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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 51.19 -1 -48 BOX 22 r - � 02561 11, V'41 ri 1 02561 .. a LORE TTA IvIOiINART Puhlic Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 -6678 Fax (845) 278 - 6085 Early Intervention /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 I 4-zo In ROBERT J. BONDI Coum Executive PRO. PLO( S` ElD ADDITION APPLICATION (RESIDENTIAL ONLY) STREET W&I TOWN TAX MAP # NAMES �('� /UIf�1I ~4 ONP �PCHD # "� D MAILING ADDRESS " Vl47r---C�U \QM ' DESCRIPTION OF ADDITION Al jkf, S�—:WM 1 QM NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS (FROM CERT)F1CATE OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any. addition which is considered a bedroom requires formal approval of plans (Construction PC).-niit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam Cowity Sanitary Code. Please submit this form and the following to Putnam County I3ealth Department, 4 Geneva Road,.Brewster, New York 10509, phone (845) 278- 5130. I •.. ,....... Certif%ed, check.pr n�oneyjoi-der for „� 100,.00.,,. 2. Sketches of existing floor plan (drawn to scale, all living area including basement). * Non - professional skehes are acceptable. 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #. Non- professional sketches are acceptable. 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Certificate of Occupancy from the Town of Certification from the Building Department with legal bedroom count of dwelling. OrFICE USE - C:onimenis A Itaon enovatlon onn ”` - A SHERLITA.AMLER, MD, MS, FAAP Commissioner pf Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI - .. ._ ...., County Executive ROBERT MORRIS, PE Director of Environmental Health DEPARTMENT OF' HEALTH December 31, 2008 1 Geneva Road, Brewster, New York 10509 James Dunlavey 41 Watson Wad Putnam .Valley, NY 10579 Re: Addition- A- 230 -08 No Increase in Number of Bedrooms 41 Watson Way (T) Putnam Valley, T.M. # 51.19 -1 -48 Dear Mr. Dunlavey: 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 December 31, 2008. 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),278 -6130, ext. 2261. Sincerely,, Gene D. Reed Senior Engineering Aide GDR:kly cc: BI (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 IF BR 2 140 SF 203 SF BR3 )j LLT VII 1 72 s,2HALL OPEN TO LR z A Existing Second Floor Plan DECK [ W/ ROOF OVE R KITCHEN DINING 295 SF 199 SF UIB3 STAIR 4 U �- FULL BAT 0 FOYER LIVING ROOM FAMILY ROOM 205 SF 237 SF Existing First Floor Plan Fu itN,-'-dv1 COUNT„ DEPI""RT 'NIENT OF HEALTH HOUSE PLANS APPROVED FOR BIEDROOM COUNT ONLY 3 BEDROOMS A - ZSo - og ALL SUBSEQUENT REVISION/ALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SIGNATURE 8, TITLE DATE I (iAltMiL 10 FEET 5 FEET Jim and Nina Dunlavey i — 41 Watson Way, Putnam Valley, NY 10579 Tax Map 00/51.19-1-48 Existing Basement Floor Plan Proposed Second Floor Addition 12/08 1 NEW LIVING AREA 0 .. ' :���� ��. � � is 140 01. UE 2V8D' 03 -' Li, 00 NEW HALL HALL 11WIMAT, � ".] OPEN TO LR z Q, , Proposed Second Floor Plan Add master bedroom suite over family room. Turn third bedroom into closet and extended hall. First Floor Plan, NO CHANGE PUTNAivi COUNTY IDE,0 R .11ENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS � 71� 1AF- 9' ALL SUBSEQUENT REVISSIONALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL SGNATURE 8, TITLE 'DATE 10 FEET 5 FEET Jim and Nina Dunlavey 41 Watson Way, Putnam Valley, NY 10579 Tax Map 00/51.19-1-48 Basement Floor Plan, NO CHANGEProposed Second Floor Addition 12/08 SHERLIUTA AMLER, MD, MS, FAAP Commissioner of Health LORETTA N1O ,INARI;`RN ;`MSN ' T Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT