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HomeMy WebLinkAbout2284DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.07 -1 -10 BOX 20 ,Iry a IN a I me A4 I a �. IN '. .� I I`Oj f 1. ` fro IN s 'r I y 1' ' ' '` 1 N W ' : 8 02284 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at DO, Town or Village Ri t1, 1 \4 Owner /Applicant Name gar— Tax. Map Block �_ Lot Formerly Subdivision Name /-6wJ 15 LE=T Subd. Lot # Z Mailing Address 12D ,412i i f ( i$ZW k 1)'e- Zip Date Construction Permit Issued by PCHD 6 2 9 4 Separate Sewerage System built by tai Address Consisting of % 00 0 Gallon Septic Tank and 50 of 2 Other Requirements: 2 l2b f5 r Z C 1,0 C. Water Sup/ly: Public Supply From Address r: ✓ Private Supply Drilled by Address. Building Type 6 c - L Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? _ I certify that the system(s), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the PutnamAounty DApartment of Health. Date:. Certified by Address P.E. L / R.A. License # ��(a��'- Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revocation, modification or gbange is necessary. B'/ '"` -' ~ _ — `'� Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange bopy - Design Professional Form CC -97 YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights, N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director- LAB 4: 32.0 08131 CLIENT #: 12958 NON STAT PROC PAGE 1 D I NOTA , ANTHONY DATE /TIME TAKEN: 12/14/00 i }9: ooA, 8 ROARING NG BROOK DR. DATE /TIME REC ' D : 12/14/00 03:35P PUTNAM VALLEY, NY 1 0579 REPORT DATE: 12/19/00 "PHONE: (845)- 528 - 2803 SAMP I NG SITE: 8 ROARING BROOK DR. SAMPLE TYPE..: POTABLE : PUTNAM VALLEY, NY, 10579 PRESERVATIVES: NONE= COLD BY: ANTHONY DINOTA TEMPERATURE..: < 4C NOTES... COL I FF ORM METH: MF ?.ATE FLAG. PROCEDURE RESULT NORMAL - RANGE METHOD 12/14/00 MF T. COL I FORM ABSENT /100 ML- ABSENT 1 002. COMMENTS: 1ENTS : ,ACT THESE RESULTS INDICATE THAT THE WATE NOT) GF A SATISFACTORY SANITARY QUALITY ACCORD ( NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF . COLLECTION . SUBMITTED ELY: L/ Albert /k. Padovani, M.T.( SCP) Dire Vor ELAP# 10323 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM 4j7 / /o r Owner Purc aser of Buil ing Tax Map Block . Lot Building Constructed by TownN lage 6 6 I Location - Street Subdivision Name Building Type Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 "Certificate of Construction Compliance" for the sewage treatment 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 Public Health Director 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: Month Day Year gn cu Si ature: Title: General Contractor (Owner) - Signature Corporation Name (if corporation) Address: State Zip Corporation Name (if corporation) Address: State Zip Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION 5 RE: Property of Located at P 2 , �j , -b t-,. T/V \1,41]eq Tax Map # Al.] Block _ Lot Subdivision of \19Ae-i>A A We,,.l Vie4tSL —,l Subdivision Lot # 2 Gentlemen: This letter is to authorize P10 Filed Map # 2 Date Filed L� a duly licensed Professional Engineer r Registered Architect to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater tretment and/or water supply systems in conformity with the provisions of Article 145 and /or 147 of the Education Law, the Public Health Law, and the Putnam County Sanitary Code. Very truly your Countersigned: Signed: P.E., R.A., (Owner of Property) Mailing Address F—C—) &x State Zip US-4 Telephone: 8 — 6026-0 37[o Mailing Address: 4B & &>t - '0;Z, State Zip Telephone: Form LA -97 FI ...... ..... DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL 2 = PCHD PERMIT #_� WELL LOCATION Street Address ?" C> wt RMR1.0 8N k Town Village City