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HomeMy WebLinkAbout2887DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.13 -2 -8 BOX 24 .. I 1 ' 4L1.6 ly ` 1 'L �� ' � PI I ALLEN BFALS, KIL, J.D. Con®issionerofHmbh ROBERT MORRIS, P.E. DirecturofHeatth May 9, 2013 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Telephone: (845) 80&1390; Fax: (845) 279-7921 Blanck - Greenfield 110 West Shore Road Putnam Valley, NY 10579 Re: Addition — A -04413 No Increase in Number of Bedrooms 110 West Shore Road (T) Putnam Valley, T.M. 62.13 -2 -8 To whom it may concern: MARYELLEN OD&Z Coa*Eucafive This Department has 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 May 9, 2013. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. -. ._ . _ _ -- r'l f xiuite must be updated with wafer, s- a- v- i* n, g devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc ... 4. The approval is for the modifications only and does not validate any construction shown as existing that has not obtained proper approvals from other agencies having jurisdiction. 5. This approval is valid for two (2) years and expires on May 9, 2015. Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the responsibility of the applicant. If you have any questions, please contact me at (845) 808 -1390 ext. 43261. Respectfully, Gene D. Reed Senior Engineering Aide GDR:cw cc: BI (T) Putnam Valley r z ALLEN BEALS, M.D., J.D. ROBERT MORRIS, P.E. Director of Environmental Health DEPARTMENT � . I M 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 MARYELLEN ODELL -000?r); Execu4ve _ .. ADDITION-APPLICATION RESIDENTIAL ONLY 4re0 STREET I WQSt 5,JAV e Ed . TOWN AX MAP - .3cm��e�e � /? max, � ,Z�are4 NAME s I(,�ncx-' G"Or -6d PHONE &4 PCHD# MAILING C SQ�1oa11 'fD�� `�✓ ADDRESS Shams. )fC� . "? ykJN&J , VCJ. J t..l QOZ DESCRIPTION OF ADDITIONrl— ��'(1.�"I�S(1 *NUMBER OF EXISTING BEDROOMS A_ NUMBER OF PROPOSED NEW BEDROOMS _ * (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County San: tnry _Code .. J Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 808 -1390. 1. Certified check or money order for $100.00. a 2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be shown and dimensioned and use of each room specified). (See Section 3.c-of Bulletin HA -1) 3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non - professional sketches axe acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey showing all well and septic locations on the subject property to the best of your knowledge. Include date of installation known. Contact this office1with any questions. 5. Copy of Certificate of Occupancy from the Town or Certification from the i3uilding Department with legal bedroom count of dwelling. ; OFFICE USE COMMENTS GLGGe SS (-S -1-e' /A 4. e_c_k 4ek„�_ ALLEN BEALS, M.D., J.D. Commissioner of Health :.... ROBE>F?T_ M0RRTS. prE, Director of Environmental Healthy dw DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Town Legal Bedroom Count & Proposed Addition Status Re: GREE14FIEL•D- SANDERS (Owner's Name) Tax Map # 62.13-.2-8 Address: Town: 110 West Shore Drive Putnam Valley Year Built: 1923 According to records maintained by the Town, the above noted dwelling, is xx in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: 2 This information has been obtained from: Certificate of Occupancy: CO #2013 -13- addition /alteration (building permit 2007 -13,0 Other: The plans for the proposed addition are considered: xx Addition to existing house only Teardown and/or re -build allowed under Town Regulations B g Inspector. -John H . Landi Date 5. MARYELLEN ODELL County Executive TOIVIM- OF- PUTINAIN-1 VALLEY OFFICE OF BUILDING & ZONING 265 Oscawana Lake Road Putnam Valley, NY 10579 CERTIFICATE OF OCCUPANCY Certificate No: 2013=13 Permit Noj 2007 -130 Tag Map No: 62.13 -2 -8 Location: 110 West Shore Dr Parcel Owner: Greenfield - Sanders Isca 110. West :Shore Dr Putnam; Valley NY 10579. Date of Issue: 1/9/2013 The applicant having heret9t r,0 filed 0- n application for a building permit pursuant to the Town Code, Sanitary Code, the Uniform $uildmg &;F�re Code and the Laws in, effect m tl a TOWN OF MLK ,:7AM VALLEY, Putnam County, NY, llavulg paid the egwred fee- therefor and the undersigned having by personal inspection ascertained that improvement of the prpposd structure is m compliance with the, requuemenfs of the laws as aforementioned; that the said work aid Xnafals meet eery requueruent of;the laws as aforementioned; and that the premises have now been fully?crompleted and are ready for occupancy pursuant to the provisions of law. Now, therefore, the Ceriif cate,of Cpinpliance is hereby issued..under the seal of the TOWN OF PUTNAM VALLEY. TOWN..OF PUTNAM VALLEY BY _ Code Enforcement O cer o: o o .o 1 KITCHEN M I LIVING 3' -0" x 3' -0" x N 1. ROOM 1' -6" CONCRETE N FOOTING 1 f -Off X1 f -Off CONCRETE PIER A. 1 3 )�" 0 COLUMN 6 L WITH 10" X 10" X i� x r 0 3Y4" BEARING PLATEN F ri ri 1 — N 7f_2" L w LINE OF EX. �I I ROOF OVER ENTRY 1 m BATH x N DINING f I 1111111�" 0 11' -1o" RENOVATION OF HO( WITHIN EXISTING FO( WITH AN ADDITION C FOAM INSULATION 01 OUTSIDE FACE OF T o I CL to to 1 � � x A A :r N MASTER MASTER M N BEDROOM � BATH 1 3t 0 io I w'^ Y EX. ROOF OVER ENTRY 70-6" i� ■ .t,11 ■ II�� Ti CIE. NEW WOOD RAIL ami' . ■�1� 1 x T-0 RENOVATION OF HOUSE #� W. 1. C. EXISTING FOOTPRINT " FOAM ON THE OUTSIDE FACE 01 EXISTING WOOD WOOD' STUDS.' FLOOR AREA INSIDE WALL' AAIAII IC CTAID nDCAllnit% _ i 6' -.0" 3' -0" 15' -4" t 4W X 4' -T I JW X 4' -7° '-0` X 4' -77 R o I CL to to 1 � � x A A :r N MASTER MASTER M N BEDROOM � BATH 1 3t 0 io I w'^ Y EX. ROOF OVER ENTRY 70-6" i� ■ .t,11 ■ II�� Ti CIE. NEW WOOD RAIL ami' . ■�1� 1 x T-0 RENOVATION OF HOUSE #� W. 1. C. EXISTING FOOTPRINT " FOAM ON THE OUTSIDE FACE 01 EXISTING WOOD WOOD' STUDS.' FLOOR AREA INSIDE WALL' AAIAII IC CTAID nDCAllnit% _ System to consist f epti Separate Sewerage 0 14CL gd1lon septic tank and '20,:> Other Requirements: .Q. Q* r-IL T�IL iZA. c4c' j o,4 AA S To be constructed by AD-4 6�- 64D -,4�\ Address 64 Rm4m Water Sup"I Public Supply From Address dr Ad ess q.P b 10 ). . 49 I represent that I am wholly and comoletely'riesponsible for the.desipand location ofthe.pro osed system(s) and that the seo=sm&p'treatment system described above will be constru6ted:as shown on the approved amendment thereto and in accordance with the standards;_ rules and re ulatioris of the Putnam C6.ti 9 nty Department of Health, and ,.that on compltion thereof "Cdrtificatt of Constnictiot! Compliance" nti. . sfactory to the Public" Health Director will he submitted to the Department, and a written guarantee will be futnisihod the owner, his '.successors; ,heirs or assigns by the builder; tliat.said. builderwill place in good operating condition any part of said sewage treatment system during the period of two (2) years immediately Hlow,ingthedate of the issuance of the approval of the t6ttifiqitp of Co* nstruction Compliance of the original Al system or any repairs thereto. P.E. 3 Signed R:A. Date 6c c;'(1 01 Address b'Akk L104-15ou au C. S?2j4t(_T1;1 1Q lC� License#. V APPROVER FOR CONSTRUCTION: This approval expires two years from the date issued unlesstonstraction ofthe. sewage- treatment system has been complet6d and inspected by the'PCHD and is revocable t6i cause or may be.-amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan r*equires anew penpit.- Approved for discharge of domestic sanitary sewage only. By: Title:- '//'J� �-6- - Date - White copy.-n:HD File; ie_11`oW­c&l�j- Building Inspector; Pink copy - Owner; Orange copy - Design Proifessional Form CP-97 0"pri Snyder '60RM).gif Palmerston uT Z, 4, --2- 2 A R! I DA W-9, Monday, May gl, 2007 12:42:01 :r 'of +14EII 111) ff-f f ff T OR U) m ;> C) c) -7 S s U.4 3' u 0 RENOVATION OF HOUSE 6 = BATH 0 WTI`HfN EXISTING FOOTPRINT lj� 1-04 Root C:) WITH AM ADDITION OF Z, c, C) OVER ENTRY FOMA INSULATION ON THE 1=3 OUTSIDE FACE OF WC Z O O EMSTIM WOW SILOS U,1 2 FLCCR JAM. INSIDE 1 cc :r SECOND FLOOR MAN WALts - 726 SF in - CC ....... Lu 0 cl- LLJ Lu rc,) .................__.._ r...._......_..,..__._.._...... Lu CIS cr —.5 in PIERS WNLIUM q' -0* DEU uj AND SEARING ON CO UNDIISTUROED SOIL [TOP.) LLJ 0, X V-6' CONCREIC ROOM CONCRETE PIER L {jai I 4 it 3 cou),%IN ONE of 07If 10, x to' X, NEW WOOL);, R', SCARING Flj.kt(�� PORCH I kwvf x UP L 01 LM 0Alb RENUvATION Of n0u5C. IS Mor OvF w*!4M Exisfillrl 5,01OTPIMMi WrTH UN ADDITION -,IF !- OF FOAM INSULATION ON rHE OUTSIDE FACE Of rK EXIISM97 w0ou sruOs FLOOR NREA INSIDE WALLS - 726 517 .-A FiRS, FLOOR Pt.