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Home My WebLink About2383DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 41.15 -1 -8 BOX 20 �1L :: . 1 1 go IN J I T . ; ,1 ' me ' 6 ' ON {r 7' . Is %Is Is Is 141 02383 SHERLITA ANIII MD, MS, FAAP CommWoner ofHealth ROBERT MORRL% PE Director of F.nviromneMal Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845)808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 PAUL ELDRIDGE County Exec ww 1 ?D ADDITION APPLICATION RESIDENTIAL ONLY ° STREET 3 1 9(-COkSlCe4f- TOWN G TAX MAP # 1'I I r 1 NAMEG GOVQ)JaI � PHONE.Ci I Y 3Sol (::I -cl_ 7 PGHD##Ad,� MAILING ADDRESS 3 l P 000 L-?Ci DESCRIPTION OF rn j� (} , ,� ` ADDITION � 1()1 � 1 Ri V &Segwy +" t ' IOU YA { kAe n � Q � NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS - CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) **Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Reswer+ed Architcet in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1. - Certl£ed check- or'.aianey`&dei• for:$100.00....: .. _ . . _ . _......_ _.....:. 2. Sketches of existing floor plan (drawn to scale, aIl living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA-1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non-professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS 5. SMUJTA AMLER, MD, MS, FAAP Commissioner ofHealth ROBERT MOM% PE March 8, 2011 Giovanni Zegarelli 31 Brookside Avenue Putnam Valley, NY 10579 Dear Mr. Zegarelli: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 Fax .(845) 278 -7921 or (845) 808 -1937 PAUL ELDRWGE COWy &%u6e Re: Addition - A- 011 -11 No Increase in Number of Bedrooms 31 Brookside Avenue (T) Putnam Valley, T.M. #41.15 -1 -8 I have received. and reviewed the revised 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 from this Department dated March 8. 2011. The 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. 4. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals 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 (845) 808 -1390, ext. 43261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley POTENTIAL Ft B .60M ; ' ! , , i ..RUTNAM C.OUVlY 1' M�' FJFqALTN J. COUNT ON L..Y. .L� _ H(lSE PLANS APPROVES FON" CiVr ... , - j .3 BEDROOMS ALL SUBSEQUENT REVISION /ALTERATIONS, TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE $ TITLE DATE. s� : f POTENTIAL Ft B .60M ; ' ! , , i ..RUTNAM C.OUVlY 1' M�' FJFqALTN J. COUNT ON L..Y. .L� _ H(lSE PLANS APPROVES FON" CiVr ... , - j .3 BEDROOMS ALL SUBSEQUENT REVISION /ALTERATIONS, TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE $ TITLE DATE. s� A 6:8j 'Ilk is �__ —� -7. 11- -- -- - - - - - - ----- ..... ..... - -_ _ __L- ..j ------- - -- ---- ---------- A SHERMA AMLER, MD, MS, FAAP Commissioner of Health ROBERT MORRIS, PE Director of Environmental Health February 25, 2011 Giovanni Zegarelli 31 Brookside Avenue Putnam Valley, NY 10579 Dear Mr. Zegarelli: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 - Fax (845) 278 -7921 or (845) 808 -1937 Re: Addition —A-01 1-11 PAUL ELDRIDGE County F=czaiw No Increases in Number of Bedrooms (T) 31 Brookside Avenue Putnam Valley T.M # 41.15 -1 -8 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 from this Department dated 2/25111. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at 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 updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets, etc.). 4. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. 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 (845) 808 -1390, ext 43261. Sincerely, 0 r � Gene Reed Senior Engineering Aide GR:vu cc: Building Inspector, (T) Putnam Valley MD,1�, FAA] ri Co daloner of Heafkk _. .... .. s . •- = a. .S �._9'.:.. <a ..gin .�.eA ROBERT MOI' Rrh PE Director of Enybw mewal Hedth . DEPARTMENT OF HEALTH 1 Gm"a Ro4 BmwsWr, New York 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 Town Llgll,hedroom Count & 1'roWed Addition, Re: 9 t O 11G� 1i�11 2� (Owner's Name) Tax Map # Address: 221 cc o 4s- i dam,.& �_e Town: -p rrn Year wilt: Cg According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: 3 This information has been obtained from: Certificate of Occupancy: I % Other: The plans for the proposed addition are considered: New Constivction Addition to existing house only Teardown muVor re -build allowed under Town Regulations Building h4ector Date 6.. i PAUL EI.DRU GE 1 I - Win W y li I I 41V /I k I 1 1 I - Win W y li I I 41V /I k I - -- -- -------- geo ' 1 L 1 , I ! -------- - -Fk i , : I I i I I � 1 it : ! : t I i JA � r I I I i i a � t I a 1 I 1 1 r � i ' I f i i I , I I "? , 47 II I -- -- Vii. - -- - -- - -- - -- ' 1 i -� --7 - - - - -- - - -__ - dye - _ - -- - -- - - - -- I t - _ - - - - _- I I : I I I ! I ' I- I - -- -- -------- geo ' 1 L 1 , I ! -------- - -Fk i , : I I i I SHERLITA AMLER, MD, MS, FAAP Commissioner of Health RGBEI :T..,iNIOI;WdS;_PE.. ........ _ �. Director of Environmental Health February 25, 2011 Giovanni Zegarelli 31 Brookside Avenue Putnam Valley, NY 10579 Dear Mr. Zegarelli: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 PAUL ELDREDGE County Executive Re: Addition — A- 011 -11 No Increases in Number of Bedrooms (T) 31 Brookside Avenue Putnam Valley T.M # 41.15 -1 -8 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 from this Department dated 2/25/11. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at 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 updated with water saving devices (i.e. new low flush toilets, restrictors for shower heads and faucets, etc.). 4. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that. has not obtained proper approvals. 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 (845) 808 -1390, ext 43261. Sincerely, Gene Reed Senior Engineering Aide GR:vu cc: Building Inspector, (T) Putnam Valley ii SHERLITA AMLER, MD, MS, FAAP Commissioner of Health ROBERT MORRIS, PE Director of Environmental Health . PAUL ELDRIDGE County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 Fax (845) 278 -7921 or (845) 808 -1937 Town Legal Bedroom Count & Proposed Addition Status Re: G C 0 i9G ru* 2-e� G.�G� f l (Owner's Name) Tax Map #�/ Address: Town: �Li G, M oc,(Q�1 Year Built: According to records maintained by the Town, the above noted dwelling, is _� in compliance with Town Code. Is not in compliance with Town Code. 2) The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: I z Other: The plans for the proposed addition are considered: New Construction Addition to existing house only Teardown and/or re -build allowed under Town Regulations KBuilding Ins ector Date 6, i # t / /./ $ - i- �- i d i� sHERLrrA AMLER, MD, Ms, FAAP Commissioner of Health . - ROBERT sml?RTS; — Director of Environmental Health PAUL ELDRIDGE County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Office (845) 808 -1390 t t~Do Fax (845) 278 -7921 or (845) 8.08 -1937 00 ADDITION APPLICATION RESIDENTIAL ONLY STREET 31 TOWN U6 TAX MAP # NAMED [OMnn, �� I PHONED aa8"a :l1 I %7PCHD # MAILING ADDRESS OS-?'!