Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2559
DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.19 -1 -46 BOX 22 02559 also 9 '• 1 •I� '.. `I., r Fr '.J% .� �{ 02559 PUTNAM COUNTY DEPARTMENT OF HEALTH •- = d9IViSIOieI=OF' ElVVIRONNIEN'TAT; HEALTH SERVICES CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWA my/o T SYSTEM PCHD CONSTRUCTION PERMIT # p1i - (v/ - 7 Located at _ S o,j W'4 Town or Village Owner /Applicant Name_ 4,491- �ETER,So,✓ Tax Map SJ� /9 Block ^� Lot Formerly_ "9-/. Subdivision Name Z i , D,ScAwAN.4 - -s Mailing Address Subd. Lot # A ? y/ Pte✓ Ave. , /1,✓wo o d 1v-y- Zip Z 0 Date Construction Permit Issued by PCHD /o% 1r/94 Separate Seweragg System built by A,2 L 4',ETE9 SdN Address ellvi' Xve. Y �D,e�✓wO Consisting of Zpo,4 Gallon Septic Tank and FEET Dec' 7X/ - !61414E41 Other Requirements: Water Sinn&: Public Supply From Address or: Private Supply Drilled by IgA✓P AJ oA) Address ` i3flif difi f e CGS; 2 E� 1 A Has erosion control been completed? }/ES g YP _- p Number of Bedrooms 3 Has garbage grinder been installed? /✓ o 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 sl:andards, rules and regulations of the Putnam County Department of Health. Date: 41ZIF 0 Z- Certified bye. P.E. R.A. `LVJI 11 1 Vl IVIIQl� Address /oG 1014_, /y `l • License # D 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 revocati , modification or change is necessary. �e : ,,/ 2- By: � u Title: Date:,,/ ''� White copy - HD File, Yel py - Building Inspector; Pink copy - wner; Or a copy - Design Professional BRUCE R . FOLEY Public Health Director LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914).278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - .6558. WIC (914) 278 =6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Pre3ehool (914) 278 -6082 Fax (914) 278 - 6648 OWNERS. NAME: TAX MAP NUMBER: .E911 ADDRESS: TOWN: AUTHORIZED TOWN O] (Signature) DATE: ee. M-1tV , 10 41if;14 The Putnam County Department of Health will not issue a Certificate of Construction Compliance unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town official. This form is to be submitted with the application for a Certificate of Construction Compliance. (E911 VERFRM) YML ENVIRONMENTAL SERVICES 321 Kear Street (914) 245-2800 Albert H. Padovani, Director LAB #: 32.202171 CLIE14T #: 55330 N019 STAT PROC PAGE I ------------- ...... PETERSON, CARL DATE/TIME TAKEN-..03/27/02 10.-00A 656 BELLVIEW AVE DATE/TIME REC'D: 03/27/02 11-.35A THORNWOOD, NY 10594 REPORT DATE: 04/03/0R. PHONE: SAMPLING SITE: 31 WATSON WAY, PUTNAM VALLEY,NY SAMPLE TYPE_- POTABLE KIT TAP PRESERVATIVES.: NONE COL'D BY: TEMPERATURE.-...- < 4C NOTES._: COLIF70RM METH: MF ----- ~ ------------ ------ DATE FLAB PROCEDURE PUTNAM CNTY 03/27/02 03/27/02 03/P'7/02 03/27/02 03/E!7/02 03/12:7/02 03/2'7/02 03/27/02 03/27/02 03 /2:7 /02 _-_:03/P7Z02 PROFILE MF T. COLIFORM LEAD (IMS) NITRATE NITROG NITRITE NITROG IRON (Fe) MANGANESE (Mn) SODIUM (Na) pH HARDNESSITOTAL ALKALINITY (AS TURB I D I TY. JTUR RESULT NORMAL - RANGE ABSENT /100 ML ABSENT <1 ppb 0-15 ppb 0.42 MG /L 0 - 10 <0.01 MG /L N/A. <0.060 ' MB/L 0-0.3 mg/l <0.010 MG /L 0-0.3 mg/1 4.17 MG/L N/A 6.7 UNITS 6.5--8.5 168 MG /L N/A 126 FIG /L N/A NTU* T _0"5 - .1 1- - COMMENTS: BACT THESE: RESULTS INDICATE THAT THE WATE. WAS NOT) 01::* A SATISFACTORY SANITARY QUALITY ACCORDt DE NEW YORK STATE AND EPA FEDERAL DRINKING WATER STANDARDSv 1:70R THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Pb/Cu LEAD limits for pi EPA Lead & Copper than 10% of their than 15 ppb and a treatment must be potential. iblic schools are set at 15 ppb. Rule for Public Systems requires that no more distribution points have a LEAD value of more COPPER value of 1.3 mg/L, else water undertaken to reduce the waters corrosive Fe/Mn If both iron and manganese are present, their total Value combined shall not exceed 0.5 mg/L. Na No limits for Sodium are proscribed. Suggested,guidelines state that for peop.'le on a sodium restricted diet,the water should contain no more than 20 mg/L'of Sodium. For those on a moderately restricted diet, a maximum of 270 mg/L of Sodium is Suggested. METHOD 1008 9101 9139 9146 2037 .2031 904-21 E2601 #dv-13 6TUeAOPed T Id (<43SW� 'I W "H 4jaq :Aa u3iuwsns...,..-I -1/ 9W 2 * L I = U0 T 1. eB/ u T. L--tB -f I/ew OOE-047T :831vm a8vp -N-f.91 1 -1 H38 WW89*1 -1-11 W -= "I/ OW -1/ 7W' 0+7 T -0/-; 3 831VM (JWK I/ SW 006 3AOSV ',)331VM U%4VH AU3A VOW OL-0 IZA31tom 1XIDS 'U:3133ranS N338 SVH a3ltJM 3HI H31HM 01 IN3WI0381 UNV 334nos 3H1 NO SUN3d3(3 I-vow ja s(i:3)jaNrIH OJL 0 WOUJ 3E)NVU AVW S.93NU8VH. 3H.1 *I/SW NI '311dNOSMV3 mm"w3 sid a3SS3ZddX3 HIOS 'N0IIV-91N3Z)N0I wniS3NOVW v wnixivo 3HI jo wnS 3HI SV G3NIJ3a S SS3NaNWH WIDI PH *9*8 01 G'9 Sl Hd JO 39NVM IVWUON 3HI "sminixii 38 IHSIW Hd Mol V HIIM aBIV" UNV S3dId IV13W 01 BAISOUUM 'A8.LSIW3H3 U31VM NI sism a.--isn AIIN3nwazi UNV INVIUOdWI 3HI A 3NO S' I Hd --io u\i:3w*-mAnsv.--.iw "t; T WONJ S3E)N 31 M NI 3-lv3S Hd d D a v H M)Hlaw .=-19NVH -lVW4. ON i-insm 3mnU330Ud SVIA 31Va S3 JW :H13W WMOA 1 103 1.ON.-I 347 > 9 " "3mniv>J:9JI43.L "ka u 1 -103, :ANON :S3AIlVA.li3S--4Md dvi IIA 3-18U.I.Od "- '."3dA.L 3-IdWtdS AN'A3-1-lVA wtdi\j.Lnd .;),VM NOS.VJM T -"3-LIS SN I -IdWV 2016,01470 V96311 20IL2160 VOO:OT 20IL2160 * 3NOHd 3j.tju 180<338 g0 1 338 Dwivmva : N3NV.L 31411/31kl(l lw ------------ a 3 ES Id d 3OUd IVIS NON 47690T AN 'UOOMN?ADHI 3AV MMA-17138 9-c3*91 -PAV3 'NOS83138, -------------------- NN ----- -- ---- 0eeGG :# IN3II3 TI-M302-20 jo4nail0 'TUeAOPed -H 4jaqlV 0082-G472 (47T6) 86 'A... i t-4 's4tiblaH UM01.1 10A -4aa-t:}S ileaA 12E S331AMAS IVIN3WNOZl3IANTI -IWA PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: � LnNillage: ge� i�,' Tax Grid # Maps 1• (Block Lot(s) T Well Owner: Nam Address: Use of Well: 1- primary 2- secondary Residential Public Supply Air cond /heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Dtilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details Total length I ft. Length below grade / Diameter G° in. Weight per foot /G lb /ft. Materials: �_ Steel _ Plastic _ Other Joints: _ Welded � Threaded _ Other Seal: K Cement grout _ Bentonite Other Drive shoe: Yes No Liner _ Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield 'Test _ Bailed _ Pumped - Compressed Air Hours Yield .rgpm Depth Data Measure from land surface- static (specify ft) During yield test(ft) Depth of completed well in feet Well Log If more detailed information descriptions or sieve'analyses' are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. ft. Land Surface le Dp A If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Typej,,-� Capacity 5' Depth �J Modelj' =44' Voltages o HPy Tank Typ ?��r✓i' Volumes Date Well Coml)leted p Ald Putnam County Certification No. Date of Report - Well Driller (signature) IT '.NU4'Li Exact location of well with instances to at Least two pennaneripangmarxs to De provlueu un a septuato succupian. Well Driller's Name, �J�t�/y Address: /f Y • r•� Signature: _ �,- Date: 1 e ,j /104 "1, i f White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 PUTNAM COUNTY DEPARTMENT OF HEAL H ME GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM C��.G ,��'TEQSynJ Owner or Purchaser of Building an/ Building Constructed by ,31 Pvw� A370a Location - Street gees ale yltt l- 141o104 15�37r- Building Type Tax Map, Block Lot �dc. �a►� �9 AA e TownNillage Subdivision Name 0?9 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 Y, operate properly is_caused.by.the. willful or_negligent..act.of the occupant of the building utilizingahs,: _ __ - 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 Signature: Title: _ General Contractor (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: Address: State Zip State Zip Form GS -97 BRUCE R. ) ?OLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 April 17, 2002 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Vincent Ettari, PE 1065 Spillway Road Shrub Oak, New York 10588 1.