-AN SALE: YV - 1 3' PUTNAM COUNTY DEPARTMENT OF HEALTH A. ' ' RVj 11 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # A - I CM — CZ-' Located at Town or Village T.LJAAA \J*-kZ`( Owner /Applicant Name t�CA 6!rU4 ` JP)&0-- ac'sTax Map &Z- 1 J Block Z Lot Formerly 44- Subdivision Name Subd. Lot # mA Mailing Address 11D `' 5AN-N -- � Zip Date Construction Permit Issued by PCHD r 3 t Separate Sewerage System built by 17ZMA Z 4440" Address AM VAUZY OUy Consisting of I , CC�3 Gallon Septic Tank and 1, Cam- P i �'W kc -'ate ' C* OT Z,4 � i J 13E A>S53eP' L-4 f t % atfa) Other Requirements: 1W,Rt> T-1 LL A033 -V6JAZ -- AtA4ZA F&C �U MO Water Suaoly: Public Supply From. Address or: _ Private Supply Drilled by c�`' `��� Address 7yp V.Z ,co -x -Ibsen coi pl *::_ ... Number of Bedrooms 2- Has garbage grinder been installed? '"b 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 standards, rules and regulations of the Putn pf oun Department of Health. Date: h 31 Certified by P.E. R.A. esi n rofessional Address � '�` vi — 4" � , 1J'� License # CLOZ565 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 revocation nor change is necessary. By: Title: �� �� Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 .13AD Z ­Surveying &'Engineering, P.C. 3063 Route 9, Cold Spring, New York 10516 Date: 17 Dec 2007 foe Joseph S. Paravti, Jr. Assitant Public Health Engineer Putnam County Department of Health I Geneva Road - lBrewster, N Y10509 We are sending: copies date F-11 107-Dec-07 71 ® 131- Oct -07 F-31 131- Oct -07 F-41 131-Oct-07 F-1 I UPS-3 DAY F-1 I F-1 F-1 ❑ F-1 F-1 1 REMARKS: Copies to: File description of document File No. 83-125 W. O. # 18576 RE: Certificate of Construction Compliance GREENFIELD-SANDERS 110 WEST SHORE DRIVE OSCAWANA LAKE PARK ESTA Subd. Lot No. 5 & PO 4 Tax Map 62.13-2-8 Permit/Title/PO # Sent via: US MAIL E] UPS-NIGHT L) MESSENGER ❑ UPS-2 DAY ❑ PICK-UP ❑ UPS-3 DAY FAX ❑ UPS-GRND UPS-COD F-1 lCertificate of Construction Compliance for Sewer Treatment System IGuafantee of Subsurface Sewage Treatment System F E� _R01) $sT "As- Built" (SA18576 Yours truly: Jason R. Snyder Tel: (845) 265-9217 ext 13 Fax: (845) 265-4428 Email: jsnyder@badey-watson.com 40 40-05 506194 631046 34239 PUTNAM COUNTY DEPARTMENT OF HEALTH Dn7TSI0 .��►- F ESN- IRONM.W_,NT:A,,L : GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Isca Greenfield- Sanders 62.13 2 8 Owner or Purchaser of Building Tax Map Block Lot ATD Contracting, Inc. Building Constructed by 110 West Shore Drive Location- Street Residential (T) Putnam Valley TownNfflage n/a Subdivision Name Building Type Subdivision Lot # n/a 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 operate properly is caused by the willful or negligent act of the occupant of the building utilizing the 87Nell�. _.._. .: _ ..._._ .....___.. ___..._ _.._.__.�....._.._.. 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: Mo th 10 Day '31 Year 07 Signature: ;Ak _ t Title: Septic Installer General Contracto owner) - Signature AID Contracting, Rw.- Corporation Name (' bM , Address: 4 5 M6A_ State] Zip ►3 Roger Heady Corporation Name (if corporation) Address: $5 State y_Zip/ Form GS -97 PUTNAM COUNTY DEPARTMENT OF HEALTH D1 � � N O - � � A!MIE A - 4ALTII SE:P�TTrES::. GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Isca Greenfield- Sanders Owner or Purchaser of Building ATD Contracting, Inc. Building Constructed by 110 West Shore Drive Location - Street Residential 62.13 2 S Tax Map Block Lot (T) Putnam Valley TownNillage n/a Subdivision Name Building Type Subdivision Lot # Mr 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 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 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: Mont 10 ay 31 Year 07 Signature: Title: Septic Installer General Contractor wner) - Signature ATD Contracting, Corporation Name (i Address: Q halkn State Zip Roger Heady Corporation � co or t� ice) Address: g Adz mJ-d( State Zip 149-5 Form GS -97 P UTNAM COUNTY DEPARTMENT OF HEALTH T TT.S O T OF E TAT P.f ?NN4E�I'�'��.L T.-TFAT- JH- CERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM Isca Greenfield- Sanders Owner or Purchaser of Building ATD Contracting, Inc. Building Constructed by 110 West Shore Drive Location- Street Residential Building Type 62.13 2 8 Tax Map Block Lot (T) Putnam Valley TownNillage n/a Subdivision Name Subdivision Lot # n/a 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 operate properly. is caused by the willful or negligent act of the occupant of the building utilizing the s stein. 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 10 Day 31 Year 07 Signature: General Contractor (Owner) - Signature ATD Contracting, . Corporation Name (' n) Address: State Zip 10W3 Title: Septic Installer Roger Heady Corporation Name (if corporation) 8�sTf- IUD Address: 4nr State 4?V - - - Zip if Form GS -97 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health Enc' - - ; ; . .. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Badey & Watson Neal Seidl 3063 Route 9 Cold Spring, NY 10516 Dear Mr. Seidl: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 October 31, 2007 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Field Inspection-Greenfield/Saunders 110 West Shore Drive (T) Putnam Valley, TM #62.13 -2-8 The results of today's pump test were satisfactory. A bedroom count was also performed. There are no further comments of concerns at this time. If you have any further questions, please contact me at (845)278 -6130 ext. 2155. Sincerely, JD:hn oseph Digit Engineering Aide 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 q -Iaq 06 PUTNAM COUNTY DEPARTtI.�IENT OF HEALTH pIVTS. n�v -Or -EN P0 NMFNT.. �I. J1 'TT.17, '.!R��.z t"� -- - FIELD ACTIVITY REPORT rr ,6A).P'1 F&b - 5A'go -f2S .Street Town State Zip PERSON IN CHARGE 10 /,:a d� I TEST A III. START DOSE TEST REQUIRED GALLONS /Wo 6AI)O I! 7 1/V� WIAW /00 6: AL 19li e 3-3 I2,f2. 6 (1 6144Y I EL. STOP oe IWO TN4PF.rmp TFT. Signature and Title RFPnRT RFrFTVFT) RY" I acknowledge receipt of this report: SIGNATURE: nn In -- .I 0 0 of A III. START DOSE TEST REQUIRED GALLONS /Wo 6AI)O I! 7 1/V� WIAW /00 6: AL 19li e 3-3 I2,f2. 6 (1 6144Y I EL. STOP oe IWO TN4PF.rmp TFT. Signature and Title RFPnRT RFrFTVFT) RY" I acknowledge receipt of this report: SIGNATURE: nn In -- .I OCT -29 -2007 15:28 BADEY & WATSON, PC PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES P. 04/0? ATTENTION f.....1 JOSEPH ;17 (GENE XI J. Digit REQ 1FST'F0RFNAL WSPEC110N For Fill - .-- . ............... . 10/29/2007 T=Ches PCHD Ccrosoucton Pen-Wt # A- 109.06 Located. 9 7 0 West Shore Drive _ �(V) _ Putnam Valley - ()wnff/Ap0cantN=er . Isca Greenfield - Sanders W ....62_93.... gl]dc.... 02 LEA 08 Fcmwd . n/a Subdivision Narna n/a _ - Subdivision Lot # n/a Is system fLU convIe d? n/a ]Data _.. _.......... __ ......... _. nta Is systm C()nvlete? - ___ - -- _ Yes -- - - Data 10/1 9/2007____.... is system constructed as per plans? Yes Iswdl drilled? Existing..._.. n/a Is well located as per pl=? - __.____ ­nip _ -.. - -. I—— .. . Are erosion control measures in place? Yea =tLfy dig the ti mN( :• at the / ! - premises '`G. tb41in1 axistructed. and I have s ♦:M :1 Heidi D41r.. 1012912007 Czifiedby. • Adds= Badey A Watson, P.C. 3063 Route 9, Cold Spring, NY Lie. # 062505 Czraxx&; Mr. Digit, we would like to request a pump test at your earliest convenience. 1 Farm FIR 99 PUTNAM COUNTY DEPARTMENT OF HEALTH .6t. t6 DIVISION OF ENVIRONMENTAL BEALTH SERVICES A A - //)c?- �) 4 Ark_P�L FINAL STI'E INSPECTION Date: MZLt07 Inspected by: 4%2Lj:2!0 [own Permit CM4 OJ3, Subdivision Lot L. Sewage Svstem Area a. STS area.located as per approved plans ........................... b. Fill section - date of placement 3:1 barrier Lgth._ Width -Avg.Dpth-- c. Natural soil not stripped ................................................... d. Stone, brush, etc., greater than 15' from STS +area........:. e. 100' from water course/wetlan ds ..................................... EL Sewage System a. Septic tank size - 1,000 ..71,250 ....... ...other ................ b. 'Septic tank installed level ..... ........................................... c. 10' minimum from foundation ......................................... d. Distribution Box 1. All outlets at same elevation-water tested .................. 2. Protected below frost .................................................. 3. .. Minimum 2 ft.0riginal soil between box & trenches e. Junction Box --properly set ......................................... 6. Irenches 1. Length required 00 Length installed c;,20 0 2. - Distance to watercourse measured Ft ... f0_05T. 3. Installed according to plan ........................................ 