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52. -2 -34
BOX 22
'
., ,
PUTNAM COUNTY DEPARTMENT OF HEALTH
Dh Idsm of Envlroomentd HeaNh Servlove, Carmel, N.Y. 10512 .
Mumma' W PV -88 Addition
P.C.H.D. Permit 0
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM T . Putnam .Val 1'e
Old TMY5 -1 -4 ,Town er VilbW
,.. Iaeated d Oscawana Heights Road Tax Map 52 . 1 2 Lot 34
Joseph & Lauri Mar
Oar /applhan! Name Formed
M.lung Addrtes
Sabilhielon V a 11 ay NY
Oscawana Heights Rd., Putnam 1n57A Name ,.
Silbdv: Lot #
Fee Enclosed O Amount Date Permit•Issued 10/12/88
Separate Sewerage System bulk by Owner pddrm name a s ahove
Conslating of 1250 Gallon Sepac Tank and x 24" w. x 18" Deep Laterals
f
t1 nAlO
Water Supply: Public Supply From Address
on X Private Supply Drilled by Norman Anderson, J.rAgdnrwBergen St. , Putnam Valley, N.Y.
BuildlugType Frame Lot Size 31 ± Acrdias Erosion Cnntrnl RPPrl CmmplPtPd? As required
Number of Bedrooms Four Hue Garbage Grinder Been Installed! No
Otber RegWmmmta None
t certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached). and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the
Putnam County Department Of Health.
Date 4 June 1992 Certified by v �L-b r� t P.E. _ A.A.
Address RD9 -Fair St., Cattrel.- N.Y. 10512 t.IcenseNo. 29206
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* sewerage system shall become null and void as sown as a pubt;: sanitary sewer becomes
avallibbi and the approval of the private water supply shall become null a vo when a public water supply becomes available. Such approvals are
subject to modifi t)o OF change when, in the Judgment of the CO of Meath, su revocation, modification or change Is nacesgry.
3/89 ate �Z _ ev 'G'� Title A?%K
PUrNAM COUNTY DEPARTMENT OF fiEAL111
DIVISION OF EIIVIR0NMEp1TAL HEALTH SERVICES
Joseph & Lauri Martone New 52. -2 -34 Old 35 -1 -4_11
Owner or Purchaser of Building Section Block Lot
Owner
Building Constructed by
Oscawana Heights Road
Location - Street
T. Putnam Valley
0=1cipallty
Frame
Building Type.
Subdivision Name
Subdivision Lot #
GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM
I represent that I am wholly and completely responsible for the location,
workmanship, material, construction and drainage of the•sewage disposal system
serving the above described property, and that it has been constructed as shown on
the approved plan or approved amendment thereto, and in accordance with the
standards, rules and regulations of the Putnam County Department of Health, and
hereby guarantee to the owner, his successors, heirs or assigns, to place in good
operating condition'any part of said system constructed by me which fails to
operate for a period of two years immediately following the date of approval of the
"Certificate __of Construction Compliance for the sewage disposal system, or any
repairs made by'ine to 'such :system, except -where the failure to operate - to erly izs
caused by the willful or negligent act of the occupant of the building gt4lizipg
the system.
The undersigned further agrees to' accept as conclusive the determination of
the Director' of .the Division of Environmental Health Seirvices of the• Putna,ia 'County
Department of Health as to whether or not the failure of the system t_n
caused by the willful or negligent act of ::: the occupant of the building
the system. s
Dated this 4 day of June 191_; Signa . e
y
Ti e
.1
'�- Gen a n or er) - Siffnature
Corporation Name (if Carp.)
1 .•
Corporation Name (if Corp.)
Oscawana Heights Road, Putnam Valley, NY', 10579
Address E
r
rev. 9/85
Oscawana
PAdress Putnam Valley, W.Y. 10579
i
2a �� "A� BU+ L DATA ,
Structure located trom 'survey by surveyor.' noted bel9w29_
'•tl�. ! t,. 5 -1,`.
Well located,' -.by; S0tVeynrs surv8-y- -
+ oar 2g. 3S-0 r:. well artilers report
- -
Enpino9rs m'esur'emsnt. ^s,� ,. ._...`
i'. Tank; bazea,.plta gatlartes $.lateral's rotated by ContFoctar:
L46 Enp
a }}
eYd inspection b NEBOtth'
4 a nginenrp +® dafn-
1 Ft� y
CAPPc3 u?GI�P'Sr 'iE '� - ,1, i3 ,`c t i � tl r l,h< •�aa (se '
tspn ii Spat r1 wi�,s nr.:,trucr d 1;5
. �''/ '•. �. ..NOTE$; .tliis., }ila,r grid th-c the
was t: <.d liY n' before i.t e
y�_V W� /•. - \ k
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.. i •\ ,.. �..` t ..� - -'tee... -
co)AL ritrLe.d .f, icci, tncc with all
, \ c.- - •mdird an d ieJularions of
idg.
L , 0ta
U ,71 t�'1 t�"r l o �S I•'
y �. Q� :� / /2� ��, • E QpefESSgNgt
,, � � a / Q•V :dviErU.l' � ,.,, i,t s ..l��j --
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u � _ i - f) / ° F '-', grr :4_ - 8 - �._ ?Lk�� 7j •p, yo• Z91p6 d4�,' _ 1
it
` Mz-Aoo�_ 1 ,U G' '}r 41x 8 - :G a_: cQir - J Hof rxf srASE�r
r8r t fir AIL / f� H e_t a. _
} �� �'` V „ A a" 8 - � _�
W.
