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HomeMy WebLinkAbout2271DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.06 -2 -49 BOX 20 I�yL ,. I i 9 J ��� 11' riot T T, ' ir �` , ■ �L T� 1. ` L tir #6 02271 .d z• 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 October 16, 1989 0 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Ann & John Kroslowitz Lake Shore Road Putnam Valley,. NY 10579 Re: Proposed addition to existing residence and sewage disposal system - Kroslowitz (T) Putnam Valley TM 7 -3 -10 Dear Mr. & Mrs. Kroslowitz: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 12' S• x 24'3" recreation room and a 19' x 12' Florida room will be added to the existing residence. No other changes are proposed. 70' of 2 foot trench must be added to the existing sewage disposal system. Repair permit enclosed. The survey indicates that sufficient area exists to expand or repair the.sewage disposal system. Therefore;. - .based -on -the information submitted, the above mentioned-addition is.-_ °-_._ approved with the 'folloring'conditions: 1. The total number of bedrooms must remain at three (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 replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. 4. 70 lineal feet of 2 foot trench must be added to the existing sewage disposal system. 5. As builts of the sewage disposal ssytem bust be submitted to this department and the Putnam Valley Building Department prior to the issuance of a Certificate of Occupancy. 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 you s, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley OWNE SITE MATT, PERS DATE Name /I��y .ationsnip (i.e, owner,tenant, etce) n TYPE FACILITY v� [ �P�SIQC.P,e 4 PHA Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage.disposal system. Different location may require submittal of proposal from licensed.professional engineer or registered.architect./Y'- 0 0/ Q��°� � ZZ, Grp } c�cr'r "/ 0.,=. , - a ®P rT • e � - .ec._u ...�... ...�__ _. ...._w._.a. ...� ... .. t.r ._.... .: s ..z... c�. _ ... ..L .... � n..� ,.. ._.. _.•� -.ti`.w _.... .. ._... -q .a ...... .... -.�... .. —t ...o,.. s.. .� .L. ..i ... ... ten__,. -.. _... Proposal approved Proposal Disapproved Inspector's Signatures& Title with the fol] tionso 7 pate 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners): d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, r repo agent of owner agree to the above conditions. SIGNATURE T �4� - TITLE ( DATE % 13 70 '16® V&te (P ED); Yellow (Ttm BI); Pink Op licBnt) Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT October 13, 1989 Dept. of Health 110 Old Route 6 Carmel, N.Y. 10512 TOWN HALL. --PUTNAM VALLEY, ;NnY.,`-°- (914) 526 2377 Re: SSDS Repair or Expansion TM#PV 7-3-10 - Owner: Ann::& John Kroslowitz Dear Sir or Madam: The proposed alteration of Sewage Disposal System as shown on drawings dated 10/13/89 have been reviewed and determined to be in compliance with 1. Wetland regulations. 2. Information on file in Building Department. 3. Separation to adjacent water supplies. Applicants that receive permits shall advise the Putnam Valley Building Department when construction is to b1x6kf`il`1_ EO---.