4. Slope of trench acceptable 1/16 - 1/32"/foot ............. 5. 10 ft: from property line - 20 ft.- foundations.......... 6. ' Depth of trench <30 inches from surfice .................. 7. Room allowed for expansion, 100% ......................... 8. Size of gravel 3/4 - 11/2" diameter clean ..................... 9. Depth of gravel in trench 12" minimum ....... e ........... 10. Pipe ends capped .... :�_ .................................. .......... g.—Ptimp or Dosed System 1. Size of pump chamber .................. ............ Z. Overflow tarik ......................... ....... 3. Alarm, visual/audio ...................................................... 4. Pump easily accessible, manhole to grade ......... 1: ....... 5. First box baffled ......................................................... . 6. C cle witnessed by H.D.estimated flow/cycle ........... M. Houseluilding a.. House located per approved plans .................................. b. Number of bedrooms ...................................................... IV. W ell Well located as per approved plans. ...... : ................. : ...... b. Distance from STS area measured - . ft ............ . c. Casing. 18" above grade ................ ............. ................... 'd. Surface drainage around well acceptable ........................ V. Overall Workmanship a. Boxes properly grouted .................................................. b. All pipes partially backfilled .......................................... c. All pipes flush with inside of box .................................. d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall -protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate.... ....... ........................ i. Erosion control r vi ded ................................................ Rev. E002 4t a Ira MM M= I VIA= I PIP Arm All IMAM LM� 4t � 4 � \ >?w.�� � {y \> �, r � \: . � \ / ..� � � / \. . � « : ». � � m© � � z :. � � �/ \� ; 7 . �i � y: >. §± :. �\� . � SHERLITA AMLER, MD, MS; FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health October 22, 2007 John Delano Badey & Watson 3063 Route 9 Cold Spring, NY 10516 Dear Mr. Delano: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI ROBERT MORRIS, PE Director of Environmental Health Re: Field Inspection — Greenfield /Sanders 110 West Shore Drive (T) Putnam Valley, TM # 62.13 -02 -08 The above referenced separate sewage treatment system can be backfilled. The following comments must be corrected in the field. d, 1 Leave distribution box open for pump test. Call when you receive underwriter's certificate and schedule a.pump test and bedroom... - _.. - - -- court: _.... .. _. _._.... _...... _ .. ...._ .._..... _....._.. _ .._ ... . If you have any further questions, please contact me at (845) 278 -6130. JD:ens Sincerely, Joseph Digit Environmental Engineering Aide 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 OCT -19 -200? 11:34. BADEY & WATSON, PC P.01 /01 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES '.�.. �.� - w�r::y4.- :+- �.OS�:.� -. �.a¢w.•• -._.. _..�.a. :. - ia•:.. .� .. ...- �t.c T ... " .. ., ra v...r w___ -.is _.... _.i r u ...v w .y ♦ y K iC ATTENTION JOSEPH Li GENE REQUEST FOR FINAL - INSPECTION Date: - -_ -. -- ._.._..10/19/2007 PCHD Construction Permit # A- 109.06 Located: Owner /Applicant Name: 110 West Shore Drive Isca Greenfield- Sanders j, Digit For: Fill -_ Trenches @(V) _.__._Putnam Valley TM 62.13. Block __ 02 Lot 08 Formerly: a.. Subdivision Name: . Subdivision Lot # Is system fill completed? nra_.. , Date: Is system complete? .,...__— No ____...... Date: Is System constructed as per plans? Yes Is well drilled? .,_ n/a Date: Is well located as per plans? ......... Are erosion control measures in place? _ No n/a n/a 10/19/2007 Via- - -.� I certify that the system(s), as listed, at the above premises has been constructed and 1 have inspected and verified their completion in accordance with the issued PCHD Construction Permit and approved plans and the Standards, Rules and Regulations of the Putnam County Department of Health.— - - Date: 10/19/2007 Certified by: Design Professional PE X RA Address: Badey & Watson, P.C. 3063 Route 9, Cold Spring, NY Lie. # 062505 Comments: Silt fence needs to be installed as indicated on plans. Form FIR-, 2. End caps need to be exposed. 3. Inspection of trenches only. Pump system has not been completed. Contractor has been forwarded a copy of this correspondence. Items °should" be addressed upon your inspection. We would like to have the trenches inspected as soon as possible so they may be backfilled. Please call this office to set an -z-/ 0 q1q Lot- q�q5 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ,_ .. ...._ C 0, S111KilC fioN PERMYT FOR St WAGE*TRtATMENI SYSTEM PERMIT # % Located at 110 LAZ54 51 Q2i� Subdivision name N4 Subd. Lot # 10 Date Subdivision Approved Owner /Applicant Name 0A Town or Village `') �Us ��—/ Tax Map C1"- lock 2 Lot 8 Renewal Revision 1!5CA & 2-fZ.!F/ECO - 5gt06-S Date of Previous Approval Mailing Address J10 i Di2lZ P_-jT)JAm `j4LLF-`f, ply Zip /057`7 Amount of Fee Enclosed Building Type WCSIO`101- Lot Area 410A . No. of Bedrooms 2 Design Flow GPD J40c) Fill Section Only Depth Volume PCHD NOTIFICATION IS REQUIRED WHEN FILL IS COMPLETED Separate Sewerage System to consist of I oco Other Requirements: t2, —a- 'F)LL ?-d+2 &VZ) To be constructed byZ gallon septic tank and 2O–D <--'' SR/a�.n 6 izq- 7,50 CAL o jyWy-_ J -era �o S Address gg 6 --(A -Y � "rJ W iI Water Supply: Public Supply Fro m Address -dil/ tiAri r s§ I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the separate sewage treatment system described above will be constructed as shown on the approved amendment thereto and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Public Health Director 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 treatment system during the period of two (2) years immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto. Signed: P.E. Address `�,'�j j LA.4t,% W. r,. COLO S ?ZIUCT, U X R.A. Date 0 °Ca- o I J-51Cra License # OLA71505 APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new pe it. Approved for discharge of domestic sanitary sewage only. By: Title: Date: White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CP -97 Printed by: Jason Snyder Monday, May 21, 2007 12:42:01 PM Title: All (2BDRM).gif : Palmerston Page 1 of 1 MASTER /�V !�'� �•1� " /// \��� � � G` .�� , BATH - 1 C A Ira 11111, I�� a�1111111�' �;_ 1111111 ','I _'d�►111' �mll. BATH v EX. ROOF OVER ENTRY i N SECOND FLOOR PLAN SCALE: W = V -0" -2" Lu NEW W = ORCH 0 O in J W CL ` —00 6 - U ~ O LA- RENOVATION OF HOUSE IS p.— :-5 C3 WITHIN EXISTING FOOTPRINT ( Q O Q WITH AN ADDITION OF 2" OF FOAM INSULATION ON THE Q W OUTSIDE FACE OF THE F—Q D rc S EXISTING WOOD STUDS, I CL W Lb h- FLOOR AREA INSIDE O � CC -.-,J[ O WALLS a 726 SF Wp 0 H �-" j u CD > a o cr- LLJ co s N Q EE^.NCRET.E.I f:'6�+' r PIERS MINIMUM 4'-0� DT I `� - J AND BEARING ON I CO UNDISTURBED SOIL (TYP.) f1n I N ],r,— v LIVING ROOM I J L _ N 0 1 T � I F_- J I I I I � I ;o I I I LUNE OF EX. ROOF OVER ENTRY CLIP UP IK TCHEN I Q d -3' -0° X 3-0" X I 1' -6" CONCRETE I FOOTING I �JI .1' -o" XV-0 L f I CONCRETE PIER I A I I 3 Xi" m COLUMN LINE OF WITH 10" X 10" X i. NEW WOOD N." BEARING PLATEN PORCH ABOVE ----� I I � I i P4 I I I I I NTRY DINING I I I r- - - -I 1 r--- -I I r- - -I I �JI 2' RENOVATION OF HOUSE IS u--2i-j WITHIN EXISTING FQOTPRINi WITH AN ADDITfON OF 2� OF FOAM INSULATION ON THE OUTSIDE FACE OF THE 7' EXISTING WOOD STUDS. FLOOR AREA INSIDE MALLS ='726 SF FIRST FLOOR PLAN SCALE: Y 1' -0" CIS p7 _ 3F V) Surveying & Engineering, P. C. 3063 Route 9, Cold Spring, New York 10516 Date: 06 Aug 2007 File No. 83 -125 W. O. # .18576 RE: Proposed SSTS GREENFIELD- SANDERS TO: 110 WEST SHORE DRIVE Lawrence C. Werper OSCAWANA LAKE PARK ESTA Subd. Lot No. 5 & PO 4 Tax Map 62.13 -2-8 Public Health Engineer PermiUTitleIPO # Putnam County Department of Health 1 Geneva Road Sent via: Brewster, NY 10509 US MAIL El UPS -NIGHT El MESSENGER El UPS -2 DAY F-1 PICK -UP El UPS -3 DAY El FAX El UPS -GRND R] We are sending: UPS -COD El copies date description of document ® 106-Aug-07 lConstruction Permit for Sewage Treatment System ® 06 -Au -07 7 ISubsurface Sewage Treatment System (S1316429 _R03) El El I ❑ ❑ ❑ ❑ ❑ REMARKS: Copies to: File Yours truly: Jason & Snyder Tel: (845) 265 -9217 ext 13 Fax: (845) 265 -4428 Email: jsnyder @badey - watson.com AA dn.ni inmu F71(WR 131R1 SHERLITA AMLER, MD, MS, FAAP .. _ . Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Badey & Watson Attn: Jayson R. Snyder 3063 Route 9 Cold Spring, NY 10516 Dear Mr. Snyder: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health August 6, 2007 Re: Addition - Greenfield- Sanders A- 109 -06 110 West Shore Drive (T) Putnam .Valley, T.M. #62.13 -2 -8 This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. L. SSDS hydraulic profile not shown on plans. :.. 7...0 or tnicti�n ber?* it n:,eds to he modified to indicate pur:.p up. system This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2163 if any questions arise. LCW:ens Sincerely, Lawrence C. Werper Public Health Engineer 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 40 40-05 506194 631046 33135 IM-1 TA L Surveying & Engineering, P.C. 3063 Route 9, Cold Spring, New York 10516 Date: 26 Jul 2007 File No. 83 -125 W. O. # 18576 RE: GREENFIELD- SANDERS TO: 110 WEST SHORE DRIVE Lawrence C. Werper OSCAWANA LAKE PARK ESTA Subd. Lot No. 5 & PO 4 Public Health Engineer Tax Map 62.13.2 -8 Putnam County Department of Health PermitlritletPO # 1 Geneva Road Sent via: Brewster, NY 10509 US MAIL ❑ UPS -NIGHT ❑ MESSENGER ❑ UPS -2 DAY 0 PICK -UP ❑ UPS -3 DAY ❑ FAX El UPS -GRND R] We are sending: UPS -COD ❑ copies date description of document F-11 26- Jul -07 IPump data & info six 6 pages ® 26- Jul -07 ISubsurface Sewage Treatment System SD16429 R02 El ❑ El REMARKS: Copies to: File Yours truly: Jason R. Snyder, Assistant Engineer Tel: (845) 265 -9217 ext 13 _ Fax: (845) 265.4428 Email: jsnyder @badey - watson.com 40 40-05 506194 631046 33135 Subriiersible Eifiuent Pump Design _ _ ._ _ 83- i 25- 7/26/2007 "G REENFI ELD -SAI Install one (1) Goulds Pumps submersible effluent pump, Model 3885- WE03M, with 2" pressure rated HDPE flexible sewer main. 11/2" Equivalent 2" Equivalent Main feet or Main feet 34 If of plastic force main 1.0 34.0 1.0 34.0 2 90 degree elbows 4.3 8.6 5.5 11.0 1 check valve 14.0 14.0 19.0 19.0 1 gate valve 1.0 1.0 1.2 1.2 57.6 65.2 Vertical Head Loss Invert Elevation @ Junction Box = 101.1 Low Water Elevation @ Pump Tank = 95.1 Head Loss = 6 Total Head Loss in 1 1/2" & 2" Plastic Mains Friction Loss Total Dynamic Capacity Per 100 Feet Head (ft) (9pm) 1 1/2" 2" 1 1/2" 2" 10 0.83 0.25 6.48 6.16 20 2.94 0.86 7.69 6.56 30 6.26 1.81 9.61 7.18 40 -.. _ 1_u.70 3.11 12.76 88_.03 50 16.45 4.67 15.48 9.04 60 23.48 6.60 19.52 10.30 70 -- 8.83 -- 11.76 80 -- 11.43 -- 13.45 Install one (1) Goulds Pumps submersible effluent pump, Model 3885- WE03M, with 2" pressure rated HDPE flexible sewer main. 130 M 110 100 go O Lu 80 m 70 Z 60 50 0 40 30 20 10 n i PERFORMANCE CURVES I u W ZU W 40 50 bU 70 , 80 90 100 110 120 130 140 150 160 CAPACITY (gpm) c)AC61 C.RRA i. a. —WE03L —WE03M —WE05H —WE07H —WE10H —WE15H —WE05HH". —WE015HIti —WE020H': — 1 1/2" Main —2" Main APPLICATIONS Specifically designed for the following uses: • Homes • Farms • Trailer courts • Motels • Schools • Hospitals • Industry • Effluent systems SPECIFICATIONS Pump • Solids handling capabilities: 3/4" maximum. • Discharge size: 2" NPT. • Capacities: up to 140 GPM. • Total heads: up to 128 feet ■ Shaft: Corrosion - resistant , stainless steel. Threaded design. Locknut on three phase models to guard against component damage on accidental reverse rotation. ■ Fasteners: 300 series stainless steel. ■ Capable of running dry without damage to components. ® Designed for continuous operation when fully submerged. MOTORS ® Fully submerged in high - grade turbine oil for lubrication and efficient heat transfer. - . - -- _ - -_ . -_. TDH.c:� • - - • Temperature _.. _ `.:�- -- _...._ -:._ 6i ('lace R incid3tirSq:.:.: •__. - . . : - 104 °F (40°C) continuous 140 °F (60°C) intermittent. • See order numbers on reverse side for speck HP, voltage, phase and RPM's available. FEATURES ■ Impeller: Cast iron, semi - open, non -clog with pump -out vanes for mechanical seal protection. Balanced for smooth operation. Silicon bronze impeller available as an option. ■ Casing: Cast iron volute type for maximum efficiency. 2" NPT discharge. ® Mechanical Seal: SILICON CARBIDE VS. SILICON CARBIDE sealing faces. Stainless steel metal parts, BUNA -N elastomers. METERS FEET 40 130 v 0 0 120. 35 110' 30 100' 90 25 80 20 7° 60 15 50 40 10 30 5 20. 10 Submersible Pump PROSURANCE AVAILABLE FOR RESIDENTIAL APPLICATIONS. Single phase: • Built -in overload with automatic reset. • All single phase models feature capacitor start motors for maximum starting torque. • 1/3 and 1/2 HP —16/3 S1TOW with 115, 208 and 230 Volt three prong plug. • 3/4 -2 HP —14/3 STOW with bare leads. Three phase: • Overload protection must be provided in starter unit. • 1/2 -2 HP —14/4 STOW with bare leads. ■ Designed for Continuous Operation: Pump ratings are within the motor manufacturer's recommended working limits, -tan..bu .)p -rand �-ontinuousty without damage when fully submerged. ■ Bearings: Upper and lower heavy duty ball bearing construction. ■ Power Cable: Severe duty rated, oil and water resistant. Epoxy seal on motor end provides secondary moisture barrier in case of outer jacket damage and to prevent oil wicking. Standard cord is 20'. Optional lengths are available. ■ 0 -ring: Assures positive sealing against contaminants and oil leakage. AGENCY LISTINGS ® C C Tested to and csA 222100 Standards standards By Canadian standards u5 Assodation _• , Flu *014549.. _ ... ... .. .... Goulds Pumps is 150 9001 Registered. °0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM 0 5 10 15 20 25 30 35 m3/hr CAPACITY Goulds Pumps © 2001 Goulds Pumps ITT Industries Effective November, 2001 www.goulds.com <& +� UN I\�>t. ��. ►. MM 1�i#t��la�y. _ fif 3 F_�t►��1•!il�� °0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 150 160 GPM 0 5 10 15 20 25 30 35 m3/hr CAPACITY Goulds Pumps © 2001 Goulds Pumps ITT Industries Effective November, 2001 www.goulds.com <& [qGOULDS PUMPS COMPONENTS tow s 1 Impeller 2 Casing 3 Silicon carbide vs. silicon carbide Mechanical seal 4 Shaft 5 Motor 6 All Ball bearing heavy d uty design 7 Power cable 8 1 O-ring MODELS Submersible Effluent nt Pump Order No. HP Volts Phase Max. Amp. RPM Solids WL Obs.) WE0311 L ,h 115 1 9.8 1750 'h 56 WE0318L 200 6.8 WE0312L 230 4.9 WE0311 M 115 9.8 WE0318M 200 6.8 WE0312M 230 4.9 WE0511H ,h 115 14.5 3500 60 WE0518H 200 8.1 WE0512H 230 7.3 WE0538H 200 3 4.1 WE0532H 230 3.3 WE0534H 460 1.7 WE0511 HH 115 1 14.5 WE0518HH 200 8.1 WE0512HH 230 7.3 WE0538HH 200 3 4.1 WE0532HH 230 3.6 WE0534HH 460 1.8 WE0718H 3/4 200 1 11.0 70 WE0712H 230. 10.0 WE0738H 200 -- 6.2 V .! "» 4...1._..._._._,239...!...2. .. -5.4 WE0734H 460 2.7 WE1018H 1 200 1 14.0 WE1012H 230 12.5 WE1038H 200 3 8.1 WE1032H 230 7.0 WE1034H 460 3.5 WE1518H 1 1 200 1 17.5 80 WE1512H 230 15.7 WE1538H 200 3 10.6 WE1532H 230 9.2 WE1534H 460 4.6 WE1518HH 200 1 17.5 WE1512HH 230 15.7 WE1538HH 200 3 10.6 WE1532HH 230 9.2 WE1534HH 460 4.6 WE2012H 2 230 1 18.0 83 WE2038H 200 3 12.0 WE2032H 230 11.6 WE2034H 460 5.8 WE0537H ,h 575 3 1.4 60 WE0537HH 1,5 WE0737H % 2.2 70 WE1037H 1 2.8 WE1537H , 1 h 3.7 80 WE1537HH 1 3.7 WE2037H 2 4.7 83 PERFORMANCE RATINGS (gallons per minute) Orde No. r WE03L WE03M WE05H WE07H WE10H WE15H WE05HH WE15HH WE20H HP 'fe Y3 'h % 1 1'h 1'h 2 RPM 1750 1750 3500 3500 3500 3500 3500 3500 3500 5 86. - - - - - - - - 10 70 63 78 - - - 58 - - 15 52 50 70 1 90 - - 53 - - 20 27 35 60 83 98 123 49 90 136 25 - - 48 76 94 117 45 87 133 30 35 - - - - 35 20 67 57 88 82 110 103 40 35 83 80 130 126 40 - - - 45 74 95 30 77 121 45 - - - 35 64 86 25 74 116 v 50 - - - 25 53 77 - 70 110 55 60 - - - - - - - - 40 30 67 56 - - 66 63 103 96 65 - - - - 20 45 - 58 89 70 - - - - - 35 - 55 81 75 - - - - - 25 - 51 74 80 - - - - - - - 47 66 90 - - - - - - - 37 49 28 _3Q DIMENSIONS (All dimensions are in inches. Do not use for construction purposes.) KICK -BACK Goulds Pumps and the ITT Engineered Blocks Symbol are registered trademarks and tradenames of ITT Industries. PRINTED IN U.S.A. SPECIFICATIONS ARE SUBJECT TO CHANGE WITHOUT NOTICE. Goulds Pumps & ITT Industries I nw, Friction Loss 9 PLASTIC PIPE: FRICTION LOSS (IN FEET OF HEAD) PER 900 FT. GPM GPH /1" 'R' 1" 1'/4° 1'h" 2" 214 3" 4" 6° 8" 10° ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. ft. 1 60 1 4.25 1.38 .356 .11 2 120 1 15.13 4.83 1.21 .38 .10 3 180 31.97 9.96 2.51 .77 .21 .10 4 240 54.97 17.07 4.21 1.30 .35 1 .16 5 300 84.41 25.76 6.33 1 1.92 .51 .24 6 360 36.34 8.83 1 2.69 .71 .33 .10 8 480 63.71 15.18 4.58 1.19 .55 .17 10 600 97.52 25.98 6.88 1.78 .83 .25 .11 15 900 49.68 14.63 3.75 1.74 .52 .22 20 1,200 86.94 25.07 6.39 2.94 .86 1 .36 .13 25 1,500 38.41 9.71 4.44 1.29 1 .54 .19 30 1,800 13.62 6.26 1.81 .75 .26 35 2,100 18.17 8.37 2.42 1.00 .35 .09 40 2,400 23.55 10.70 3.11 1.28 .44 .12 45 2,700 29.44 13.46 3.84 1.54 .55 .15 50 3,000 16.45 4.67 1 1.93 .66 .17 60 _.. -70--; 3,600_ . 