its expansion area, must- be- :..-,- . maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction'of the Town of Putnam Valley. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley I r I t i I- - � i �� i - --� - -- fft Ndo a fro I ` ' 1 - fn 1 I� - !-437-1 L Fj -- I ( i s ' t ' LJ- ! ,! ► �: II - I a iF � T_� -f -LOT -I - -- # - -- -- -I— ! T — ;t � I - I t — 1n.. •SI ti �1Ys Q�� � I � � � • � I � I I t� I I ► I I � � _;I ---i I � I � • I � -� -- - i — � — - T { — I i YORKTOWN.MEDICAL LABORATORY INC. P.O. Box' 99 321 Kear. Street LOCATIONS: 1 321 KEAR ST„ YORKTOWN HEIGHTS, N.Y. 10598 245 ]20] Yorktown Heights, N.Y. 10598 ❑ 201 OUTTONI'VOOD AVE., PEEKSKILL, N.Y, 105GG 737.8777 - '"�•��' .;"�.24 � 420 .�. ,.�.. � •-.•• �- .�• � • •- , , ,� D 495 MAIN ST., MT KISCO, N.Y. 10549 666.035 0 STONELEIN"AV .—INEAR'HID SPtTAL)'. trARNi . - - -- LAD - -#- ti-2e L- DATE TAKEN: (-- DATE RECEIVED: DATE REPORTED: JAMES MARI,ANI SAMPLE SOURCE% -fAAc-21 7,/O SEI,FER LANE,. )PTNAM VALLEY, NEW YORK 10579 ELpppRREDOY�ROSSROADS.-,PHAR ACY L J COLLECTED �Yot ARTHOLOMEW -5281-5648 -LABORATORY REPORT mg /L ; ❑ ACIDITY ................................................... ❑ ALUMINUM ................................ ............................... ,_`'' -•'- ❑ALKALINITY ........t ............... ❑ANTIMONY ... ... . 0 BACTERIA, TOTAL /mL ...... ................... D ARSENIC ............................................................. 0 000, S DAY ...................................................... ❑ BARIUM .................. ................... ............................... ❑ BROMIDE ........... ........ ❑ BERYLLIUM O CARBON DIOXIDE, FREE ........................... .. ❑ BISMUTH .................................... ............................... ❑ CHLORIDE .................................................. ❑ BORON............. .. ............................... ❑ CHLORINE ...... ..... .............. ....... ❑ CADMIUM ......................................................... .......... ❑ COD .......................................................... ❑ CALCIUM ........................ ............................... ........ ❑ COLOR ............. ....... ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ............. 1..... ............................... O' CHROMIUM (hexavalent) .... ............................................. _ '`. ❑ DETERGENT, ANIONIC ❑ COBALT .................................... ............................... ❑ FLUORIDE .............. .......... ............ ❑ COPPER .................................... ............................... , ❑ HARDNESS ............................ . ... ............ ❑ COLD ........... ............................... ......................... ❑ I.1PN COLIFORM COUNT/ 100 ml ....................... ❑ IRON ................................... ............................... .. -� MI'T COLIFORM COUNT/ 100 ml .......a ....:.......... .... ,. ❑LEAD ....,..... _............................., ....;.......:............ .... COWIRMATOR•Y-T EST° ^ ❑ - LITjHI UM . ❑ NITROGEN, AMMONIA .. ............................... i ❑ MAGNESIUM ............................. .. ............................... ❑ NITROGEN, KJELOAHL . ....... I....... ❑ MANGANESE ................................ ............................... ❑ NITROGEN, NITRATE ... ............................... ❑ MERCURY .................................... ............................... ❑ NITROGEN. ORGANIC ................................... ❑ NICKEL ......................................... ............................... DODOR ....................... : .............. : ...... . ...... ... ❑ PALLADIUM ................................ ............................... ❑ OIL a GREASE ............... ............................... ❑ POTASSIUM ............................... . ............................... ❑ OH ........................... ............................:.. ❑ RHODIUM' ......... ............................... i . ❑ PHENOL ....................... ............................... ❑SELENIUM .... :..: ....................... ❑ PHOSPHATE tortho) ...... ............................. ❑ SILICON ........................ ❑ PHOSPHATE !condensed) .. ........ .................. ❑ SILVER ......................................... ............................... ❑ PHOSPHATE (total) ........ ....................a...... ❑ SODIUM ................... DSOLIDS. SETTLEABLE. mt /L .......................... ❑ TIN .............................. D SOLIDS. SUSPENDED .... ...... ❑ ZINC ................ .................... ............................... ❑ SOLIDS, DISSOLVED ...; D ...... P. U. IC�JAM•• COLI T•V ......................... ❑ SOLIDS, TOTAL ❑ ..... ..................... Dip . ,.. 0F.. hiEALT- H......................... ❑ SOLIDS. VOLATILE ........ .............I. .................. ❑ REMARKS:...................... ..............................: ❑ SPECIFIC CONDUCTANCE O ...............:.................................... ............................... ❑ SULFATE . .................... .............:................. ❑ .................................................... ............................... ❑ SULFIDE ................... ............................... ❑ .......... :......................................................................... ❑ SULFITE .............................. . ............... ..... ❑ ............................................. ............................... ❑ SURFACTANTS ............. ❑ TURBIDIT.. ..... ............................... ..... ❑ ............... .......... ............................... ._.. _._ _ ....... THESE `RESULTS INDICATE TRAT TIIE WATET WAS 61,,g! Or A SATISFACTORY SANITARY QUALITY 14IiEN THE SAMPLE !JAS COLLECTED, THESE RESULTS INDICATE THAT,THE WATER DI: TfEET THE SATISFACTORY CHEMICAL QUALITY OF NE14 PORK STATE ADMINISTRATIVIE RULES & REGULATIONS, DRINKING 14AT •R STAI ARDS (PART 72) OR THE PARAMETERS TESTED. A4 e V�ELL DRILLER °S LOG AND REPORT at . '�'._ = Lnounty,:-of; : -: _ :. } ..N a of Place .City -; i age <or own P Owner Address._ D J� Depth of well,; Diameter field Ways,.we is nfeoted. n© gpmo ye or no Amto of casing .ab.ove .ground Below. ground _. ....We.11 seal .... � �Y • fT packer, (cement/ grout s Draw a well.diagram.in the..space..provided:.belo'w and show the depth of I casing, the well seal -,' kind. and thickness of .formations penetrated,-water bearin formations; diameter o•f drill holes with dotted lines and casings )....with...solid..,lines:® ......w... •.... .. -. j 1VELL DIAGRAM FORMATIONS :PENETRATED REMARKS j Diameter in., Depth Kind, � thickness 'and Type -of-well. • }_.� grin ft:o:.�.. - -� if .riwater- =bearing-- - rDrillr � GAS ci ,/ was rrel d' ynamited 14 � ?5 ...... . PUMPINGTESTS _...... f Details #1 d#2 7V #3 4 Static water le.vel.,_.. in . fto below grade Pumping rate. in gop m, • 75R Pumping level in 1 ~� 150 til ft. below _grade i .Duration.. of - test 9 a in -hrs a f ........ WATER AT END OF . TEST : � C1ear�Cloudy Turbid i Recommended depth of pump i l well, feet.:below grade t 200 WILLS IN SAND & GRAVEL: Sand Effo,._size r. mm f Leng thCoff screen I : ' ; ... Diamo . o.f ..screen in o 1 i 250 Type._ of screen Screen openings ICOM ZtNTS: . } f i j a• sketch .of,: the • property on the back of this sheet - n- - �.:.:• ^V•• �' � Drilling started. / ��Eompleted t G1; locating , the well and sewage disposal systems.a Well Driller 'k ,� � /,,,,�, -4 d--- Signature -,L, i 1 ' YK 1 a -: �f. i�h; "'^ -y."