I BONDI County Executive Town Legal Bedroom Count Re: DUNLAVEY/ BRADLEY (Owner's Name) Tax Map #: 51.19-1-48 s, Address: 41 Watson Way Town: PUTNAM VALLEY Year Built: y� According to records maintained by the Town, the above noted dwelling, is X,X 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: Certificate of Occupancy #84 -273 Other: n — 4T21%118. Building Inspect r Date Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 V T't -vn Medical Laboratory, Inc. A21 Kca`a Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 . Director :- A -Ibert H,- Padovaid I..T_..(A,SCI',1- __:_... - rw LOCATIONS: Q 321 KEAR ST., YORKTOWN HEIGHTS. N.Y. 10598 245.3203 ❑ 201 BUTTONWOOD AVE.. PEEKSKILL. N.Y. 10566 737$777 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335 ❑ STONELEIGH AVE. INE R HOSPITAL), CARME L, N. Y. 10512 278.9330 - �DATETAKEN: -: _.. DATE RECEIVED: d� DATE REPORTED: SAMPLE SOURCE: Lab REFERRED BY: J Collector: LABORATORY REPORT mg /L ❑ ACIDITY ............................ ............................... ❑( ALKALINITY i P ................ (A= JZxBACTERIA,TOTAL /mL .......... ....!..�!...................... /❑ BOD, 5 DAY ............................ ............................... ❑ BROMIDE ............................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE ............................ ............................... ❑ CHLORINE ............................ ............................... ❑ COD .................................... ............................... ❑ COLOR (units) ................. ............................... ❑.CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ FLUORIDE .......: .............:...... ............................... ❑ HARDNESS ............................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml ................ � ',WT COLIFORM COUNT/ 100 ml �.t• CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC.- ............:r...... ❑ ODOR ( u' n 1 S j ................................................ ❑ OIL& GREASE ........................ ............................... ❑PH ( uIlitSi ...................... ............................... ❑ PHENOL ................................ ............................... ❑ PHOSPHATE (ortho) ............................................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ PHOSPHATE (total) ................ ..................:............ ❑ SOLIDS, SETTLEABLE, ml /L .... ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ SOLIDS, DISSOLVED ............. ...............:............... ❑ SOLIDS, TOTAL ..................................................... ❑ SOLIDS, VOLATILE ........................................ :....... ❑ SPECIFIC CONDUCTANCE (uhmos /cm) ............... ❑ SULFATE ............................. ............................... ❑ SULFIDE ............................. ............................... ❑ SULFITE ............................. ............................... ❑ SURFACTANTS ........, ............ ............................... ❑ TURBIDITY ( NTU)............................................... ❑ ALUMINUM ................................ ............................... ❑ ANTIMONY'— ............................... ............................... ❑ ARSENIC .................................... ............................... ❑ BARIUM . .............:........................ ............................... ❑ BERYLLIUM ............................................ I.................. ❑ BISMUTH . .................................... ............................... ❑ BORON ........................................ ............................... ❑ CADMIUM .