1200 - .. _ ...... - -._ _ ..... - - ...- . _ .. _.. , . 23.48 6.60- . 8.83 _ 2.71:. 3.66 1 1.24 33 80 4,800 11.43 4.67 1 1.58 .41 90 5,400 14.26 5.82 1.98 .52 100 6,000 7.11 2.42 .63 .08 125 7,500 10.83 3.80 .95 .13 150 9,000 5.15 1.33 .18 175 1 10,500 1 1 1 6.90 1.78 1 .23 200 12,000 1 8.90 2.27 .30 250 15,000 3.36 .45 .12 300 18,000 4.85 .63 .17 350 21,000 6.53 .84 .22 400 24,000 1.08 .28 500 30,000 1.66 .42 .14 550 33,000 1.98 1 .50 .16 600 36,000 2.35 1 .59 .19 700 42,000 .79 .26 800 48,000 1.02 .33 900 54,000 1,27 ,41 950 57,000 .46 1000 60,000 1 .50 Goulds Pumps <& ITT Industries HGOULDS PUMPS ^t -.._ .. , ..� __ 2222._ _... . _ _. _ . .. ...,..�....... �_........ Friction Loss TECHNICAL DATA EQUIVALENT NUMBER OF FEET STRAIGHT PIPE FOR DIFFERENT FITTINGS Size of fittings, Inches 1/211 3/ ;' 1" 1'/4" 1'h" 2" 2'h" Y 4" 5" 6" 8" 10" 90° Ell 1.5 2.0 2.7 3.5 4.3 5.5 6.5 8.0 10.0 14.0 15 20 25 450 Ell 0.8 1.0 1.3 1.7 2.0 2.5 3.0 3.8 5.0 6.3 7.1 9.4 12 Long Sweep Ell 1.0 1.4 1.7 2.3 2.7 3.5 4.2 5.2 7.0 9.0 11.0 14.0 Close Return Bend 3.6 5.0 6.0 8.3 10.0 13.0 15.0 18.0 24.0 31.0 37.0 39.0 Tee - Straight Run 1 2 2 3 3 4 5 Tee -Side Inlet or Outlet or Pitless Adapter 3.3 4.5 5.7 7.6 9.0 12.0 14.0 17.0 22.0 27.0 31.0 40.0 Ball or Globe Valve Open 17.0 22.0 27.0 36.0 43.0 55.0 67.0 82.0 110.0 140.0 160.0 220.0 Angle Valve Open 8.4 12.0 15.0 18.0 22.0 28.0 33.0 42.0 58.0 70.0 83.0 110.0 Gate Valve -Fully Open 0.4 0.5 0.6 0.8 1.0 1.2 1.4 1.7 2.3 2.9 3.5 4.5 Check Valve (Swing) 4 5 7 9 11 13 16 20 26 33 39 52 65 In Line Check Valve (Spring) or Foot Valve 4 6 8 12 14 19 23 32 43 58 Example: (A) 100 ft. of 2" plastic pipe with one (1) 90- elbow and one (1) swing check valve. 90° elbow - equivalent to 5.5 ft. of straight pipe Swing check - equivalent to 13.0 ft. of straight pipe - - _ 100 ft. of pipe - equivalent to 100 ft. of straight 118.5 ft. = Total equivalent pipe Figure friction loss for 118.5 ft. of pipe. (B) Assume flow to be 80 GPM through 2" plastic pipe. 1. Friction loss table shows 11.43 ft. loss per 100 ft. of pipe. 2. In step (A) above we have determined total ft. of pipe to be 118.5 ft. 3. Convert 118.5 ft. to percentage 118.5 + 100 = 1.185 4. Multiply 11.43 x 1.185 13.54455 or 13.5 ft. = Total friction loss in this system. Goulds Pumps ITT Industries SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Badey & Watson Attn: Jayson R. Snyder 3063 Route 9 Cold Spring, NY 10516 Dear Mr. Snyder: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 I:Za ROBERT J. BONDI ... County Executive - - .ROBERT MORRIS, PE Director of Environmental Health June 26, 2007 Addition - Greenfield - Sanders A- 109 -06 110 West Shore Drive (T) Putnam Valley, T.M. 462.13 -2 -8 This office has received and reviewed the most recent set of plans for the above mentioned project. We would like to offer the following comments for your review and consideration. 1. SSDS hydraulic profile not shown on plans.. - -s T ✓n._f,�nt �:r,ntr�i1S_nnt Shi?vy?i_nis.E�sc .: " _. . 3. Footing and gutter drains not shown on plans. 4. Datum reference not shown on plans. 5. Well service connection not shown on plans. This office will continue its review upon consideration of the above mentioned comments. Please feel free to contact me at ext. 2163 if any questions arise. LCW:ens Sincerely, Lawrence C. Werper Public Health Engineer 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 PUTNAIVM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH INDIVIDUAL WATER.-SUPPLY & Si;?i,aY'R^ :�;vL t.�.ErS:T1Fi.�Iv i'SYb'i'ENLS' ' REVIE�W�' SHEET FOR CONSTRUCTION PER r ` NAME OF OWNER:rt E t v?'* E c, `J �'0�� � STREET LOCATION: REVIEWED.BY: RM, GP, JSP, SRDATE: 6 � O TAX MAP#: (CONFIRMED) e' �' Y /N DOCUMENTS ()PERMIT APPLICATION j_ LL PERMIT OR PWS LETTER N� PC-'97' 1 L�yLETTER OF AUTHORIZATION DESIGN DATA SHEET (DDS) LU CORPORATE RESOLUTIONA/19 SHORT EAT' PLANS -THREE SETS CZC_yfOUSF, PLANS - TWO SETS U(ARIANCE REQUEST UULEGAL FAW"ll • .�a ( )UPERC UL_)= QUMED DEPTH UU TAIN DRAIN REQUIRED GENERAL U OCATED.IN NYC WATERSHED PLANS SUBb1ITTED TO DEP DELEGATED TO PCHD EP APPROVAL,IF REQ'D (_ )DEEP TEST HOLES OBSERVED WETLANDS (TOWNIDEC PERMIT REQ'D ?) BATA ON DDS PLANS & PERMIT SAME • RE 1969 NEIGHBOR NOTIFICATION - 0 YR: FLOOD ELEVATION W!I 200'' • SOILTESTING LOTS>10 YEARS OLD REQUIRED •DETAILS ON PLANS )6EWAGE SYSTEM PLAN- (NORTH ARROW) )SSDS HYDRAULIC PROFILE VITY FLOW STRUCTION NOTES 1 -15 (GN DATA: PERC & DEEP RESULTS PAIVEWAY & SLOPES, CUT AM ►FOOTING/GUTTER/CURTAIN DRAINS (USDA SOIL TYPE BOUNDARIES ITTTLE BLOCK; OWNERS NAME ADDRESS TM, PE/RA; NAME, ADDRESS, PHONE# [DATE OF DRAWING/REVISION J(_JLOCATION OF WATERCOURSES, PONDS S,WETLANDS WITHIN 200' or pm. JU6PROPOSRDYINISHYLOOR AND / BASEM. NT ELEVATIONS �f WELLS &'SSDS'S WMII 200' OF SSTS PROPERTY METES & BOUNDS •, ERASION CONTROL FOTt:HOZLSEl_TA A7& .. SSTS, EROSION CONTROL NOTE Y N IREQUIRED DETAILS ON PLANS CONT'D} ' CfJ_)HOUSE SEWER. t/" FT.. 4 "01; TYPE P1PE.CAST IRON L UNO BENDS; MAX BENDS 45' W /CLEANOUT ALS UUSITE NOT CHANGE) _ FILL SYSTEMS C_-)L-)10' HORIZONTAL; PAST.UW>eEl SLOPES 3:1 TO GRADE U_)C_)FILL SPECS / FIL 1 -5 UUL PR & DIlNENSIONS UUFIL ANSION AREA FILL GREATER FEET -LUCj CLAY BARRIER ULUFIDL�CERTIFIC ' NOTE , L-) ;'CE GA U )VOL. O FOR R.O.B., VNCLASSIFIED & nVIPERVIOUS S TION DISTANCE FROM'TOE OF SLOPE L_JLF TRENCH PROVIDED 60FT MAX. U , PA;RALLEL -TO CONTOURS! 100% EXPANSION PROVIDED DETAffLlDUST FREE CRUSHED'STONE OR WASHED GRAVEL C- 60GEOTEXTILE COVER- SEPARATION DISTANCES ON PLAN - FROM'SSTS 10' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FELL. 20' TO FOUNDATION WALLS 0100' TO WELL, 200' IN DLOD,'150' TQ PITS 100' TO STREAM, WATERCOURSE,, LAIm• (inc. expstm) , - _1:, ►� _ - ''Su' 0 C 6 .rte 35'. STOR:YIDRA NN k! EL V- V A:'1 ktk �10 ' TO WATER LINE (pits - 20,') 50'• DRAINAGE COURSE 200'/'500' RESERVOM ETC. 150' GALLEY SYSTEMS (10' MIN TO LEDGE OUTCROP �/ SEPTIC TANK C !!?L -10' FROM FOUNDATION; 50' TO WELL WELL (J(___}DIMENSIONS TO PROPERTY LINES (_J(__ LOCATION'OF SERVICE CONNECTION (__)(MIN 15' TO. PROPERTY LINE .SLOPE t (-_JL__)SLOPE IN SSTS AREA (S20 %) C-J(_,)REGRADED TO 15 %, IF REQUIRED DOSYRTne SYSTEMS, U(_,_,)P.IIMP NOTES . L-(_DOSE 75% OF PIPE OSE VOLUME NOTED _()DETAM FO CE:MAIN, (PIPE TYPE, ETC.) (-)C-)PTT - OX SHOWN & DETAILED ' (-_J(_)1 STORAGE ABOVE ALARM CURTAIN DP40N UUSTANDPIPES, 5' BO , DETAIL (_ X_,)15' MIN to %, Z0'-4%,15'-3%,35'.1a/'., 100 % -<1% (�(_ -)ZO' DISCBARGE/100' with 182 cons day discharge (,�(,_1 to NON - PERFORATED PIPE SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health ADDITION APPLICATION RESIDENTIAL ONLY STREET 110 West Shore Drive TOWN Putnam Valley TAX MAP# 62.13 -2 -8 NAME Isca Greenfield - Sanders (PHONE (845) 284 -2663 PCHD# - A - I °y-o& MAILING ADDRESS 110 West Shore Drive Putnam Valley, NY 10579 DESCRIPTION OF ADDITION Renovate existing dwelling. Replace existing septic. NUMBER OF EXISTING BEDROOMS 1 PROPOSED # OF BEDROOMS 2 (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) ** Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brew.sier, NIL' 1.0509, Phone: (845) 278 -6130. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 locations 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 Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS 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 Commissioner ofRealth LORETTA MOLINARI, RN, MSN Associate Commissioner ofHealth •- - .�. � .. ., ., .. i�yii i� J: lY:ill Yii' � _. r . .......:.. ... .._ County Executive DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Leaal Bedroom Count Re: Isca Greenfield- Sanders (Owner's Name) Tax Map #- Address: Town: _ Year Built: 62.13 -2 -8 110 West Shore Drive Putnam Valley 1920's According to records maintained by the Town, the above noted dwelling, is XX in compliance with Town Code. is not in compliance with Town Code. The Legal Bedroom Count is: 1 This information has been obtained from: Certificate of Occupancy: Other: Previous approval froni{'Health Department Assessor's Office 5/23/07 Buil ing Inspect r Date Environmental Health (845) 278 -6130 Fax (845) 279 -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 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN BATA SHEET- SUBSURFACE SEWAGE TREATIVMENTSYSTEM Owner Ilea Greenfield- Sanders Address 110 West Shore Dr Putnam Valley, NY 10579 Located at (Street) 110 West Shore Drive Tax Map 62.13 Block 2 Lot 8 (indicate nearest cross street) Municipality (T) Putnam Valley Drainage Basin SOIL PERCOLATION TEST DATA Peekskill Hollow Creek Date of Pre- soaking 05/17/07 Date of Percolation Test 05/18/07 Hole No. Run No. Time Start - Stop Elapse Time (Min.) Depth to Water From Ground Surface (Inches) Start - Stop Water Level Drop In Inches Percolation Rate Min/Inch A 1 1:57 — 2:12 15 19 — 22 3 5 A 2 2:13 — 2:30 17 19 — 22 3 6 A 3 2:31 — 2:51 20 19 — 22 3 7 A 4 2:52 3:12 20 19 — 22 3 7 A 5 3:13 — 3:33 20 19 — 22 3 7 B 1 1:59 — 2:04 5 19 — 22 3 2 _..._..B _ .... __... 