- Dear Mr. Ettari: Proposed SSTS ompliance - Peterson 31 Watson Way, Putnam Valley Tax Map #'51.19-1-46 Review of plans and other supporting documents submitted at this time relative to the above regarded project has been completed. Comments are offered as follows: 1. E -911 address verification form to be provided. Upon receipt of a.submission revised to reflect the above comments,,this application will be d considere fiu�ther... ..... _ ....._. _ . �. _._. _ _ .__ _.::.._ . _. _....... ..... ............ ....._ ...... _ ... Sincerely, Shawn Rogan Public Health Technician SR:cj ---- - I .. r CAF T _ , BRUCE R" FOLE'Y :' i.visz tin aYiva.aa.naa a.. :�,, ►va,o,a�. ' 'Public ileattl� �DirYCA�r ` < _ Fv�ltc X r _ � Atrector o� Pakanl .�e►'vtees x Tr YAd- fH � 1 ` Qeneva :.Road k 5 Bre ws' er, New. York 10509 AM STI M LING o GENE DEED low%must be 11 v eompl:stcti pier tc, arrp sched:ti±a2. J C DEEPS: D PERCS: n PUMP TEST: a F; N A i AM T YIli9 TAX MAN �SUSDrhSlOiv: L f}k D S Ad✓%Ii✓fJ — SC �f LOT* r«- - .. .. .. .. . . ^OWNER. 4 0,, Z- <S c) ^ L� i rz NyCDfip CRiTERiA FOR JOINi' REVIEW AND MaTNES5ING QF 5QUaTSJJKG u; f3 r'Fw I'rapused SST$ within the drainage basin of West Branca -or 3doyds C- orn.er- Peservolrs... - { ❑ c' 4 Yropknsed SSTSMithtn'500 feet of a reservoir, reservoir stem or control lake. A 4 ,; �L Proposed SSTS within 200 feet of a watercourse or a DEC wetland. g ' ' 2ha ° i'roposed S$TS. design flow greater than 1000 galloudday or SPDES Permit required. c O `` Pioposed SSTS for Commericalproje& } :., , It u the resp y , f the' design professional to provide the above information prior to soil testing. TJ ab parttlitnt thin � determine the NYCDEP project status (Joint or Delegated) based on the response a It`tyon answeredyec_.to,eny of the questions, NYCDEP must witness the sail testing. This °Depart:rient �nll coordinate a iWi. ally suitable time for field testittg with the KDOR, the Design* ' Yrofcssionat, acid 1+tYCDE�. . Ifs project ,has been determined to be Delegated based on the above response and then subsequent t wio�rt,:ation'indicates IvXCDEP is required to:witness the soil testing, it will be the sole responsibEity of tt�e desigc.praiesstonai to'scheduk re- witneulstg of the soil testing with NYCDEP. ' , FOR C01Jir'71' LAB$ 4PtIrY DATE: // / 0 0 PHONE #:._zz ,L —. o2 �f " ,!; � 312 � MME, . PUTNAM COUNTY DEPARTMENT OF HEALT]a - DIVISION OF ENV MOTITMENTAL EMALTH SERVICES I / ATUNTION ADAM 13 GENE For: Fill I . " ea 3 All information must be fully c►-irleted priorto any Trenches Te" inspcc�ioW.Vmg made. �y f 7 PCED'ZonstruWon Permit g 0---V 1411-�, Tj 6 ✓ (T) (V) A e-',jAQ- .&7,,ff2,v Subdiv� ionName- Subdivision Lot # 02 9 ji s "kem BI-completed? Y Date: I system COT0107 Date. as per plans? �i !daed? s Date: it I"rl". 1'-�wklocated s per plow? li�,,�iro ton conatrol measures in place7 "ilat the "em(s), as Wed, at the above premis es has been constructed and I have iaspeoted t6ir cornpleflon in accordance with *I. M IPP. Construction Permit and ipp!q lib" d' -Stwidards gulati of the Tutimm County Depaftineutoz yap. �n the Pules and ILe Certified by PE � RA Design Professional Address: /0 a C' 40 w,' 14 0 5- 2 f— - — Lic. v ot < Tom FIR 99 OE Zzv -ZV-r,P- 4V DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 F. APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address, GYi9 T 0..1 AM Yr Town Villa a City 7ax u A >r 'tlkq Grid Number WELL OWNER a Name Mailing -Ofd Address rivate a YI e�J 1��. o�l�r/xJa USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑PUBLIC SUPPLY OAIR /COND /HEAT P, ❑ BUSINESS 0 FARM O TEST /OBSERVATION ❑ INDUSTRIAL O INSTITUTIONAL 0 STAND -BY ��--���ublic jOABANDONED 0 OTHER (specify, O AMOUNT OF USE YIELD SOUGHT�pm /# PEOPLE SERVED D /EST . OF DAILY USAGE 60 0gal REASON FOR DRILLING NEW SUPPLY OREPLACE EXISTING SUPPLY 0 PROVIDE ADDITIONAL SUPPLY ❑DEEPEN EXISTING WELL ❑ TEST /OBSERVATION DETAILED REASON FOR DRILLING P. v .I WELL TYPE DRILLED DRIVEN DUG OGRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES _�-NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: VAP D SEC /dn/ 1 - k/i *_z'. Qs all ty Lot No. .2 p WATER WELL CONTRACTOR: Name d ty Ql e4so, ) Address: d Ae 1 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ >(_NO v NAME OF PUBLIC WATER SUPPLY: /1J /,q TOWN /VIL /CITY ,✓�,g DISTANCE TO PROPERTY FROM NEAREST WATER MAIN.: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ! % ❑ ON REAR OF THIS'APPLICATION SEPARATE SHFyE� a (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This 1permit 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 s.hall: 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. Date of Issuer %v 19 T' ermit Issuing Official Date of Expiration: 19 Permit is Non = Transferrable White copy: H. D. File Yellow copy: Building Inspector 2/87 Pink Copy: Owner Orancte copy: Well Driller DEPARTMENT OF HEALTH 1 P Division of Environmental Health Services r q'. 4 TWO COUNTY CENTER CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #_ %•�Z WELL LOCATION Street Address % 1261 WA4 Town /Village /City Tax Grid Number ywlw x �-21 WELL OWNER Name Address rivate k7-Ex.S OA1 xre. �4 &_ --w !/ "• O Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL O PUBLIC SUPPLY, ❑ AIR C('SND H •AT AT 0 ABANDONED ® BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify' ® INDUSTRIAL 13 INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE O gal, REASON FOR DRILLING MEW SUPPLY O REPLACE EXISTING O PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION SUPPLY O DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE RILLED DRIVEN ODUG []GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES X, NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 2?def Off• _e,C d dge.od KZ- 0S e14 WA Lot No._-2!� WATER WELL CONTRACTOR: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF.PUBLIC WATER SUPPLY: ��� TOWN /VIL /CITY��% DISTANCE TO_.PROPERTY FROM.NEAREST..WATER- -MAIN: ..- :-- . LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED [:]ON REAR OF THIS APPLICATION S E SHEET (dilate) 4(mg nature) 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 provi d by the Putnam County Health Depa tment. Date of Issue: ' -Z� 19 97 6-4._ Date of Expiration: rZ 19� ermit Issuing ffic• l Permit is Non - Transferrable 0 a tr DEPARTMENT OF HEALTH Division of Environmental Health Services d TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL p� _... __._... PCHD PERMTT4 WELL LOCA'ION Street Address Town/Village/City Tax Grid Number WELL OWNER Name Address Gr �L �!"TE" G,fL 6LLLt 1Ehi V �- Tho rivate ❑ Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ BUSINESS ❑ INDUSTRIAL A0. ❑PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP ❑ FARM ❑ TEST /OBSERVATION O INSTITUTIONAL ❑ STAND -BY /a C7 ANDONED ❑ OTHER (specify; p AMOUNT OF USE YIELD SOUGHT .