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631- 589 -8100
41.05 -1 -24
BOX 19
L i
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02228
BRUCE R. FOLEY
: Public. Health ':Directs ; r;..:- ...w:?
LORETTA MOLINARI R.N., M.S.N.
' - � Associa�e�••Public- °Heolth'Director "' � •'••: "'
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 WIC (914) 278 - 6678 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Preschool (914) 278.6082 Fax (914) 278 - 6648
February 29, 2000 .
Albert & Heike Morelli
36 Oak Ridge Dr.
Putnam Valley NY 1,0579
Re: Addition- Morelli- Oak Ridge Dr.
No Increases in Number of Bedrooms
(T) Putnam; Valley Tax # 41.05 -1 -24
Dear Mr. & Mrs. Morelli:
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 form this Department dated Feb.25, 2000 The addition is approved with the following
conditions:
3
I
The total number of bedrooms must remain at Three without prior approval
by this department._..__..
The area of the existing sewage disposal system, and its expansion area, must be
maintained.
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
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
BRUCE. R: FOLEY
Public Health Director
STREET ,S& OP I,- J)2 TOWNVPu TXMAP#
NAME L6l -rT HUIkF No keu—i PHONE 5,2e-. -�35 PCHD #
MAILING ADDRESS 36 OAK r 1,t-66- 09
DESCRIPTION OFADDITIONT ;t,)oS -!E_n ,�%J �ly� i �I?/7��y koolLl
NUM13ER OF EXISTING BEIDROOMS_,3 PROPOSED # OF BEDROOMS —
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDING LNSPECTOR)
*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 V
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
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DEPARTMENT OF HEALTH
Division , Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY. R.S.
Acting Public .Health Director
Re: Al C jZ
Residence
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Tax Map 411 ,S ! 2-I
Town "-vii -1 V, Ylekj /
According to records maintained by the Town, the above noted dwelling
•.s.�....�.. , _....c .r. .. t .. .. -. ... .. .. p .. . . .. ..� w -K �.... .... �.r. rw.._r c -Y .. :.•• .. . .. �r .
IS NOT
in compliance with ToNNn code and the total number of bedrooms on record
is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
�.
OTHER /3Gt. i G �•-�
uilding Inspector
31 P1 N(;'
Llgl"f6
PUTNAM COUNTY DEPARTMENT OF NEALV
LSE PLANS APPROVED FOR
iROOh CO'•.;NT- ONLY;'
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H-L,Utk.r r/r /n c /'rv� -ccu
36 Aa -111, 1057
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PC. AT MOON RD, e-
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SURVEY OF PROPERTY
FOR e o 1
S/TLTATE /N
TOWN OF, PUTv4M MLL EY PUTNQM CO, Al V
SCALE' %'l= 40' FEB.20,
ocr 4 /973 fir+
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l// gccorc✓Oncc cu.lY� m In rmom r>lan �q+�S 4* a 3 / /73
for /� t/q .raeaeyr of Phe,lVow Yoi/L•/fofe
.CQndTlf /e 4f�roc. q,%/ lo PvrAm/vt CovaT>A
PROPERTY SHOWN /5 LOT N4 4B /'O/V it MAP I 3/DN Y K.BERT
ENT/TLED;'F /FTN M. %,0 OF ROAR /NG BROOK GAKE" ; UC..LAND SURAIEWR
Fi/ed.JOLY /, 1949 4S M4P Na- 30B =/. ,ft. /00, SomERS, m
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SURVEY OF PROPERTY
FOR e o 1
S/TLTATE /N
TOWN OF, PUTv4M MLL EY PUTNQM CO, Al V
SCALE' %'l= 40' FEB.20,
ocr 4 /973 fir+
�7_u oral) leed 71, CNl c.a � o TiTL e Znl f Co. DG {. RA P? 73 fewrecl ", 111 ae �vrJJf
l// gccorc✓Oncc cu.lY� m In rmom r>lan �q+�S 4* a 3 / /73
for /� t/q .raeaeyr of Phe,lVow Yoi/L•/fofe
.CQndTlf /e 4f�roc. q,%/ lo PvrAm/vt CovaT>A
PROPERTY SHOWN /5 LOT N4 4B /'O/V it MAP I 3/DN Y K.BERT
ENT/TLED;'F /FTN M. %,0 OF ROAR /NG BROOK GAKE" ; UC..LAND SURAIEWR
Fi/ed.JOLY /, 1949 4S M4P Na- 30B =/. ,ft. /00, SomERS, m
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PUTNAM COUNTY
ilt 4 y
K M Ofvis�ofi of Environmental `)
I
CERTIFICATE OF CQJN T- -_R.GjIQN COMPLIANCE 'FOR ,S
r
w Located at Q81 il�e`14e
h w '� Mr "' &� Mre lbert A4drrelli �`
`Owner '
- Separate' Sewerage System tbuilt 'by,�Q e�'ttironi
y
r Co nsistfng of 900 Gal Septic; Tank 4.1
iremen Fill Seet,�on
r Ather requts_
E k Water Supply
s X Prnrate Supply' Drilled-By,'
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W � _
EPARTMENT OF ~HEALTH ��
lih Services3Ca�m %N Y ~1.0512 a'�
AGE DISPOSAL SYSTEM P U�ll
sTOWn' Ar' Village
, t =
Section 9 Block G
° t, Lot O >a n �, +' ts, Job'' �S '•�
v i
- St
{ Address m .e + +o
Carm �.