Tax ai;v� Po'vmm Ou&y Grid Number W-0 —) —ry WELL OWNER Name Mailing Address Al') -mwl Di po'm 50 ELM' 51-, Poe RattF OT-rivate O Public USE OF WELL 1 - primary 2 - secondary B- RESIDENTIAL 0 PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL b INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT 9v0, 5- gpm /# PEOPLE SERVED /EST. OF DAILY USAGE al REASON FOR DRILLING E3 REPLACE EXISTING SUPPLY U NEW SUPPLY NEW DWELLING O TEST /OBSERVATION 12-ADDITIONAL SUPPLY ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE EJDRILLED 13DRIVEN ®DUG OGRAVEL OOTHER IS WELL SITE SUBJECT TO FLOODING? YES ✓ NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: {M Z361 EvJ v V L (z DA- k P 15Z.&I Lot No. 'Z__ WATER WELL CONTRACTOR: Name bF EtZ JA WE;D Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: 2 H TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SEPARATE SHEET AV (date) (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 provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or aste products from such well drilling operations be contained on this property and $n su ti manne as not to degrade or oth rw se contam'nate surface or groundwater. Date of Issue: 199 Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - wDate Re: Property of A� Located at cT -k- pnmz�p(' V>ROOK NR'l V --E (T) 'N�Oh"\ VALt4y Section Block Lot X17. Subdivision of C-f Subdv. Lot # Z Filed Map # Z Date 11 )b ag Gentlemen: This letter is to authorize i�_ZYJz- a duly licensed professional engineer 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 connection with this matter,and to supervise the construction of said system or systems in conformity, with„ the., provisions of..Article .14.5 or*- 147, Education Law, the.Publie.Health Law, and'the Putnam County Sani- tary Code. Countersigned: P.E. , .R,-&. , # tj373C Address Z6 S - 1632 Telephone Very truly yours, Signed L-L' l GOwn of Property • Address &d F Town 6 --56 7c:9 Y3 Telephone UI BATH CLO 00 _- T D BEDROOM 3 BEDROOM 2 BATH.. O O 10'0" x 10'6" 10'0" x 11'6•' .,BEDROOM,],, 2'8•' x 12'1 BEDROOM 1 OINING ROOM . KITCHEN O • WALK-IN, 13'0" x 11'3" tt0 0.O 0.O Llx 1 t'6" x 11'3'• 12.0•• x 11'3" O , HALL I PAN HALO I I ttO i t . I DX LIN tt0, i BEDROOM 2..; p,p BEDROOM 3 LIVING ROOM4 1 - 10'6" x- 11'3" - 10'6" z 11'3" 20'6" z 11'3" �- KITCHEN FOYER LIVING ROOM t0'1" : 12'11" 18'3•• x 12'.11" DINING ROOM 0 12' 10" x 9'6" CLO CLO 1 - LAKEWOOD I P'T'i'iIAM C'U'UNTY ! EE IFAR lMEN OF HE 2448 LAKEWOOD it p7e i� ! ' c? NS r.p(r``�ROV D; t' Os 2748 Y. BEDRO",,;'l Lt iliii l 1Vl.v� A,4_gA. pr .D' 1PJ �_q O O DO S1'„ .a tur'e u 1 i �l O I° ;w 1 710 CLO - -` i:iTCHEN DINING ROOM i�n� " BEDROOM 3 BEDROOM 1 DINING ROOM 1*6 9'6 U 12'4" x 12'11" 12'0•• x 12'11" r�- 10'6'• x 10.0'• " 13'0'• x 12'11 11'8° x 12'11" 11'6 "x 9'6" I' - 0 BATH 10 BATH O I r\ Cr-O VAN. _ I 7AXT11Y I I DN ! 'tt0 AC 0; I CL Ao a0 I ao L1N HALL tto ttO FOYER. LIVING ROOM 17'2" x 12'11" BEDROOM 1 LIVING ROOM 1 BEDROOM 2 BEDROOM 2 BEDROOM 3 13'6" x 12'11•' 20'T" x 12'11" 10'6^ x 10'6" 90'2" x 9'6•' 10'9'• x 9'6" tto. :? . ( _o 1 LAKEWOOD 111 2748 i LAKEWOOD IV 27' x 48' i f APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT _ NAME OF OWNER STREET LOCATION BY DOCUMENTS. DATE Y ril PERMIT APPLICATION = PC -I I= WELL PERMIT; PWS LETTER M ENGINEERS AUTHORIZATION LZl DESIGN DATA SHEET(DDS) m DEEP HOLE LOG = CONSISTENT PERC RESULTS (3) = PERC HOLE DEPTH = CORPORATE RESOLUTION = PLANS THREE SETS = HOUSE PLANS - TWO SETS = VARIANCE REQUEST GENERAL C= LEGAL SUBDIVISION C= SUBDIVISION APPROVAL CHECKED = PERC RATE = FILL REQUIRED = CURTAIN DRAIN REQUIRED =STANDPIPES EX- APPROVAL SSDS ADJ. LOTS m WETLAND (TOWN/DEC PERMIT R & D) m DATA ON DDS PLANS & PERMIT SAME = PRE -1969 - NEIGHBOR NOTIFIFICATION C= LETTER Bl/ZBA = 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON. PLANS = SEWAGE SYSTEM PLAN - (NORTH ARROW) = SSDS HYDRAULIC PROFILE = GRAVITY FLOW = D/ J BOX = TRENCH/GALLEY = P- PIT DETAILS I= SEPTIC TANK - SIZE, DETAIL = WELL DETAIL, SERVICE LINE IF OVER m CONSTRUCTION NOTES (GRINDER RATE) = DESIGN DATA: PERC AND DEEP RESULTS TWO -FOOT CONTOURS EXISTING & PROPOSED DRIVEWAY & SLOPES CUT TJ FOOTING /GUTTER/CURTAIN DRAINS ]OMMENTS: o 0k i3y%\ = DISCHARGE (OK) PERC & DEEP HOLES LOCATED = REPRESENTATIVE OF PRIMARY AND EXPANSION = EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE = IF PUMPED PIT & D BOX SHOWN & DETAILED m HOUSE- NO. OF BEDROOMS = WELLS & SSDS -S WAN 200 FT. OF PROPOSED SYSTEM = PROPERTY METES & BOUNDS = HOUSE SETBACK NECESSARY (TIGHT LOT) = HOUSE SEWER - 1 /4 "/FT. 4"0; TYPE PIPE = NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS =CLAYBARRIER I=10 FT HORIZONTAL: SLOPE 3:1 TO GRADE = FILL SPECS =DEPTH GAUGES = FILL PROFILE & DIMENSIONS = VOLUME TRENCH =LF TRENCH PROVIDED =60 FT MAX = PARALLEL TO CONTOURS =100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN FIELDS ..: 10' TO P.L.,'DRIVEWAl , LARGE TREES, TOP OF FILL = 20'170 FOUNDATION WALLS = 100 TO WELL, 200' IN D.L.O.D., 150' PITS C=7 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) = 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER = I O' TO WATER LINE (PITS -20') C= 50' INTERMITTENT DRAINAGE COURSE CD 200 FT. RESERVOIR, ETC .M 150 FT: GALLEY SYSTEMS SEPTIC TANKS =10' FROM FOUNDATION; 50' TO WELL WELLS =15' WELL TO P.L. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES :: QQUNTY_ OFFICE. BUILDING,,- :rARMEL,.: N.. Y. 10512 .,_._:.,n:- _ DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner A v- F;A0a'4 �',YA A Address �G �cr� 5 c-_ • N 2,� uc� N_(_ Located at (Street Sec. 'fl-ill Block Lot .)D �Indicate nearest cross street) Municipality. ?wvwkv\ v(\L(,CY Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION him 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 2 3 5 2 4 'Z. i j; 3 7-o 5 2. Notes: 1) Tests to be repeated at same depth until approximately 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. 1 TEST PIT DATA REQUIRED TO BE.SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED. IN TEST HOLES DEPTH HOLE.... NO: HOLE. NO.. .. .. HOLE..NO.. G.L. .611 121 _ 18" 24" 30" S c G Fr' 23 6 Z .36�� 42" 48" 60" 66" 7211 78 84 INDICATE LEVEL AT WIiICH GROUND WATER IS ENCOUNTERED <- _: INDICATE LEVEL TO WHICH WATER LEVEL _RISES _AFTER .BEING ENCOUNTERED ._ __-TESTS MADE. BY.a .___ .,. _ - �� 236 _ _ __._.._ - - Dat-e.:t._ DESIGN Soil Rate Used 7 Min/1 "Drop: S.D. Usable Area Provided 5��' No. of Bedrooms 3 Septic Tank Capacity rood Gals. Type c� Absorption Area Provided By 3L0, L.�F.x24" �-36j "- w rent . ame _ e� - 2 -6az --Signature p Address '2 z e Y', sT- SEAL Le. Ilk THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by to ru —t PUTNAM COUNTY DEPARTMENT OF HEA]�.,TH APPLICATION, ,FOR .APPROVAL.:O.F: PLANS:, Fats = A= WASTEVAfiER 'DISPOSAL' SYSTEM 1. Name and Address of Applicant: 2. Name of Project: �E5 bf�_KE_ . 3. Location T /V /C: 4. Project Engineer: 5. Address: License Number: g3l3G S lOSIe Phone: Z�s -ro32 6. Type of Project: /Private /Residential Food Service Commercial Apartments Institutional Mobile Home'Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted r 8. Is a Draft Environmental Impact Statement (DEIS) required? o 9. Has DEIS been completed and found acceptable by Lead Agency? ........... 10. Name of Lead Agency 1. Is this project in an area under the control of local planning, zoning,..