{� gpm /# PEOPLE SERVED lv' /ESt. OF DAILY USAGE X00 gal REASON FOR DRILLING 1522 W SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING z'g, V flGYJSE WELL TYPE DRILLED 13 DRIVEN ODUG GRAVEL D OTHER IS WELL SITE SUBJECT TO FLOODING? YES � ^NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION : &gde 4,4x- r 4Z S 0- A k41A V1g / Lot No. 9 WATER WELL CONTRACTOR: Name Xly d e,Q Address: /0"0' IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE.TO PROPERTY FROM NEAREST. WATER MAIN:_.. _ LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED �;7 []ON REAR OF THIS APPLICATION N SEPARATE „SI ET ate) (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 pro d by the Putnam County Health Department. Date of Issue: 19 Date of Expiration: 19 got ermit Issuing fficial Permit is Non - Transferrable ,t 8/86 41, W PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date /o fi��yC Re: Property of Located at 7 ON f/ (T)�_ IIA c°" Section 5-/. / Block / Lot Subdivision of C ' SECT /o�/ O.SCAbv*A 9 or Subdv. Lot # o?% Filed Map # / Date Gentlemen: This letter is to authorize a duly licensed professional engineer e---,-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 .. _ _ _ ..... ...... .. .. � u..'.. . �..�... _....y.........— .......: ....... ...— a:.v -. • ._ . r .. _ ... .... ._... ...... ... .__ _.._ .... _. �. -� .'.". .. vim.. __. y....... ......., ...._.�..r .:.... .. connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or �T 147, Educat'- L ublic Health Law, tary Code. Countersign and the Putnam County Sani- Very truly yours, 0�i.gned - Owner of Propert /y- �J P.E. , R.A. , # D�p �Oc� P% � ��G Address Ad dress Town Telephone Telephone rA PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re : Property of ��%L �� %— �✓2�Sci� Located at 4�4 C>Al (T)Z,,,1. �Section .72 Block Lot-.,-. Subdivision of �, . GC ;r. -1 — Z elEk 0- 5cefW4V14_ Subdv. Lot # v29 Filed Map # Date 1 .� Gentlemen: This letter is to authorize. "G✓G�,GN� 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 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, - igned Countersigned: Owner of Property P.E. , R.A. Addr E! s s 5x? T►hone Address /V Town Telephone 6 PUTNAM COUNTY DEPARTMENT OF HEALTH �xDIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 71 7 Re: Property of Located at A14 %tsON Gl/ftj}� %✓AM Section Block Lot -3,1 Subdivision of ZyfZ 01 jee-� W "A Subdv. Lot Filed Map Date d Gentlemen: This letter is to authorize ,��i�T7`��Gy /�• �r/Ov /�•Gt� ��'; a duly licensed professional engineer v 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 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly yours, Signed Countersigned: xo"'0044 Owner of Property Address Address Town Telephone Telephone _ I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date May 19, 1983 � Re: Property of Nancy Godsen, Administratrix; Estate of Lucille S. Godsen Located at Watson Way (T) 29 Section - Block 3 Lot Subdivision of Section One - Lake Oscawana Acres Subdv. Lot # % Filed Map # 367 A Date. 1/8/51 Gentlemen: This letter is to authorize Joel Greenbera a duly licensed professional engineer or registered architect XX (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 145 or 147, Education Law D is Health Law, and the Putnam County Sani- tary Code. v�y�P��ENCE cRFFy�� 2 ° � c-i Very truly yours, �-,s, � , sc�,�y �aJO'S�sKi•ti '`Td• WI.1 Vl 1$� 1�t.7"l't K � A 6 Signed Est« i-e!/ a LV61lle S . Godse ^ Countersigned- Owner of Property E P.E., R.A., 056 Box 33 Address Muscoot Nrth., RFD #2, Bx 488 Old Chatham' NY 12136 Address Town Mahopac, NY 10541 914 628 -3100 Telephone 914 628 -6613 Telephone G m PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date May 19, 1983 Re: Property of Nancy Godsen, Administratrix; Estate of Lucille S. Godsen Located at Watson Wav (T) 29 Section - Block 3 Lot 2,1 Subdivision of Section One - Lake Oscawana Acres Subdv. Lot # Filed Map # 367 A Date 1/8/51 Gentlemen: This letter is to authorize Joel Greenberg a duly licensed professional engineer or registered architect X-1 (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 147 or` 147, Education Law,R p A Rc is Health Law, and the Putnam County Sani- tary Code. �\q�P��ENCE 0RF Very truly yours, p3 "s, iy Signed Cs 7cjY ap 1.v c, lf,e, 5 Countersigned: , Godseln T Owner of Property P.E., R.A., 1X056 Box 33 _ Address Muscoot Nrth. , .RFD 42, Bx 488 01d Chatham, NY 1213E, Address Town Mahopac, NY 10541 914 628 -3100 Telephone 9.14 628-6613, Telephone P UTNAM CCF��1TY HEALTH DEPAR`IM vor DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Cammissioner of Health - FIELD ACTIVITY REPORT - NAME�1 ADDRESS No. No. MAILING ADDRESS P.O. Box Post Office Zip Code 0 a. PERSON IN CHARGE OR INTERVIEWED I,�l�� A /1 Name and Title DATE q- �� TYPE FACILITY TIME ARRIVED /0":5 y TIME LEFT FINDINGS: Sheet of / ICTION Orig. Routine Orig. Complain Orig. Request Ccmpl iance Complaint Cam _ Final _ Group Illness Construction Reinspection Field, Sampling Only Field Conference Other Explain INSPECTOR: PERSON IN CHARGE OR INTERVIEWED: I acknowledgEt this Field ActiVity Report. SIGNATURE: 6/86 TITLE: OF ENVIPJDNMENTAL HFALTH SERVICE t. I • •�� r� J. y�; 1- • a:L'i1►;��r�•r 'ia�,`rTe��r�f.'���.f_r�l REVIEW SHEET - CONSTRUCTION PERMIT DA-TE (Name of Owner) (Street Locatio - / COMMENTS NO DOCLMMM = Yr Permit Application —Cor-corate Resolution - Plans - Three sets s/s Engineers Authorizaticn Design Data Sheet (DC-S) SLEDIV SICK Deep Hole Log Perc - Consistent Perc Resu is (3) Fill Perc Hole De:th c3 House Plans - Two sits Well i, �*.ni t; Pr;S letter Vari e Request G =IAL Legal Subdivision Subdivision Amuroval Checked Ex- approval SSDS Pd-*. Lots Checks Wetland (Tcw-n /DEC Pe*ait R & D) Data On DDS Plans & PerrLit Sane LF trenc-i provided REQUIRED DETAILS CN PUA= S required Sewage Systan Plan - U orth arrow) 60 ft. max. ;Sewage System Hydraulic Profile - Gravity F1CW Parellel to contours .Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit devils Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep results Two -Foot Contours Existing & Proposed - - Driveway &. Slopes Cut Footing /Guttar,Curtain Drains (discharge OK) i Perc & Deeo Hales Located Represe-it tive of primary and expansion cxo nsicn 7sncwn;gravity flcw,suf -. size F If Ptr=Ed P; t & D Box Shown & Detailed House - No. a d oars Wells & . ;,r /in 200 ft. of Proposed Systems ` Property Mates & Bounds House Settack Necessary (Tight lot) I House Sewer - % " /ft. 4 °0; Type pip- j I No BeT:,^'=; -mend -S 45' W /cleanout S�PTk-R TiCC - :,I S_7:-:CIF= ON PLAN ,4 Fields � - - - -- •,._... 10' to P.! ., Dr_Ve a'v, Large T_&as,TOp Of fil 20' to Foundation Walls 100' tc „e..� l; 200' in D.L.O.`�. j I 100, to Straarn, Watercourse, xe tine. ex- -cai 15' to Drains -- Curtain, Ii=_ader, Footing 35'to catcTl SlIi,stOrl�Sa'_ ^,''_ r�'�. watercar 10' to Tn ter Line (pits -20' 50' inte_z-,uttent drainage ceurSe Septic Tanks 10' fraii Foundation; 50' to well 15' Well to PL in �l Jul -11, W, v1, _J,.•G -1, SY� V BY: - • - r) (Street !1 comm • G� r r 0� � � IIPRE r LF trench provided required Parp1lel to contours J rr r a- r r r cats ) DOCUMENTS Permit Application rporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3) Fill Perc Hole Depth cd House Plans - Two sets Well permit; PWS letter Vari ce Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flue Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pmp*.pit details Septic Tank - Size, Detail Well._Detail,_ Service Line if over._. __._..._ Construction Notes Design Data: perc and deep results Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Prunped Pit & D Box Shawn & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed Syster Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 110; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L.., Driveway, large" Trees, Top of fj 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expE 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercow 10' to Water Line (pits -20') 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well VINCENT, A.: ETTARI, E. P.C. . CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 - 6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. June 18, 1997 Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Attention: Robert Morris, P.E. Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TM. 51.19 -1 -46 (FORMERLY 29- 3 -3.1) Dear Mr. Morris: At this time I am pleased to submit to you three sets of revised plans for the above referenced site and permit renewal. Per your letter, and comments which you have verbally passed on to us since our last submission, the plans have been changed in the following-ways.. 1. Hay bale silt fences are now shown on the Plan View for erosion control in the areas of the well, the dwelling, and the septic system; 2. An Erosion Control Detail Sheet has been generated which provides details, sequence notes, and a statement that the erosion control devices are to be installed prior to the start of any construction; 3. The Plan View has been re -drawn and re- lettered for two reasons: a) The Plan View was originally drawn in 1987 and was fading, b) The writting on the Plan View had to be condensed and moved around to accomodate the showing of the hay bales; 4. A search of the records of the Town Hall was made to ensure that no septic or wells were installed on neighboring lots contrary to the layout of this plan, which, having been approved in 1987, has precedency. As a result, no additional area maps showing surrounding systems have been included on the plans; I , D _ . .5._ -. -A - Location- °,IIaJ� - -ha-s been -added to 1 the plans, per - yourY- request. I hope that these changes meet with your approval. Should you have any further questions or comments with regard to this application, please feel free to contact me at the above address or telephone number. cc: Carl Peterson Sincerely Yours, V ids t �� �� yE,t P . E . DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278-7921 May 6, 1997 Vincent Ettari 1065 Spillway Road Shrub Oak, New York 10588 Dear Mr. Ettari: BRUCE R. FOLEY Acting Public Health Director /i V Re: Proposed SSDS, Peterson Watson Way, (T) Putnam Valley Review of plans and other supporting documents submitted at his time relative to the above captioned project has been completed. Comments are offered as follows: 1) Erosion control measures for the house, well and SSDS are to be shown and detailed on the plan along with a note stating all erosion control details are to be installed prior to the start of any construction. 2) A location map is to be provided on the plan. 3)_.._ All plans are to be signed and sealed... 4)' "` 'Please be advised that after the current submission has been reviewed and approved, the renewal of this permit will have to meet all applicable codes at the time of approval. This may result in the denial or revision of this.plan. The typical revision is a reduction of the bedroom count to accommodate a conventional trench system. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very truly yours, �hux 9". Robert Morris, PE RM:cj Public Health Engineer �,.. -.... :=- : <:.,., . =.: FL"Ti`3A►°�i COi31�"' I' Y- �; ALTH- ..DuP1�R"�N'�- ;:;�:. -::.,_ - , _ . -.. .,.. _.:..- �._... DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Summons, M.D. Deputy Commissioner of Health - FIELD ACTIVITY REPORT - Sheet of j INSPECTION NAME�r �,y� — Orig. Routine ADDRESS p �' Slr Orig. Canplain c+ Un �-Y v �_ �/ l �'G — Orig. Request No. Street Town IM No. Canpliance MAILING ADDRESS P.O. Box Post Office Zip Code TELEPHONE / Name and Title- DATE TYPE FACILITY�j/ TIME ARRIVEtiM) TIME LEFT / 7 Canplaint Comp Final Group Illness /_ Construction rl Reinspection Field, Sampling Only Field Conference Other Explain r' 11VC : % !_ "r i - _ ./J.�_. INSPECTOR: 0 Signature and PERSON IN CHARGE OR INTERVIEWED Report. SIGNATURE: 6/86 TITLE: TELEPHONE: e. January 31, 1997 Mr. Robert Morris Putnam County BOH Geneva Road Brewster, NY 10509 Dear4M . Moms, As we discussed yesterday, I own a parcel of land (about 3/4 acre) on Scarsdale Road, which has the foundation and chimney from a house that burned down prior to my ownership. I purchased three separate parcels to put together the existing 3/4 acre parcel. The first parcel that I purchased was the lot with the remains of the house (1987). 1 purchased this lot with the intent that I would build a home for myself in Lake Carmel (where I was born and raised). I expected to have to buy the surrounding land to improve the existing conditions to obtain BOHA. With that as the plan, I then acquired the nest parcel from the town of Kent (in 1988), which was then considered Parks Department Land. To buy this parcel, I had to have the town board approve the sale, and have a bill passed through the NYS Assembly. Luckily, an associate that I went to school with worked in the office of Vincent Leibell, who helped get the bill passed The next lot was purchased from Putnam County through the sealed bid auction process for surplus property (1989). This process started out as a win win situation in that I would have a buildable lot, and the Town and County would put surplus property back on the tax rolls. Unfortunately, after my purchase price, taxes paid on these parcels for the last 7 - 9 years, after significant engineering costs, and after the decline in the real estate market, I have recently come to the conclusion that my property has a value of less than zero. After actively attempting to sell the property and then looking into building, I discovered that the costs to develop the property far outweigh the benefit (i.e., it is not economically feasible to develop the lot). Specific estimates of development cost are as follows: Run of Bank: Fill (1037 cys at S 16 /cy) 17,000 Retaining Wall 15,000 Retaining Wall - Driveway 6,000 Pump -up Septic system 2,500 Removal of Existing Foundation and Filling of Well 2,500 Total site development 43,000 I was very surprised by the high cost of development, and disappointed given the time and money that I have expended in trying to obtain a buildable lot. I request that the County grandfather my parcel with a waiver or relaxation of existing code requirements. If the lot could be grandfathered without the fill and retaining wall restrictions for its previous number of legal bedrooms (assuming at least 2 BR),1 believe the lot would have a positive value. Obviously, a 28R BONA lot is generally not as desirable as a 3 BR BONA lot. I need to investigate the number of previous legal bedrooms. I would also very much appreciate your guidance in the review of the previously approved DOHA plans (permit expires February 28, 1997) to determine if a different system design could be used, and still achieve the overall objective of a system that will stand the test of time with an economically feasible development. Clearly, there would need to be quantum leap changes in the fill and retaining wall requirements. Once again, I appreciate your time and consideration. I will contact you next week to confirm the receipt of my letter and to discuss our next steps. Thanks. Rick O'Brien 65 Rockridge Drive Port Chester, NY 10573 914- 937 -7106 r`> . NvEN — AT4 Ei'fARI , P. E -� �•� i? . C•:y - / CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 -6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. January 19, 1997 Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Attention: Bruce R. Foley, R.S. Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TM. 51.19 -1• -46 (FORMERLY 29- 3 -3.1) Dear Mr. Foley: I am writing this letter to you to ask for relief from a determination made by Mr. Robert Morris, P.E. On January 2, 1997, Mr. Morris forwarded to our offices a letter pertaining to the above referenced renewal application. In that letter, he requires_that.the plans.be revised to meet the current public _ . -- health -aodea . In our initial correspondence with Mr. Morris, we explained that most of the site work required by permit PV61 -87 has been implemented. To that effect, Mr. Peterson spent over $20,000.00 blasting, chipping, and carting away rock from the site. Unfortunately, the Town of Putnam Valley is refusing to renew his building permit at this time without a renewal being issued by your Department with regard to the septic construction permit. Since much of the site work denying a renewal of the permit would appear to be, in our opi Mr. Peterson. Therefore, we Mr. Morris' requirement that the current health codes. has and p pion, are plans already been completed, lans as they were approved an extreme hardship on asking for relief from be revised to meet the Sincerely Yours, Vincent A. Ettari, P.E. i Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278-6130 January 2, 1997 Vincent Ettari 1065 spillway Road Shrub Oak. N-1-7 10588 Re: Proposed S.SDS: Peterson Watson Way, (T) Putnam Valley DearNftr. Ettari: Review of plans and other supporting documents submitted at this time relative to the above- captioned prqject has been completed. Comments are offered as follows`. Plans must be revised to meet current codes. Current codes for galley systems has been enclosed. '1'�vically. if these guidelines cannot be met, a trench system is proposed and if wall-anted, reduction in. the bedroom count. Upon receipt ot'i submission, to reflect the above, this appfication will be considered further. Robert Morris, P. E. Public Health Engineer '7 VINCENT &A CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 - 6320; Fax (914) 245 -6335 j Vincent A. Ettari, P.E. Licensed Professional Engr. January 19, 1997 Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Attention: Bruce R. Foley, R.S. Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TM. 51.19 -1 - -46 (FORMERLY 29- 3 -3.1) Dear Mr. Foley: I am writing this letter to you to ask for relief from a determination made by Mr. Robert Morris, P.E. On January 2, 1997, Mr. Morris forwarded to our offices a letter pertaining to the above referenced renewal application. In that letter, he - -. -. .requires -that the plans be revised.,.to meet_ the current public In our initial correspondence with Mr. Morris, we explained that most of the site work required by permit PV61 -87 has been implemented. To that effect, Mr. Peterson spent over $20,000.00 blasting, chipping, and carting away rock from the site. Unfortunately, the Town of Putnam Valley is refusing to renew his building permit at this time without a renewal being issued by your Department with regard to the septic construction permit. Since much of the site work denying a renewal of the permit would appear to be, in our opi Mr. Peterson. Therefore, we Mr. Morris' requirement that the current health codes. has and p pion, are plans already been completed, lans as they were approved an extreme hardship on asking for relief from be revised to meet the Sincerely Yours, Vincent A. Ettari, P.E. X " DEPARTMENT OF.HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 '%incent Ettari 1065 spillway Road Shrub Oak. NY 10588 BRUCE R. FOLEY, R.S. Acting Public Health Director January 2. 1997 Re: Proposed SSDS: Peterson Watson Way (T) Putnam Valley Dear \lr. Ettari: Review of plans and other supporting documents submitted at this time relative to the above - captioned prgject has been completed. Comments are offered as follows: Plans must be revised to meet cu>rent codes. Current codes for galley systems has been enclosed. '5,1)ically. il•these guidelines cannot he met. a trench sYstem is proposed and if warranted reduction in the bedroom count. L'P0n4•ecespt =od +� i�am sci {,ik .eet;�st.�.l.to -reil �C the. abn�e. th�s:� p l cago� vvi :lte,eonsiclered -:. further. RNI/jp Vc IN. vour:s. r�h�c�� t;2'llO Robcrt Morris, P. E. Public Health Engineer rs - - , JYt�C�I�iT, e�: � r.1TARI ; P'. E . , CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 -6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. January 19, 1997 Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Attention: Bruce R. Foley, R.S. Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TM. 51.19 -1 -46 (FORMERLY 29- 3 -3.1) Dear Mr. Foley: I am writing this letter to you to ask for relief from a determination made by Mr. Robert Morris, P.E. On January 2, 1997, Mr. Morris forwarded to our offices a letter pertaining to the above referenced renewal application. In that letter, he requires -that -the..,:plans- be.__revised to meet the current. ..ppbjic:- a" he Ith codes : . _ . _ .... ... _ - , - ........_ . _ _ ......... - - In our initial correspondence with Mr. Morris, we explained that: most of the site work required by permit PV61 -87 has been implemented. To that effect, Mr. Peterson spent over $20,000.00 blasting, chipping, and carting away rock from the site. Unfortunately, the Town of Putnam Valley is refusing to renew his building permit at this time without a renewal being issued by your Department with regard to the septic construction permit. Since much of the site work denying a renewal of the permit would appear to be, in our opi: Mr. Peterson. Therefore, we Mr. Morris' requirement that the current health codes. has and p pion, are plans already been completed, lans as they were approved an extreme hardship on asking for relief from be revised to meet the Sincerely Yours, Vincent A. Ettari, P.E. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 Vincent Ettari 1065 spillway Road Shrub (yak. NI' 10588 BRUCE R. FOLEY, R.S. Acting Public Health Director January 2, 1997 Re: Proposed SSDS: Peterson Watson Way. (T) Putnam Valley Dear. NIr. Ettari: Review of plans and other supporting documents submitted at this time relative to the above - captioned prgject has been completed. Comments are offered as follows: Plans must be revised to meet current codes. Current codes for gaUey systems has been enclosed. T pically, il'these guidelines cannot he met, a trench system is proposed and if warranted reduction in the bedroom count. tarefl.ect the aho1'e.:tltis_at���lic�tio wih.le considered:_._ further. VC IV yours. .4. 2.Z�o Robert Morris, P. E. Public Health Engineer RN V:jp d Y ,'S CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 -6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. January 19, 1997 Putnam County Department of Health Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Attention: Bruce R. Foley, R.S. Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TM. 51.19 -1 -46 (FORMERLY 29- 3 -3.1) Dear Mr. Foley: I am writing this letter to you to ask for relief from a determination made by Mr. Robert Morris, P.E. On January 2, 1997, Mr. Morris forwarded to our offices a letter pertaining to the above referenced renewal application. In that letter, he requires _.that_ the plans be revised -.to ,meet... the current public In our initial correspondence with Mr. Morris, we explained that most of the site work required by permit PV61 -87 has been implemented. To that effect, Mr. Peterson spent over $20,000.00 blasting, chipping, and carting away rock from the site. Unfortunately, the Town of Putnam Valley is refusing to renew his building permit at this time without a renewal being issued by your Department with regard to the septic construction permit. Since much of the site work denying a renewal of the permit would appear to be, in our opi Mr. Peterson. Therefore, we Mr. Morris' requirement that the current health codes. has and p pion, are plans already been completed, lans as they were approved an extreme hardship on asking for relief from be revised to meet the Sincerely Yours, Vincent'A. Ettari, P.E. c� DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 Vincent Ettari 1065 spillway, Road Shrub Oak. NI' 10588 Dear \ fr. Ettari: BRUCE R. FOLEY, R.S. Acting Public Health Director January 2, 1997 Re: Proposed SSDS: Peterson Watson Way . (T) Putnam Valley 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: Plans must be revised to meet current codes. Current codes for galley systems has been enclosed. 'Typically, il' these guidelines cannot he met, a trench system is proposed and if warranted, reduction in the bedroom count. i2non.r- eocipt o(:a:clil;t�ais iim._revi4e�1 to reflect the ah��e. this auplica tior► will he consi ie.re.,- further. RN1 ;jp Vet uh• yours. Robert Monis, P. E. Public Health Engineer DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278-6130 Vincent Ettari 1065 spillway Road Shrub Oak, NY 10588 Dear Mr. Ettari: r-, BRUCE R. FOLEY, R.S. Acting Public Health Director January 2, 1997 Re: Proposed SSDS: Peterson Watson Way - (T) Putnam Valley 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: Plans must be revised to meet current codes. Current codes for galley systems has been enclosed. Tylpically, if these guidelines cannot be met, a trench system is proposed and if warranted, reduction in the bedroom count. Upon.receipt of a submissi on', revised to reflect the above,: tb1s-4pplicafion..wjll.be boxiii6i6d.' Ve ly yours,/,,. Robert Morris, P. E. Public Health Engineer �jp VINCENT, 'A. CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245-6320; Fax (914) 245-6335 Vincent A. Ettari, P.E. Putnam County Department Division of Environmental 4 Geneva Road Brewster, New York 10509 Attention: Robert Morris, Licensed Professional Engr. of Health .Health Services P.E. April 3, 1996 Re: SEPTIC SYSTEM CONSTRUCTION PERMIT RENEWAL CARL PETERSON, TN. 51.19-1-46 (FORMERLY 29-3-3.1) Dear Mr. Morris: I am writing this letter to you to inform you that much of the site work required by permit PV61-87 has been implemented. Unfortunately, the Town of Putnam Valley is refusing to renew the building permit at this time without a renewal being issued by your Department with rg�gAro- t - 0 ..sept,ic _.construction w rk -has already :bdencompxeted S,i-ncre*much, of the-- ite - o denying a renewal of the permit and plans as they were currently approved would appear to be, in our opinion, an adverse condemnation of the property. Sincerely Yours, Vincent A. Ettarf, P.E. C:) Uj ON C"j Ljj L. I John K. Sumnons, M.D. -.FTJTN.)W, WRM� - HUALTH , D DIVISION OF ENVIRONMENTAL HEALTH SERVICES Deputy Cmmssioner of Health FIELD ACTIVITY REPORT - Sheet of A NAME W'e2v INSPECTION Orig Routine Orig. Cmiplain ADDRESS '061 ?ZW \IjAq Orig. Request No. Street Town TM No. Campliance Complaint Carp MAILING ADOPESS Final P.O. Box Post Office zip code Group Illness Construction TELEPHONE Reinspection PERSON IN CHARGE Field, Sampling Only OR IffrERVIEKED Field Conference Name and Title Other DATE TYPE FACILITY TIME ARRIVED TIME LEFT ' Explain FINULNGS: INSPJMR: Signature and Ti PE11-13a IN CHI►RGE OR INTERVIEWED: I ac:jawleclg—e this Field Activity Report. SIGNATURE: 6/86 TITLE: . TELEPHONE: •• i . APPEMs{ 3 r-_SGp ��LAL ��= S= L�C OF EzLT Dlicl CS ZE DI i -��crL SicL��^� L13 ' C FEE: c.w if L�tS� = _ - r�cr NiO p= = i G^r_ -cam tz- F–esaiit ca plans - m ree Sats S/S Pctc stic 7—C P 501_ Cectz C- C�CT� SSCS - Lc CG- C7 UL. - _._.. per= Prof D cr. - - =`=�% cectic cvar za- Ees 7�4� :CuL P_ _cs=—,= Dr,,rc4 & S1CCcs CYO I,�J Hales yF�_Represar_ T��r c= pr_._-j s_T Cr.{- nsicc ar , s c'Nt_; iG'J 1 _T f_r"N f Slj,=_ . S L Pm= ,z Pit & D Ecx Sbzwn & HCLSa !3 RC - CL __- We_! s & 5:.OS t c w /::! 200 f-:--. CLE P_ -Ce r-t-T :�r�5 & Ecurr_ He Le c,- k Necs_zary (T c:,t lct? .- 1i 1 d O; 1'f�.3 GI.:c � No "^as; M_cX_ F�.�= 4 c W /C__ CLZ I S- apATIC*v D i Fi,_i ds 10- to -2.T.., E)r_Gcvc_T, 'r" F 20' to c'cnc =tic: ova? is - 1G0' to Wc- 1; 200 D 1-0 P1 i 100 ` t� Svs=== .""''tL _c,_ 13' tc 35 t .},^ C. =r Z 5;1, SLCZTa^� ? 10' .to Sac- =r L� i I- ! II i I I ! I I Q I I NOS-, �^ i I I I I I ! iG I ! I ! I I I i ! I I I�I I p= = i G^r_ -cam tz- F–esaiit ca plans - m ree Sats S/S Pctc stic 7—C P 501_ Cectz C- C�CT� SSCS - Lc CG- C7 UL. - _._.. per= Prof D cr. - - =`=�% cectic cvar za- Ees 7�4� :CuL P_ _cs=—,= Dr,,rc4 & S1CCcs CYO I,�J Hales yF�_Represar_ T��r c= pr_._-j s_T Cr.{- nsicc ar , s c'Nt_; iG'J 1 _T f_r"N f Slj,=_ . S L Pm= ,z Pit & D Ecx Sbzwn & HCLSa !3 RC - CL __- We_! s & 5:.OS t c w /::! 200 f-:--. CLE P_ -Ce r-t-T :�r�5 & Ecurr_ He Le c,- k Necs_zary (T c:,t lct? .- 1i 1 d O; 1'f�.3 GI.:c � No "^as; M_cX_ F�.�= 4 c W /C__ CLZ I S- apATIC*v D i Fi,_i ds 10- to -2.T.., E)r_Gcvc_T, 'r" F 20' to c'cnc =tic: ova? is - 1G0' to Wc- 1; 200 D 1-0 P1 i 100 ` t� Svs=== .""''tL _c,_ 13' tc 35 t .},^ C. =r Z 5;1, SLCZTa^� ? 10' .to Sac- =r L� i PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Vincent Ettari, PE 1065 Spillway Road Shrub Oak, NY 10588 Dear Mr. Ettari: August 4, 1989 Re: Renewal - Peterson Watson Way (T) PV - TM #29 -3 -3.1 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director ReviE!w of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: 1) Scale indicated on plans is wrong. 2) An effective length to width ratio of at least 2:1 and not more than 4:1 is required for septic tank. _.3,)....__N.o�- ES - -o� p7:ans in pen or marke'r-.:ars nc�t p-Prmi.tt.Po __ Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, v LCW:jr Lawrence C. Werper� Assistant Public Health Engineer PUI'NAM COMM DEPAR P OF HEALTH DIVISION OF ENVIRONM71AL HEALTH SERVICES r DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. i .Owner_ - CAI Located at (Street) G!%f soAl G/t rWIA,",11 , Sec. ai Block 3. Lot . •/ (indicate nekkedt cross street) Municipality /,Y Watershed `,.¢/fie OS C,4w," Date of Pre- Soaking s /o�� '- - Date of Percolation Test HOLE ,�`. /7 ^' J� 'i�.3 oZ�o %�••i v�/ 02 G ,�"'� S . / r�x�►�,.�.,- - NLMER CLOCK TIME PERCOLATION PERCOIMC N 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 r�i �.•o� - is �� ��.', ' a/ �� s �.,�,.,;,�� . 2 I--%4f- 7d. MIES: 1. Tests to be repeated at same depth until 7-3 4: 6W.'3,7 -- 9--00 o?3 •i o?/ ..a� 3 .% / �- - 5 (�1 ,�`. /7 ^' J� 'i�.3 oZ�o %�••i v�/ 02 G ,�"'� S . / r�x�►�,.�.,- - MIES: 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 fram top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOIIS ENCOUNTERED IN TEST HOLES DEPTH HOLE.NO. HOLE NO. oZ HOLE NO. All, a -- 2 3' if >� 7 61 n _ 7 ° �E .81 ge 12' 13' .WHICH GROUNDWATER GROUNDWATER IS . ENCQUNTERF._ _ INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENOOUNTFRED,46-7 - ��✓c®�c v7. DEEP HOLE OBSERVATIONS MADE BY: DATE: G i P DESIGN ; Soil Rate Used // Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank, Capacity 1,,,cVo gals. Type Cp*e,. Absorption Area .'Provided- By /56: L..F.,x, j °Other— Name ;!6%9TTffEw Aom /:6LGO, ,,. Signature C r� — Address SEAL THIS SPACE FOR USE BY HEALTH DEPARTMF.0 ONLY: Soil Rate Approved sq. f t /gala Checked by Date 7: PUTNAM COUNTY DEPARTMENT OF HEALTH ` DIVISION OF ENVIRONMENTAL HEALTH SERVICES - ,.