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41.14 -1 -76
BOX 20
I `
02379
atW' S NAM.
SITE LOCATION
MAILING ADDRESS
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISIION OF ENVIRIONMENM HEALTH SERVICES
PROPOSAL FIOR SEWAGE DISPOSAL SYSTBA REPAIR
w + i PH= �714) , i,
PERSON INTERVIEWED C) �l 1 g-r PCHD Cdr;ilaint #
/ / Name & Relationship (i.e, owner,tenant, etc.)
DATE ) '/ a2 / 97 TYPE FACILITY
PH= r-52( -2- 595
REGISTRATION # 13b `-
(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 archi Ct h K
� ex 6-fing f&r,
2ct� tie lc '::ZAhn o I nCA+tk-S h ).rr�4 -F,
W
s Siqnature & Title
r )osal annroved with the following conditions:
Disapproved
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
d. System description (e.g., 1250 gal. concrete septic tank,
drywells surrounded by one foot + gravel).
e. Installer's name and number.
Da
(e.g.,house corners).
three precast 6' diam. x 6' deep
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
SIGNAZURE C J TITLE (j yynar DATE 1?, q.
V1 U y f f -
IPIE4: Waite (PCB); YeUcw (fin ffi); Pink Qnliau t)
Pr-PP o7
V
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
December 16, 1997
Vicki McCaffrey Cory
36 Brookside Rd.
Putnam Valley, N.Y.
Dear Ms. McCaffrey:
BRUCE R. FOLEY, R.S.
Acting Public Health Director
Re: Addition - McCaffrey Cory
36 Brookside Rd.
No increase in number of bedrooms
(T) Putnam Valley Tax # 41.14 -1 -76
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
latest revision date of December 16,1997 and this Department's approval
stamp.
Based on the information submitted, the above mentioned addition is approved
with,the- following conditions:
1. The total number of bedrooms must remain at Three 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 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.
WH /kg
cc:BI (Putnam Valley)
Very trul ur
William Hedges
Sr. Public Health Sanitarian
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December 11, 1997
Mr. William Hedges
Putnam County Health Inspector
Putnam County Board of Health
4 Geneva Road
Brewster, NY 110509
Re: 36 Brookside Road, Putnam Valley, NY 10579
Dear Mr. Hedges,
Please be advised that I do hereby certify that the "Original Floorplan" presented to you
for the above referenced property was the floorplan as it existed when I purchased the
house. At that time there were three potential bedrooms, two of which were being used
as bedrooms and*the third;
DANIEL. J. DONAHUE, P.E.
CONSULTING. ENGINEERS
120 Breckenridge Road
Mahopac, N.Y. 10541
914628 -7576
October 30, 1997
Putnam County Health Department
9 Geneva Road
Brewster, N. Y. 10509
Att: Wm. Hedges
Dear Mr. Hedges:
RE: House Addition
Property of Mc Caffrey
Brookside Avenue
Putnam Valley
Ms. Mc Caffrey proposes an addition of one additional bedroom
to her two bedroom house. Presently, there is no record of
the existing sewage disposal system. The contractor is
required to verify the type and size of the existing sewage
disposal system. Based upon his findings and verified by the
engineer, a determination will be made to add to this system
or replace the system as shown on the enclosed plan.
We propose, if necessary, to i- nsta11 a new 1000 gallon septic
system and 300 feet of absorption trench.
Enclosed please find the following for your approval:
1. Application
2. Design data
3. A sketch of
4. Four copies
system.
5. A check for
cc: V. Caffrey
for a construction permit
sheet
the house plan
of the plans for the new the sewage disposal
the fee of $100.00
Sinc ely,
Daniel J. Donahue, P.E.