� ADDITIION DESCRIPTION OF (' I �JIJi; T�-��c �l -F-b NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS 3 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) * *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., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. _ 1.. Certified_ check or money order for $100:00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the Building Department with legal bedroom count of dwelling. OFFICE USE COMMENTS s. i | / i i � ! / | ! ! i | | / ! | | � | ! | lervi OT it '7-i Z`7 Ilk j Cf All- ;z 1:70 1 'JIT lervi Code Enforcement Officer JOHN 17L LANDI Deputy Zoning Inspector DOREEN C. PIACENTE Clerk of the Budding Dept TOWN OF PUTNAM VALLEY BUILDING AND ZONING DEPARTMENT NAME: (e) ► o v Date: (-e//,' 265 Oscawana Lake Road Putnam Valley, N.Y. 10579 (845) 526-2377 (845) 526-8806 (fax) ADDRESS:- _s( acoGk<-, l, A"a4�- *"OC'I TM# BULLDING PERMIT_.DEMR_ REASON: 11,-, 03A-Ad ZONING BOARD OF APPEALS I PLANNING BOARD [ ] STATE VARIANCE INSPECTOR: a CEAIIL "r[AN ffi 3 BILL MASIQELL VICE-CHAIRMAN PETER T. BELEFANT SECRETARY MIKE F_ITHIAN MEMBERS _ ... ..fiEitBERiORtAiYIiO. °- . JOHN MAHONEY BUILDING & ZONING INSPECTOR IRV SELEvowra DEPUTY ZONING INSPECTOR JOHN ALLEN AD HOC MEMBER BOB.CAMPO ZONI.NG BOARD CLERK -__.._ .-NiC-OL�- PRONT- E- EL-I-- • -•- - -- - TOWN OF PUTNAM VALLEY ZONING BOARD OF APPEALS 265 OSCAWANA LAKE ROAD PUTNAM VALLEY, NEW YORK 10579 Phone: (845) 526 -2439 Fax: (845) 526 -3307 E- mail:nprontelli @putnamvalley.com Your application cannot be considered or acted upon until the following documents have been submitted e ning BOARD OF HEALTH APPROVAL MUST BE OBTAINED FIRST ON ALL ADDITIONS —1) One original and TEN copies of the application with request clearly set forth and all questions answered. 2) Vfhe Short Environmental Assessment Review Form must be completed (Just original needed). 3) One copy of Deed or, if contract vendee, a signed Contract of Sale. M.�!�aes_of.a�- statuped surrey ,1ho�vFng existing condittans`(tax, mans aItl ubdiy s on _...:._.._:.. . maps are unacceptable). * The survey must show any proposed increases in footprint to any structure or the addition of any accessory structures to theproperty line. (Drawn to-scale) * The survey must indicate in feet and inches all front, side and rear yard measurements to any property line, along with total percentage of impervious areas on site(as percentage of total lot area.) * Septic and well location must be indicated on the survey. 5) v"Zomply with all requirements of March 27, 2008 Zoning Board Survey /Staking requirements (see resolution attached). 6) One original and TEN copies of the following: (� Present floor plan (� Proposed floor plan with Department of Health approval.(stamped) (Floor plans) Drawing/picture of proposed structure •(front, side and rear view) with ground to ridge measurement (existing as well as proposed). () Other: --7�._--P-ayment -0f_the r- equired^fre(S- -...__ ..... )..Make.cheek.oxmoney.order payahleLt.othe.T()WN nF PUTNAM VALLEY. 8) Refundable deposit of $25.00 payable to the TOWN OF PUTNAM VALLEY for posting. of property sign. The sign must be returned within 10 days of the final public hearing. 9) Upon submission of your application to the Zoning Clerk, you will be supplied with a list of adjoining property owners (within ample time to properly notify).. Fill out NOTICE TO INTERESTED PARTIES form and return it to the Clerk. 10) All the above documents must be submitted to the Zoning Clerk by the deadline date. 11) Upon written request of the applicant, and for good cause shown, the Zoning Board may vary or waive one or more of the above submission requirements. DEADLINE DATE: PUBLIC HEARING: BEGINNING AT 7:00 P.M. PLEASE NOTE: On applications for a variance requesting expansion of livable space, the Zoning Board is procedure.' of health directl for You may be referred to the Advisory Board on Architecture and Community Appearance (ABACA) as per Local Law 4 -2002. Please see attached referral form. Revised March 2008 1. J ADVISORY BOARD ON ARCHITECTVRAL AM COMMUNITY APPEARANCE Contact person bell Jones 854-528-0066 embers Chairperson* Brian Cook Zachary.. Cosentino. Natalya Palevski Secretary Gershon Palevski. Advisory Architect SUBMISSION REQUIRED FOR ALL. APPLICATIONS.- FOR: VARIANCE UNDER SECTION- 165-44A(2) . *ARTICLE VII, ACCESSORY STRUCTURES AND USES' REQUIREMENTS FOR SUBMISSION : TO ABACA; ...1. All-- drawinas including- _fl-por . plans and elevations to- scate.. 2. Provide photos of all buildings. on adjacent properties and locate photo: position on.. site plan:. 3. building. elevations shall- identify all- exterior materials and proposed- color scheme. 4; Plot plan showing side, rear and front, setbacks, locating existing building: and proposed. additions. 5. If needed,- an applicant will-, be requested to meet with ASACA on: the third Monday of the month at 7PM at Town u TG ALL APPLICANTS any site for wTiicZi+an appicationiias eeHTU subject to- inspection. upon notice to. property owner and / or .applicant at any reasonable time,. including weekends and holidays, by the Building .& Zoning Inspector, the Deputy Zoning Inspector or by members of the Planning Board-, Zoning Board . ortheir designated representatives, such as the Wetlands Inspector and] or the Town Engimeer. By making this application, the applicant(s) agree(s) to indemnify and hold harmless.the Town, its officers and 'd emp oyees agamst -any -damage-6r-jajury t h at may-be " c a s ed-by or-arise-oat -of entry onto the.subject property in connection with. the processing of the application, . during construction or within one (1). year after the -completion of the work. IOW TO APPEAL A DECISION METHODS OF APPEAL REHEARING If one is not satisfied with a Decision and Order of the ZBA,'he may apply for a rehearing within 30 days after it is filed in the town clerk's office. The Board will then vote on whether or not to rehear the case. This vote by law must be unanimous in order for it to pass. New evidence will be considered at this time. Town Law (Town Law Sec. 2670) authorizes a rehearing on any decision not previously reviewed by the ZBA. Such a rehearing must be upon motion of any member, and the motion must be adopted by a unanimous vote of all members present—as long as these members constitute a majority of the _- 4r�1 b�rsli�iin o h 7.RA � P s atLte re�llllC� h� 1C h 1r g. hchekUa leiha was required for the odginal hearing. Such a rehearing would be for the purpose.of reconsidering the evidence which was. taken at the .first hearing.. In neither situation could a decision be changed if someone has acquired vested rights. Thus, if a person has started construction under a variance, the ZBA could not consider new evidence at a rehearing and then revoke the variance. ARTICLE 78 PROCEEDINGS 1. AMlication.to supreme court by a��rieved persons; Any person or persons, jointly or severally aggrieved by any decision of the board of appeals or any officer, department, board or bureau of the Town, may apply to the Supreme'Court for review by a proceeding under article-seventy -eight of the civil practice law and rules. Such proceeding shall. be instituted within 30. days after the filing of a decision.of the board in the _office of the,3'own.Clerk.. _ - 2. Costs of appeal: Costs shall not be allowed against the board of appeals unless it shall appear.to the Court that it acted with gross negligence . or in bad faith or with malice in making the decision .appealed from. 3, Preference of appeal to Court; All issues in any proceeding under this .section. shall have . preference over all other civil actions and proceedings. 