2.:_ 2:13 -_ _ ..2:2`.. y _ ..... < _.1�..::'.:'_ .... "_ ._ ��..::._. -; _....._. ' _...._._ B 3 2:23 2:32 9 19 — 22 3 3 4 — — 5 — — 1 — — 2 — — 3 — — 4 — — 5 — — NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. < 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES . - D •...t I .,.... ..hJLE i�'v,. ,• :. ,:u ; :._ . _ .. , .... liOL; i1�i.. `. .... HOLE WGF. If . _...... _ __ . G.L. Topsoil Topsoil 0.5' V V 1.0' Sandy Loam w/ Gravel Silt Loam w/ Stone 1.5' 2.0' 2.5' 3.0' I 3.5' 4.0' I 4.5' 5.0' i 5.5' 6.0' I I 6.5' 7.0' V V 7.5' 8.0' 8.5' 9.0' 10.0' r Indicate level at which groundwater is encountered 'Not Encountered Indicate level at which mottling is observed None Observed Indicate level to which water level rises after being encountered n/a Deep hole observations made by: J. Snyder - Badey & Watson, P.C. Date Design Professional Name: John P. Delano, P.E. Address: Badey & WatsonW a •0 ngineering, P.C. 3063 Ro to _,,,ofd 10516 RAI 1,11,�.,/-Pj HE Signature: 4ikM !"V., T#rb,22;1 J ^`J Ag'(•�.(n Form DD -97 (Pg. 2 of 2) LIN 5/17/2007 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET - SUBSURFACE SEWAGE TREATMENT. SYSTEM Owner Address //0 6a6rr - Pllzbgc Located at (Street) Tax Map �Z' 13 Block —Lot indicate nearest cross street) Municipality Yy-rN flo . t/Wl- Watershed 100'ral-v Al p'F�, SOIL PERCOLATION TEST DATA Date of Pre - soaking Date of Percolation Test 1 2 3 4 5 2 3 4 5 1 2 3 4 1 5 1 I I NOTES: 1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each percolation test hole. (i.e. s 1 min for 1 -30 min/inch, s 2 min for 31 -60 min/inch) All data to be submitted for review. 2. Depth measurements to be made from top of hole. Form DD -97 TEST PIT DATA 2 DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES .rte TT ...,- ... ..__� T1jQ. :•�" iTAT G.L. S 1 a.- ra'' rS• 1(�'' 0.5' 1.5' 2.0'� �oA�'J SA�P� 0�►�j 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' �(�au/N S'q1� 0 5.5' BAWD y W 6.0'J�� 6.5' 7.0' 7.5' 7 JgO wpl '% t30T ?0�►! 8.0' /Va Gv RTC G✓ 8.5' 9.0' 10.0' Indicate level at which groundwater is encountered AloN g- • . Indicate level at which mottling is observed NONE 0 95'JV -�o / Indicate level to which water level rises ft being encountered %V /A G� Date I p Deep hole observations made by: Z/Yo//- Si,6O Design Professional Name: Address: Signature: Design Professional's Seal PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES LETTER OF AUTHORIZATION RE: Property of Located at T/V (T) Putnam Valley Tax Map # Subdivision of Isca Greenfield- Sanders 110 West Shore Drive 62.13 Block n/a 2 Lot 8 Subdivision Lot # n/a Filed Map # n/a Date Filed Gentlemen: n/a This letter is to authorize John P. Delano, P.E. a duly licensed Professional Engineer _:�/ or Registered Architect _ to apply for the required wastewater treatment and/or water supply permit(s) to serve the above -noted property in accordance with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam County Health Department, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of said wastewater treatment and/or water supply systems in conformity with the provisions of Article 145 and/or 147 of the Education Law, the Public Health :Law, and the Putnam County Sanitary Code. Countersigned: ` P.E., M # 062505 Mailing Address Badey & Watson, P.C. State 3063 Route 9 Cold Spring New York Zip 10516 Telephone: 845 - 265 -9217 Very truly yours, Signed: (Owner of Property) Mailing Address: 110 West Shore Drive State Telephone: Putnam Valley NY Zip (845) 284 -2663 10579 Form LA -97 40 40-05 506194 631046 32703 o.f- T.RA.NSMIT.3i.Alzl-r ...;....I,.ETT.E. Surveying & Engineering, P.C. 3063 Route 9, Cold Spring, New York 10516 Date: 23 May 2007 File No. 83 -125 W. O. # 18576 RE: Proposed SSTS GREENFIELD- SANDERS TO: 110 WEST SHORE DRIVE Joseph S. Paravati, Jr. OSCAWANA LAKE PARK ESTA Subd. Lot No. 5 & PO 4 Tax Map 62.13 -2-8 Assistant Public Health Health Engineer Putnam County Department of Health PertnidTitlelPO # 1 Geneva Road Sent via: Brewster, NY 10509 US MAIL El UPS -NIGHT ❑ MESSENGER ❑ UPS -2 DAY ❑ PICK -UP ❑ UPS -3 DAY ❑ FAX ❑ UPS -GRND F We are sending: UPS -COD ❑ copies date description of document 1 I ❑ lAddition Application ❑1 23- May -07 ITown Legal Bedroom Count ❑1 1 ILetter of Authorization ❑1 121-May-07 lApplication Fee - $500.00 ® 121-May-07 I Construction Permit for Sewage Treatment System -- F2 121-May-07 7 12-Bedroom Floor Plans ® 121-May-07 ISubsurface Sewage Treatment System (SD16429 R01 El I El I REMARKS: Copies to: File Yours truly: Jason R. Snyder, Assistant Emgineer Tel: (845) 265 -9217 ext 13 Fax: (845) 265 -4428 Email: jsnyder @badey- watson.com 40 40-05 506194 631046 32703 MAY -31 -2007 15:38 SHERLITA AM)LER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI , R.N., MSN Associate Commissioner of Health BADEY & WATSON, PC DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 REOUEST FOR FIELD TESTING AP01 "IDN P.01i01 ROBERT J. BONDI County Executive All information below must be fulIv completed prior to any scheduling. DATE: 5/31/2007 SADEY & WATSON, ENGINEER OR FIRM: Surveying & Engineering, P,G, PHONE # (W) 265.9217 PERSON TO CONTACT: M. Seidl 0 NEW CONSTRUCTION REASON: ROAD /STREET: TOWN: SUBDIVISION: OWNER: i..! REPAIR PROGRAM ® ADDITION PROGRAM DEEPS: ® ' PERCS: ❑ PUMP TEST: :j 110 West Shore Drive Putnam Valley TAX MAP #: n/a Isca Greenfield- Sanders 62.13 -2-8 LOT #: n/a NYCDEP CRITERIA FOR JOINT REVIEW AND WITNESSING OF SOIL TESTING YES N 0 �'I _ .. rlU �1 C'�T!�. t.�.. i` .. .� . rra.� ....� n� �lEa i a�..� Ai._ h N�Q jo' S,, �S . it in the U %1.nt4b�. tk�iitt'Vl �� bSY L1YnV,l OF �V}�I.) VM'�CIVa .n: Croton Falls Reservoirs. n Proposed SSTS within 500 feet of a reservoir, reservoir stem or control lake. ! -W Proposed SSTS within 200 feet of a watercourse or a DEC wetland. El Rl Proposed SSTS design flow greater than 1000 gallons /day or SPDES Permit required. i..! 61 Proposed SSTS for a Commercial Project. It is the responsibility of the design professional to provide the above information prior to soil testing. This Department will determine the NYCDEP project status (Joint or Delegated) based on the response. If you answered rtes to any of the questions, NYCDEP must witness the soil testing, This Department will coordinate a mutually suitable time for field testing with the Design Professional and NYCDEP. If a project has been determined to be Delegated based on the above response and then subsequent information indicates NYCDEP is required to witness the soil testing, it will be the sole responsibility of t the design professional to schedule re- witnessing of the soil testing with NYCDEP. FOR COUNTY USE ONLY DATE: TIME: xrc�, FOK rrr, *�, TVSTtNG 1•Y Cnvironmental Health (845) 278 -6130 Fax (845) 278.7921 Water (supply Section (945)1-25-5186 Fax (845- 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278-6026 WIC (845) 278-6678 Nursing Home Care Fax (845) 278 -6085 OCT -13 -08 11 =29 FROM= GREENFIELD- SANDERS ID= 2124738073 PAGE 1 / 3 'ks ouv -push", + DY4er tA OCT -13 -2006 FRI TEL_:P45 -878 -7921 rJAME:PUTNAM COUNTY DEPARTMENT OF P. 1 1 OCT -13 -08 11:25 FROM:GREENFIELD- SANDERS ID =2124738073 Address: 110 west Shore Drive gtttnam Vaiky, NY 10" _... Location of Property: 110 Wes! Shore Drive - 't'114O_62.13 -2-8 Nature of Request. Request for varianM udder Ardele XI, Sections 165- 44A(I)&(2) of toe ZAWoa Ordinance to increase livable ow by more Om 20•A for proposed second story addition - a a m-cea%rming velbadcares. Z406 R-3 Rate of Adverdsemeab July 12, 2006 Putnam County News and Reearder Date of l W*e Hearing: July 20, Z006 PAGE 2/3 Per T. HeabAt ....«- .........• Chairman barb Orfwd&.— m.—..MewW ffi1111Kultiell _.... ................Vice Cheir'1n71i1 Mit Fithian ..... .,.