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HomeMy WebLinkAbout2587DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 52. -2 -32 BOX 22 02587 ire, b W -A 02587 7 77- 77 1 news" DEPOSAL Sysl191� * H Rmmihrd� Areimao Cv, U V *,,4 Ay V 3, Diiie of AppimW . 20—z L41� IP7- M AAI� illi, - Data Subdivision Approved a iE Fee Enclosed :Q' Am . nli, t- 3-oo "ftm TYI W Aim ca Soom 0,* Depth ' V- N Dedgm Plow -43 PD r PCIMD N M Iii lmv� *Iam M 1. CM, , Tm*mw I*W LIV LY -r t 0 Vito Tb bwambuded by AM. wow SlIffly: - PA& S"*. h Mikan Awa k4�i� Dilpd,by r6prement1hat I AM W"lIY a'" coml 'it" iiamin and o I oieiafy reiponimiif6i I�ca�ion of, the proposed -cyst above described will 64 constructed as shown 4millis approved irnendn"rit there to and In accordance with County, DipariMent L of' *HMRN and . that on oi,Cpnst!uct . Cornp I Ila be 'submitted to the written guarantee milli. 68 f4rnished the ownw, hi:Mcoss. plaoa in food operating, condition any part of old 'laws" dkposal system during the.period of two amm of the, approval of - Isis, Cartit"e,of Construction Compliance of,+ the original Syst*fn'or any �-rep plaiCandthat -4idwallmiil, Installed i C! with the . � l� - . , ! W, County Depart of Health. . 7-4 i. Data /0 411-21e,94 60son AIC—dA-0 +Ad.dreei APPROVED FOR CONSTRUCTION: . This approval expires two years- frop"th. 0 issued unless so if he revocable for eau or modified wheri c6ris1kcifei►ed D he Commi 01 — - he sposel of dcn.9k smilitary private "Ou a vi4 for di I saw Rev. 7/ 7 y 10/88 Data ey em(s). 1) that the nparat* m, the standards, rules ano requations ovi!V�Hm w NW. Satisfactory to the CoM-Missioner ofLHaaltftwill the builder, that said 66ilciar win 12i yaws: lininidiatoly following the date of tiia mem. airs thersto0'21 that the drUW will-demmid AD" s, rum d regUSTOWS o m P.E.— Rik. 0,L is »atse No ,uction of the building has been,underlaken and 15 Health. Any change of construction ty. Title PUrNAM CO= DEP;OMM�Q.' OF EEALTEI DIVTSIC& OF a- • to % -tE r: E- rES DESIGN DATA SH=- SUBSMCE SESVAGE DISPOSAL SYSTEM FILE No. Cwner A cto� l.,r� Uif,rli - Address ,�l� / ix - -- ��i /� /mot r� Located at (Street) Ofc4a&A" % ¢n' Sec. Block_% IOt,(`. / (indicate nearest cross street) Municipality A1r //} -,47•i, Watershed SOIL PERCOLATICN TEST DATA REQUIRED TO BE SU&4I= .WITS APPLICATIONS Date of Pre- Scalcing /0li, Ig Date of Percolation Test 1 e y HOLE NU-%_m_ ER CZ= TIME PERCCI=C N PERCOLATION Run. Elaose 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. 1 '3: �'2� �� Z7 3 z, o 1 3' 4 3 =36 YO 2y �7 3 3rd 3 3,36 3:" 4 3: y s'• 3; ST lo zY . 3 3 '3 5 lo 2-Z. 3 3 5 1 .. NC7I'ES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to be sybnitt0d for review. 2- Depth measuranents to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED 'TO BE -SUBMITTED W DESCRIPTION OF SOILS !EKED ENCO(ERED IN DEPTH HOLE NO. HOLE NO. HOLE - NO. 64—e C 77 G.L. olJ Ole 2' 31 41 51 6 71 81 101 12 13, 14' INDICATE LEVEL AT WHICH GROUNDGV= IS ENCOUNTERED -'r 11 INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED . DEEP HOLE OBSERVATIONS MADE BY:. DATE: DESIGq Soil Rate Used Min/l"- Drop: S.D. Usable Area Provided 0C'0()C)7t- SA- No . of Bedroans Septic Tank Capacity gals. Type C4 Absorption Area Provided By L.F. x 24" width trench Other I E7 171 A L) 0 Name -2 ZILA, f� - ew-ff72— Signature Address d SEAL Asti 14- AV rul THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: p,W °- 04Z PROP Esslo Pkl- Soil Rate Approved sq.ft/gal. (aiedked by ItlL1L 3 I I W u W O I I � � I � O I W I I V W CASING 20 FT MIN. LENGTH UNDER ANY CONDITIONS. USE CLAY PUDDLE CORE BETWEEN CASING AND DRILL HOLE. SOLID ROCK C451NG, 2 MIN GROUT —� 10' MIN." IN ROCK EAL "HICKNESS SANITARY SEAL ON WELL CAP — SCREEN VENT 12 •• u ., 1 r WELDED SLEEVE 48" MIN. 1 IP TYPE COUPLING r--.. FROM PUMP TO POMP ELL CASING IBUSHING TYPICAL SECTION OF DRILLED WELL - ASPHALTIC ' r SEAL II —+ INLET 11� +��111 I RING BOLTS I I O OUTLET 4 -0" it CONCRETE SEPTIC TANK 11' L. SLABS POURED IN PLACE I I ARE DESIGNED TO I �I SUPPORT A MIN. LOAD OF 307 P.SF. L a. PLAN LOCATION STAKE - -•a. -� 12 MIN. REMOVABLE MANHOLE, REMOVABLE MANHOLE, 20- ;,MIN. OPENING BARS, 6 OZ. 36" MAX. 20" MIN. OPENING 7 1 -• r - _ 4'• SOLID PIPE WITH TIGHT CAST IRON PIPE, WITH TIGHT JOINTS V41 FT. MIN.. SLOPE INLET CAULKED JOINT SANITARY TEE - i JOINTS, GRADED IA "/FT. MIN. OUTLET --► . CAULKED JOINT SANITARY TEE - 6" MIN. WALL THICKNE'55 FOR POURED IN PLACE CONCRETE �PE� GRAVEL OR SECTION I CLEAN Sarlp TYPICAL 1.200 GAL. CONCRETE SEPTIC TANK SRPTIC DETAILS prepared for _ _ tE OF NE Y ��,,? v ° I _ 4 prepared by ✓ WILLIAM F. ZEILER Professional Engineer & Land Surveyor 1 Concord Road - Mahopac -New York 10541 - s (914)-628-4764 F�;?ao:Es:ro� ^��J 2 oF4 ASPHALTIC SEAL INVERT OF INLET ' �� 3 "ABOVE INVERT n I OF OUTLET. N L IOUID LE Ly Ti BAFFLES MAY BE I o ! i}� r' I USED INS.