4; Power of Court: If upon the hearing at the Supreme Court, it shall appear to the Court that testimony is necessary for the proper disposition of the matter, it may take evidence or appoint a referee-to take such evidence as it may direct and report the same to the Court with his or her findings of fact and conclusions of law, which shall constitute a part of the proceedings upon which the determination of the Courts shall be made. The Court may reverse or affirm, wholly or partly, or may modify the d�ecision� brought up for review determining all questions which may be presented for determination. _............ ZQN�NG� 0. _APP.EALS_ _..:__..._......__.. _ ... _..._ .._ _.. -... _.. -.. _... TOWN'2F - -- = - -- -� -- - -- PUTNAIVI VALLEY TO: PLEAS NW.- OTICE that the undersigned has filed a request for hearing wit Board of Appeals of the Town of Putnam Valley e"�o`ilowu.�.. r .. �, �.-__ W. �.... �.,. �,.., ��. �_. �.._.. �...._. �.._...,.... � ,..n�..��....�.,,__._..,._.._.. _ ... _ ......_ _... :Premises located at Tax Map #. YOUR PRESENCE ZS NOT 11VDATOR'i�, T IS JUST TO NOTIFY YOU OF-THE REQUEST. Public Hearing will beheld by the Zoning Board of A eats on this application at Town Hall., 265 Oscawana .Lake Road, Putnam V . y, NY on at P 1U1 nppuc txuutipp -,irauL Signature Dated: ZONIN6BOAIW OF APPEALS ild AM VALLEY, NEW YORK TM# Y/, 15 — TO THE CHAIRMAN OF THE ZONING BOARD OF APPEALS. I hereby file an appeal and make application for a variation from the req -of the r.4�4anc q: of the Code-of- ?uw=-- qrr ew- ork. - - NAME AND MAILING ADDRESS OF APPLICANT: l71 oy Ct n A I STREET & DESCRIPTION PROPERTY HOUSE NO.: Lck,e_ DATE: 0S_ 0 1– C)o 11 ws- t;--) (. 3 10 rs- 81 e7- I -Q0 a 1 5363 Size ofLot &,Oq'i — Front(ft.) 2D D—ep6(fLy 3-P Type of Building RcAn.c h _Height(A_)_]7_Stories Size of Building (lael. proposal) \--Iqo Location of Well: i2Qr _QPM-. A Location of Septic:cbn Size ofTank: //600 Size of leaching area:. t13 N FORMER OWNER (FROM DEED):. De(44-5 work to use): (State clearly and completely the reason for appeal or application Lw» Is'+ I-e-i Can this project be placed anywhere, else on the property so a variance is not required?: YES' NO If YES, please explain why you are not placing it in that location: _A4;ne of Contractor or person responsibl& fdr work- Name of Engineer (if any): Name Has any prior application or appeal been filed with this Board? YES NO V` If YES, give date and decision: Name and address of attorney or representative, if any: z Is the property within 500 feet f the following: Ai C) State or County #ighway? County or To Line? Parkway? J\J Public Lands or PM1"1__,N)_ —Is any portion of the property within: Wetland Area? _L hood Zpne;7 Has a Court. Summons been served relative to this matter? iv 0 Has a VIOLA-TION.boen SerVQ0 *OLVe to this WAUCT? Has a STOP W AIQ _—ORK ORDER been served relative to this motor? N Q 1, the applican4 hereby give permission for an on-site inspection by the Zoning Board ofAppeals or Town Planner at any reasonable hour of the day (inchWing Saturdays and Sundays) 1, the applicant, have acknowledged and read the attached brochure "DEFINITIONS OF, AND GROUNDS FOR, AREA AND USE VARIANCES UNDER NEW YORK STATE LAW". I, THE APPLICANT, AM IN COMPLIANCE WITH SECTION 55A-4 OF THE TOWN LAW, PARAGRAPHS 9 & C (HOUSE NUMBERING) APPELLANT DEPOSES AND SAYS THAT ALI THE ABOVE STATEMENTS ARE UE. Signahn of kpp� Nu 3N1 d0 'Z l+dVtlOV>!dd SOIL'NOU33S' 40 NOUMIA V. 9ELI 9E0'A1�:313L ` LAtl11@ 0 UAw4v -uo' yrnivd��w,03xtuaupvMthIVW07tl39 27�.�G _V.1 -1,� 9.,5;.x. ,...( lltLi :^- !1�3:84^i4n.'K.•�VISMJ.Qfi :Sp3NM0 lN3n03SBnS 66 N61.0 a30NM 3S N3�11 SAN.. WOY% • Hi -tfONV IU19N TMOUIOav •o1, 3lSr`l3iSNVN1 ION' 3UV.�.Sii01.CS'l'J .l071f1100g'. S9'�1tl H7 S -`. WOro% 'l Ntll lIW 1'itlW k NU '8331NYkYno. 'NOun1LLSNt DNtdN3 : '3Hi d0 .'bi. Ai3 03A3fl7lflS 4:01 ONV' -limmN uum'i NOunL44M OMONn- dNV', X01 AINO 4314 117 3 7 SI d�W SI Hl I.�.h3WNtl3A00 'ANVdW00 3L'�1 3111 Ol MH3B'. ">tM' NO C,dd $I ''A31M1n$ 3H1 WOHIA bW. NOSw34 3H1 .01:AINO. " s N09tl3H 031V3 OM. SNOijtv3auN30 m(} s331NVMVng. a adoy 3nw Gn in v', '4N. • dliW : M ; IBC!SNOO. 38 :1M IIVHS lWN 03SSOOM 'vo "MRs A3A1►.i -• JO.. LIZ 10'1 .O1 ' 7)N3i�3�3 &'. fl6 ONV'i au ONItlwn.aw1 dyn A3Atln8; SNt1�(0 '. 1�o•� h, �sONno3. " 13111111". iNNmA iCkA, %:jVMUl ab„t•'� Coro DNSti� 3Hl IN 31tln.L 10' ' a� u :'OOd 03ava3aa k 3RZ1S ad �t 4i3N j6" wl I . S i /4�' .i�' "I iY.<� �,,�" 1 YA'• '�'� p, `>� 'i �•F N n 1 ,L P "s.. •'r'io Y� 3 .* '.'�: ;..�,c .r `• jog a s.. -..v ..... ..e. ,r �•...., � o- ...may ...... r;( V<•..� w L' .,.-. .. c t� _ r.. � 1> r � F "'Vh'•`..1., �L � t 02 K. .. '. 1'LY - t S I Z. 10 1 o>S` ��oiS` c'rC t r, 3W ""a y_IZ 101a 773M (�J• ,°; V • .. 'IT) %d 1 (p..7 l.. a : .1�"DS '1SO4E. b W Iv Err . r �•� : rl � ^'�.�5 �T ✓ -�^ cy<, , !. ,. X 0 s .,.�• -.. r � «eft.' N LIC. # WC- 13903 -HO3 A/C &HEATING ARCHITECTURAL DESIGN ,, ,t SHEETROCK / DEMOLITION _ .� -.. .:�... _ , ... • ;. ... ELECTRICAL] EXTENSIONS.. � HOME RENOVATION INC. FINISHED BASEME0S / MASON RY (914).879-4026 102 ORCHARD ST YONKERS, NY 10703 , PAINTING / PLUMBING TILE /ROOFING /SIDING PROPOSAL SUBMITTED TO PHONE DATE STREET JOB NAME CITY, STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE Of PLANS JOB PHONE Whereby submit specifications and estimates for: R w 1 V UP Pr0P1115t hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars ($ ). Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration cr deviation from above specifica• Authorized tionf Involving extra costs will be executed only upon written orders, and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Note: This proposal may be Our woraors are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. ,�japftwit If f rapasal —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do tM work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature eutnsm county Department of nealu. '? rivision of Environmental Health Service. _ ►pproved as 'noted for conformance with ::•,.�..: �.....,._,..,,.. -- ...•.�- _:.- •:,- :...._ -- ...:._ - -,,.�. � .. - - - -- _ and 8e gala • �., '. ' : �°" "'iDpitoable'•8ulec oaa \VEu County Health Department. • '1 O11S h/TO !< TI Fie M +e ;5.9` G 3 6o ar►S. a PNT r_ O- a 201 PJ A'T6S. A S T. M. M solo SI-0 1 IIL'-0 2 - -- 34= s 1 QD'-0 qv'-s 1 0.0 - -- 74j. _ Gw/2 N b N•� 4 9 '-0 sE �. r so , s�v 70=0 64' -3 w8C1: 7" Go ^L 8 ... S,T. M.K. sE 1� i I � / i i 81-0 1-0C- FIL-A ASORV 9V By GNAM4 -GS 1306LUK01 P.I..S -DATLD AUdt 21, 1967: I a.o•u. psRMIT ¢ PV- 17 -8t Z Ex PA AJ St o..I � Alto- A. ),aM: ISSwkA au F_ OF A 8v,+4 G6Q•T,Op e-Ok PLIANGti Is 090" r_0MFLWnbFJ A rwSD�r.Troa. 6Y TAS S.O.K • OF T►1e FOL.d-OWIAW. I.