" Iin881�F� @et cX �k thff width :trench,
'yaTdB
;. 4 _
h
4.G4 i,n E r t ,d". t
i J 1
2 i
Address
Building Type H'1 �RA1'IL'h
No of Bedroor
`
F
"Hasrlrosion Control Been�v,Complet' d?
t .
°I certify that the systems) &s� listed serving the above premises were constructed essential
`'; attached), and' in accordance with the ;Standards'' "rules and regulations, plans filed th
'Date 73�i
a
Certrfted,by,
,� A 2 '7. : i \ i� K4
�•� v, 41%'�.t� 1 .�-�l 4�' .. i`. �h
�,T
FS '���
1w'�'�"��'i.�
keinan' �O° �C
i1d'dress
p, _
available and -the approval of .the private:water'supply.ghall become
sub)ect `to modification or change twhen; m ,the judgment of the:'E
'•d � fix � � � �4 1 { 'f tI �, 1 ' ,'1 jlr.,as'.
tt 2c t t
Z ��'t '
Date 73 �r � :� ev,-
three Date Permit Issued�Qi�ty�
Ashown oh the plans of the completed work (copies of which "are'
permit_h,issue y the .Putnam 'County' °Department of
Health.
w� t'
L.X�° License'No 043.880
on as may 'lb necessary toxsecure the correction of my insanitary
icd, null and void as soon a$ a .public sanitarynsewv rlb0bomes
public. water supply becomes available::, S1�. ,approvals },are
h such revocation modification Or change is necessary.
Title
BACTERIA PER ML., (Agar plate count at 350 C):
COLIFORM GROUP (Most proba le No; 100mI)
RPNES , TOTAL - ppm
LESS .THAN
DETERGENTS - ppm "
NITRATES (as N) =. PPM ::
IRON, ;TOTAL `..PPni
1
1
Owner or Purchaser of Building
.... +. �. x. _...... .. nr ms+:r...a -.�..w :. :.:era•n.r.�a �.•:.i..i.. -�_ : <.w,a......�o._•. + < -_.r.. rr .:....:: ..�......._.•...., r. ..,. .a., _..._,......_ -, va a.v.-a-..;....+.�•.n,:.::.:...w s.,ea...:..r .a ....., .. .....,..� «....... ,..w
�S
BuildinjjConstruicted By Section – Ward
QA,rjas ' D. t. de
Location – St et
EAE
UM
Block
C.o
Lot
GUARANTY OF SEPARATE SEWAGE SYSTEM
I represent that I'am wholly and completely responsible for the location,
workmanship, materials construction and drainage of the sewage disposal system
serving the above described propertyq and that it has been constructed as shown
on the approved plan or approved amendme and in accordance with the
standardsq rules and regulations of the 4eun4L-Department of Healtht
and hereby guaranty,to the ownery his successorst heirs or assigis, to place in
good operating condition -any part of said system constructed by me which fails to
operate for a pperiod•of two years immediately following the date of completion 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 system.
The' undersigried further ' agrees to accept as' conclusive the detem- o
the Director of the bivision of Environmental Health Services of the r
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 - day of71 —C: 1973 Signature
at . Title
Place .& State If corporation, give name and
address)
FIVE (5) COPIES ARE REQUIRED WITH FIVE (5) COPIES OF FINAL PLANS BEFORE CERTIFICATE
OF COMPLETION WILL BE ISSUED.
GUARANTOR IS F.EQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM
-- — — — — — — — — — -- . -- — — — — — — — — — — — -- — — — — — — — — — — — — —
Division of Environmental.. Health Servicesp111e5b4e-"er County Department of Health
'A&A-11fli
Form S.D. 50 January 1, 1960 (1971)
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WELL CaMWLETION REPORT
X/ 1
PUTNAIIA COUN -I•Y DEPARTMENT OF HEALTH
Division of Environmental Health Servi:;es
COUNTY OFFICE BU!LDING - CARMEL, NEW YORK
This report is to be completed by well driller and submitted to County Health Department together with laboratory report of
:�......::;_::.. awl. Y- �t�.: �f.. �t�ater: sat�lp. 1. e, l; n�iic: ati. nr� :dyi.ter_IS,of:marisfiactor�y- batter +al�cjual- ify- ��fiere eertiFicate° of- �nri3�trUeti�tl 'ca?,�TrpliaTlcF) i� issue;__.. ......
REPORT MUST BE SUBMITTED WITHIN 36 DAYS OF V'VELL CUMIPLETION
OWNER
NAME
PARAGON BUILDERS INC.