-FAD OF SANITARY TEES 1 I= 1 W Z I CEMENT PARGING <I O ON INSIDE � ' O ' P ...I JOINTS, GRADED IA "/FT. MIN. OUTLET --► . CAULKED JOINT SANITARY TEE - 6" MIN. WALL THICKNE'55 FOR POURED IN PLACE CONCRETE �PE� GRAVEL OR SECTION I CLEAN Sarlp TYPICAL 1.200 GAL. CONCRETE SEPTIC TANK SRPTIC DETAILS prepared for _ _ tE OF NE Y ��,,? v ° I _ 4 prepared by ✓ WILLIAM F. ZEILER Professional Engineer & Land Surveyor 1 Concord Road - Mahopac -New York 10541 - s (914)-628-4764 F�;?ao:Es:ro� ^��J 2 oF4 `i .I r 4. ' GiFOTc`:;licE Fi�7�iZ F.�B.e�c � • 'cars- _r_rorr rrc;s _ u'es "u :...C3 Sc�rnGc J_TS =C!S.� cr5i_:c b :. c:c - -_--- / r. - Sc 'j'7., C S =:4GL- . . '- __- :CXPXL .• i - . • - I Basic Required Notes All trees within 10 fee *_ of the proposed SSDS shall be removed. �•" -'-�'" r^ •• xr �i°rin -:v i � - yIx,. rr_ z• SSDS"to be inspected by the design engineer /architect and the Putnam County Health Ai X, Department after construction and ' - ;�,••;, :; -,, :: , •_: i z_ MrN. P prior to backiill. 3 N o trucks. machinery, building materials nor excavated earth shall be allo r ed in the _ _ S" I',• sewage disposal area. Construction of SSDS to be in accordance with these plane, any revisions thereto, and tae rules and regulations of the permit issuing governaental agency. L�- ? :.3foRS,c9 vvC �go, -,-�M c; 'S• Minimum well yield of 5 gpm is required. Yields less than 5 gpm will be immediately sz�Mr~ '^ vcH repor!ed to the Putnam County Department of `health. �vas:r_o OR cRUSa__ ors -. Gn..G_ _ IiRgDF9 /�/6� - c s -oH r /rE'- 1/31 /Fr -60 -WIH, r;. The'sevaae system desicn shown hereon does not Drovide for installation o, a garbage grinder. Such installation reouires the aoDroval of the Putnam Countv Department of Health. =TIOr`/ PP,OPiLE cRCUNO: T . H" ='.,� agez Notes Required When ROB Fill Proposed i. ROB fi'_l must be stabilized by allowing the ROB fill to settle naturally for a period rr1� of at least o months and include at least one freeze -than cycle or fill stabilaticn me JISr"v5.n -rL TRENCH DEi AIL � lrvS i�;LL o' ON C :VT=;) be achieved by mechanical compac_ion in approximately six inch lifts to the appreximat density of the: undisturbed underlying granular soil. The results of density tests performed in the undisturbed underlying soil and in the fill pad are to be submitted It1L= 7 — Cover the Putnam County Health Department if mechanical compaction is to be utilized. Cite modification activities involving placement of fill are to be conducted during - " relatively dry periods to minimize soil smearing and excessive soil compaction. Run of bank fill shall be suitable for sewage absorption, be free of fines or other ' unsuitable material and shall have an in -place percolation rate at least equal to that in the,natural soil after the required stabilization period. The engineer /architect shall perform final percolation tests in the fill after stabilization. X 4.. 9., The.ispervious fill, clay barrier, shall be a dense clayey soil with little or no T U M C I CON 60A - sevage,.absorption capacity. -- ' r'— � - '• •• - _•• 5. ` Fill suitable for sewage absorption should contain no more than 5., and ••. O`•I�IL P preferably no •' •• -• - - -- more than 2:t fines by weight. Fines are clay and silt particles that pass a 200 sieve and no more than 10: by weight, of the fill material should pass a 100 sieve. SEPTIC DETAILS prepared for ?_o_ess =cnai _ Land Sc_-:e7c_ Q.^,:1C0 r� ?CaC -. •'_ ^OC1C- �r'2!. _.., -.. :C)� =_ rc :eIA R - =75? 30 COMPUAftti APQ AA WD an PW" Add Umna o ovall 0, tA�J eO( %. AAIRT TYTTT A'AT 7)T7lAl]T �r —�i -< _ X WALL 'l,VP1CLAl1V1V AMEVA1 DEPARTMENT, OF HEALTH = Div Sion Of-=Environuiex►taZ Heal$ Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only mac` WELL LOCATION STREET ADUAESS: �� TAX GRID NUhtBEei: C9 �� ` rN !nom � P6%, x a w, v� �f'p WELL OWNER NAME: ADDRESS: a., j ectf u a pvc, '?F- 0sca lu a hC' /A Ro/ E rBIVATE 1 ❑ PUBLIC USE -OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT y gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING .[]REPLACE EXISTING SUPPLY ®TEST /OBSERVATION ❑ADDITIONAL SUPPLY [PEW SUPPLY (NEW DWELLING) ® DEEPEN EXISTING WELL DEPTH DATA ' WELL DEPTH 0 U ft. STATIC WATER LEVEL _I_ it. I DATE MEASURED DRILLING EQUIPMENT WOTARY ❑ COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED OL-6FEN END CASING ❑ OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH X t _ fL MATERIALS: 11-6TEEL ❑ PLASTIC ❑ OTHER LENGTH BELOW GRADE ft. JOINTS: ❑ WELDED C9 VREADED . ❑ OTHER DIAMETER _ in. SEAL: =EMENT GROUT ❑ BENTONITE ❑OTHER WEIGHT PER FOOT 1b./ft. DRIVE SHOE ❑ YES &M- -- - LINER: ❑ YES 4DM SCREEN .DETAILS.. _. ....SECOND DIAMETER (in) SL07 SIZE LENGTH (ft) DEPTH TO SCREEN (It) DEVELOPED? FIRST _ ❑ YES ONO - HOURS . _. _... ......, ..