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ CHROMIUM ( tot.) ............................ ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER ................................... ............................... ❑ COLD .... .................................. ............................... ❑ IRON ........................................ ............................... ❑ LEAD ........................................ ............................... ❑ LITHIUM .................................... ............................... ❑ MAGNESIUM ................................ ............................... ❑ MANGANESE ................................ ............................... ❑ MERCURY ........................:........... ............................... ❑ NICKEL . ........ .... _ _ . _ _ ._....._... _ _... _... . . ❑ PALLADIUM ..................:............. ............................... ❑ POTASSIUM ........... ..................... ......:........................ ❑ RHODIUM .................................... .4............................. ❑ SELENIUM .................................... ............................... ❑ SILICON ................. ............................... ............... ❑ SILVER ...............................:........ ............................... ❑ SODIUM ........................................ ............................... ❑ TIN ............................................ ....................0.......... ❑ ZINC ............................................ ............................... O............................................... ............................... ❑ .................................................... ............................... ❑ REMARKS: ..................................................................... ❑ .................................................... ............................... ❑ ........... .................................. .. ............. I......................... ❑ ................ ............................... ............................... ❑ .................................................... ............................... -THESE RESULTS INDICATE THAT THE WATER WAS US OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED HEN THE SAMPLE WAS COLLECTED. N/A = not applicable Gt. � Albert H. Partnvani M T 1.6 QPPI n;,......,. c WRL COOLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environrnontel Health. Services COUNTY OFFICE BUILDING • CARMEL, NEW YORK This report__it.to be:com- pleted.by wPl( �1er ,anm�s,••asdtedetaulstY=fealth I? cparinientl6etheT 'witFi °istforatbFy`tpott'oi' "`` .' . —,.... analysis oi` water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAM[ ADDRESS OWNER y . LOCATION (N Street) ( own) (Lor NumDsr) of WELL BUSINESS �-t ❑ ❑ PROPOSED DOMESTIC'. ESTABLISHMENT FARM TEST WELL USE OF ELL (' y ❑ ❑ INDUSTRIAL ❑ ❑ SUPPLY CONDITIONING (spNEffy) DRILLING COMPRESSED CABLE OTHER ❑ ❑ EQUIPMENT ROTARY AIR PERCUSSION. PERCUSSION (spe ify) LENGTH (lost) DIAMETER [inches) WEIGHT PER FOOT © 11 Y!S NO CASING DETAILS �Q / / THREADED WELDED YES NO YIELD ( { �j HOURS G.P.M. D BAILED PUMPED COMPRESSED ARv I �� YIELD TEST LJ L WATER MI'.ASURE FROM LAND SURFACE= SIATIC(Spocily lest) DURING YIEiC• 'TEST [lost) Depth of Completed Well �^ LEVEL In fast below Land surface: Q AL+►I(E LENGTH OPEN TO AQUINO (hNl SCREEN DETAILS, SL SIZE DIAMETER (inches) IF GRAVEL Diameter of well including, IGRAVEL al (I s) NaU To UaeU , PACKED: grovel pock (inches'1' DEPTH /ROM LAND it/RrACE FORMATION DESCRIPTION Sketch exact facallon of twit with dlstanea, to 81.bNl two permanent landmants. PEST to FEET /1-91 • aQ/ • r � tifiyJ - Y f f Kj �Yi .