- ��:;...,-.-,.- ,� -::.: �::.�- COr�31�FI`Y.•- OFFICE:-- BTJLL�DING;. CAR.�7F,L -.:N: Y., - 10.512..,.:,- ._...__._. �.�........ .- .....� .,..._._. <.,. - �. _DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner ]J. Godsen Address Box 33, Old Chatham, NY TM Located at (Street Wn atson Wa X. 29 Block ,3 Lot 2.1 I ca e nearestccross s ree Municipality Town of Putnam Valley Watershed Hudson River SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS ol�i ' ee Number CLOCK TIME PERCOLATION PERCOLATION apse Depth to Water I Water v-e No. Time FrQm Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop I Drop in Min. /in drop Inches Inches Inches #_ 1 1 _8:00 -8:33 33 16 19 3 3313 =11 2 8:34 -9:07 33 16 19 3 33/3 =11 .3_9:08 -9:41 33 -16. 19 3 33/3 =11 x_9:42- 10:15 33 1.6 19 3 33/3 =11 2 1 8:05 -8:38 33 16 19 3 33/3 =11 "2- _4 2- 33 :..._ :16 19- =..3 33/3 =1.1- _.. - Not;:: 1) Tuts to be repeated at same depth until approximately equal, soil ryes are obtained at each percolation test hole. A11 data to be submitted f?, review. 2)_ Depth measurements to be made from top of hole. 9:13 -9:46 33 16 19 3 33/3 =11 9:47 - 10:20 33 .16 19 3 33/3 =11 Not;:: 1) Tuts to be repeated at same depth until approximately equal, soil ryes are obtained at each percolation test hole. A11 data to be submitted f?, review. 2)_ Depth measurements to be made from top of hole. �a TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS_ENCOUNTERED -IN TEST HOLES _ DEPTH_ HOLE -- - DTH_._ __ __ ____- TIOLE. NO.. - -_ _. _ ... -�: - -. -HOLE" NO.._ G.L. Top Soil, 6" Sand,' Small Stones Some 'Clay 2411 3 3G„ 42" 48" is 5411 60" 66 If - 7211 - - 7 8fl - 84•" INDICATE LEVEL.AT WHICH GROUND WATER IS ENCOUNTERED 4 Ft, INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 4 - -Ft, TESTS MADE ..BY�oel -Greenberg_.__ _,..- . - . Date ._ .May _- DESIGN Soil Rate Used 11--- 15Min/l "Drop: S.D. Usable Area Provided 5,000 SF. No. of Bedrooms 3 Septic Tank Capacity '1,000 Ga Eo Pre -cast Conc. Absorption Area Provided By 400 L.F.x24" *jbT— �� c enc . name Greenberg . - ii ;vwa mar Address- Muscoot North, ••_ 1•4 ^ THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved_ —Sq. Ft /Gala Checked by:. Date_ O L o o R.. L A SYSTEM DISTANCE TO C t*ft COi4WONENT Of MOUSE 4 1SEPTiC TANK 1 39.7- m no uc 4- of O A O ��00 Fo1 m C OP4Q G M V 0 b J - BOXES i 1 33. Q' 32.a` 2 36.7' 36.0, 3 147 3' Erai}S A 34.0' � 9 28,i' �... 8 85.5' 63.13 C 4;. 7 40, 1' D 9L3` A 72. ?` E .5 " 48.17` F s 7. A SEPTIC TANK 156, OF TRI-GALLERY N 70'-00' E 100.00, WATSON WAY :p :f ib 'i TITLE NO. i i.: 4 CEV:iTIFIED TO:;y 'k n ,1 IN ACCORDANCE WITH THE EXISTING CODE OF PRAC- TICE FOR LAND SURVEYS ADOPTED BY THE NEW YORK STATE ASSOC. OF PROFESSIONAL LAND SURVEYORS. 6 cOPYR/GNT OC 1999 - e0o/ BC/NNEY ASSOCIATES, ALL RIGHTS RESERVED UIfae4thorizeo,.gt4p /ica70,ion is a Vi01a?1i0/7 o'F°app /icab /e /QWS �a v 0 li Q V 4 CID v c r a M W N Q 3 o° 0 N z I PAV6MEN 7, A9PNAt7 WATSON —WA Y 'N.70000'E. �3`"`E (00.0 'i PORCH ; j OVCRNANG orcN: p,p}o�y Ftnnre House � ✓ERNANG ,1 29 ` o well +i �1 I � O O I N i l C O a L� o� h O � v L w N S.70 °00' W. 100.00' S'uddivision Mop preporea {or Dr. Dona /d A. Flschrnvn Dennis & Catherine T. Donovan Filed Lune f5, /984 Mop /1/0e/979 "All certifications hereon are valid for the map and thereof only if said map or copies bear the imp seal of the surveyor whose signature appears he Premises shown hereon being Lot 29 a os shown on "Mop of Section One - Loke 0scowc7na Acres ; sc2 161 mop ,fled in IV, Pufnorn County Clerk's Office on clan . E 1951 as Mop No- 367A. SURVEY OF PROPER T Y SITUATE IN THE TgW/y OF PITT/ AM VALLEY %Vli PUTNAM COUNTY, N.Y. SCALE: 30' DATE : ✓uL Yes, /986 BROUGHT TU DATE sEPT• 25, Pool WELL ADDED DEC. //I 2001 ,µ 'F ,t i. Unaufhorizecf alteration or addition to a survey map bearing a /and surveyors Sea'/ /s a v/Gi/ation of Section 7209, sub- division 2, of the New York State Education Z-ow. The iocaiion`of underground improve/nents orencroachnsenfs,if ony ex is are notcertif'iedl i; Ce?tiF.Caf; -f sh.11 run .1.1. t ,the.. ie h�ia�el..�d institutlona shown hereon under the title policy No. shown above. Said certi- fications are not trensfereble SURVEYED & PREPARED BY BUNNEY ASSOCIATES LAND'SURVEYORS, !.f:1ELGS LANE:::.':_,. `_.. °..' . b NEW YORK 10509 1 } li Q V 4 CID v c r a M W N Q 3 o° 0 N z I PAV6MEN 7, A9PNAt7 WATSON —WA Y 'N.70000'E. �3`"`E (00.0 'i PORCH ; j OVCRNANG orcN: p,p}o�y Ftnnre House � ✓ERNANG ,1 29 ` o well +i �1 I � O O I N i l C O a L� o� h O � v L w N S.70 °00' W. 100.00' S'uddivision Mop preporea {or Dr. Dona /d A. Flschrnvn Dennis & Catherine T. Donovan Filed Lune f5, /984 Mop /1/0e/979 "All certifications hereon are valid for the map and thereof only if said map or copies bear the imp seal of the surveyor whose signature appears he Premises shown hereon being Lot 29 a os shown on "Mop of Section One - Loke 0scowc7na Acres ; sc2 161 mop ,fled in IV, Pufnorn County Clerk's Office on clan . E 1951 as Mop No- 367A. SURVEY OF PROPER T Y SITUATE IN THE TgW/y OF PITT/ AM VALLEY %Vli PUTNAM COUNTY, N.Y. SCALE: 30' DATE : ✓uL Yes, /986 BROUGHT TU DATE sEPT• 25, Pool WELL ADDED DEC. //I 2001 b POHIAY COO= =A�OSIIINALIN l DI�Y� dit�Y�wi1d Bi MaMer. �ltlsd. [I.T. laSl9 M huddle Ptah / ao IM OF COMMUANM T� Tow 2.62 adle,�nak a.r; D.SL_ AwAA✓A / ��✓ �d--Cy b w�. ❑ OmputfAppiastRr cf 4L y-- 0 Dab of Pnviws Approved ON S Sz/ >Kr111111ledI Addalla G.�G G �✓ / e�/ Z4 de ,✓c.I'. a- Two Tl o ,2,✓wd d�^V � � o S 9 Date Su division ARRroved /f r/S/ Fee Enclosed ❑ Amn„nt- Mis Type !r✓o 0 32 54f - IM Amax • s/ f% c�S M Seattae . ale LJ Dapih YairlM "III I d $Wk� 3 Doa1Da Flair G P D G o o PCM Nod&m" In Required When M Is eurylNed Sep.w Sdwwrlio Sj I to a dst d y ©vGellin Sepik rails —A / S'G 21 be awkw@ i .iP A107- e-H 0 0,t rs',.. ZE%'Addl,or wdw Su ptn hillil- wine Adhoul on. I/ —PelaM Swpb D id b7 Zi✓DA_QL o.✓ Aaai es f�t r"'A J14110 �✓ -- - .1 f On 12 .fr.' // /l'% I ^x— 7&o --Al-Z _�-A✓ 1 1, v AL� mo "A 1 rfaIII a -..that 1 am wholly and Completely responsible for the design and location of the propoad systern(t): 1) that the at sew di aI steri above described will be amstrueted as shown on the saw R s amendment there to and In accordance with the standard; rules a raga in County Dopsttment of "With. old that on completion thereof a "Certificate of Construction Complience" satisfactory to the Commissioner of Healthwill as m onm to the Does" mrelt. and a written guarantee will be furnished the owner, his mcceaors. heirs or assigns by the builder. t"d said buNder will place is good .ep"Ing eoadltksn. any pert of aid awe" disposal system during the period of two (2) yews Immediately following thedate of the l u- area of the approwt of ter Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above WIN be bated as shows em lift approved plan and that aid well will be Installed In accordance with the standards. rules end reg—uV ni of the Putnam Callosity Deportment of h. . Coq / z> �/ r(o �- Signed P.EE.1, gim ,-1 C Address D J/� • f i/ �/�� . /i% ile _ C/ G �s / APPROVEO FOR CONSTRUCTION, This app roral expires twe years from thd6dt. Issued unless construction of the building has goal undertaken and is rwe"ble for 4"W or may be emended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction rqulres a nesr pemll.. Approved for disposal of domestic anitary water supply only. Rev. Q Clete z)- lo26Z 7. ,� — -- �� �gTtjt c ' 10/V9 .�- L.f..s ���'�'r+?