- GRAVEL PACK ❑ YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH fL BOTTOM DEPTH It. WELL YIELD TEST If detailed pumping METHOD:_ O PUMPED t tests were done is in- t Q- COIGPRESSED AIR , formation attached? O BAILED ❑ OTHER ; ❑ YES ❑ NO WELL LOG "more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Wett Dia' meter In FORMATION DESCRIPTION pCE ft. it- WELL DEPTH ft, DURATION hr, min. DRAWOOWN It. YIELD gFm. Surface WATER ❑ CLEAR TEMP. ' QUALITY ❑ CLOUDY HARDNESS . O COLORED ANALYZED? OYES ❑ NO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE Toll-� ° a-- CAPACITY GAIL. PUMP INFORMATION TYPE CAPACITY MAKER r'.. '`A 4's DEPTH � �� MODEL VOLTAGE a M HP WELL DRILLER NAMEa TE ADDRESS r SIU MTURE �. C), (`' /� (� Grp YML ENVIRONMENTAL SERVICES 321 Kear Street Yorktown Heights,.N.Y. 10598 (914) 245-2800 Albert H. Padovani, Director LAB #: 32.403736 CLIENT #: 3578 NON STAT PROC PAGE 1 --------------------------------------- ---- --------------------- CARUANA. RICHARD DATE/TIME TAKEN: 12/05/94 14100 DATE/TIME REC'D:. 1.2/05/94 14:50 REPORT DATE: 12/.07/`94 PHONE: (914)-245-1266 SAMPLING SITE: 98 OSCAWANA HEIGHTS SAMPLE TYPE..: POTABLE PUTNAM VALLEY PRESERVATIVES: NONE COL-'D BY: TEMPERATURE.!.:..'.< 4C NOTES...: COLIFORM METH: MF ---------------- 11 ---------- 11 ---------- --------------------------------- DATE FLAG PROCEDURE , RESULT NORMAL — RANGE - 12/07/94 MF T. COLIFORM ABSENT /100 ML ABSENT COMMENTS:, BACT THESE RESULTS INDICATE THAT THE WATER (WAS NOT) OF A SATISFACTORY SANITARY QUALITY ACCORD I N9 THE NEW YORK STATE AND EPA.FEDERAL DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. SUBMITTED BY: - - - - -- -- ---- --------------- Albert H. Padovani, M.T.(ASCP) Director ELAP# 10,3.23 PUTNAM COUN'T'Y' DEPARTMENT OF HEALTH DIVISION OF ENVIRONi MMAL HEALTH SERVICES Section Block Lot C ,S-'�- - -L 3 -:0 . OJ H,4 LJ AA,(,4 A/00vs Subdivision Name Subdivision Lot # GUARAN= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a. period of two years immediately following the date of approval of the "Certificate. of :.Construction Compliance" -for the sewage disposal system, or any repairs made by­ me- to "suah system, except where the failure -to - operate -properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this Z 2-� day of 19 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk RL 6-aw)jni --u Corporation Name (if Corp.) Address !0S`31�_ Owner or Purchaser of Building Building Constructed by Os (?,4 Aac tic T,r te) .. Location - Street /0,(/ %A4,/ -1*I Municipality Building Type Section Block Lot C ,S-'�- - -L 3 -:0 . OJ H,4 LJ AA,(,4 A/00vs Subdivision Name Subdivision Lot # GUARAN= OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a. period of two years immediately following the date of approval of the "Certificate. of :.Construction Compliance" -for the sewage disposal system, or any repairs made by­ me- to "suah system, except where the failure -to - operate -properly is caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this Z 2-� day of 19 Signature Title General Contractor (Owner) - Signature Corporation Name (if Corp.) Address rev. 9/85 mk RL 6-aw)jni --u Corporation Name (if Corp.) Address !0S`31�_ e oo� Q _ .+. �i+ -s z fi •zs.x ''^. 4�0 ^�s - _Putnam County Department.zof Health n� ...zx ,, �o• oo •E. Division oY Environmental :Health Sr?ioe� Approved as noted for conformance with h- '••°, = applicable Rules and Regulations of the 0 „ ,; Cc y.. Health Departm nt. •/ \'' a 33 gn S atur & Title D uu p0.. P • _i0- _ l a =c,�,• / cif/ — k •�', -�", a = �._ �— it L Kl+.}•AJ I /• N 1 ooc' �• Q� '• ct Oot . \ \ �' `. / @ �4 o �a•. '3 r iz /io /95� e w .w I ,Q . B i. y9• o ' . Sao. w v @460 ' - -- - 2. _.72.5- - - < --- 7.7 . 0-' I / 3. 73.0' -13.0 ' y. 73-S w 73.S S 7 73.3' S-B.o/ �'/ `s so. °o•. � 0 o BTS � IS TO CERTIFY T34T T9E S PO EWAGE DISPOSAL 3Y 0 WAS CONSTRUCTED AS INDICATED ON THIS PLAN AND iH8 SYSTI'A,.'_.S is TED By Br - IT WAS C V, BD OVER CC_PS' i13VTED IN ACCO CB � WITH ALL Tz::' !'.': -s.,g AND Rc, `,7—,1TIOiSS OF THE ' 'COIWTY DEiA.Rr iT OB °n A' iii, �(� g, - • `� G A% Iva y I . R ••-o �q , ,�% PREPARED FOR �. "' w �2 I. •/ SITUATE IN THE j ` "• °,tin° / TOWN OF PUTNAM VALLEY 'r'//�' 4,�2• a° ° ' � ' w/� Y .00 � o�• p PUTNAM COUNTY I . / P NEW YORK 9 �� is 50' 0F NEW Y0 h. •9 H SCALE W- /2 �//,, �l / y ® -Zel -e7a -A� z B C.0 C O e d "XI d- 1 r „7„t :- V ' =3 w CEBlIIIICATS OF OObj� Pfsslt ;/. -To" or voinger Oaf.adA�picant xr. /P! CAWW (• 9&d Al r4 iteoewai_ O Itevirl�n �pp ,�r—^ / Date or Peevbae Approval Nefte AditaraljL�, I ;Rdy.� Gam' Ift.41d "P— Tows Ty" .. / `�+ rJ I.i` Lk Ally6 00 �� , M. A*_ 4, PJ VdOtaO NoYar a[ Baiaa�r Deafp Flow G P D O D PCHD)�otlBeliliod kl �eved vYkea FBI V c.oMted UpaeW Sawmy S7pen.11a can" d dp ®00 . Septic Tank cad rg w:e..b ease by A dd,, Ski /a' WSAW St�p4 s ue Sttp FrM . Adder (� I . .n ta.t.eea DtfBed b� ' + s✓ S'0� r.. &,, �li�" €/i7iL%.