- I..ttapa %.*- 04 tow VOt. \V,L,Ji�ri }aft Air�Psa'� �,- F,n.A\grAJ� OFSIVA £,esf+lbl�e�w«•ttoi•�5_BUILI PLAN 14,W^ C.ovcr _L` SGALQI'� -7AI�D i- Cow�Pit IeN OF ,w.ParvLeL)s pertpkei-OA toe- -I 0. okolI O 10'w beyoNd so. alAt OF tai -eeAl aKda. This is to certify that the sewage disposal system was constructed as indicated on this plan and that the system was inspected by me before it was covered over. -The system was constructed in accordance with all standard rules and regulations of the Putnam Co. Dept. of Health and the New York State Dept. of Health. Y, VIYK �apE J. r ' 7�4PEO�y °Q rF OF N LAwREMCE BELLwSC PE. 40 490,02 SCALE! 0-%0' DRtv�L B`(: Sul L08R:_ ..._— _ PERK'S 6l-V COLO- -- ftT*1'G,N.`C' 10516 5�� 914/165'-4347.- r 9 0 LY W i h 11 �vo�l l�� • �l - , 0 W-5 <- g -c- --� w >,7As \C r O sC O r� I v E_ R: 4. 0 10 ii q, c 10 C-e- �� J 20 W 0 r7., W1 am 4r 4\ C4 Floor _31 31-ook:512e- Ave Puipaml.Abev /4S-72 TtAi, qlls-- 1-3 NW9- Ve C. rp Floor _31 31-ook:512e- Ave Puipaml.Abev /4S-72 TtAi, qlls-- 1-3 NW9- 1T Rev. 3%86 ? PUTNAM COUNTY DEPART lllvtalnn :nf Fnvirnnmie ntal Heslth'3e at Brookside Ave Located Owner /applicant Name Max _Groin Formerly Mailing Address 72 pudding St-. —ZIP- P1 t i n a•m VA 1 1 av : T`T _ V _ 1 (1 q'7 q Englneer Must Provide P V " .1.7-8-2 P.C:H.D. Permit #.:----. — Tax Map 1. v Subdivision Namll Date Permit Issued` Separate Sewerage System built by Saf ran Constr. Address Route 52,Brinckprhoff, N.Y. n r1Y1 Gallon Septic Tank and r x 2 ;', 0 trench. Consisting of p 8 3 T . Water Supply: Public Supply From Address or: x Private Supply Drilled by Norman Andersonddeees., Barger St. , Putnam Valley Building Type S.F.D. Has Erosion Control Been Completed? No Number of Bedrooms 3 Has Garbage Grinder Been installed? NO OtherRequlrements •197 L.',F. Perimeter-seal; low water yol water closet fix. I certify that the system(s) as listed serving the above premises,were'constructed essentially as shown on the plans 'of the completed work ( copies of which are attached),, and in accordance with the standards, rules and regul ons, in accordance wi he fi d plan, and the permit issued by the Putnam County Department Of Health. - Date Sept 12, 1987 ce►tif.led Perk;';s Blvd'.,. Cold Spring, N.Y. 1051FL Iconse No. 49002 Address Any person occupying premises served by the above systems) shall promptly.take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval.ot the separate sewerage system shall become null and void as soon as a pub!!. sanitary sewer becomes available and the approval of . the private water supply shall, become. n pn oid when a 'public water supply becomes available. Such approvals are subject to modificati n or change `when, in the judgment of the om issi or of Hgalt ch revocation, modification or change Is nnocessssJa�ry, Date �Z�� BY Title in i_ - APPENDIX C. INAL SITE — INSPECTION Date I IV. VI. 11 ns ted by TION OWNER ✓ AT # Il � { T � ^� � TM # OR SUBDIVISION LOT # CCN2'�i'I'S SEWA DISPOSAL AREA a. SDS area located as per approved plans F -_7 b. Fill section - Date of placement 2:1 barrier. LGTH WIDTH AVG.DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 15' from SDS area. e. 100 ft_ from water course /wetlands. SETXAGE DISPOSAL SYSTam a. Septic tank size 11000 1,250 b. Septic tank installed el c. 10' minimum from foundation d. No 90° bends, cleancut within 10 ft. of 45° bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil betwer*1 box and trenches f. JUNCTION BOX - properlv set g. TREt = 1. Length required -,5 66 Length install 2. Distance to watercourse measured. ft. 3. Installed according to plan 4. Distance center to center 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 7- 6. 10 feet fran 2ro2at y l-ine 0 feet - foundations 7. o trench <.30 inches fran surface 8. Room allowed for expansion, 50% 9. Size of gravel 3/4 - 11" diameter 10. De th of gravel in trench 12" minimum .. .,.11."Pi -en�3s•.capped- °-- _._.. -_.__' -_- .....• , - --- - -- .. ......_ ..,._._._.. h. P'-TvT OR DOSE SYSTEMS 1. Size . of pump chamber I 2. Overflow tank Alarm, visual /audio � ✓.Gr^ L c � ✓1 c -' Pump ..asily accessible manhole to crude � 5. First box baffled � � � - . ✓L 6. Cycle witnessed by Hea -l-,Ii Department estimat- flow per cycle . �. JL �. -o,�—e lecat cer apprcv plans. ;cher of bedroans CCated� -=s e-- az-rzved plans b. _ =- :ce fran S;:S yre_= re sured C. - ,:S=Icr 18" above --race. v d. `t -f —=ce drair -ace ar=nd well accept=_ CVEY= a WOMMSHIP a. Boxes proper! v ar cut d C�- b. A11 pipes partially ha-- ,± =illed c. All pipes flush with inside of box d. Eackfill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist.water urs g. Fcoting drains dischar e away from SDS area / h;n _ h. Surface water 2rotection adequate i. sion control rovided "on slopes greater than 15 %. a, w WILL UUrirLETIUN KLrUiAi DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STR ' ADORES S WN /VIL 1 TAX GRID NUMBER: WELL OWNER ME: AO S w ja O PUBLICS USE OF WELL 1 - primary 2 - secondary ® RESIDENTIAL O PUBLIC SUP Y O AIR /COND. /HEAT PUMP ❑ ABANDONED O BUSINESS O FARM ❑ TEST /OBSERVATION O OTHER (specify) O INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT Si gpm. /N0. PEOPLE SERVED — '—"` -/ EST. OF DAILY USAGE gal. REASON FOR DRILLING NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBSERVATION O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH a , ft. STATIC WATER LEVEL , ft. 1 DATE MEASURED DRILLING EQUIPMENT %LROTARY O COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT O CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. OPEN HOLE IN BEDROCK . ❑ OTHER CASING DETAILS TOTAL LENGTH il iL MATERIALS: STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE 9;6L-ft. JOINTS: O WELDED HREADED ❑ OTHER DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE OTHER WEIGHT PER FOOT �— Ib. /ft. I DRIVE SHOE.XYES ONO I LINER: ❑YES ° 00 DIAMETER (in) "SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? SCREEN DETAILS _ . FIRST OYES ONO = HDURS - GRAVEL PACK O YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM OEM It. WELL YIELD TEST If detailed pumping P P g METHOD: O PUMPED 1 tests were done is in- COMPRESSED AIR , formation attached? ❑ AILED O OTHER ❑ YES ONO It more detailed formation descriptions or sieve analyses y�lELL LOG are available. please attach. DEPTH FROM SURFACE water Bear- Ing Well Dia- In FORMATION OESCRIPTt0N COOS. ft. ft WELL DEPTH It. DURATION hr. min. DRAWOOWN It, YIELQ gpm. Surface % D� WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE LAPACITY PUMP WFORMATION TYPE MAKER MODEL CAPACITY OLTAGE HP WELL 0R1 NAB, DATE i Z ADORES �'f Y SIGfIMRE - aJ /l r Yorktown Medical Laboratory, Inc. Inc LAB # �2` 009874 4 321 Kear Street Y h Date Taken: 12/15/87 Time: 8:30 D a AP 4 ..Yorktown Heights, N. Y. 10598 ---- - �?