{. i - t 11 yield was toslad'of dlfferenl drpthi lllwlno arilLng.:HT1 below FEET 4ALLONSrAlkMINUTE 1 ii 1 !:�i tl�lt DATE IfILL or ��J OATE OF REPORT • WELL. ORIL R,(SIona ) . 'b •9 Ahg2.1.a... Amorosano `Putnam 'Val e' .,... Owner or Purchaser of Building Municipality Michael Amorosano 29 Building Constructs by d.ction Watson Way 3. Location - Street Block One Family Residence 1. Bu ing Type Lot GUARANTY OF SEPARATE SEVIAGE 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 guaranty to..the owner, his succes- sors, 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 izunediately following the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the-willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- v ices „of_the Putna-"i.",County Department of Health, -as, to whether -or not the - Failure of" t`h'a�- system "to- operate was caused by the willful or negligent act of the occupant of the building utilizing the sY &tem. mar'S Dated this 8 day of August 19 85 ® w Signature . Cont'rdc¢ofs S i�a�afur2 - - - - - - - - - - - - - - - - b - - - - - - ` - - - - - - - - - - - - - - THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE, OF COMPLETION WILL BE ISSUED. GUARAITTOR IS" RRQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM. Division of Environ;nental Health Services, Putnam Cbunty Department of heal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES .. �• �•. �. re.: s.•. isti�. r� :�wv= r:rv-.ns-..G ?:n+- n..- -.+:: �. ,..._..xA.^r.....�,.w v. ... - -.a u�.a.. .- :::.•. :..r,.:,n•..�_ _, ___ .ter _ - _ -r,. n.....a.�. _. ,... xiw..s... ... ..wa.... :_.�.x_> ._ i Y Date Re: Property of 1J�. ©lea t[, ~ Located at UATSO�j (V AV (T) Z ") Section — Block Lott Subdivision of 0SCALJAN4q 6Qer=S Subdv. Lot # Z.17 Filed Map # Date Gentlemen: This letter is to authorize 6irL..��1✓t�i$� C a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a. separate sewage systgm, -,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 c_ onformity with the Provisions .of.yArt:c�- e..,,.145... pr.. 147, Education La ® is Health Law, and the Putnam County Sani- tary Code. Countersigne ��`g��R6NCE %R c�i(<` R2 A o P.E., R.A., #� Very truly yours, . Y _ Signed - `• J ` g � � L Owner of Propert N�ja- 0P-TLA N D 1 Ayi= Address Address ' Joel Greenberg- Architect Muscoot No. /RFD #2 /Bx 488 Mahopac, NY 10541 9/4 -&-L9 -661 -: y Telephone Ma KZ i:�. i L.L, ; NX 10,5-61.1=1 Town . 7,S o) -x`712 Telephone o ,zee ,t oQ 121 -0 T)o 7- �~ 7Q - /Z- /2 • N rtlN SP. �` /c c 0 w COLDD C,lo T,p K ITCH. of �� Z . 24. Z` 2 rd V o /7 - - -• ° 3, 4t )O 8 34 4L 9�0 �/ _o Z4 x 4° xL4 x4`• $ _ !" — 48 r�1RST VLuOR Plrar✓ 48° 8Q Of _ I �`` � � ► - -' � Fug. i N RftC.� Zo 6� -- - -- OWAA R " L CILI -NT I'DN '- o. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES � � � zDate� 1-1 /12/84 Re: Property of Angela Amorsano Located at Watson Way (T) 29 Section - -- Block 3 Lot 1 Subdivision of ;Oscawana Acres Subdv. Lot #-26 Filed Map # Gentlemen: This letter is to authorize Joel Greenberg Date a'duly licensed professional engineer or registered architect X (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 wi -th the provis`kons -of- "Arti:cle' -145 or � -- 147, Education Law, t blic Health Law, and the Putnam County Sani- F- D q tary Code. \�� ��z -;acE c� o •FF Q y WKWI S U' Count •s' N .