-ins 'ection of' j:�qmjqE�qqe.. And' P same. An "As Built" drawing of said work shall be submitted to the Putnam Valley Building Inspectors office upon completion of work. � 1z, r. Buffing &LZoning Inspector I.ul 3i r, ; NIR g" IP ORE,' fri Pi 14 11 2 f2 le - I< -� 4 ro 2 PSLIN In lift--V hq I r'll -� 4 In may\ -4 �jELL COP0PLET.ON REPORT 3/71 � ~ ' � ' PUTNAM C.OUmTY QEPARThfiENT[/F HEALTI ` Division of snwmn,mn:{| *oo/m Se�vlco COUNTY Opp|ns ou|I-o/mG 'CAnmcL,* NEW yonr ' 1-1iu u�mu Is rn be completed by well driller and submitted to County Health Department together with |abonuury epartof onu|ysixufwate,sample indicating water isofsatisfactory bacterial quality before certificate ufoonxtruotiononmphonre i� irmud. — — ' OWNER LOCATION ADD fTown) (Lot Number) PROPOSED USE OF WELL BUSINESS lir El ESiABLISHMENT FARM TEST WELL PUBLIC AIR OTHER SUPPLY 11 INDUSTRIAL r] CONDITIONING El (specify) DRILLING EQUIPMENT rZ;il COMPRESSED CABLE OTHER ROTARY AIR PERCUSSION PERCUSSION (sp6cify) LENGTH f.'enO il HT PER FOOT DIIVE SHOE WAS CAqNG GROUTED? YIELD TEST BAILED PUMPED COMPRESSED AIR' WATER LEVEL MEASURE FROM LAND SURFACE— STATIC (Specify feet) DURING YIELD TEST fleet) Depth of Completed Well in feet below Land svr.face:m SCREEN MAKE DE7AILS SLOT SIZE DIAMETER (inches) Diom'eter of wal gravel pack (Inc AVEL SIZE (inches) FROM (feet) TO (feet) DE;TH FPO FORMATION DESCRIPTION Sketch exact Ioca!lon of well with distances, to at least two permanent landmarks. FEET to FEET If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE / .. .: , _.. YOAKTONN MEDICAL. LABORATORY INC. 308 P 0 Box 99 321 Kear Street =Yporktbwn- Hie X93 wa . , '- - 145 :320 - DATE. COLLECTED RESULTS OF EXAMINATION, OF WATER••.• OWNER DATE RECEIVED.. MICHAEZ BIANCO CITY, VILLAGE, TOWN' & /OR NAME OF,- SUPPLY DATE REPORTED` BOX 2,74 B.,` LM SHORE DRIVE E o PUT ... "VAL o 8� -8 -73 r ,. AMPLI.NG POINT `. BACT8RIA'PER ML. (Agar plate count at,35, .C): COLIFORM:GROUP:(Most, probable No, /100.1:) A D ESS, TOTAL,-7 pom '1 LESS .THAN• '20 2 DETERGENTS,- ppm NITRATES (as N),- ppm IRON TOTAL ppm FLOURIDE (F) - mq. /l.. . These results indicate that the water was' YES of :a satisfactory sanitary gtiality when the sample was collected. A. H. P.ADOVANI, M. T. (ASCP) _+ in Location - Street:. Block ' &styeA)rtg l Building Type 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...5hown on the approved plan or approved amendment thereto, and in accordance with the, dards, 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-dmmediately.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 ±cm. 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 w. illful t,or,_neglige.h't- tie:t'of the oocup.ant,of,_the.:.hu..il: i�ng..utillz n te , system. Dated this _i day of�� 19 Signature Title 01,/ ,/ V,-- %z _ (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 REQUIRE TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. ------------------------------------------------------------------------------------ Division of Environmental Health.,Services, Putnam County Department of.Health PUTNAM COUNTY DEPARTMENT OF HEALTH Division' of Environmental Health Services, Carmel, N. Y. 10512 : 'ONSTtRUCTI ©N PERMIT FOR SEWAGE DISPOSAL SYSTEM -L:ocatee-at - .;C' ice:. .��- ;.5��a�St5:.. Subdivisinon c�,� iAjC9�� Owner i�O ►1C"i -4��L p3 i�id�! �� Building Type Lot Area Number of Bedrooms Cr Separate Sewerage System to consist of �C Gal. Septic Tank To be constructed by F D " fA AA fqaieaear G a'P' Water Supply: Public Supply From I/ Private Supply to be drilled by Address r U r rvrd � rf Other Requirements L 1 represent that 1 am wholly and completely responsible for above described will be constructed as shown on the appr County Department of Health, and that on corn be. submitted to the Department, and a written gu place in good operating condition any part of sai ance of the approval of the Certificate of Constr will be located as shown on the approved plan and th County Department of Health. Town or Village Sec�Eien Lot I Job Address Aje L Cr,,eD Total Habitable Space Square Feet 177 3E `' lineal feet X width trench Address ulg grv,j , AJ i ff RIM of