- Rc_! d _1 '2 /-1:5-/ f �_ n - -T i -m e:: :�:_w::-2 Date Reported: Director: Albert H. Padovani M.. T. (ASCP) Collected By: MR. GROM Referred By: CROSSROADS PHARMACY Sample Location: KITCHEN TAP: GROM, MAX_ 31 BROOKSIDE AVENUE PUTNAM VALLEY., NY 10579 Phone N528 =7245 L J Phone Sample Type: Repeat Test ?_ _ I(check one) LABORATORY REPORT ON THE BACTERIOLOGICAL QUALITY OF MATER GENERAL BACTERIA IZ Standard Plate Count (CFU /l.OmL) (Agar Plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT)•. Total Coliform (CFU /100mL) Fecal Coliform (CFU /100mL) Fecal Streptococcus (CFU /100mL) MOST PROBABLE NUMBER.TECHNIQUE (MPN) _ Total Coliform: MPN Index,(per 100mL) Fecal Coliform: MPN Index (per lOOmL) OTHER ANALYSES „.� Potable Non- potable STP INF STP EFF Other: Sample Status: (check each) Outgoing — Na2S203 Incoming ,.,-'LE k °C GT 40c KEY FOR TERMINOLOGY RDS = Recommend Disinfec- tion of Source TNTC= Too Numerous To Count _REMARKS (For Laboratory Use) CON = Confluent ( =TNTC) LE = Less Than or Equal to GT = Greater Than N/A = Not Applicable THESE RESULTS INDICATE.THAT THE WATER SAMPLE (WAS) (WASN'T),(N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. r For Lab Use Only: _ H/C to Albert H. Padovan , M.T. (ASCP) , Director PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMTrAL HEALTH SERVICES.. Section Block Lot 16, ^4 -1q. Tax Map Number P_Oart� r(4- Subdivision-Name ';2-L__? Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 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 PCerti;ficate - -of .:Construction Compliance" for the -- sewage. disposal�•Ysys-temi --or-- any _repairs made by me -to- sucfi'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 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 willful or negligent act of the occupant of the building utilizing the system. Dated this day of Ne, 19 gi Signature Title General Contracto (owner) - Signature Corporation Name (if Corp.) Z_ P0 d� C FO ULLi e_�r Address rev. 9/85 mk _" ,.K,5+r. Corporation Name (if Corp.) P(_00f e- sz Address ^AM 16 owner or Purchaser of Building Building ConstLtcted by ,grooStd-e— A-e-, Location - Street Municipality qtr - .v. Building Type Section Block Lot 16, ^4 -1q. Tax Map Number P_Oart� r(4- Subdivision-Name ';2-L__? Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 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 PCerti;ficate - -of .:Construction Compliance" for the -- sewage. disposal�•Ysys-temi --or-- any _repairs made by me -to- sucfi'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 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 willful or negligent act of the occupant of the building utilizing the system. Dated this day of Ne, 19 gi Signature Title General Contracto (owner) - Signature Corporation Name (if Corp.) Z_ P0 d� C FO ULLi e_�r Address rev. 9/85 mk _" ,.K,5+r. Corporation Name (if Corp.) P(_00f e- sz Address ^AM 16 1 PUTNAM COUNTY DEPARTMENT OF HEALTH l�� C ►moo �-, . Owner or Purchaser of Building eqr w vi err" Building Cons cted by .Froo514-e- A-2. Location - Street Municipality Building Type Section Block Lot Tax Map Number a rL"-4 riL Subdivision -;2- L -7 Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 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 :Construc-tion .Compliance" . for_-. the sewage .disposal. system, or.:ariy _Y:= 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 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 willful or negligent act of the occupant of the building utilizing the system. _ "I h Dated this day of -(!(!' 19 t J r �1 �� General'Contractorj(Owner) - Signature �J - Signature . Title Corporation Name (if Corp.) 7Z_ Pint ., U�cL�e j Address )29,f e— SZ Address 0r1LA cL <��-�o� ��, rev. 9/85 16 mk GM POVr CO- OROINA -M.S. A C ST.. i J. a. 'i i � � I ---- 44'• b 48'-0 o -6 CJ.1K N a Nw s E 04 _. aw Soto b �'- 3 SLO LOG FII.N A SO RV GY, gY C64ARt.6S %*6LUK0S PL.S -OATEC AUea 21, 1907: T,r-t. �fe -a -9 :g,0'•iS: PER►nI f.� PV- IT'BZ Putnam County Department o2 Heailu jivision of Environmental Health Servioe. - Apprgve@ ;zee ,,noted -,-for conformance. With- kV F, LL. . tpplicable Rules and Regulations offthe ?ut c unty Health Department. R —1. G 3 6� NHS. 7' Jo ` Lo ^O S,T, FA,H. SE i tJE r � o� ►DOTE: %S5V.A-GE OF R 6.10.44 GEQ,T,OF e_e m pw As IG.t IS GO#JDI-{tO0^L_ uGOn1 GOn19Leg14D-7.9 tNS�EL7 /owl, sY TN6 g.O,A.OF .TH@ FOLd.OIVI%3W 1.I, -h%%+O 4L*%,ON Of low Vol. \Y,L,.0"tofe- spy- sP& -,Q. 6i0A >; GstsLbltel�wt6Kt of As - B U I L"C PLAN �av�h c-oV« ' tltie,raoH. _ r, SGALIS I "- 2.Ot•+D s,- Cow.�16�Ier. of tw'�Pe�vte�� certokeral perms q rNt O to,-.0 beta so. .14, of SK46. ' This is to certify that the sewage disposal system was constructed as indicated on this plan and that the system was.'inspected by me before it was covered over. -The system was constructed in accordance with all standard rules and regulations of the Putnam Co. Dept. of Health and the New York State Dept. of-Health. PE LAWPEti1GE SELLuSC P,E. NO 49002 SCALE: 1`.LZO' (7vv4tl S`(: OA TB .. 9-12-8 fz V :_-"' -- BUIL05F"... - -' PEFC.K`5 BLVD. GoL�`- "SP'RlN'G,N•Y,' 10516 /? 914-/ 2G S- 9`342• s��i%i' i i � � I AIM A. �I o� ►DOTE: %S5V.A-GE OF R 6.10.44 GEQ,T,OF e_e m pw As IG.t IS GO#JDI-{tO0^L_ uGOn1 GOn19Leg14D-7.9 tNS�EL7 /owl, sY TN6 g.O,A.OF .TH@ FOLd.OIVI%3W 1.I, -h%%+O 4L*%,ON Of low Vol. \Y,L,.0"tofe- spy- sP& -,Q. 6i0A >; GstsLbltel�wt6Kt of As - B U I L"C PLAN �av�h c-oV« ' tltie,raoH. _ r, SGALIS I "- 2.Ot•+D s,- Cow.�16�Ier. of tw'�Pe�vte�� certokeral perms q rNt O to,-.0 beta so. .14, of SK46. ' This is to certify that the sewage disposal system was constructed as indicated on this plan and that the system was.'inspected by me before it was covered over. -The system was constructed in accordance with all standard rules and regulations of the Putnam Co. Dept. of Health and the New York State Dept. of-Health. PE LAWPEti1GE SELLuSC P,E. NO 49002 SCALE: 1`.LZO' (7vv4tl S`(: OA TB .. 9-12-8 fz V :_-"' -- BUIL05F"... - -' PEFC.K`5 BLVD. GoL�`- "SP'RlN'G,N•Y,' 10516 /? 914-/ 2G S- 9`342• s��i%i' PUTNAM COUNTY DEPARTMENT OF HEALTH R V. 318t P Division of Environmental Health Services. Carmel, N.Y. 10512 E owCERTI 'q0NSTRU CTION PERMIT FOR SEWAGE DISPOSAL SYSTEM permit # .1. ' .1111,�, Putnam Located at--. B�6`bkg ide 'Ave. To, ba 21� T. M.