¢W . � +/ S4vb. 011 Rngek 1 repreant�that 1 am wholly and completely responsible for the:design and location of the proposed system($) j 1) that the .separate saw di sal s stem above described will be constructed as shown on'the approved amendment there to and .in accordance with the standards, rules a regulations o - na County paps"wAnt 01 Hmfth, and that on Cornoletionthereof a "Certificate of Construction Compliance— mUsfackory to the Commissioner of Hea thwill be submitted ,to, the 'Dopart nest, and a wiittenyouarantoa' will be furnishiid the owne►,;his successors,'hoMS or assigns bi'the builder, that mid bulkier will pace in- good operating condition any part of tMdato of tti lsau _ aq of the app of the Certificate of Construction .Compli•_nce of thelbrlj'nal,:system.or, any repNrs tha►etol 2) that the drNled well described above wNl be located at shown on the approved Plan and that aid. will will be In i a dance w nderds; uNs an0 reyu ns of the Putnam County Dojnr n»nt,of health. Date P.E _ R.A. Address �C ieense No APPROVEO FOR CONSTRUCTION. This approval expires two years m the date issued unless const ction of TM building has been undertaken and is revocable for cause or ins be amended or modified when:consider ry by the C ISO r of Health. Any charge or alteration of construction "Quires a mit. Approved for disposel of domestic anit age, and ate" supply only. 0V . �1 3 Data— �`( 4 By / Title 0/88 0 DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address. 0s W44.#4 Town Vil age City Tax Grid Number �'- u V44LC ` 3s- - . -� -.2 - WELL OWNER Name anAn C,490 Mailing Address & / 3 e4 ,d ,al rivate O Public USE OF WELL - r 2 - secondary tESIDENTIAL ® BUSINESS ® INDUSTRIAL D PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE � P00 �al CI REPLACE EXISTING SUPPLY ® TEST/ OBSERVATION L1 ADDITIONAL SUPPLY NEW S13PLY NEW DWELLING ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING 02 A.aw Gam' Cxr- 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:VL Lot No. WATER WELL CONTRACTOR: Name /V 41b ep- sn"/ Address: &r, dOCLa''1� IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES L---' NO NAM OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE''TO PROPERTY FROM`NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ,ON SEPARATE SHEET ' (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt; *. (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear., 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit.. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such ma er as not to degrade or othe ise contaminate surface or groundwater. Date of Issue: 2 Q 19 Rat, Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 . William Zeiler, PE 28 Concord Road Mahopac NY. 10541 JOHN' KAHELL Jr., P.E.. M.S. -1 1. th_DJectO,r.,, -_ June 1, 1993 RE: Proposed SSDS: Caruana - Oscawana Heights Road (T) Putnam Valley TM # 52 -2 -32 Dear Mr. Zeiler: 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: 1. Standard Form PC -1 has not been submitted (enclosed). 2. Construction Permit requirements for fill sections greater than -- two -feet deep and revised fi 11- notes have been enclosed. Please revise plans accordingly. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Ver truly yours, b Alovq Robert Morris Assistant Public Health Engineer RM:mk enc. PUTNAM COUNTY DEPARTMENT OF HEALTH APPENDIX 3 - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET for CONSTRUCTION PERMIT STRI BY DATE _ DOCUMENTS. Y Li ERMIT APPLICATION PC -1 WELL PERMIT; PWS LETTER ENGINEERS AUTHORIZATION DESIGN DATA SHEET D )_ DEEP HOLE LOG EONSISTENT PERC RES TS (3) mm PERC HOLE DEPTH CORPORATE RESOLUTION PLANS THREE SETS HOUSE PLANS - TWO SETS VARIANCE REQUEST GENERAL ffl�GAL SUBDIVISION BDIVISION APPROVAL CHECKED �ETPERC RATE (I — = FILL REQUIRED = CURTAIN DRAIN REQUIRED =STANDPIPES = EX- APPROVAL SSDS ADJ. LOTS = WETLAND (TOWN/DEC PERMIT R & D) = DATA ON DDS PLANS & PERMIT SAME = PRE -1969 - NEIGHBOR NOTIFFIFICATION = LETTER BUZBA = 100 YR. FLOOD ELEVATION REQUIRED DETAILS ON PLANS = SEWAGE SYSTEM PLAN - (NORTH ARROW) = SSDS HYDRAULIC PROFILE = GRAVITY FLOW = D/ J BOX = TRENCH/GALLEY = P- PIT DETAILS = SEPTIC TANK - SIZE, DETAIL = WELL DETAIL, SERVICE LINE IF OVER = CONSTRUCTION NOTES (GRINDER RATE) = DESIGN DATA: PERC AND DEEP RESULTS = TWO -FOOT CONTOURS EXISTING & PROPOSED = DRIVEWAY & SLOPES CUT = FOOTING /GUTTER/CURTAIN DRAINS COMMENTS: ite TAX MAP # S L r 7- 3 2- = DISCHARGE (OK) = PERC & DEEP HOLES LOCATED- = REPRESENTATIVE OF PRIMARY AND EXPANSION = EXP. AREA; SHOWN; GRAVITY FLOW, SUFF.SIZE = IF PUMPED PIT &'D BOX SHOWN & DETAILED = HOUSE - NO. OF BEDROOMS = WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM = PROPERTY METES & BOUNDS = HOUSE SETBACK