CLIENT �fT?
.R SYSTEM it tr J
s AlG �:.
' �..
ow
v CATION' Stre¢7 0 �Q
n/%/i11L1��ountY State':
C
Block.,-. L M - LOT N2 � � —
i
Budder: _ !2j
Patnam County Department of Hen , o
�ltion of Envirbnmsntal Health �� \ k �fi� Surveyor:. � !gy -
/ l�
Drawn: t), �_ Date: Sc W/e ,- � �} b NV.
LYDd° G -4- / —5 0 2 7
Ppro9ed as noted for ooniormanoe ri� e
M114sbAe Rules and Regulations of the
a:
is
•• i
PUTNAM; COUNTY. DEPARTMENT OF HEALTH
Division of Euvlrommental Heeltb Se view. Caemel..N.Y 1031? to Provide; Permit 4 -. .
on CERTQ+ICATE OF COMPLIAN
1 Permit b, —
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
T Putnam Valley'
Located at Oscawana Heights Road _ Town or Village Subdivision-Name - - : Y„ Sabd Let N _ Tai Map 3 S Block
Renewal_ ❑ Revision p S . O . 2475
owoer/APPu mt Name 'Joseph & Lauri Martone
Date of Previous Approval
.,dam Oscawana Heights Rd. Tow, Putnam Valley,` NY ZIP 10579.
Handing Type . Frame 31± Acres See-don Wirth Yobtme
Lot Area ,Fill Setlori NO "
Numb of Bedrooms Four Design Flow G P D 800 PCHD NoNticsidon is Required When Fill to completed.
Separate Sewerage, System to consist of 1250 Wed Septic Tank and 666'x24" w x 18" Deep laterals ( 333' new -333' existi
To be cos>annocted by Owner Address Above
>z
water Supply: Pttbiic Supply From 1A
X Norman Anderson Bergen St. Putnam Valle NY
or: Private Supply Drilled by _Address g y 10579 (Exist i
Other Reguiremenb None
Its that f am wholly and completely responsible for.the design and location of the proposed system(s); l) that the separate sewage disposal system
above described will 6e constructed as showmon the aDDroyed amendmont there to and in accordance with the standards, rules an regu a ions 07 e u nam
County Department of. Health, and that on completion thereof a "Certificate of Construction Compliance' satisfactory to the Commisaioner'of Healthwill
be submitted to the Oepartment,, and a written`: guarantee will be furnished the owner, his successors, heirs oi` 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-
anee of the approval of the Certo-ficate. 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 app►oved.plan and that said well will be Installed in accordance ith the andards, rules and regu s— sTrons oof . the Putnam
County Department of Health. r
Date 12 October:-1.9,88 Signed i P.E. -X--. R.A.
Address RD9 7Fair :St. ,. Car NY 10512. License No" 29206
APPROVED FOR CONSTRUCT,IOW.This app ►oval expires.two years fro he d iss unless constr n .of the building has been undertaken and is
revocable for cause .may b Kamen Or,modifiad whO6 considered nec 'ry the SO e► o Ith. ny. change O alteration of construction
requires a new Der -A pr. O► dispose) of domestic sanitary' a • end /O i e P y Iy.
a Title
87 Date By
PETER C. ALEXANDERSON
County Executive
Public Health Director
JOHN .SIMMONS, M.D.
Deputy. Commissioner
JOHN KARELL Jr. P.E.
DEPARTMENT OF HEALTH Director
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225-0310
September 8, 1988
Mr. John H. Prentiss
RD #9, Fair Street
Carmel, New York 10512
Re: Proposed Addition - Martone
Oscawana Heights Road
(T) Putnam Valley
TM# 35 -1 -4.11
Dear Mr'. Prentiss:
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:
The proposed house with addition shows an office, exericse room, family room and library
in addition to four bedrooms.
It is "the decision' 'o' f", this" I7ep`attitetit tha`'t this -proposed add-it-ion, should -be -cons idese,d
as a six bedroom house, not four.
Upon receipt of a submission, revised to reflect the above comments, this application
will be considered further.
Very truly yours,
r,
Lawrence C. Werper
Assistant Public Health Engineer
LCW:jz
PUTNAM COUNTY DEPARTMENT OF HEALTH
UIVISION- =O - ENVIROti'fMEN3'AL-- HE -ALTH- SERVICES-
Date 2 September 1988
Re:" Property of Lauri & Joseph Martone
Located at Oscawana Heights Road
(T) Putnam Valley Section .35 Block 1 Lot 4.11
Subdivision of
Subdv. Lot #
Gentlemen:
Filed Map # Date
This letter is to authorize John H. Prentiss
a duly licensed professional engineer X or registered architect
(Indicate
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
- - cconn-e-c-i -on- with -'thi-s- -matter =and -.ta s-upervise• -the -construction o.f..s'aid =
system or systems in conformity with the provisions of Article 145 or
147, Education Lai
terry Code.
V�
s,
Coun ersigned:
R. A. , #
� ' lic Health.Law, and the Putnam County Sani-
i @ESSI�,ygE �.�.
j, Very truly yours,
THE STPtti
Address JOHN H. PRENTISS, P.E.
R09 FAIR ST 914- 878 -6170
CARMEL, NEW YORK 10512
Telephone
Signed-"' CQ.Ln,J
Owner of Property
Oscawana Heights Road,
Address
Putnam Valley, NY 10579
Town
914 - 528 -6686
Telephone
.