� c�-? �..t Fa ik .•c?.. ..k, �.� �% •, .- ... . . si C so INWA ni _ ~ �c 41 too q j r (/L2r H �,,�i / /.(/{`�`� G'��b`�-' � ht/" �` \ G/� 6- � l 0% afu��, G•{/y •."•'_ ) � \_�(� •. , ,� t�J�WI �. L% �. \ _" `� V .�%'''. V 1' �: /• r ��-��V11�'Gj •�4j *` /ar • ?�� �1 � �'•1''L.� '� �E'�'. .'�' +iY� • s i F. kin Y" ff On. * v 'c �V►1 Y' r �✓lCi v� t`c; t AW �1W� 1 V4v.. 4"t2.�i '�`JCvM•�� t k _ 21 A Q < d t } �• ti t > lot AR, a F> -��� mss" S i:'�� � �Q <<�f`tj� ��!%l.� �-, �Ve ��'YY��✓i(~' r, €( J 1 i 1 PD, Y " U �B wUtc4 r ; �C14`t �? GjG1 /r+Z WE s �k.` _ r�iF� � v �f �b pul au v Mow 01 s, rpf AS 'Use 4Y; A� ,.. .. _ .... �. .... -t, .. te.._._ S_e A-u �v , rt. a, .. _. __.. .. �... �.. �'.fi;.ii:��.....�., ��_,r ..... L.._......r_.. . _..�_. •a - .. �L _..., ��'`._ .. . Subdivision' t M_ Ownerd1 f' BuildingyType�I'L�A/T /�� Lot Areas ^Number. of Bedrooms Separate ewerage System rto cons�st�of v' 77 7 To b con uctad by yyL'av� `+ Wate Su V� 'Pnvate SuPPIY -c3 Y`= s Ad ess Oth r egilrre `en al rep ert =that wh II and complet above a §cubed; ill' rucfed at n ' County` epart.Y o th,.anf' htbti r. tie submitted ,to "`- e uara place in, go ditior� ,; `r o?° i aieHia ance.;of•'the'a" "-royal; ery,i# e's'of n' i qPq ?3 y� q: waftw�ll be located as shown _ th prove pla el County Department of H_' Ith '�� � �`iw } �. bate° Addr ' ��p APPROVED FOR. CONSTRUCTION` ap(p�o � p4r'e ",revocable. for cause or, may be: amended o1 ed -' S y K .. N Job Address f% �� ' �01( a4 rliT:ll•4 M •6'Q: -1 " .- Total Habifable Space ' ` � Square '.Feet iticL Tarikq lineal feet • X � n width trench . I ,' •" r Address r �'� ► rR✓<i!'� -G'LE i/ n/' t✓ C arnlca.c r L Rion of the proposed system�(s),,,1)� that ,the separate sewage ,disposal system .. _ to and��n acc ortlance with the'standards,:rules an regu a ions o ,: t ,,,:,:Putnam, of, Construction Compliance'sat,sfactory to,t_he Commissioner of HealthwilP` l i the owner his successors heir -,or assigns by the bwlder; that said ,builder -will' i Burin he period of twok(2) years immediately •follow.ing the date of the, issu- ' erorvgi al system or any repairs thereto '2) that the drilled well described above . i m ordance> with a stand F s rules and regulations of the "Putham � S 9 ..3 4 PE ry�sRA � +. .::_ � i0i :• � : kas :. LlCensO NO 1 e date'�issued unless constructan of the bwldipg has been undertaken and is r 4t Co ,ss�oner�of Health Any change or alteration of construction or a water supply only s c 4 M w if ex r r Y ` PUTNAM COUNTY DEPARTMENT OF HEALTH 4 f 3 6 s .rc F ' - Hea °� rDfvfsfon ofEnvironinenta/ /thSerVices� Carmel 11/ Y t0512 CONSTRUCTION PERMIT .FOR SEWAGE _DISPQSAL Town or Village Subdivision' t M_ Ownerd1 f' BuildingyType�I'L�A/T /�� Lot Areas ^Number. of Bedrooms Separate ewerage System rto cons�st�of v' 77 7 To b con uctad by yyL'av� `+ Wate Su V� 'Pnvate SuPPIY -c3 Y`= s Ad ess Oth r egilrre `en al rep ert =that wh II and complet above a §cubed; ill' rucfed at n ' County` epart.Y o th,.anf' htbti r. tie submitted ,to "`- e uara place in, go ditior� ,; `r o?° i aieHia ance.;of•'the'a" "-royal; ery,i# e's'of n' i qPq ?3 y� q: waftw�ll be located as shown _ th prove pla el County Department of H_' Ith '�� � �`iw } �. bate° Addr ' ��p APPROVED FOR. CONSTRUCTION` ap(p�o � p4r'e ",revocable. for cause or, may be: amended o1 ed -' S y K .. N Job Address f% �� ' �01( a4 rliT:ll•4 M •6'Q: -1 " .- Total Habifable Space ' ` � Square '.Feet iticL Tarikq lineal feet • X � n width trench . I ,' •" r Address r �'� ► rR✓<i!'