NECESSARY (TIGHT LOT) = HOUSE SEWER - 1/4 "/FT. 4 "0; TYPE PIPE = NO BENDS; MAX. BENDS 45 W /CLEANOUT FILL SYSTEMS =CLAYBARRIER =10 FT HORIZONTAL: SLOPE 3:1 TO GRADE = FILL SPECS =DEPTH GAUGES = FILL PROFILE & DIMENSIONS = VOLUME TRENCH =LF TRENCH PROVIDED =60 FT MAX = PARALLEL TO CONTOURS =100% EXPANSION PROVIDED SEPARATION DISTANCES SPECIFIED ON PLAN _ FIELDS .. = 10' TO P.L.,-DRIVEWAY, -LARGE TREES, TOP OF FILL = 20' TO FOUNDATION WALLS = 100 TO WELL, 200' IN D.L.O.D., 150' PITS = 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) = 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER = 10' TO WATERLINE (PITS -20') = 50' INTERMITTENT DRAINAGE COURSE = 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS SEPTIC TANKS =10' FROM FOUNDATION; 50' TO WELL WELLS =15' WELL TO P.L. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date S- ?3 Re: Property of 16 C'l,�jFkz (.._,/elill-A m qS -/ L� Lo c a t e d a t. US C lY .S�TJ' � '/ 32. (T) / UT%i19t�i /J,4 GG Section 3S" Block __Z Lot z<l Subdivision of 0S C'4 &J'eW4 i .ou) j S Subdv. Lot # Filed Map # 'a';-Z--;C Date Gentlemen: This letter is to authorize leWl6t 1,9jW4 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. ,�S of NCW\ Cp' O y �p,M F. 2 n rJ Countersigned: /. Address Telephone ry truly yours, S fined Owner of Property Address Town 'Z y�- iZ 6 Telephone PUMM COUMY f E1• • d = OF HEALMi DIVISION OF Mr1RaqMa= FEALTH S=CES DESIGV DATA SHEET- SUBSUFACE Sr'JgAGE DISPOSAL SYSTEM FILE NO. Owner Located at (Street) ®- °C.4k1,4A1,4 fy4 -c�rS Sec. 3S- Block �/ Lot S3'! (indicate nearest cross street) Municipality 4X7- ;,t1,4,o V4c.La' e Watershed Date of Pre- Scaking Date of Percolation,Test HOLE NL„a ram CL= PERCO=CN PERCOLATION Run Elapse Depth to Water Fran Water Level- NO. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drcp Inches Inches Inches 1 0 2 ? �eC ��r-� Lr o —s' 11•A) 1iX)Cloi� 3 MAP .04"A2 ems_ 4 ZY ` / ley D 7-1V4 fl rl.tli/�i 5 1 5 NG'I'FS: 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 measurenents to be made fran.top of hole. rev. 9/85 r • v - �• ■• 29 • : • DEPTH HOLE NO. 2' 31 5 Ec'oci� 6' 7' 8' 9'' 10' I1' 12' 13' HOLE NO. / /? HOLE NO.' 1 La Z_ ca •g � Shy cQ` ui/IGY� -- �r-s 6 ` 14' .INDICATE -LEVEL<AT- WHICH GROG -IS F.NvO(TNTERFJD _v._. .7 .. e _ _...: INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE -OBSERVATIONS MADE BY: � �d 1 /fY C O/t) /A/ DATE: --v DESI&N Soil Rate Used 0—_T--'-Min/l"- Drop: S.D. Usable Area Provided �00 f Sr No. of Bedrooms Septic Tank Capacity / 2. o o gals. Type C .v c,�r7'c Absorption Area Provided By 1j4 00 L.F. x 24" width trench Other V/, C ,fC e' Z %v " A O 3, F-( ce. �(o C C'i /° y� rqR F s Name LL /d},�I ZG a en_ Signatur Q2 Address 2 C ©,v co" SEAL THIS SPACE FOR USE BY HEALTH DEPARTMaNr ONLY: pR0FFSSf1011 �L r Soil Rate Approved sq.ft /gal. Checked by Date Q E' AFPLICAT?ON FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM '1 N` °2nd Ati'd'i-as's' of APp T i cant: ..3 2, NaTe of Project: fl-M-11—lea-A-vbv) A.� �•c�) ll.�'l!�'a1�� Location. T /V /C: ��,-r -M 14GL07 4. Project Engineer: lct,,W E, G?C6 -R 5. Address: Z' ca."ICty'. License Number: g2pV7 Phone: �v v Z4Y 6. Tvice . Project: Private /Residential .I.partments Office Building Food Service Commercial Institutional Mobile Home Park Realty Subdivision Other (specify) T. Is this project subject to State Environmental Quality Review (SEAR)? A110 Type Status (Check One.) Type I.. Exempt Type II. Unlisted 3-. Is a Craft Environmental Impact Statement (DEIS) required? ............. o ►. Has CE?S been completed and found acceptable by Lead Agency? ......... 1. Name cf Lead Agency • Is t:;is project in an area under the contrcl of local planning, zoning, or "et`:er officials, ordinances? ........... eS • If so, have plans been submitted to such authorities? es Has pre liminary approval been granted by such authorities? Cate Granted:_ • Type cf Sewage Disposal System Cischarge....., Surface Water j,-Ground Waters If s--!-face water discharge, what is the stream class designation ?........ Wate:-s index number (surface) ........... ............................... Is preiect located near a public water supply system? .................. If yes, naimia of water supply /)D Distance to water supply: ?5 f'C� =Ct site near vu�l S °'raQc i °C�lo'i o' c-- . DOSS «':: °�...... /1� Na:. c` se °;2ge system Date ctserved: Distance Lc sewage- s-Stem 23. Name of ?nspecto- Prciec: design flow (5allons per day) ...... ............................... ce0o 2. 5. Is State Pollutant Discharge Eliminaticn System (SPDES) Permit required ?.. v - :.- , 5. Has SPD�S Ap'pl'iczt fion" been' su Knitted to local DEC Of rice? :................I - . T. Is any portion of this project located within.a designated Town or State wetland? ..................... A,3 .7:..��L �A.