��a��o��'eo' P.E. ..A., # 11056 Muscooi; North,RFD #2,Box 488 Address Mahopac , N.Y. 10541 (914) E'28 -6613 Telephone ry truly yours, d ��,& , er of o ty 1503 Dover Road Address Mohegan Lake, N.Y. 10547 Town 528 -7160 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL., N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Owner Jerome Poliauin Address Cortlancit Avg PpPkGki 1 1� NY 1 nstiti TM Located at (Street6dicate Watson Way 9 ". Block 3 Lot 1. neares cross s ree Municipality Town of Putnam Valley Watershed Hudson River SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Ee Number CLOCK TIME PERCOLATION PERCOLATION i Eiapse Depth-to a er WaTer ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches #1 1 8:00 -8:33 33 16 19 3 33/3=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 4 9:42 -10:15 33 16 19 3 33/3 =11 5 1 8:05 -8:38 33 16 19 3 33/3 =11 8:39 -9:12 33 16 f9 3 33/3 =11 3 9:13 -9:46 33 16 19 3 33/3 =11 4 9:47 -10:20 33 16 19 3 33/3 =11 5 1 _ 2 3- 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REOUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH-..,•:.HOIE _.,NG. DTH MOLE NO. DTH "HOLE NO G.L. Top Soil _ Top Soil 6" Sand, Small Stones Sand, Stones, 12" & Some Clay & Some Clay 18" .11 24" R 30.. 36" 42" " 48" 54 60' I0 72" 84 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED :8 Ft -INDICATE,... LEVEL_.TO :WHICH _WATER. LEVEL RISES .AFTER .BEING _ENCOUNTERED_ : 3.. Ft - mESTS " =MADE-- BY- -.. L.--- Gree'hbera Date— March 26, 1984 _ 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- Gals. r -cast Conc. Absorption Area Proves By 400 L.F.x24" 5b"— E 7 FT Curtain Drain & 2,15 Ft Bank Run Fill Name Joel L. Greenberg Signature Address Muscoot North, - RFD #2; Bx 488 SEAL 1� ,• Mahopac_ NY 10541 ` 'O .- THIS SPACE FOR USE -BY HEALTH DEPARTMENT ONLY:. � op Soil Rate Approved .,Sq. Ft /Gal. Checked by ..Date a. PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a PV -16 -84 't Division of Environmental Health Services, Carmel, N. Y. 10512w y, CONST CTION PERMIT FOR SEWAGE DISPOSAL SYSTEM PutnanTown orle age Located at Watson Way Tax Map �9 Block Lot i LaX -e.. ),scawan:a ..A�Zxe. ___._._.___SUtd _T et. .4:._2.7 -` ..:;Renewal s. ] Revision. Q - • -- ""Su'DdiGiswn 4/13/84 Angela Amorsano ,1503 Dover Road Date of Previous Approval Owner /Address �an a e , - :.I Fill Section Only ❑ Building Type Lot Area 24, , Number of Bedrooms . 3 Design Flow G /P /D 600 P.C. N. D. Notification Required 1000 Gal. Septic Tank and _420LF of Leaching Trenches Separate Sewerage System to consist of ; *�- --���� AttnnrGann _ AddressDicktown Roa P To be constructed by New York 10579 Water Supply: Public Supply From on Private Supply to be drilled by NO Barger Street, Putnam Valley N.Y. 10579 Address — Other Requirements _ 1 represent that I am wholly and completely responsible for the design and location of the proposed with th (s); 1) that the separate sewage disposal system r 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 Heplthwill7., be submitted to the Department, and a written guarantee will be furnished the owner, his wccessors, heirs or assigns by the builder, that said builder wtil Y* place in good operatinng condition any part of said sewage disposal system during the peri d of two (2) years immediately following the date of the rssu ante of the approval of the .Certificate of Construction Compliance of the original syste r any repairs th eto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be Instal in accordan with the standa s,. rule and reguta ions of the Putnam County Department of Health. ���� 2��ei Signed P. E. R.A. - Date 0541 11056 Address MUSIC North, RFD 2 Box 88Mahopac, NY License No. APPROVED FOR CONSTRUCTION: This approval expires one year fro th date ssued nstruction of th building has been undertaken and, is ''. revocable for cause or may be amended or modified when n e by he Co ission of Health. Any change or alteration of construction requires a ne permit. Approved for disposal of dome 'c ar wa a d /or priv t er only. 1,.. 