� -G'LE i/ n/' t✓ C arnlca.c r L Rion of the proposed system�(s),,,1)� that ,the separate sewage ,disposal system .. _ to and��n acc ortlance with the'standards,:rules an regu a ions o ,: t ,,,:,:Putnam, of, Construction Compliance'sat,sfactory to,t_he Commissioner of HealthwilP` l i the owner his successors heir -,or assigns by the bwlder; that said ,builder -will' i Burin he period of twok(2) years immediately •follow.ing the date of the, issu- ' erorvgi al system or any repairs thereto '2) that the drilled well described above . i m ordance> with a stand F s rules and regulations of the "Putham � S 9 ..3 4 PE ry�sRA � +. .::_ � i0i :• � : kas :. LlCensO NO 1 e date'�issued unless constructan of the bwldipg has been undertaken and is r 4t Co ,ss�oner�of Health Any change or alteration of construction or a water supply only s c 4 M w if ex r Re: Property 01 4me5 >�� JP%r. A n,''/ % l Z14, I �� El A//1 �^ Located atFf _� o�,. ``. Block Lot c STANLEY This lettor is to authorize a duly licensed -orofessional enginear t✓ or registered a.^cI itact (Indicate) to a.aoly for a Cons tructiOn Perna t for F_ separate sa:•iar eve system; to ser.Ja the above noted : ropert.y in accorlanCe with t-h-e sta-dar s, rules on ra , zl tio:!S as pro?it:l�? t2^ by t is CO:` -._i ss one'l, of uLl� - Llt_ ^.°'1 C.oLi"' G f Y ' ealt' , an-C', to sign al! necessa"-t p,:t-pers on '_"'_J bah =.1. in Y *,1 a 1, n 3- a. v +,� r r i- u— J r - � J vl t r. 'c a• T•"i i ^, said d connect-ion :...vi? Uil? J ;"lat V L_d v0 S 1 I: 3 vYi CJ. V t. v t0 a o_ S� �. S�tBte ^'t Or S� "St�""S in Conio_'mity wiuP t^= p2'ov slons of rticla lit; 0=' . l '7, �'dt:c =tion Lz•,:, the.. FLt`:,lic 'Health LY:..�� and -he_ Putnarl County Sani- tary Code. '..Very trulAll rs, Signed / �- c.� vvt�- - Owner- of Property Al A Contersig� f �� �� � Ad 'r s A, ��:� J u r_ P.E E. ��•� �.� I IAN .��0 (Seal) Adaress PDX :261 ' e lu I've Id .245 -2�4�► - Telephone Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL'HEALTH'SERVICES DESIGN 'DATA SHEET..- SEPARATE, SEWAGE..DISPOSAL..;SYSTEM FILE NO'. Owner�J��� €S / -'_ �.4�..i�+i,/i Address.' iE��'t�G Located at. (Street): 4e4eCA4eeTJ' 4✓P (Indicate, nearest cross street) Municipality's✓ ' a; '.�i� 4 1�. Watershed SOIL PERCOLATION. TEST DATA'REQUIRED TO BE'SUBMITTED WITH APPLICATION r . Hole Number.. CLOCK TIME PERCOLATION PERCOLATION'.. Run Elapse Depth to Water " Water: Level, . No.' Time: From .Ground .Surface in Inches..: Soil Rate ; ,' Start Stop, Min.. Start Stop Drop in ;: Min/in.drop Inches Inches Inches // 4 3 w T:f \ X 15.7 •, 5 #. � 0.H } �% �� G! 'jai & P ±� �, 5 =�h eM4Et�� 'as4 y'� d ' ;:1"• A' v xf$ it�dhr� I y 1w 1r n ' � t � tl ti �• � �r 5p' 4'a rF a X .i�tM it q.�� d '�?" �•� f ,; �, Mks k y�? I5 A -Ovt h ,r'! �n4 p °'ri t e 5 >!S�'ry„a 1 ,:t a Ib, 'yu °� d� ,s.,. P a�i�tr {'Sr• ap°S'1 \��racd',�'�� s;�,�t Y ;l t t ep {w t6e—�'I`'V.}+ '[,' a 2 r V,I t' � +a uFn ,1,�urr� u ;.•'.' w_ tiue�S .d,Vr.ii"'��FYf�S'+�vF.'".�' �.:., �,,t.� '�«, L. v vdv'r�a;. ?� °� ?an"�)ti', ^,_,''.; a�.'`,'�it',:�4*$�r,,�1:wi", 's',,t ^r �,':r,.a..a,J „.::, ��;° 1 t F v= t s a 4 � r � ax 1 �r ,wF M Ha6 R !` "i St Ayl�. � i µ�•�Y, S4 a ��" qi���7' ,� a v y \ �}!!+wL <� �t� ,� , :' 'Poo Cain *7 1t: 1, a v1 SignaLQ' &�� a 5 A r ti 4k, 5 r v Th. ' ° - �y y� ti, ' c 4 !'v r w r j 1 rM•,t, 't+ -^ MIA + e ' .X k : . 1 t F v= t s a 4 � r � ax 1 �r ,wF M Ha6 R !` "i St Ayl�. � i µ�•�Y, S4 a ��" qi���7' ,� a v y \ �}!!+wL <� �t� ,� , :' 'Poo Cain *7 1t: 1, a v1 SignaLQ' &�� a 5 1 t F v= t s a 4 � r � ax 1 �r ,wF M Ha6 R !` "i St Ayl�. � i µ�•�Y, S4 a ��" qi���7' ,� a v y \ �}!!+wL <� �t� ,� , :'