�.. d.9:��................ WetlandID Number ........................ ............................... ?. Is Wetland Permit required? .......... ?:.5... °1� or GL�,5. ;��✓m ✓g aA � Has application been made to Town or Local DEC Office? .................. Jy ). Does project require a DEC Stream Disturbance Permit? ................... NO . Is or was,project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or ,} any other potential known source of contamination? ..............YES or NO /y o DESCRIBE: . Is there a local master -plan or file with the Town or Village? ........... leS . Are community water, sewer facilities planned to be developed within 15 years? Are any sewage disposal areas in excess of 15% slope? es' Tax Map ID Number ..........:........ ............................... ......:_:... �,.�� -- 1:.... 3. Approved Plans are to be returned to: ................ Applicant Y"*�'Enginee; the a.:olication is signed by a person other than the applicant shown in Item 1, the �lication must be accompanied by a Letter of Authorization. Failure to comply with this )vision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this for -in is true to the best of my knowledge and be 1 ief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210, 45 of the Pena 1 Law. :1ATUF. =S £ OPPICIA_ TIT! ES: ING ADDRESS. �5�, �- •�,S` r� ';rn—ol s• lfts 1y" iP�sra � 4I rt. Niter d B�ea�aT- 'P Sepunle Sdweeer systme to oons" 41 TO.11 o;ewg4�cbt1 Wahe Piia S11111pl a!l ✓ Sam 1 reprewnt1hat i sm'wh011Y: and e�10, daeribed ill be constructed as s. PIT1i�AeI OOt7NtY DEPA1l OF HEALTH DIebN� e[ HII W IN Igo Ss lem�. Gtrl. PI mi CEITHI[CATB OF COAMM ANCE . Pw�llt . it NL S�. • 32- s"' Moth o o Dime of Pmvb= Appiovd Town TIp ?ee Enclosedff Afnnnnt '360,60 Rim AQ above w County Department of Halth. and that on completion thereof a 'CertifJot* of, Construction ComPllencie' satisfactory to the Commissioner of'Meafthwill le . submitted to Ane Department; and a written, 4uannt90 will IW. fuinished the owner, his,sucoaso►s. MMs oramigns by the builder, that said bulkier will p1ac0 NI'g000 ,operatic» 'condition' any port of said sewage dispout system,durirq thrpaf00 of tyro (2) years imnNdletily'follOrrifg tlNOnt Of the flow arrca of the - approval of the Certificate �prcaed Phan and Cornoince of Ahi'orginal - system or any repairs theieto; Z) that tM d►ilhll wolf Wfo?.Ibed above will be located as share on.the that mid wolf will be installed in rdenp .with t andard '. rules and roguljMnit of the_ Putnam county rt of Nlealth. Date 5��� =. SigneA . ',Address � IP iUC.(J,,dI Liceite No fiy7: APPROVED FOR CONSTRUCTION: This approval axPWM two Yews from the date -issued unless: cAstfuction of. the building has been undertaken and is revocible for cause or may be amMlded or mn Med when considered necessary by the Commissioner of Neslth . Any charge Or alteration of construction reauhes a new permit. Approved for. disposal of domestic sanitary` -"me, and/or private- water supply :only. Rev. Title 10/88 Date BY m :.... 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 (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 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 May 28, 2002 Richard & Julie Caruana 98 Oscawana Heights Putnam Valley, NY 10579 Re: Addition- Caruana, Oscawana Heights No Increases in Number of Bedrooms (T)Putnam Valley, TM #52. -2 -32 Dear Mr. & Mrs.`Caruana: 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 form this Department dated May 28, 2002 . The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four 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. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke Public Health Technician ML /lm cc:BI Public Health Director Associate Public Health Director Director of Patient Services DEPARTMENT OF - HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-61 1 30 Fax (845) 278 - 7921 Nursing Services (845) 278.6558 WIC (845) 278 - 6678 Fax (845) 278-1 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLY) o s ,a w u � N` � STREET %g � �- 1 TOWN -?" V;4- I b ?TX MAP# v�2 • r 33 -2, - NAME R tcN�tt�t PHONE yS"z8/ 7< 7 PCHD# g .. I'6 a2 C t4 a u. 14 tj to MAILING ADDRESS DESCRIPTION OF ADDITION 13-f-� R v v A-ef NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF.BEDROOMS L/ (FROM CERM OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of :plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00. . 