6Y Title Date r Rev. 9 -81 PUTNAM COUNTY DEPARTMENT OF HEALTH Permit 4 Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Located- lt_watson -Way -• [� Yawn or iliage Tax Map- 29 Block 3 Lot ]. Subdivision Lake Oscawana Acres Subs. Lot 4 27 Renewal _[] _[3 Revision Own /Add a J. o e P o l i i n' =�• .�erl!yan Date Of Previous Approval ' Buildin g T —1=f am. ref ' Type —" Lot Area 4, .SF Fill Section only ❑ Number of Bedrooms 3 Design Flow G /P /D 600 P.C. N. D. Notification Required' Separate Sewerage system to consist of 1000 Gal. Septic Tank and -A-2-Q LF Of Leachina T eneheS,Y To be constructed by DOri Heady Address -PUtn m _ems NY U579 '' Water Supply: Public Supply From XX Private Supply to be drilled by Norman Anderson z Address Barger StrA,-* 17-1 l Other Requirements If Cur tain and 2�i ft Bank Run Fill =. 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 regu ions o e u nam 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 eeuors, heirs or assigns by the builder, that said bwlder ryill place in good operating Condition any part of said sewage disposal system during the per' of two 2 ` ante of the a p ( ) years immediately following the date of the, su -, approval of the Certificate of Construction Compliance of the original syste o any repairs ther to; 2) that the drilled well described abo ve i will be located as shown on the approved plan and that said well will be s ed in accordant County Department of Health. the scandal rules and regula�Tons of the Putnam Date 03- 26--84 Signed P.E. R.A. Address License No. 1 1056 APPROVED FOR CONSTRUCTION: This approval expires one year ro the date issued construction o the building has been undertaken and 'r; revocable for cause or may be amended or modified when con ered ssary b the C mmissio er of Health. Any change or alteration of construction requires a ne permit Appr ed f r disposal of domestic n ar sewa a an or 9 / p ivate or supply only, j Date BY Rev. 9 -81 . Title " "�'; °.y 19 -. ►-q--W q�l I PLTI'NAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Strvices, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located at Watson Way Tax Map 29 Block 3 Owner A. .Amorosano /Formerly Poliquin Tax Map Lot # 1 subd. # 26 Separate Sewerage System built by M. Amorncann Address Oscawana Lake Road' Put. Val. , Consisting of 1000 Gal. Septic Tank and 420LF of Fields NY 10579 Other requirements Water Supply: Public Supply From XXX Private Supply Drilled By Norman Andersen Address Barger Street r Putnam Val ley - NY 10579 Building Type One Family Residence No. of Bedrooms 3 Date Permit Issued 11/21/84 Has Erosion Control Been Completed? i✓D �R �5 I NCE C, I certify that the system(s) as listed - serving the above premises were constructed es s shown, e' ns of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulations, c th lan, and the permit issued by the Putnam County Department Of Health. p Date 8/26/85 Certified. by P.E. R.A.XXX `✓ �' ,r AddressMUSCOOt No RFD 48% o ac NY ILIcenselNc. 11056 Any person occupying premises served by the above system(s) shall prompt) t e such a io mi��rl cure th® correction of any unsanitary, conditions resulting from such usage. Approval of the separate sewerage system sha becom faltitlo on as public sanitary sewer becomes available and the approval of the private water supply shall become null and void w n a public water- -supp ecomes available. Such approvals are subject to modifi tion change when, in the Judgment of the CommissiogAr of Health, such revoca , modification or change is necessary. Defe `�y._...: Title PL)TNAMCOUIVTYDEPAR fMENT .OF HEALTH M1 1 f n s& Y -- O v s}on'�vf Envl�onmental Hea /M Services Carmel N Y x10512 � , CERTIFICA E OF.CONSTRUCTIO iCOMPUANCErFORFSEWAGE$DISPOSAL SYSTEM Pct *peell.l t +. ��ty y s -• ��,��au\\ :2 � yy �� \ ' r7dwnaor�rm t '=a y.i . owner � ��$O•',r�• �'"tr`� r l� tot'j1�a+usF•+�i�.f`�•IJIk a'Ypube'�I;,j�9IDZY SC_para a ewrage yftam u It by pttil�� `'? " j! Addrsss 4 � a t e! Oquil�mOrltf � � W uDP uDlle r`SUPDly ate�CSyu PD1Yg- DrII1W Y, , t'- S-� 4 �''r.. ail 1 -.. 