---, or other officials, ..ordi.nances. ?. . .. .::: : :.............................. �5 2. If so, have plans been submitted to such authorities? .................. �� 5 3. Has preliminary approval been granted by such authorities? Yes Date Granted:�:_`�OH 1. Type of Sewage Disposal System Discharge...... Surface Water' Ground Waters If surface water discharge, what is the stream class designation ?....... Waters index number (surface) ........................................... Is project located near a public water supply system? . If yes, name of water supply V))p" tJ a Distance to water supply Is project site near a public sewage collection or disposal system ?..... pv Name of sewage system Distance to sewage system P�A sc� V rm 236 Z Date observed: 23. Name of Health Inspector: t",, r, ""'W' Project design flow (gallons per day) ...... ............................... &&0 2. 5.- .- ..Is_Sta.te Pollutant D.scharge_Elimination S stem ( SPDES) Permit required ?.. P° Y 6. Has SPDES Application been submitted to local DEC Office? ............... 7. Is any portion of this project located within a designated Town or State wetland? .................................. ............................... 8. Wetland ID Number ........................ ............................... 0 1 n 9. Is Wetland Permit required? .......... ............................... .. J�o Has application been.made to Town or Local DEC.Office? .................. 0. Does project require a DEC Stream Disturbance Permit? ................... �o �o 1. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO ;2. Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ..............YES or NO DESCRIBE: 13. Is there a local master plan or file with the Town or Village? ........... ACS 14. Are community water, sewer facilities planned to be developed within 15 years? ra i5. Are ° any, sew age -disposa-1 �areas �in..excess of 1'.5%­.5tope? ; ......... .. 36. Tax Map ID Number ............. .3: °.�. -.` �� ............................... L0.01- 1 -io 37. Approved Plans are to be returned to: ................ Applicant ✓ Engineer :f the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this )rovision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of the Penal Law. N TITLES:. SIG ATURES & OFFICIAL BAILING ADDRESS: `' i2�cvAr- Lt £1 -�- ..Y. ; t —. __.. ' ,...y . ,-T° v. -•� "F :. ri.'c .�iLiSF- iT— f.--`^ q ,r e,." "fEi= __^v 777r P110171IAK.C9DM , DBIA' W- M Tl'.OF RMTH . ,( ( Dh!Yw �f $tnAowhl HeiJ� Seeoioe�. Cnan1.I7.Y. IPSU : , , : 6o Peiv18� I�w�it./ . ,. w C8l1D?IG►TB OF._ CO R SEWAGE D{S<OM ST32M LA 0 AAA H,.e K �j is ?-F-4 FM z34Z. law- lost 0 �- TM t ;(.: .a. t 1 o.ae /App --st Ne.a /HIV �i. orvj ; N AA Qettewd_ ❑ Oe.Mea p Dade or Ptevlooa 1 crabs Aaivee � ►�. Town av � �'3� date bdivision Ark _Fee Enclosed 3e0 �b Depth vaime Ntil ar at it Deals Ile. G PLO '00 PCHD Nottec d.%lil Wbpe d ' 8OPOM1s Sawwasi s>.h.ee e...w .t Gallo. Sapde Took , Zy To be.eeegd b� u AflrLen Waterss>p*. Pliaaic,Seipp�y.Ft� Addeoaa an DttBdd Ofbe[ - C _y 1t-'D ; �i_ SU. i �»bPA V. ' Iry L "FI I/1 1 represent that 1_am wholly and completely responsiblo for.the,dasign and.locaiiori of tM proposal syst am( t). 1) that the'separate,serw di sal stem above dewibed will be eonftructod as shown on Me approved aimandment'thera to Intl imaecordance with`the standa►tls, rules,a rpu ns o : nanl . County Deportment .of t WKIy anO tMt.on completion thNaoi a Catificato of, Construction Compliance•' satisfactory to tlle.Commiisiono► of. Nwlthwill be tubmltted to the Ip"NAment,, -atnd ay writtM quanntN will' be furni" ,his successors. hairs or as�igns'by the bull er that tNtl,builder will .: owe in good ope►atiilg cbnditbn, any part- of pad 'fewage disposal sythe psrioA of two Ii1Yaars immWiateiy following'tMdate of CM