2. Sketches of existing floor plan (drawn to scale, all living area including basement) *Non - professional sketches 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 Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb98 Whouseguidelines BRc,'CE, R- • - -- FOLEY" 1ORkTTA � iOLINA� RN., M.S.N. Public Health Director � � - Associate Public Health Director Y Director of Patient Services DEPARTMENT OF HEALTH I 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 (845) 278 - 6014 Preschool (845) 278 -6082. Fax (845) 218 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: t— Residence Tax Map Town y o•+� -1% Gentlemen: According to records maintained by the Town, the above noted dwelling IS d IS NOT in compliance with Town code and the total. number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD:: OTHER L Building Inspector BFhouseguidelines PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Envteve rental Heap Se;ndc y Carmel, N.Y. 10512 Freer Mast Provide �D�r J':4 P.C.H.D. Permit 11 .I tINT91CATE OF'CONSnUCnO.N-COM PLLC4CE -FOR SEWAGE•DL Owner /applicant Name Meatus Address ZIP / 4 S"? .t' :..Pw. Town or Village rf�. Tai Map ?J-- Block Lot r Subdivision Name QS G f k),4 ,(1A wix /m Subdv. Lot # Fee Enclosed Amount 2,j20.()0 Date Permit Issued ? , �1 ,4411 ti 2 1 /C. Ad a ��Separate Sewerage System built by J � Consisting of r C —Gallon ou Sc p tl c Tack and / 0 0 L r .)r 7Z(/ ..n 1-j N7 iii Water Supply: Public Supply From /� Address or: Private Supply DdHed by /'' •"C A-1 7X _ [/U �RS11i4/Addrem 12 V 6 , Bu dig I/,�,(: ri Lot Size�2 C Has Erosion Cant rn1 RPPn Cnml 1 Pt Pr19 Number of me Han Garbage Grinder Been Installed? / �' 7- / Otber Requlremen t 1 L . % %- I certify that the system m s) ae listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulatio s, 1 ,accordance vith,rhe filed i)lan, and the permit issued by the Putnam County Do tmeZ Of Health. � r .,..� -J � � , r4,.;• � Date Csrtifted by r . P.E. R.A. Address License No. Any person occupying premises served by the above system(%) 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 sewerage system shall be come null and void as soon as a pubt;: sanitary rawer 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 moll }katbn or change when, in the Judgment of the Commissioner of MMltp such revocation, modification or change Is necessary. 3/89 Oata By `'� Title WEIGHT PER FOOT _ __ lb./ft. DRIVE SHOE ❑ YES O -NO LINER: ❑ YES LO.NO SCREEN _....._. DETAILS" DIAMETER (in) 'SLOT SIZE LENGTH (It) DEPTH TO SCREEN (lit) DEVELOPED? FIRST .:. __._._ _ ...�. _ - - __._ - ❑YES.._ ❑NO._.... HOURS SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK- in. TOP DEPTH -tt. BOTTOM DEPTH WELL YIELD TEST It detailed pumping METHOD: ❑ PUMPED l tests were done is in- O- COMPRESSED AIR , formation attached? O BAILED ❑OTHER ❑YES ❑ NO I�IELL LOG "it more detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE water Bea(. 'n9 Well O'a- neter FORMATION DESCRIPTION OOE It. lit• WELL DEPTH It. DURATION hr. min. DRAWOOWN It. YIELD 9Cm- Sutlace - r� 64 t' WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? O YES ❑ NO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE CAPACITY MAKER '" ' ' ' �' S \ DEPTH •5 L` MODEL VOLTAGE c 3c� HP r WELL DRILLER NAME q r DATE ADDRESS !' SIGiffMRE V CJ Ed Vreeland — Assessor Lenore Herbert — Deputy May 9, 2002 TOWN OF PUTNAM VALLEY To whom it may concern, Phone : 845 -526 -2517 Fax-: 845 -526 -1077 Upon inspection of the property at 98 Oscawana Heights Road (tax map #,52.-2 -32) the following errors are to be corrected. The PRC (property record card) shows 6 bedrooms when in actuality there are 4 bedrooms. There- is a heated 30 X 8' lap pool in the cellar which does not appear on the card. The area over the garage is finished and contains 3 rooms (bedroom, living room,full bathroom). The-- inspection was done Thursday, May 9, 2002 with Mr.- Caruana present. Sincerely, I . IRC/ Ed Vreeland .Sole Assessor Office of the Assessor C 265 Oscawana Lake Rd. Putnam Valley, NY 10579 r�� 6) executed the foregoing instrument, and acknowledged that execut,_-d the for I the sarow, they executed s, Cit C tl( I&I.t.07 OCCWANCY wlig illiumfics", ­_ 14 *V .................. buia rel G7 Ji T !A7, CZR11#nF1CA'M OCCUPA Certificifte of oc� - OF NCY One F. Locau UPancy No.. 94..°2 MI 1YINO Deck On of 'Pie .Application : - . ........93-512 R' ftuw ...... 98 OS NO. ard Cartiana R . ............................ ........ . . . .......... ore fil .................. 1 '§4 ... 7 an tqew Code., %Plication . ......... ...... 9nd thee' for,&...b .......... .. 1n whdin­ -"-:' ................. 7�. t-bhq 'Paid the offw the. 'an I..a e a ph cant . -f rbilt.-pu ........ ....... ke., N. y _xe p0ed Town _nuant ba: " therefor � . of. PU .......... IP pant. - and . taini 'Vane - e Zonj4 .. ..... '. . ha�iN hire SUbse ' e 'Undersigned - 0 • race, que Putnam Co -CO� Count 4nffaq nPUance with AtJY Proceede h8vlag b) - Y, New and n1ater'14 the re . d with the erecti Y persoW York, qUiremew, of Inspection Ving wet j�pry - -the laws ft or LseerWaed.. tha Or the t -ernentioned RNPOsed stm therefore, this e=l �ted and are read' linproverdent Of t th SW now been P�Hy com I requitiment . Of the, ja wS as af And � C_ VaHey uj� ftk Of rerfient'Ofted and the e d - work -day of Cy 9 or _6�cftj�wcy Pw-8U"t to the Pft- Mises have Not .......... Ate hereby 18sUQ Under the seal of US of W. NOW, UWOU :MROAX. 