— 16 Subdivision Name f4 A Owner/Applicant Name--- Max. G Mailln Address Dr to Provide Permit # 7E OF COMPLIANCE V-17—A2 Ae e. Renewal_ (=P _— I I I Revikinn r_1__ Date of ous Ap F b 261 1985 Town j;!;;�Valle V,,N.Yzt 10579 S*F*.Do — 0.7581 aV 1/) ' - I Building. Type— 3 Lo Am S don Only " Depth Volume Number of Bedrooms De gn Flow G/P/D — PCHD Notification Is Re4ulred When Fill Is completed Separate Sewerage System to consist of 11 0 C QG.11.. Septic Tank andisb Ht;*. F 2 1- 0 trench ench T . o be constructed by Dan Varella L Addroea Peekskill, N.Y* Water Supply: —Public Supply From Address or: PrlvatwSupply Drilled by Elxj_rzt TgTQ Address' Otherr. . Requirements 197 L.F. of Perimeter seal; si2ecitat ]ow water vol. toilet. - 1 represent that I am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as Shown on the approved amendment there to and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department,' and a written guarantee will be -furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in goo operating condition any part -of said sewage dispo I system ours the period of two (2) years Immediately following thedate of the issu- ance d Sa ; ance of the approval of the Certificate of Construction Compliance of the In.1 ystem or any repairs It to- 2 that the drilled well described above will be located as shown on the approved plan and that said well will be Insta i�ardance with th will lations of the Putnam County Department of Health. - Date Sept 10, 1986 Sign P.E. X R.A. Address Perk's Blvd., Cold Spring, N.Y. 105�6en,e,,. 49002 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is .revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and/or private water supply only. Date By. Title �?�x S ,n ^.„.,?+- 31}+'33't-rl' - "�r,�"�{,'""` r� c "9"�., ^�.w F`" F •..�o; ^�.•n.'� 4' TO FROM aAl ir• -~ l LAWA N 69 8LILUSCI ®9 P.E. AP 5c 2 - (914) 265 -9348 SUBJECT. FOLD HERE . DATE _ FORM 11202 RAPIDFORMS, INC. BELLMAWR, N.J. 08031 SPEED -MEMO T TI PUTN A14h COUNTY :DEPARTMENT OF HEALTH 4 t D/vrslon ofEnvironmenia/ Health 'Services Carmel N Y 10512 ` E CONSTRUCTION PERMIT FOR' SEWAGE DISPOSAL SYSTEM y} y tnam5.V 1 =eV y Putnamm Valley; 'N Y sx u T o e . �.. . �. { ^ zti'•� -, .�.. - w •p P83ock u nY�r g Lot 9 � a w �Ila Located at t- -Tsx tt a 1 6 n Roaring roo a e 217, x r ed' sfi r of Subdivislok SUbd Lot #r Renewal Revision Max Grorn� :Pudd`ng St., n`am ey,D Ovner /Address - -, •- ... ate (Dk,Previous Appioval �7 i Rr7 i rVitli� g J S 'F' D 0 7587 ac -; Builtlmg Type Lot; Area• Fill Section only ❑ fJumber of Bedrooms 3 Design Flow c /P /D 4 P c H D Notilacatlon Required f - Separafe'sewerage Syitein.to vin "sist of ��(l(1 Gal Septic Tank antlj �>a L'F lX 2' 0 trenCYl � i To be constructed by Darn ., arena _ Adtlress P2eksk111 N Y Water. Supply .Public' Supply From rive e, Supply.}ia>♦ drilled by 4 Norman Aiders:on, Address Putnam alley, Other, Requirements 19:7 L 'F Perimeter -seal; Special low water vol toilet 'I represent that I am wholly.'and completely ;responsible fog the design antl location of the proposetl• system(s) '1) .that the ,separate sewage. disposal system' above described will be constiucted,as shown on the - approved: amendmen(there to and in: accord`' - i with -the standards--rules °an regu a ions o e ' u nam - { County' Department 01 - Health . -and that on.completion thereof a Certificate -of Construction'GomDhn'nce satisfactory. to the Commissioner of Nealthwill tr!be submitted to 4he Department,; an 'a written' guarantee will be'.fyrnished; the owner' his successors,`hairs or assigns;by the builder that. said bu "ilder will`, l place m,;good_.operating condition: any part - of sSid sewage'. disposal_ system during, the period: of two (2) years , immediately tollowing the date of the issu '? a ance>of the approval of ,the •Certiiicate of? Con ruction. Cortipl�ance',of the 'original system or; any iepsirs thereto 2)+that the diilled ,well,desciit>ed above;t _ will be located as shown on, the approved plan. and* that said welVwlll.beanstalled -' ccordanee with the - -sta ds rules regula�ns "o "of the '.- 'Putnam County Oepartmen4 of Health l 1- 16 -8.5 `Date Sig P E R A a Address pPY1t R1 V(� , Cold : Spri rid, "N Y _ _10516 l kense'IVO 490'02` 'APPROVED FOR CONSTRUCTION: This "approval' ires one ex p yeac.fiom the date issued unless construction of the building has been undertaken and �s: ,-:: r evocable }or, cause or may be amended or- modified wh6n_considered ; neeersary ; by the Eo ioner;,o HealtF `:_,Any ,change o • � Iteration of construction { requires a new permit Pipproved'f' disposal of dome is a► sews antl /or vase er ply only t 6 Date _� By Title Rev 9 -81 - T '.^5> .� 2„ 3' 4 5a §' 2 3s "r' 9. 5 .� d A Y:'Ea� `�.�Y!i' �:+ :f •ar•,- .3 -� VW O s -�x 'sk=y„ &" K k .�>.�� n ,�` 4 ,ka'��. �-d �� q. t va°$ !.y} �yi$ +('h• � A "'.i.,i. �^r`i � 5. > �" =yg,. w S �.^�i"�. { 35 �" 2� .,� •A'rv�` =_ "' �,-� �p '^.�..�`�a �' g :.:. ��, �3;.i �# � '€. d �f 1.� �� 'a �4 � �E 1'o^v' P6•. •�3 •y^2s � ipv.�it„3 .a � ;.av� � �y��R'"g' l � x - 'C � � S €_ �1� '.x ..':L� �'"-3 ,^k'}�?��3'fi �,i jA . � r� �'S�� f y,> � ' a' �� 5 x.a,�c S�$ -c � r •ems' � �. � - �,�d�,F �4 s�' ,a`. .,may, y +,. : � � >� �' $ ^z .'vim s'> SAS ?� i��F'"�c y .ja rr �,� ,,,� �. 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R FY �, 9�:y�i" "t � yam{ -,fe• - ,g F t+" K�` L— a� Y n. ,,y, ?' �,T`�'�� `Ry^�. �_�v�i:✓= .sF 1�'.. �i. - �viN-fi:..'� T�'.N. �..z�� 'i�„'iv� F.fi...°[:_. �'.K.4 tz �'rt `'�€" � &,'�E... Ss wi.- .vt`•.:d�1''E•,� .S:.s'4 � �e9' �a -e t3 � ?.�:31.t: "ss!y ,�j!j�.�v�mye 2 S'��,g -�� € -_� ". �Y °' e 4t � ' >..^ 4Y�+?r �2° °�ss� uy 45�y..a `. -'r�• � 'ii3��- �?�y� ... �. p�,?yc� ! ' a� r,*� "�je. b�s.�.v` ^^.ak -"� _ re7f R ,..,� °'S6F"p� t .�s�s��- ^�": ..f q.. 1'i t Y`�«a�.:�' SpY,..�.��2 `:Ar -GS` Y- ,��k.. La:. ,.e+ -f-` S"'�`� -�k•', Tf '��,y� e S 2i k- '�.. .qa o� ' k`$.Y -'S? s'�s� '2` Q•- t yam.. ?�~�"��^Y, Y 1� �y 5. ;� ez a3•I�` 'r'�y � �- � t` 2`^- ,K:;E�', .: ,�. �.. _ � :_?+x.. �.�4�� .�4,"„s ..:,� `d.:'x�" `£�f�S,::�br�a IVI '�. r �� ... ayr�.`rr�„:" F:SF, -k�� PF -"¢y'n 4��.�,z„`� �m,..'5S��+- °'`v�F= - .= F. �a-y�' Jy �':{. "szL,i. "��✓�T�,.gy �' ��. °€^`' " -€ �x�a'� +S-i� .'fi y, - 7^ sc_ ., %� •.§xTL � ,.'s �� Z- -�' �� 4� :'��.x{,'?t 'y5 � S"�^ � .3 3i '"d'Y S 'i' Kg �� Y9 k: g^� EF" -a1 � i.� � } - +�-'>9 u_- '3�3c��'' ��ylv1 CO DAVID D. GRUEN rJln� .� 4� N JOHN SIMMONS. M.D. County Executive C'li> �Qti Deputy Commissioner DEPARTMENT OF HEALTH Division Of Environmental .Health Services October 23; 1986 Lawrence Belluscio Perk's Boulevard Cold Spring, New York 10516 Re: Proposed SSDS Max Grom Roaring Brook Lake (T) Putnam Valley TM 16 -4 -9 Dear Mr. Belluscio: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: deep test hole data indicates tri- ga11ey:.,deAign can be - t applicable (200 L.F) in lieu of recommending.low volume toilet. Upon receipt of a.submission, revised to reflect the above comments, this application will_be considered further. Very truly yours, Anne Bit er AB :pt Asst. Public Health Engineer cc:JK AB File PUTNAM COUNTY DEPARTMENT OF HEALTH Environmental Health Services, N. Y. 10512 Division of Enviro S ces, Carme% CONSTRUCTION PERMIT FOR12SEWAGE DISPOSAL SYSTEM R,f4-1,44Z,. VIR Town or village ..., i�ocaiafi- "t_..o -_ -� »mot x -:s '= •c ��-- ,- �.\t:�,: _ -.r ,.... �� " -- .Ta;c 4aC+ - ..a_- �.�,�. ro -J Subdivision (c..— Lot Job t Owner —ax Address /7 rs o Building Type Se—, ig CNs� —i LM 1` es Lot Area' 3, - t-- Number of Bedrooms Design Flow y'� �+ a '� Total Habitable Space �' � Square Feet Separate Sewerage System to consist of 01&0 Gal. Septic Tank and 33 9 L To be constructed by cc —WT � t r'-•{' -C-6-C-40-1 Address Water Supply: Public Supply From Private Supply to be drilled by of v�. a!lI.0 �✓S n ,(� u Address L��# 3 ems. r_ . rc Z 4 `T , i-t J c. UG (.Lu, . J�� `�. I. aA 7.q Other Requirements 9-7 L.F. . so .,,t Se�1 � il s� -n L( u�� 1 Ili f� I„Ak �:t�fi T uIC�„, r1e.g 4,r '�- _ 1 represent that I am wholly and completely responsible for the design and location of the proposed - system(s);. 