4'` i ' A dfeff a` BUUdI g: �� R+►�id�ncarercw3r. s w ,w �y,�}Iit 3st a {..,...e i� No rot -1007. Date PKmt Ifw k Mas roslon ontrol Been Com Dletsdt - S �yk[. � "' - t I arts!} t]sat the ry iem( }fie liatnd nsving th •abov pratees . sere eomttu'[tad seaaptia Y m ehoua e f ompl k PIN ' , t vhich er attaeDd) aM in a orlon ith t]. tend.:¢ rule sM egulneio in u ee HU.�tlu f led plm�' the petmi sia'y�ed '41+ PuG.em'CO LY Depnr�ent OfR alth {ski ,16 +\\. (;'x` .7"'.+ i {:Y /I a J �� in t�II` -e Y "h L.' , . •J � i mil„ � i Idle- ^ .� Pe _aAiLi 9 _p`•`'i'~_1 Addra coot No RF 488 t.ltsnfe Np. Any person occupying pramlfef fervad Dy the aDOro'systam(%) shall prompt � e such action as may be necessary to fecur the correction of any unsanitary conditions resulting from such uWS. Approval of the separate sane —go item fhall bocOma null and void as Won as a Public sanitary, fewer becomfe - available and the approval of the p i ate water Supply shall become null and void whop a public WalR wooly becomes Wallab N. Such approval. ale .subject 1.t0 "ilicstion s clung when In the Judgment of the Commisslo r of Health, such rswecatl }, mOdlf1at10n Of change If M/:effely. h 1 q) ti, r .'a jsv-V! �r y.-- I i gate` F„ By "i 3. \. �; A \4C\ 96. doer ase -7 :+ ,�/ ,r• /�_' I to a. •h -�:� ���:;;; '• �^'+, .. /00.00' , r��7q= oo o• e 1 b y 44 i,.. I IILyI� Tllllh/ . •I�i i � : �AL�I( .SY.TE�✓1 LA`FOUT= _.. _ -..... F x ® fi='�' {f1�1 1 �►1�1R�!e!f'e i�F?EENBERGi RTIFIED TO: .CCORDANCEWITH THE EXISTING CODE OF PRAC- FOR LAN15a3' RVEYS ADOPTED BY THE NEW YORK 'E ASSOC. OF PROFESSIONAL LAND SURVEYORS. \ ¢o V� Gp� o . eta G� j*V'rjIl1W ®� ® V ' ' N70 00E 82.6.2 � ' 'Y Q s7o' oo "w tificafions shall % - -run only to those individuals and institutions wn hereon under'the title policy No. shown above. Said cerf:- fions are not transferable SURVEYED & PREPARED BY BUNNEY ASSOCIATES LAND SURVEYORS r WOODSBRIDGE ROAD ROUTE 117 KATONAH. NEW YORK 10536 i ho i ,h 1 1 • s .Q.C�EM /SES S/aoyv/y NE".2E0/Y B.E //YC .LOT /Y—° .00 qS SHOYYN ON '/L1f7P OF SECT /O/Y ONES .L A.CE OSCgi'VF7/Yq AC 2ES�" SA /O MqP F/L EO /N THE PZ/T/Vi CO 1,/A/ 7'Y CLEPrS OFF /CL° 'b/Y ✓F/N. g /95, f7S MAP N_° 367.4 J 1 i� SURVEY OF- 5 / TC rOWN ®F I®U7"/V gAof ML.L E' COUN Tl-r •, SC,4.C.E /" = 30' .o�7TE F7PR" 3o, /9Bf s - BROUGHT TO DATE: 4AY 9, 1985 is peE.oA.2EO F'o.2 C.N17,QLE5 1gA16E'1-R FgMORO S q /VO rrr T- 775 -. �_ ti0`c4 o� Jc ^Gi 1 U3 'r'Sr P� O 7— .26 in i s7o' oo "w tificafions shall % - -run only to those individuals and institutions wn hereon under'the title policy No. shown above. Said cerf:- fions are not transferable SURVEYED & PREPARED BY BUNNEY ASSOCIATES LAND SURVEYORS r WOODSBRIDGE ROAD ROUTE 117 KATONAH. NEW YORK 10536 i ho i ,h 1 1 • s .Q.C�EM /SES S/aoyv/y NE".2E0/Y B.E //YC .LOT /Y—° .00 qS SHOYYN ON '/L1f7P OF SECT /O/Y ONES .L A.CE OSCgi'VF7/Yq AC 2ES�" SA /O MqP F/L EO /N THE PZ/T/Vi CO 1,/A/ 7'Y CLEPrS OFF /CL° 'b/Y ✓F/N. g /95, f7S MAP N_° 367.4 J 1 i� SURVEY OF- 5 / TC rOWN ®F I®U7"/V gAof ML.L E' COUN Tl-r •, SC,4.C.E /" = 30' .o�7TE F7PR" 3o, /9Bf s - BROUGHT TO DATE: 4AY 9, 1985 is peE.oA.2EO F'o.2 C.N17,QLE5 1gA16E'1-R FgMORO S q /VO rrr T- 775 -.