18 Slaed 'a 'nk bY a dujy authorjUd ....... TO of of and under W11 the SW Of the To*n Putnam Of. Putnam 10ey.. AWN OF P IIALLgy, ]BY Fire Underwri ters Certif. th �% //1 &`%ard Of Hea Font.; APprovai 119S APPrOved As Built V/ Received & ROundation APproved AP Pr. pr. v'Plumbing APPrOved 101y __—plurnbing Well a o � Certificate of Occupancy No ............9....5...-2 ... 3 -Application No.... 4. °43.. .......... wana 4 Location of Premises ..9.8 ... Osca ................. ... Road - Ttj#52.-"-32 .......................................... I ...................................... Richard Caruana . ........... Jefferson Valle EN-.Y.having ..................... w .................................... of 6N ............. I .............................................. x ... ....... heretofore filed an application for,a building permit pursuant to -the Zoniiij Ordinance, Sanitary Code and the Laws in .effect in the Town. of Putnam Valley, Putnam County, New York, having paid the required fee. therefor and the undersigned having by personal inspection ascertained that the applicant has subsequently proceeded with:the erection or improvement of the proposed struc- ture in compliance with" the requirements of the laws as aforementioned and that the said. work and materials met every requirement of the laws as aforementioned and that the premises have now been fully completed and are ready for occupancy pursuant to the provisions_ of law, Now, therefore, this certificate, of occupancy is hereby issued under the seal of the . Town of Putnam Y .1'4 1 alley this ....... . ...... day or ......Decemb r ................ : ............... 9S ... Not valid unless signed in ink by a duly authorized I agent - ItOWN''OU of and under- seal, -of- the - To.voti - ol' Putnam Valley. • By Well Penlit $---- TOTAL Rev. 1/85 BZS $ ej $ Q I- PCBOH, Apprcval ------------------ planning Board-------- a c� PUTNAM COUNTY DEPARTMENT OF HEALTH HODS 'PLA�S "PPRi)VED fOR. BEDROOM COUNT ONLY; BEDROOMS Si nature 8 Title r Me C', Ja fz "114-940 $A- X Ile 70 D c w t 'WV NNtrI• rN 7, -0' 7, -0• A 0A���� 2x6 2x6 \ > a Z.ar 1.1 T N WNK zoSN1 5-8' S, -6,; 9 O N NNE I N 3Ny� N yy N fN ob �1 �L�� W �ppppuN I I O Nm 9 V296 0 w III w ' m III o 4 III 12, -ir , p m m a q ------ �b�^ Y ac• ENe mr o 4' -5' 24n X, a. P II nC . tl�p d III g y� v Ag y''� 1L rA ct Er K S E y PAN � s ❑a ; � � b 2 .: -. 0' 2=0' 4-9. I /2' ai @ - - - -- ro Ln Na � �0 O Z °N � Z u r=Z C b W 25 4, DRAWINGS HAVE BEEN EXTRACTED FROM PREVIOUS RIIRDRAWING AND HAVE NOT BEEN MODFEDIN ANY 7 MANNER. aa0, APPLICATION #01279 o C APPROVAL NO. DATE OF APPROVAL 0497 AUG 20, 1992 � i , ' ' NQ�NEEf �D o rN J 0 r i 0 �p mNml sI f mm g rna w £ lCb. Z 2Np N O UUCP,! Nor, A 7yp�2 � �iA 1 O m N MAO .. ,V t ryx W i'° m 3' 9''4 1/2' N '� CLO g 0 8'-6 1/2' IY N u 4'_3' CLO �N - i f� 8 8 W f 3 -1• , 9'_3 1/2 A NSO f� 1B tAp v td N \ ry .+� 0 m O Y� j, AMPSCALO c N 4 • � F` r VANE r �9� ^� �O Kiga 0 0 �10 -14 91 • ��6d-- lT<bbb —� pp us vA � 1 ..SI,Z O �1 1 N �Wp jpO. . P r4 M H v .27 tat6 _ L ✓; a a. SLOE _ O - I • 19 I/` Il M.11 • +, ro H P F zz \ I LQg ` N L ��1J FS N E m ' rn L. y N i ry nry<- N❑ R :7 mly' C 6. ; Z N z 0 -1 y O d Z W a.-O. VIJO rq 31 ol VSO 1. 2x6 z 7O y v THESE DRAWINGS HAVE: E 1 m o . �. FROM PREVIOUS APPROVED DHCRTDRAWING is ry a AND HAVE NOT.BEEN MODIFIED ANY �. a0� 0/7 °o. o vZi n MANNER. - v 29 yip 90 z o APPLICATION #01279 r " m d APPROVAL N0.' DATE OF APPROVAL o 0497 AUG. 20, 1992 I 0 ar -E S @ @� SA •'� w.. F ,� Putnam County Department of Health . °may 4r °, AVG. Division of Environmental Health SerPioee t a� ` ��/ �, ADproved ae noted Por oonPormanoe vi a app li le Rulea and Regulations of the h Co Health Departm o en . h- l Q N s @per Signature d, Title to In F _ •8 So' z. q9 v — --� °,. — ail o•. ��'• '/ � • o^O�• �O °. \' ' \ W• (.'K/•' *AI L/ON ,I'.I OTC I OOH! ' °04 \�',; � "•' -T / 6 �_4• ' •gam ; �._ i w � r .,.. As- /emu /cr �5 „ < /�.✓s�.o,rrs w w ;' +,, /2 0/9y V..gL� ”' BR3°.. 77 0 i >• p �. 3. 73.0 _ 73.0 w ! r , ? 7 3.5/ 7 73 3" Sg o' 79, rl l 72-0. +P / 0 ��B I3 20 MnY SEAT MM =AGE DSS T 2 +' ' • � T � ` SO- YM- COM52R JCTM.AS MICAT£It OE THIS PO 8Y AND T ? y +si / 6S'z0o•.Lv 38B' sxm P'AS Tusm.TED BY ME BEFORE IM OUR Teti ,.. "13:d ,.,.5 C9DtTRVCT£D in A AliCa / *M ATZ THE !;xD R.EG=TiOHS OB 1f PREPARED FOR N. / . (c lnL ffR QD LEA x A 0 (c H' A 0:8 SITUATE IN THE c TOWN OF PUTNAM VALLEY i h. HCi /�� Off• °° ��o. %pc ./ 00 PUTNAM COUNTY L u P d 0 IVEW 'Y'ORK \(< •mss' h SCALE Ae- _ - :^� 5 _ "E�, 'LP. m�m� ' V c fr '?b. � ®.�.. 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