/'_ /"'l L�� f P � � �` �i�'«. a / � / `9� Gtr' '°- rj'S'! v'�Js p' � - '/. _NGd MEER-- T0-- PROV -IuE- PI=RM3� ......__.._::: PUT- DEI�ARTMEi41'P -€D�r -H�A�,`Y'H_ _ ....� IN Division of Environmental Health Services, CONSTRUCTI0111�PERMIT FOR SEWAGE DISPOSAL SYSTEM Located at '��• r/ ry Q y AM / / / dd Subdivision // Cl7sv/ A A/J Sabd. Lot A .� Owner /Address ,e % Building Type _A100 � Lot Area Number of Bedrooms _ 9 Design Flow G /P /D Separate Sewerage :System to consist of V 0 �G Goal/. Septic Tank To be constructed by 4 1110 LS�N Water Supply: / .PGblic Supply From -- Private Supply to be drilled by Address %� ��� 10 t Other Requirements / �..6 . ON CERT FI 'TE OF COMPLIANCE, Carmel, N. Y. 10512 PERMIT ,(J� % I v—, �j Town or Village /? Tax Map �/ Block Lot 3� Renewal Revision Date Of Previous Approval Fill Section Only ❑ P.C. N. D. Notification Required and �P / ®f ���, Address a� 1K /— 4�` / / x #'&1,e 7, 1 represent that I amp wholly and completely responsible for thedeslgrrand -1 of the proposed system(s); 1) that the separate sewage disposal syste above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e u ream 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 located as shown on the approved plan and that said well will be installed in accord nce with the standards, rules and regu aTlons of the Putnam County Departmentjbf Health. Date r/' f� Signed ` C 7—rda,44L P.E. � R.A. Address C% 5s . ✓ License No. Q C2, 0i .? APPROVED FOR CONSTRUCTION: This approval expires � A date issued unless construction of the building has been undertaken and is revocable for cause or may be amended nr mndified when PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER TO PROVIDE PERMIT # ON CERT FIC TE OF COPP.WANCE. Division of Environmental Health Services, Carmel, N. Y. 10512 PERMIT CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM _. .. can or � .. Located at Mr �T a �//� Tax Map �/ Block 3 •, Subdivision S ,CC%_ �%�• - s'e.ii dt//4AII0 SSu-bd.. Lot i1 9 Renewal _❑ Revision _ Owner/Address t�r//� L l f � ✓ /Y o%�/i/ iO!&> Date Of Previous Approval Building Type ��0o�ff ��ry'G Lot Area • �� AC'• , Fill section Only ❑ Number of Bedrooms v Design Flow G /P /D O0 P.C. H. D. Notification Required Separate Sewerage System to consist of _ � 000 Gal. Septic Tank antl�( To be constructed by %at� S al�A! Address Water Supply: Public Supply From Private Supply to be by 0f.v' �� SoN Address Z s/vi • Other Requirements / /1 40. Id• z j I'V6 OP 7I 1 represent that 1 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 an regulations o e u nam 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 good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate 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 located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regu a o s of the Putnam County Department of Health. Date Signed Address .9>���1 �d1 G�� /.i ®A�i /0'9f License No. APPROVED FOR CONSTRUCTION: This approval expires e r from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considers necessary by the Commissioner of Health. Any change or alteration of construction requires a new perm' . Approved for disposal of domestic sewage, a te water supply only. Date ��' � By � priva Title Rev. 6/65 i. PUTNAM . COUNTY DEPARTMENT OF HEALTH Permit PV 32-83 Envir6rim i►'tal Health' Servkes,* Carmel -M–Y. fv512.� CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM it lags Located at Watson Way Tax Map 29 Block 3 Lot 2.1 Subdivision 1 axe iJRr- JWd1id owner /Address.N. Godsen, Bx 33,01d Chatham, NY12136 Building Type 1 Fam. Res!. Lot Area 20, OOOSF Number of Bedrooms 3 Design Flow G /P /D 600 Separate Sewerage System to consist of i nnn Gal. Septic Tank To be constructed by Don Heady Renewal _ ® Revision —0 Date Of Previous Approval Fill Section Only 0— P.C. H. D. Notification Required and 420LF of Leaching Trenches Address Canopus Hollow Rd, Putnam Valley, New York 10579 Water Supply: Public Supply From USX Private Supply to be drilled by Norman Anderson Address Barger Street,Putnam Valley,NY 10579 Other Requirements 7FT. Curtain Drain I 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 an regulations o e u nam 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 good operating condition any part of said sewage disposal system during the period of two (2) years immediately following thedate 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 located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regu a i—T� ons of the Putnam County Department of Health. Jul 31 1985 Date y r P Signed P.E. E R.A. AddressMuscoot No.,RFD #2 Bx 488, Mahopac,NY10541LicenseNo. 11056 APPROVED FOR CONSTRUCTION: This approval expires one year from the date is construction of the building has been undertaken and is revocable for cause or may be�ded or modified when co si re�necessa y the Commission of Health. Any chang�teration of construction requires a new permit. � Appro for disposal of domestf san rT�r. sew ge, and /or private wat supply only. F 1 PUTNAM COUNTY "DEPARTMENT OF °HEALTH xPe=mit �` �3 7. Division . o "f' Environmental ..Heakh',Services, Carmel N • .Y 10512 1 GONSTRUCTIOIV PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam .V.$lley' s 7 Town or i loge Located 'at Watson Way = Tax neap 29 Block • - ` -' ak scawa a' A e$ Subd Lot N 29 Renewal Revision �`a j Subdivision ❑ ! ' bld a, din 12136 ; Owner /Address �- Date Of Preyious Approval 4 0 Building Type One Family Res . Lot Area 20 / 0 0 a SF Fill Section Only x Number of Bedroorns' Deign 'Flow "VP r 600 n w P C H D Notification Required Separate Sewerage,SYStem',to cohsist of 100 Gal Septic Tank';: and 42A Q a.nQ �' t3ricYieS j To be constructed by Don; _Heady Addreis PUtriam` Val3 "ey, NY 105'79 Water Supply _' Public Supply From ?1 Private" Supply to; De drUletl by Norman Anderson Ad drag; s Barger Streets' Putnam Valley, NY 10579 Other Requaements 7` Ft. Curtain :.Drain' �Irepresentthat Iam� wholly antl completely'r'esponsftilefor thetles�gnand locst�on of fhepropo�sed systems) 1): that the 'separatersewa9e . diosal system above tlescnbed.will be constructed is shown-on the approved�:arnentlrr�ent thereto and an accortlance withahe stantlards; rules an 'regu a ons o e; Putnam p y Commissioner oPHealthwilP i County' Department of 'Health antl that on completion the[eot s Certificate. of Construction COm Ranee satisfsctor. to'the be submitted to.',tho Departmenti,and a written guarantee;w111 be ,furnished ;the owner, his•successors `heirs or: assigns by the builder,.that said builder will place in,good'.:opending condition'. any_part of :sa-id sewage'disposal- system..during the perio f -two (2) ;years immediately following thedate of the issu ante of; the" app ►o:val •of, the Certificate of,•Construction,.Compliance of the'original•syste `or ny ►epaostthoreto,; ) that the drilled.weWdescribed -above. Will be located as shown on'tha approved plan and that -said well'willb n Iletl 'in 'accordant , w the :standards, les end -r -egu a�oni .,ot '.the :P, utnam County. Department of, ._Health Date. June 14 X1983_ _ t _ Signed P E R:A Ada,ess Muscoot North" FD #2 Box 488 Mahop cLitense PIPPROVEO FOR CONSTRUCTION This:approvalexpues one yea,fi♦ theda issu unle construction,�of the, wilding nos been undertaken and .is ievocable'tor caus@ or may "_be amended or modiUed; when considered n cessary b the ommissi ner ot'Health: Any 'change or'alts►ation of- construction requi ia '; permiroved aor disposal of domestic' ne a or _ rzappty"Ctiry- Date -�Q�^ EY 3 Title - _.. r. -• Rev. 9 -81