•.......3dember Bob Campo... ... ....................:..Secretary The nutter hnvhrg duly come 0'4 to be heard butlers a di$ eeliv� �oeti� of the Board an the 2 th day of July, 2006 and the f ds,. spatters and evidgm prod■eed by the applleant, am Zoning Ingwcwr and interested parties hovtng been duly heard, reodwed and coo► dderied and due deliberation having been had, the f06vA g are the PIM iFACT., - no sabIoat promises is lmftd, iw an it 3 Zone wfli tl o Mkwift setbaek requirements; Frost -90'; Pa�r�7S'(Wce 8oaot); Sids40'; at 110 W'at 8vrt Dilve w eb is t Town Roud. The applieant bars requested variances under Article XI, Sections 166- 4tA(ijR(2) of the Zoning Ordinance to tncreaee livable spate by more thas120% for propoi. d secemd start- a4di&ki wider a neawoafio wng setback area. The appiiaant has uddkd the Board twat 1M CrMMia "fir an Area Variance have been plot. Tie befit to 60 apphamt 01=06 thin deUiatestt to tie annM ity. TBerc will not be a tai iA the Charaeter of tie rrei�borhood and the chsraegr of tre seiabarboad will be preserved. This is a (minimum Varfrince that A prl vwda re1kL ;Vft*dSu i ads ,tit B :i 4e spin N1_ or spil l he _. _..__ ...._.... :._ . ywd the same B hereby GRANTSD ,1 _ ..... _ _ _ _ _ ..._ the . . per plans wlbutiMsi will lie fogowiog conditions►;; 1) Then mast be no bms neat I cellar ezeavatipu without prior Phoo t Dowd approval; 2) The proposed addition mast not mceed the czfsMg footprint; 3)The w l he upgr &ded es sgreed to by the applicalet•, 4) The spent mast eomply Wilk tits VownewR'set tor& im the Town of Pklfttm Valley wetl„e fir waiver dieted aW3► 9, 106; " Ir' XWQK&0A&ULVLNG OCT -13 -2006 FRI 10:50 TF_L:045 -278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 April 27, 2006 Isca Greenfield— Sanders Sebastian Blanck 110 West Shore Drive Putnam Valley, New York 10579 Dear Ms. Greenfield- Sanders & Mr. Blanck: ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition Approval Sanders/Blanck No Increase in Number of Bedrooms 110 West Shore Drive (T) Putnam Valley, TM# 62.13 -2 -18 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 the Department dated April 26, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at one without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. ._.:_.._... _ _ 3• _w..irY!. wate �avi_rka-dPyice... (1. ?.: -new Jow 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 your convenience. Sincerely, Joseph S. Paravati, Jr. Assistant Public Health Engineer JSP:cj cc: Building Inspector, (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 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LGt Ti A Vj�I:LTv'A'Ri; IZl A101 " Associate Commissioner of Health ROBERT I BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL O STREET] I D Wt ik Sk jC f. n UG TOWN PKf1jdM Va l TAX MAP# 6 Z .13 - 1- 8 NAME Is(A 6'rc4W -ritkd>n +J aMCk PHONE LtrfS SO --foGo PCHD# MAILING ADDRESS 11 D Wt sk CV0,e'DnW_ putlkau% Vaq" , " (osiq DESCRIPTION OF S!0 S kale Ct' A 4 A btl W valf 64ItKUh� 10wikkbWf ADDITION �Cdd �(GoV1d 3{-0� � � � orb qc aHl� �' NUMBER OF EXISTING BEDROOMS �- PROPOSED # OF BEDROOMS :l- (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) * *Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster,.? ;?Y .105.09, phone: (S45) 2.78 - 6130.. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 locations 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 Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE CON EVIENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC(845)278-6678 Fax(845)279-6095 Early Intervention/Preschool (845) 278 -6014 Fax (845) 275 -6648 r� SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, NY 10509 To Whom It May Concern: ROBERT I BONDI County Executive Re: '( L N Lam. -S fl w3) 6- GZs Residence TAX MAP# ' —Z — O TOWN ej r nI At, VAU:� According to records maintained by the Town, the above noted dwelling, ,✓ . ..._:. �_�r = ���M:P..La?vC�� _,��€I TOW _._COnE IS NOT IN COMPLIANCE WITH TOWN CODE LEGAL BEDROOM COUNT IS This information has been obtained from: CERTIFICATE OF OCCUPANCY: OTHER: "PS�S�j2's 1 Building Inspector a2 es Date CERTIFICATE OF OCCUPANCY Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Im 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 a 19 .iz J Ns 0 i.• Q �C :,. O ' O " offe, ;z C o N..1Gs M �.■ -..gyp �...y h 3 O o �•• 1 7Q t ,a� a �ell 1 . f -- 46 —� E-- or --- It- -c--Ii Jr ---- -� O ■ o° 0 7 y j t °o +i R f PUTNAM COUNTY DEPARTMENT OF HgALTH € IOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, ` —BEDROOMS a ALL SUBSEQUENT REVIS;ON'ALTERATIONS TO THESE HOUSE � P1•ANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL � or G.NATURE & TITLE DATE R' _x 0 o T Col. {� z z� ^ A ,f Q D Li P[e�ol�p T Z,an�.aQ O O .J•�/ T O ■ o° 0 7 y j t °o +i R f PUTNAM COUNTY DEPARTMENT OF HgALTH € IOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, ` —BEDROOMS a ALL SUBSEQUENT REVIS;ON'ALTERATIONS TO THESE HOUSE � P1•ANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL � or G.NATURE & TITLE DATE R' _x 0 o T Col. {� z z� ^ A ,f 214 lb is no —15 U.Tmtv 1P-A7ZT!vlT T'-0P-ilEAlhTxl--- ROUSE PLANS APPROVED FOR BEDROOM COUNT ONLY, BED1110C )MS ALL Ic-U:13SEQUENI'IZE'17!SiONIALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL ATUT-',E &TITLE DATE PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR OWNER'S NAME *CA - -Sat2c{.Q W PHONE # MAILING ADDRESS lip in/ e iJ- I" (OV:3 -� APPLICANT 150\ CmezA c.� S —S ;\.v4 e N " S-cb a (6- W, OU"Ac -L- , Vx �/ Name & Relationship (i.e., owner, tenant, contractor) DATE i { j 2 Z Jd Sa FACILITY TYPE -.b/— d q D % ffp uSZ PCHD COMPLAINT # ue711 e, PROPOSED INSTALLER 90 (2 �' • PHONE # r,4S"F /L 1-1 _ -70- tTt /�jyADDRESS d1 � ✓ REGISTRATION /LICENSE # PG / J �-� 0 Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed trenches) NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location and proposed pump systems will require submittal of proposal from licensed professional . I, as owner, or reported agent of owner agree to the conditions stated on this form SIGNATURE �i� t+�L¢t� TITLE OknAw Proposal approved with the following conditions: r a rocu rement of any Town Permit, if applicable. ubmission of as built repair sketch in duplicate showing: . Owner's name b. Site Street Name, Town and Tax Map number c. Location of installed components tied to two fixed points d. System description (e.g., 1250 gal. Concrete septic tank, etc.) e. Installers' name and phone number 3. System repair to be performed in a ordance with the above proposal and conditions Proposal Approved Proposal Denied �1 I spector's Signature & Title Date COPIES: White (PCHD); Yellow (Town BI); Pink (Installer), Orange (Applicant) PC -RP 99ML Rev. 8/05 DATE K L c YES NO Internal Use Only �" ' ❑ L�' Repair Permit issued in last 5 years ❑ Not in Watershed ❑ ❑ Repair within Boyd's Corners, W. Branch or Croton Falls Res. ❑ Delegated ❑ ❑ Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION I i0 W -I & 4101• -e 1)VI'" TM # � 2.1-3 2 — OWNER'S NAME *CA - -Sat2c{.Q W PHONE # MAILING ADDRESS lip in/ e iJ- I" (OV:3 -� APPLICANT 150\ CmezA c.� S —S ;\.v4 e N " S-cb a (6- W, OU"Ac -L- , Vx �/ Name & Relationship (i.e., owner, tenant, contractor) DATE i { j 2 Z Jd Sa FACILITY TYPE -.b/— d q D % ffp uSZ PCHD COMPLAINT # ue711 e, PROPOSED INSTALLER 90 (2 �' • PHONE # r,4S"F /L 1-1 _ -70- tTt /�jyADDRESS d1 � ✓ REGISTRATION /LICENSE # PG / J �-� 0 Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed trenches) NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location and proposed pump systems will require submittal of proposal from licensed professional . I, as owner, or reported agent of owner agree to the conditions stated on this form SIGNATURE �i� t+�L¢t� TITLE OknAw Proposal approved with the following conditions: r a rocu rement of any Town Permit, if applicable. ubmission of as built repair sketch in duplicate showing: . Owner's name b. Site Street Name, Town and Tax Map number c. Location of installed components tied to two fixed points d. System description (e.g., 1250 gal. Concrete septic tank, etc.) e. Installers' name and phone number 3. System repair to be performed in a ordance with the above proposal and conditions Proposal Approved Proposal Denied �1 I spector's Signature & Title Date COPIES: White (PCHD); Yellow (Town BI); Pink (Installer), Orange (Applicant) PC -RP 99ML Rev. 8/05 DATE fi 7-o P- i 1215 1-- S rsrE ` ro �, - 2, iSc,ANPORS — a o pQi�r . P��Ni -��� ✓���%�` /yyld5zq 1p V ' ® 0 bo ti CQ /. lo° 1 ot • Ifl O I Now or formerly ANFI TEA TRO sx 3° e i l"�* r"C �� i N•. ui s s P Pin roCap Recovered {Y . -W EndF a5bu/ O 75bur, Fdt. 199.81' l;v Stockod Fence qy i�r Y- by r_�_ —• • • . ��. , (1 20728 -vo a. cro �3 V) (J 9e9) ('959) 0.6 bu ZF: Brick Pod //I Coroge - ®� ' j. I C, a �Y YS 271" G ,.: _ :J�rt•dda Fmce '; r n ! F i :story Frame j (�,"�) COnc.Pad ❑ ' pwelling / t • w/ Pump V. 