ADDRESS y�
Box 712, Mahopa•c, New York
LOCATION
OF WELL
(No..6 Street) (Town) (Lot Number)
Oak Ridge Drive Putnam Valley 481
i
' .PROPOSED
USE OF
WELL
BUSINESS
DOMESTIC U ESTABLISHMENT FARM TEST WELL
PUBLIC AIR OTHER
SUPPLY 11 INDUSTRIAL F] CONDITIONING E] (Specify) r
DRILLING
EQUIPMENT
COMPRESSED CABLE OTHER
® ROTARY � AIR PEkCUSSION � PERCUSSION � (Specify)
CASING
DETAILS
LENGTH (leaf)
22
DIAMETER(inches). WEIGHT PER FOOT j��t �j DRIVE SHOE
6 19 �x THREADED I I WELDED I_! YE EI NO
-
jV AS CASING GROUTED?
El YES 9 NO.
TEST
-
HOURS / G.F.M.
BAILED PUMPED COMPRESSED AIR 6 52
YIELD (G.P.M.)
52 -
WATER
LEVEL
MEASURE FROM LAND SURFACE— STATIC(Specityfeet)
DURING YIELD TEST [feet)
j
Depth of Completed Well 155
in feet below Land surface:
SCREEN
MAKE
LENGTH OPEN TO AQUIFER (feet)
DETAILS
SLOT SIZE
_
DIAMETER (in has)
IF GRAVEL
PACKED:
Diameter of well including
gravel pack (Inches):
GRAVEL SIZE (Inches)
FROM' (feet)
TO (teat)
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 & Boulders
-
2•
22
Hard Gray Rock
22
135
Hard Gray Rock
135
155
Medium Gray 'Rock
_
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
DATE WELL f.OMPLETED
8/13/73'Ti
/j
°/ tCPORT�`1V
F� �5
rLi�iIi� ?G CO. Ae
1E
M1,
APPROVED
F N
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• WT MM COUNTY DEPT- Of REA L
114C
ANVIRONMENTAL HEALTH
aw i
'EcaR 'DI sio�
SEqVI(W,
bw
1E
M1,
APPROVED
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• WT MM COUNTY DEPT- Of REA L
114C
ANVIRONMENTAL HEALTH
aw i
'EcaR 'DI sio�
SEqVI(W,
PUTNAM, COUNTY DEPARTMENT OF ITEALTH
DIti'TSION- OF t�V ERL VII
F, I RONMENTAL } {: pTt::: SER C.E:S. x.._....< , ... �..s,..
Date �� ���± ..:
Re: Property of .a n C,_ pt l4 t?
Located' at
Section Block Lot .
Gentlemen:
This letter is to authorize i George,A. Haughney
a duly licensed professional engineer g or. registered architect
(Indicate)
to apply for a.Construction Permit for a separate sewage system; to
serve the.above noted property in accordance with the standards, rules
or regulations.as promulagated by the*Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
conriec t -ion with this matter anct to supervise the construction of said ;
system or, systems in conformity with the provisions of Article 1_45 or-
147., Education; Law, the Pablic Health Law, -and the Putnam County Sani-
tary "Code . Am,.LW 3
I
Very triuly yours,
Signed_
Nner of ProNcrt;
,,.
Counters.i.gned _ , {
Address
Dykemah n
_ a
C � Telephone
Address 'V'``t
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner 'fj,G✓1T4f�'�G t Address
Located at (Street 41r1?1Ds P/ ? Sec. Block Lot
R0dicate nearest cross street)
1
Municipality Pell— ✓1-1 11Ai LEY Watershed Y&
SOIL PERCOLATION TEST DATA REQUIRED TOiBE SUBMITTED WITH APPLICATIONS
0 e
Number CLOCK TIME PERCOLATION PERCOLATION
Run apse p o a er a er ve
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Mina Start Stop - Drop in Min. /in drop..
Inches Inches. Inches.
2
5 ..,
Notes: 1)' Tots to be repeated at same
rates are obtained at each percolation
for review.
2) Depth measurements to be made
depth until apppproximatelyy equal soil
test hole. All data to be submitted
from top of hole.
3
2,'x.'0 `7 ... ,3-'A/ `� 7 V
x?
�
2
5 ..,
Notes: 1)' Tots to be repeated at same
rates are obtained at each percolation
for review.
2) Depth measurements to be made
depth until apppproximatelyy equal soil
test hole. All data to be submitted
from top of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN'TEST HOLES
D .9PTH HOLE NO. / HOLE NO. HOLE NO.
G.L.
r
6"
12"
18"
24
3W1
361
42"
48"
5 11
X60"
66"
72'1
78 if
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED 1✓vv6
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED waN
TESTS MADE BY �'A/ Date ��
DESIGN
Soil Rate Used/ /S Min/l "Drop: S.D. Usable Area Provided'
No. of Bedrooms <3 Septic Tank Capacity qQ p Gals. Type
Absorption Area Prov ded ByQ �o L.F.x24" �jb�'— `� width trench.
A4.1,�r
r
`1,
Address �Y,'�gn/ SEAL
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY :,
Soil Rate Approved Sq. Ft /Gal. Checked by Date
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