ifau• or" of the approval of the CartiOcate of Construction ComplNnw o sy . _ or any repairs tMnto.2).that the drilled wall described aboe wNl M loc as and tMt fekl wNl will ba Insrda Ce wit { standards, ruMS antl 'rpu aii%�s', of the Putnam County D of FlMlth Date Sig Hr ire r;�r; IV0 P.E. 7 , J . R.A. 2 JJ %3(Address License APPROVED FOR CONSTROCTION: This approval expires two f►mo the data issued unless construction of the building has been undertaken and is revocable for caw or may be amended or modified when consider necessary 11 t ommissioner of MeaRh. Any change or alteration of construction ;nauNas a n w ermt Ap owed for disposel of domestic ►y sewage, a r t star supply only. (88 Date 9y Title NO. :IED TO: nice with the existing code of practice for land iopted by the New York State Association of ial Land Surveyors. ons shall run only to those individuals and s shown hereon under the title policy number ove. Said certifications are not transferable. COPYRI07HT CO 2000 - 000 / VEr ASSOCIATES, ALL RIGHT'S RESERVED 1QUH7or /zed dup/:cotion is o viola lion of oppl ,,cab /e laws cations hereon are valid for the map and copes my it said map or copies hear the impressed seal "ever whose signature appears hereon SURVEYED & PREPARED BY BUNNEY ASSOCIATES LAND SURVEYORS FIELDS LANE, BREWSTER W ti T J� V �T 0 /D �Z of 0 0 Z 0� W O 4 82' 520' N54�40'/7 "W cATV. c,- es�__== ASPHALT LURE ASPHALT PAVEMENT ROARING ® ®K ®lam �® IN Y �a _n ,tn\ m wml z� iA n\ i, O• II boo I PREMISES SHOWN HEREON BEING 4.07-4= AS SHOWN ON "SUBDIV /S/OiV MAP PREPARED FOR V.-RDA gGW&V ArA11S4EY, FILED AV THE PUTNANI COUNTY CLERK'S OFFICE ON;vov /6, 1968 AS MAP/Vo- 2362. AREA = 2.24 i ACRES Unauthorized alteration or addition to a survey map bearing a lic ensed land surveyor's seat is a violation of SCALE: I"=50' DATE: NOV•5,0000 Section 7209. sub- division 2, of the New York Stale NOTE SSDA ADDED F£8.8, 2001 (SEENOT£) U41 IED TO ice with the existing code of practice for land opted by the New York State Association of d Land Surveyors. ns shall run only to those individuals and shown hereon under the title policy number ve. Said certifications are not transferable. COPYRIGHT CO 2000 - p00 / iEY ASSOCIATES, ALL RIGHTS RESERVED authorized dup/icaf /on is a Vio %/ion ofopp/icob/e laws a ton s hereon are valid for the map and copies dy if said map or copies hear the impressed seal veyor whose signature appears hereon. ;URVEYED & PREPARED BY BUNNEY ASSOCIATES LAND SURVEYORS FIELDS LANE, BREWSTER ti e e J� V Q V o 0 2 �\ ti n � r ®7 CATV- ASPHALT ASPHALT ",&; PAVEMENT ROARING BROOK ®GAD VC PREMISES SHOWN HEREON BEING LOT e AS SHOiVN ON "SUBD IVISION MAP PRCPARC0 rOR VERDA ig GWEN KN/SLE'Y'; F /GEO IN THE PUTNAM COUNTY CLERK'S OFFICE On/ NOV. I6, 1968 AS MAPNo. 2362. AREA =2.24/ ROPES 1 it rlD to ' � U . 1 V h3o i w�AS. 5T.I,E All / 4 "VE I ®F- SITUATE IN THE 7OW N or PUTNAM YQL��L� Ey U 7p°i� A M COUNT)-"' Y NEW EW Y011q?K Unauthorized alteration or addition to a survey map bearing a licensed land surveyor'sseal is a violation of SCALE: / 'II SQ' GATE: NOV. 5,2000 Section 7209. subdivision 2, of the New York State It/OT--: SSDA ADDED FEB.B, 200/ (SEENOTE) 64 i I ciLv. � Putnam County Departm Division of Environmental I Approved " noted for contort applicable Rules and Reaula:ti Putnam CquntSryeaith_Deoart I"- i 1�oy A' Go z, .tFq z�,;c spat_ s�sj. MA "M?�A 1� �. t4. I nr. A,> : Via: r ,? i6 cagy A* re:r ► "." i j" yr 4S cAY iB4Z aY f2_ 91:i fa f�tjK vAxtCf • �di7l{0�: z�.�.�t�ro�is et -pill r� L 5 xG. LA`f 0cS`�.rorw G^� A>46 �f t- .YSGAOtt `pg p c�J Lt�ris�.1�1� f?rL.. c Tov4,: r�l y�f,S ��Slt:a 3'✓ oL s� s�ti1 =ter C V N bob -9.00 oaoig,5� Dq — % -,_ law Rawl -;rl6 =ter C V N bob -9.00 oaoig,5