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory, to the Commissioner of Health will be submitted to the Department, and •a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be o ed as shown on the approved plan an. at said well will be sta in accordance with the ; and regulations of the Putnam Count Dep rtment of H961th. C Dat Sign e ° ° P.E. R.A. A/- .�f %31c��u.� D�eGCes/�.t� N °? lo�-tr,� License No. �Z G� % Address APPROVED FOR CONSTRUCTION: This approval expires one year from the date is?rivaate s construction of the building has been undertaken and is revocable for cause or. may be amended or modified when considers ecessary by the mmissi' ner c Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic itary . wage,_an�(or pply only. �+q °�►� Date e e L, By ""'— V "`��= �'°�� Title k ft FUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LIVUINT1 Urr-Lur, BUILDING, UliruUM.Ui il. Y. DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 10579 10579 -Owner 4 Address �P^ goo %Jt6 N.Y. t Located at (Street) Sec. Block Lot 9 o.o.,-#,,(&foAc-Lql&-L-**(In-dicate nearest cross street) 0 -t Municipality - Watershed Pee. k.%Ic 1 yi SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS 0 _ A IU Hole Number CLOCK TIME $I g 0' `PERCOLATION PERCOLATION RUn Elapse i De p t h to water Water Level Time From Ground Surface in Inches Soil Rate tart-Sto Min. Start Stop Drop in Min./in drop M, A. f Inches Inches Inches i) — 1'7 — S , t '71 .2 *014* - 15 • 3 51 +.c . -z 59.Z3 13 3 14 SAS 71. 1 �75 ftiv, 4-8-z",n -7 S; 0 8 -um. - 15 37s;eoi :.o-.- 5 5. Cl- "*i 15 3 57 A4."' 5*7s u- 7, -q S j(' 7. C;' Maj. so. i "L( p.S 4 M tl ., . 3o, t 2 %.5 171 wo. I SA-If t4v-140 C00-5 I tub - U sect sdbq w4+4,- 4 s- t�4��c.iZa�D'' w s W �N ��. ... Notes: 1) Tests to be repeated at same T eale r ',gua is-oiq rates are obtained at each percolation test hole A for review. 2) Depth measurements to be made from top of hole. P.41 3 14 4 M tl ., . 3o, t 2 %.5 171 wo. I SA-If t4v-140 C00-5 I tub - U sect sdbq w4+4,- 4 s- t�4��c.iZa�D'' w s W �N ��. ... Notes: 1) Tests to be repeated at same T eale r ',gua is-oiq rates are obtained at each percolation test hole A for review. 2) Depth measurements to be made from top of hole. P.41 8 ® aea a $e4 e =d -Wf -(ir 6• a� 4- • e+ l -L 1 I at.. TEST PIT DATA REQUIRED TO- BE SUBMITTED WITH APPLICATION DESCRIPTION OF' SOILS ENCOUNTERED IN TEST HOLES R` N c -60" 66" 72" 78 84;r. � '47'7INDICATE LEVEL AT WHICH GROUND ATER' I5 ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTE TESTS MADE BY Date DESIGN. Soil' Rate" Used � ® Min/1 "Drop: S.V, Usable Area Provided ® ®® � M No. of Bedrooms Septic Tank Capacity d ®® 0 Gals'. 'Type Absorp 'on Area Pro — ided By L.F.x24" 37 widrenc . S I P THIS SPACE FOR USE BY HEALTH DEPARTMt ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by" 32681 o� STgT& OF NEW y to fC m -c O A. c b ..v. MARVIN 0.6 LL �.- Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT Putnam County Dept..of Health 2 County Center Carmel, N.Y. 10512 Att: Ann Bittner November 26, 1986 TOWN HALL PUTNAM VALLEY, N.Y: (914) 526 2377 . Re: Building Permit Status Maximilan Grom - TM #16 -4 -9 Dear Ms. Bittner: Please be advised that substantial Construction and improvements have been made on the above Lot. The Building Department records indicate that the house footings and foundation,.were in place in 1985. Please contact this office if I can be of further assistance. MOT: es cc:* Maxi.milan Grom Very truly yours, MARVIN O'DEW Building Inspector THE.IMPACT OF.WATER CONSERVATION ON ONSITE WASTEWATER MANAGEMENT Larry K. Baker Weatherby Associates, Inc. 206 Peek Street Jackson, California 95642 Presented at: Seventh National Conference on Individual Onsite Waste .Water._Sy stems, .._ Development Beyond the Sewer: The Appropriate Utilization of Onsite Systems September 23 -251 1980 Ann Arbor, Michigan JUL 3 i ICE x. OF HEAL 3 b (Reprinted by Microphor, Inc., Willits, California) Table 1. Conventional Inhouse Water Use _s_..�_ -... Family -o- f Gallons Liters Activity Per Day Per Day Percent Toilet Flush 10'0 379 39 Bathing 80 303 31 Laundry 35 132 14 Kitchen 27 102 11 Lavatory 8 30 3 Utility 5 19 2 Totals 255 965 100 The use of a standard residence in assessing theoretical results is used. because. many other works on flow reduction center around this unit. In the actual application.case examples presented, both commercial and residential situations will be assessed. WATER CONSERVATION PRACTICES In order for -a given flow reduction technique to provide a predictable positive impact on onsite wastewater management, it must possess the following characteristics: (1) Provide a significant predictable flow reduction, (2) Not rely on habit pattern modifications, (3) Protect public health, (4) Ongoing use -must be verifiable. 4 .,,,*anc, 1. will � 71- '775 -K, N y 4, 3� �� PL7TNAM COUNTY' DEPARTMENT OF HEALTH A� z, Ztt ywi r ThIl a r lencze Bedrooms; t r1p -b es ewerage System to co sist of Gal tic Tan S', un Land Surveyor ;that 1 "amp wholly `and com'" letely;r,. pons for the %design and location of ,the proposed �system(s) 1)- that tftejsepacate, sewa9e�dispo'sal..systeiri: ribetl wlll;be constructed as. hown,on a `roved amendment there to and m:accordarice with the standards rules an regu a lons4o r e �: u nam ipartmeriY; of Health, and_ at ompletiori thereof a Certrflcate of'ConstrucUon "Compliance > satisfactory <.to the Commisdioner of Health will. _7 ed to the Department an �wptten guarantee will be fumishedtthe owner his successors „�heirsorass�gns by h"A "no F.-. t J� eq �� i ;a� -- ne permit Approved for disposal of domestic sans y sewage and /or% p,wate water zwpply only 7 x�fi Date JOHN P. O'HANLON ATTORNEY AT LAW MILL STREET, R.D. 3 PUTNAM VALLEY, N. Y. 10579 914 528 -7539 December 3, 1979 Mr. Robert Tutoni Putnam County Department of- Health County Office. Building Carmel, New York 10512 Re: Application of Maximilian Grow Brookside Road Roaring Brook Lake .Putnam Valley, New York- Dear. Bob : You may remember that a couple of months ago I stopped by your office with a client of mine, Mr. Thomas Kinzel and we inquired about the above application, which had been approved by your deparment. You may further recall that after some discussions with you that approval was rescinded. I ,have.been' representing the Kinzels and one other family, the Redmonds, before the planning board of the Town of _.:. .. Pu tnam Valley, : was made. or the,Grom __objecting..to__a__maj.or str- m:.diversion- which property. ._'At the last planning board meeting a site plan was presented by the- Grom ".s engineer, Mr. Nyberg.. It was noted at the.meeting by some'members, of the board that the sewage disposal area was at the absolute minimum standard required by the guidelines adopted by-your.