Site ° Sanitary o Environmental
OCT -08 -1997 15:27 6ESTCHESTER COUNTY 914 637 3076 P.01
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Date
Re: Property of Vi j I _M CCA :aZ
Located at 36 -'-51130 Kj [ L -q;ici , P U'±2,ja V.p LLu,
(T)_ _ 41 Section Block / Lot 7C�
.�
Subdivision of---Roc) rCna f ro oK L aKj2.., 1V( c30 1 S C • A
Subdv. Lot # J 8L 418? Filed Map # Date
Gentlemen:
This letter is to authorize L.�i��(�� *, • -Donahue,
a duly licensed professional engineer--x 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 `Vith tK,6 j roviiions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
Very truly yours,
Signed
Countersigned:
P.E. , R.A. , #��
Id-() oyly6e ''p
Address
�- 'ql"q 6
Telephone
2 r[n 0-M. lie
Town
�91f 5z� -zi�9
Telephone
TOTAL P.01
t'
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December 11, 1997
Mr. William Hedges
Putnam County Health Inspector
Putnam County Board of Health
4 Geneva Road
Brewster, NY 10509
Re: 36 Brookside Road, Putnam Valley, NY 10579
Dear Mr. Hedges,
Please be advised that I do hereby certify that the "Original Floorplan" presented to you
for the above referenced property was the floorplan as it existed when I purchased the
house. At that time there were three potential bedrooms, two of which were being used
— as bedrooms- and-the third, which was being used as a den. ,..
If you should require any further information please do not hesitate to contact me at (914)
526-2189.
Sincerely,
t kc.
State of New York ) Vicki (McCaffrey) Cory
County of Westchester) ss.
Subscribq to before me this 11th day of December, 1997.
L- ( ,Notary Public
GAYLE JEAN SOURENIAN
ay an ourenian Notary Public, State of New York
No. 4507510
l/ Qualified in Westchester County
Certificate Filed in New ork unty
Commission Expires
mmm axim, DEPARU41M, OF
DIVISION OF, ENVIRONMENTAL HEALTH SERVICES
DESIGN.D.ATA SHEEr-SUBSUFACE SEWAGE DISPOSAL SYSTEM - FILE NO.
Owner jG�! /'1 fir, , ��e y Address 34 lec-1 P,4,144, G14111e ,
Located at (Street) Seca �(_ Block Lot.9 (v
(indicate nearest cross street)
Municipality Watershed &o -i4-7 Ai 4 /�
SOIL PERCOLATION TEST DATA PJX)UItED TO BE SUBWTTED WITH APPLICATIONS
Date of Pre- Soaking �U % 7 Date of Percolation Test %r/�'
HOLE
NUCER CLOCK
TIME PERCOLATION PERCOLATION
Run
Elapse Depth to Water From Water Level
No.
Time Ground Surface In Inches Soil Rate
Start -Stop
Min. Start Stop Drop In Min /In Drop
Inches Inches Inches
-a
c2-9 3 a <3
34). oC/1
4i /��` d-7 �...?
5.
1
2
3
4
5
1 -
2
3
4 '
5
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 surmi.tti?i
for review.
2. Depth measurements to be made from top of hole.
rev. 9/85
DEPTH
G.L.
1°
21
3'
TEST PIT, DATA REQUIRED TO BE SUBMITTED WITH APPLICATION '
HOLE NO.
HOLE NO. HOLE NO.
4°
6'
7'
8'
9'
10'
11
12'
13'
14'
INDICATE - LEVEL- AT"WHIC H _GROUNIX+VA ER IS E=UNT� __.a.._.. .
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING EN000NTERED
DEEP HOLE OBSERVATIONS MADE BY: DATE:
DESIGN
Soil Rate Used Min /1" Drop: S.D. Usable Area Provided
No., of Bedrooms a /fO# i rt &-4L Septic Tank Capacity gals. Type
Absorption Area Provided By ?QG L.F. x 24" width tren - --
Q�OF 05!J;V' .�
Other J. opy�
Nam 'f dG y-4f/Izxe Signature
Address 422, 4?xCG;CFN:Q "'VG e- /ep SEAL
q� No. 4940
/z 411Qj1Vz 4� OF NON
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: M.
Soil Rate Approved sq.ft /gal. Checked by Date