the proposed system(s); 1) that the separate sewage disposal system nd in accordance with the standards, rules and regulations oT t e y nam onstruction Compliance" satisfactory to the Commissioner of Health will ner, his successors, heirs or assigns by the builder, that said builder will the period of two (2) years immediately following the date of the issu- system or any repairs thereto; 2) that the drilled well described above .cc dancAwith tjo standards, rules and regula ids of the Putnam Date dL'• y--m ene �!'Z , 1,97 Z- P.E. � R.A. Address Z �' yy �� �� / License No. �� 7` APPROVED FOR CONSTRUCTION: This approval expir W' tR to issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when con by the Commissioner of Health. Any change or alteration of constru n requires as Ine_w' permit. Apprrooved for disposal of domestic sanitary,Lewage, ands /or private water supply only. / pate!T`'!�v !-`J /Zt pr Z By ��il�i>Z GCti_ Title PUTNAM ..COUN TY .DEPARTMENT .OF .HEALTIi DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date yCJ"f31 =Q_ 2-L l�72 Re: Property of A41 Q 1A A E L__ -R> t Fk i t C 0 Located at L A 1-5-c-Ac ZE _1.4 L,E d p IT M A M VA 6, Section % Block 0 3 Lot I C Gentlemen: This letter is to authorize STANLEY J. LAN ®E a duly licensed professional engineer or registered architect (Indicale�- 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 Lepar -meat of Healti1, and to sign all necessary 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,. Education Laws - the Public. Health. -Iaw, and the Putnam County Sani- tary Code. •ountersig P.E., ,- # Z72,0 STANLEY I LANDER —(Seal) Addre MX 267 A�d dl N hi �! ngi r a r —a--� -- e Very truly yours,} Signed Owner I o Property 7.Y� / o �" )ai ro k,9 0' l Vc 168- jk 100,4, Address Telephone aW2, ...::::...... m ..x. ::�.PUTNAIuI•�GOUNTY DEPARTMENT OF TEAL- TH..r_..,,�,._ DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner MI CWA6:�L 3I. -9AIeO Address 17-'3d /V,/, /© r T t� /rIlIF' Located at Street 1"4xK5 oL -7 Block 03 Lot /0 Indicate neares cross street) Municipality `A) va l �'�ti'�m i � �t- Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole 2 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 Me '5 xb 913 5 2 3 G Notes: 1) Tuts to be repeated at same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. 0 TEST..PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPr-ION `OE - -SOILS=`iENCOUNTERED DEPTH HOLE NO. HOLE NO. HOLE G.L.i�ea�cr 611 12" fJsl�vo % �C'C G SAY - 1811 ` 24" 3011 /t f 3611 tf 4211 0 48t1 fr 54 i� 6011 6611 y yr 7211 7811 84lf -VINDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED = INDICATE LEVEL TO WHICH WATER.EL RISES AFTER BEING ENCOUNTERED :TESTS MADE BY 'r ;4, tea✓ ;'�i�, Date DESIGN ;. Soil Rate Used j 'Min,/1 "Drop: S.D. Usable Area Provided -0z1-o No. of Bedrooms 71*fff Septic Tank Capacity `mo o Gals . Type Absorption Area Pro d By /77 L.F.x24ft 5b" �,i width trench.- STANLEY J. Address THIS SPACE FOR USE BY HEALTH DI Soil Rate Approved Sq. AT T 0 TITLE N0. �;cc,rION . ........... .. SURVEY OF AS SHOWN ON c) v _G LT U ATED, I N A v FILED IN THE COUNTY CLERK'S OFFICE. - .. MAP GUARANTEED TO_ NVI�Cv IN ACCORDANCE. WITH MINIMUM STANDARDS FOR TITLE SURVEYS OF ---NEW Y-ORK.STATF- LAND TITLE ASSOCIATION N.Y.C. LIC#361-81 "All certifications e hereon are v,iltd EPWARD,"6..; kkALCZ."O LICJ LAND SURVEYOR: for the map and copies thereof only 2A BERK�$� ICE R b. NKERS N.Y.S . ............. A9 it said map or copies beer the, if)). . ...... ... .. . .................................. pressed seal of the surveyot- whose ............. ........................... signature appears hereon." J Q I ry L;J) Q <fj 86 I �- j