-Department as they apply to setbacks from water courses, drainage ditches, etc. My clients are most concerned that the area being used for the disposal fields is an area that was formerly a wetland and was subsequently filled in. The adjoining property is still a wet area'. It is considerably lower than the Grom property and there: exists the possibility of the infiltration of leachate from the Grom property into the wetland on the.adjoining property. The foregoing statement is made not from any professiorAhIl judgment but,.only seat of the pants engineering and observation. The entire issue of the location of the stream is going before the Town Board at its regular December meeting .but it is obvious that the determination of your department in passing on the application -for a sewage disposal system on this property will -be a .major factor in determining how the problem will be handled. It would however seem.that the application of miniMuM standards is inappropriate to the conditions that are peculiar.to this lot. 0, Mr. Robert Tutoni December 3, 1979 Putnam County Department of Health Page Carmel, New York Thank you for your assistance in this matter.. JPOH:foh Sincerely yours,- JOHN P. O'HANLON J VINCENT .F- NYBERG, P.E.. ENGINEERING CONSULTANT DRAINAGE STUDY FOR MAX GROM PUTNAM VALLEY, NEW YORK DESIGN CRITERIA This analysis is based on the method as presented by the Soil Conservation Service Technical Bulletin No. 55 "Urban Hydrology For., Small Watersheds." Normally this method _is used to determine the effects of urbanization in a watershed on hydraulic and hydrologic parameters. In this case, the urbanization is so slight that it has been neglected, and the analysis is of the present runoff condition only. The watershed area indicated has been es.tablished as the con - tributing area to the intermittent stream which has been re- routed by Mr. Grom. This stream bed normally . has a very low flow, but as deter- mined in the analysis, will collect. the runoff from the watershed and generate a peak (short time) discharge of 48.4 cfs at.the Grom property. .,.._:..... T -is.-is-''based_on:a_`25_:year_;._24.houn rainfall. .- _ ........... ........_...... _.._ _.._r_._... The recommendation (as shown on the site plan) is to remove the- two existing CPIP culverts and replace them with one 36" corrugated metal pipe. This new culvert should be placed so that there will be no open ditch on the Town R.O.W. at the inlet end as presently exists. 4 MILANO COURT, CRUGERS, NEW YORK 10520 737 -6319 4 'MILANO COURT, CRUGERS, NEW YORK 10520 737 -6319 VINCENT F. NYBERG, P.E. i" ENGINEERING CONSULTANT MAX GROM PROPERTY - PUTNAM VALLEY, NEW YORK Watershed Area = 1,560,000-sq. ft. = 35.8 Acres = 0.056 sq. mi. Flow Type . Slope % Length (.ft..) Avg. Velocity Overland (forest) 2.5 1500 1.27 fps Open Ditch 2.5 800 0.75.fps Travel Time Tl = 1500 1181 sec. 1.27 T2 800 = 1067 sec 0.75 Total = 2248 sec. Time of Concentration Tc = 2248 = 0.62..hrs> 3600 25 year 24'hr. rainfall = 6.0 in. Runoff Curve No. CN = 60 (wood or forest,land) Runoff. Depth Q =.1.92 in. Peak Discharge qp = 450 csm /in. Actual Peak Discharge = qp A Q = 450(0.056) 1.92 = 48.4 cfs CULVERT DESIGN (Manning's Formula - Pipe Flowing Full) Slope = Inlet Elev. - Outlet Elev. = 197.4 - 196.9 = 0.025 ft. /ft. Length 20 Uncoated CMP = n = 0.024 18" CMP. -- Discharge = 9 cfs 24" CMP -- Discharge 20 cfs Total = 29 cfs USE ONE 36" CMP -- °DISCHARGE = 59.cfs 4 'MILANO COURT, CRUGERS, NEW YORK 10520 737 -6319 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY. OFFICE BUILDING, CARMEL, N.Y. 10512 . DESIGN DATA SIMT- SEPARATE SEWAGE DISPOSAL SYSTEM' FILE NO. Owner Max r„9m Address path ng Street Putnam Val 1_e * Nov. , r T.M. Located at (Street ): Ave Block Lot: ( ca e.- neares cross.: street) _.:.....:, Municipal %qty Paitnzlm,..�] i Per Watershed 1411rl -5 :...SAIL `PERCOLATION TEST DATA _REgUIRED TO BE SUBMITTED WITH :APPLICATIONS Hole Number .............CLOCK._.TIME PERCOLATION PERCOLATION Run Elapse p o Water a er ve _ . No.... .:::.......:..._..:::,:.,:::.`. Time • From Ground Surface in . Inches Soil Rate Start- Stop`., Min. Start Stop Drop in Min. /in drop Inches Inches .Inches l.. _. ._ _ 16 19 3 3Q/3.= 10' 3. _1 3(2_2102 30 16 19 3 :. -30/3 = 10 i.. 'in, in 5 Notes- 1) Td, 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. DEPTH G.L. TEST PIT DATA REQUIRED TO-BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOIL ENCOUNTERED IN TEST HOLES HOLE NO. i HOLE NO.'�. HOLE NO.� -� rr " " If 12" If if F� 21} n � �� l 6'• .42 it 54 _{ 60" 66" 12" }. 7$R to 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED None encountered. INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N/A - TESTS MADE BY A RunnP Date , JTUi.�M.2n,r� DESIGN Soil Rate -Used, 8 -10 Min/1 "Drpp: S. D. Usable Area provided 5 000`S.F. Noe of Bedrrooms "" Septic Tank Capacit p tion Area Provided e BY L.F. x24 Gas.: Type l C with rent Y4 ete, nAbsor Other .. _.. . Namey ....Runnel' _. Signature Address-20' Woodsbridtle'Road SEAL Katonah.'New Yorke. 10536 _ _ ........ 0� .. a,t �' EY' ;Alois Kral. . dhairman - Billy. C'r- Mer Secretary 914 526 -3740 Town Planner Joel Greenberg November 7, 1980 TOWN OF PUTNAM VALLEY PLANNING BOARD PUTNAM VALLEY, NEW YORK 10579 Mr. Robert Tutoni Putnam County Department of Health Main Street Carmel, New York 10512 Re: Grom Application Brookside Road . Roaring Brook Lake Putnam Valley, N.Y. 10579 TM- 16 -4 -9 Dear Mr. Tutoni, Members John Donovan Philip. Keatin4 Jr. Miriam I., Eolis Louis - Malluzzo Jr. John La Spaluto Clerk Vicki Colesanti The enclosed drainage plan. was approved by the Planning Board and the Town Board. Mr. Kastuk -, the . Highway__ - Super- intendent and myself have---inspected • the °work- and, we= find= i't to -be -satisfactory...- _- Please let me know what Mr. Grom has to do regarding obtaining a Constuction Permit from your department. Very truly /)fours, ,doll Gr Yhberg JG dg _„ . vV �$ r VINCENT F. NYBERG, P.E. ENGINEERING CONSULTANT 220 2/0 . 1 do ry , 1 a� i .LOO. I 1 A NE-W METAL END ql NC- 36. - -- 6ACKFILL D1TCti� �EMOV E�t1sT. CUWErZTS W tTH kA . TOW 1Z.O.W. I o.o��tflE ,4 Emma -- .. fV iFyC Ok`'S ENS F. N y y� SeAI_E - 1' m3o' N a° °�a 9 ay ��jtJ``,ib w S►T� PL'AN 6s=; 4 MILANO COURT, CRUISERS, NEW YORK 10520 . 737 -6319 VINCENT F. NYBERG, P.E. ENGINEERING CONSULTANT WA16C5Hel:> -MAP - ,::�tzoM ►`��oP�4ZiY - -_._._ Lt•S.G•5. OSCAWAWA LAIfe- QJAD2ArlGLE 4 MILANO COURT, CRUGERS, NEW YORK 10520 737.6319 do C �N LOT.2��. K\ . -AYA 0.759 A�Q ,&S J � rl N i Nd hs iG5 TOO L / Ir--x.wtLL�, .rte, To ZI L 20, .. - -. ... _.. -- `._ '212. ....... >.. _ �' - - -- --• .... __. _. . ......... .. .. r- T6 ;PVAWi .. Ar -,L6A OE Qfi 70(, J 1000 GAL. fZb -414' .w BLS. io' GONG 17SPTICTANK / -ra- . �uwar�aw DITCJ! 16OX24. Y00 -tu & r 2 r /J 340 L.F. or- LsAcu & Wd- 208 � p ru L:aT.. 2 Ig flU�! Q - -- NO +{OUSE.. hEpTl G • � C 'B 2.03' Ui /� g 4L?O, __..._... _ . 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