'zii (+�(` b 55• c No. 110 Q t f • r u. / s/ed r `•la I 1 r �E Lam' 0 V1e -J 1 '� I I i I eN � Gravel ConcPod o Wol Reto — Conc. -ij ar -- � a I� - - -- i . fnd Po ! M i End Sldckdde X -cut m ftII F—d ZOIT COnc. R t. 11hp sonr Foundation _ _ asv aae i4 O Renrolns Alo. Y rs 0.8 Wie Fence ^0 8 n x ..f a5"dut POSt - 1.d �+ O .,.:... „... rfnd Fmce 1999) � e , Pme Found i ,_- "'; _ r fr,.,rJe Fence .1 .. J li t j. MAY' -16 -2007 10:00 . BADEY & WATSON, PC 8ADEY & WATSON, Surveying & Engineering, P.C. ALL TAX PARCELS in the COUNTY of PUTNAM YEAR (2003 -2004) Owners Tax Billing Address Name -1 Town of PUTNAM VALLEY Name -2 IS THE CURRENT SELECTION swis -code: 3721300 Approximate center of parcel (NYSEZ -27) N 506194 E 631046 ' ' + ) 1 14 P.02/02 l+t" P'.nre: frontage; n . depth; Parcel Addr.' , School Dist. Code TM Acres:, St land assm`t 9= total assm't; 'BS Coords N MM E UM PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ APPS_ ,ICATION TO C'ONS'I' POCT = __.. _ please print or type ._ .. PCHD Permit # VV / q-03J Well Location: Street Address: Town/Village Tax Grid # 62.13 -2 -8 110 West Shore Drive, Putnam Valley Map Block Lot(s) Well Owner: Name: Address: Timothy Sanders 44 Cayuga Road, Putnam Valley, NY 10579 Use of Well: x Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served Est. of Daily Usage _gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason To re place existin - line to the lake in order to have for Drilling Well Type x Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: P. F. Beal & Sons. Inc. Address: 4 Putnam Ay n pf Rrey -stern Ny Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. .._- Daze_: 1/17/03 Apntr�ai t S ar�fi�re;i'. Chri topher Beal I PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a wat 11 driller certified by Putnam County. Date of Issue / 03 Permit Issuin >cial. Date of Expiration d Title: Permit is Non - Transfer •able White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 110 WEST SHORE DRIVE PUTNAM VALLEY, NY 10579 WK. (212) 529 -4224 FAX (212) 533 -8537 ISCA GREENFIELD- SANDERS MAY 6, 2003 Robert Morris, P.E. Senior Public Health Engineer Department of Health z Geneva Road Brewster, NY 1o5og Re: Proposed Well: Sanders iio West Shore Drive M Putnam Valley, TM #62.13 -2 -8 Dear Mr. Morris, Enclosed please find a better copy of the survey of my property at 110 West Shore Drive in Putnam Valley. Please let me know if there is anything else that I can send you. All the Best, Isca Greenfield- Sanders k �' MAY- 05 —'03 13:35 ID:---------- - - - - -- TEL N0:8455262761 Timothy Sanders 44 Cayuga Road Putnam Valley, NY 10579 845 -528 -2214 Robert Morris, P.E. Senior Public Health Engineer Department of Health I Geneva Road Brewster, NY 10509 May 5, 2003 Dear Mr, Morris, Thank you for your letter of April 29, 2003, A copy of the survey that should be more legible is being sent to you by mail today. 4918 P01 You are absolutely correct that the fields as indicated on the previous document are not standard. My daughter, who owns this house, drew the fields onto a copy of the layout of the property that she had, thinking that this would help you to understand where the fields are in relation to the house and the proposed well, While she thought that this would be l el P�l..,.it apparently :onfused.tn� sstotafs:i:,. S�TP.ar ..sorry- �_r.tie? or_fi►rioe';.:.: _ We have done no repairs to this existing system. When my daughter purchased the house she had the tank pumped. At that time we were shown the pipe coming in from the house and the other pipe going out to the direction of the fields as indicated by my daughter. She was NOT trying to draw them as they exist, only as a general mapping of their location. Now that Mr madden has viewed the exact location of the tank he should be able to verify that the fields run in the general direction that my daughter indicated, Thank you for your immediate help with this matter. Si Sanders LORETTA MOLINARI R.N., M.S.N. Acting Public Health Director 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/Preschool (845) 278 - 6014 Fax. (845) 278 - 6648 Timothy Sanders, 44 Cayuga Road Putnam Valley, NY 10579 Re: Proposed Well: Sanders 110 West Shore Drive (T) Putnam Valley, TM# 62.13-2-8 Dear Mr. Sanders: ROBERT J. BONDI County Executive April 29, 2003 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: J; ­_ ­ The-slAnie'v 'ub -d-:s notwg-; .. .... S mitte is:_ ft,6 2 On April 24, 2003, Dan Hadden, Environmental Health Aide, measured the distance from the house to the septic tank. This location differs from the location that you said was surveyed located on April 22, 2003. 3. The "Fields" are shown on the survey. The orientation of the fields does not make sense. In my experience fields are never constructed in this manor. Based on the discrepancies of comments 2 and 3 questions are brought forth as follows: a) How do you know the location and type of the existing SSTS (excluding the septic tank?) b) Has there been a repair to the SST9 in the recent past? Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very y yours, Robert Morris, P.E. Senior Public Health Engineer I 10affmo P.F. BEAL .& SONS, INC. 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER TANKS _ WATER SYSTEMS COM MERCIAL WATER SYSTEMS TG�? g%i o.; c lc _.. ..._:... : FWIROsR4::';L�RdN SUBMERSIBLE PUMPS TEL. 279 -2460-2461 WATER CONDITIONING EQUIPMENT FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE February 27, 2003 Putnam County Health Department Attn: Daniel Hadden 1 Geneva Road Brewster, New York 10509 Re: Tax Grid #62.13 -2 -8 110 W. Shore Drive, Putnam Valle Dear Mr. Hadden: Enclosed please find a well drilling permit application and check for $100.00 for the above - referenced property. Kindly call Chris Beal upon receipt of same to make arrangements to meet with him at the site regarding the well location. Your prompt attention to this matter is greatly appreciated. Very truly yours, P. F. Beal & Sons, Inc. Margaret O. Mejias /mm enclosures 2 04/09/2003 17:20 2125338537 ISCA GS PAGE 01 t WEST raw ,yf(e tip lot .'k' �' 'y Ck lb x x° ww. sea" -v lit no 4mw so Pe!1 0 Aim . SONS, INC. 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER TANKS WATER SYSTEMS COMMERCIAL WATER-SYSTE.Ar. F -VI PS = _ .. _ _ �l r..;r ,..�' 7 ? -ir• =.�! l'croc.F'�c� - _ - '�� i iiirvii6hiiACfURING SUBMERSIBLE PUMPS TEL. 279 -2460 - 2461 WATER CONDITIONING EQUIPMENT FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE March 18, 2003 Putnam County Health Department Attn: Daniel Hadden 1 Geneva Road , Brewster, New York 10509 Re: Tax Grid #62.13 -2 -8 110 West Shore Drive, Putnam Valley Dear Mr. Hadden: Enclosed please find a well location map for the above - referenced property. Also enclosed is a copy of the permit that was originally sent to you on January 17, 2003. Your kind attention to this matter is greatly appreciated. Very truly yours, P. F. Beal & Sons, Inc. Margaret 0. Mejias /mm enclosures P.F. BEAL & SONS, INC. 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER TANKS WATER SYSTEMS - �E? ?UMW ._.. - _ �� /t��;c o011e �..Oeler � ?.al%�.7�Jvf/c C,.7�,1/0 _- .. MMER�C �FW WATER ....1.. .. .. . .. . .... $U9M�liSIBLE PUMPS TEL. 279 2460 2461 WATER CONDITIONING EQUIPMENT FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE G-� /(e— 0Sc---Awqt-jc'- N< 4.3 w es �- 's-Aore �)/' Tax Grid #62.13 -2 -8 110 West Shore Drive Putnam Valley, New York LCJREIVA MOUNAKI R:N.; M:S.IV:: Acting 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 /Preschool (845) 278 - 6014 Fax (845) 278 - 6648 P.F. Beal & Sons, Inc, 4 Putnam Avenue Brewster, NY 10509 April 3, 2003 Re: Proposed Well Sanders 110 West Shore Drive (T) Putnam Valley 62.13 -2 -8 Dear Mr. Beal: ROBERT J. BONDI County Executive On April 3, 2003, a site inspection was conducted on the above referenced lot by Robert Morris, Public Health Engineer and Daniel Hadden, Public Health Technician. In the course of the site inspection the exact location of the septic tank could not be established by this Department. To move forward with your well permit application the following is necessary: 1. The septic tank must be exposed and its location verified by a member of this Department, Upon completion of the requirement listed above this application will be considered further. If there are any questions please contact the writer at (845)278 -6130 ext. 2235. Sincerely, �� 4h�n Daniel Hadden Public Health Technician cc: RM, file 04/09/2003 17:20 2125338537 ISCA GS PAGE 02 349 PAST 1014 STWErEt, 28 NF,w YORK, NY 10009 ---W RK .(1!-2). 5.2_9-¢24 I pA.X 2-12-).5.33:rX537-1 g ISCA GREENFIELD- SANDERS APRIL 9, 2003 Hello, My father, Tim Sanders, asked me to fax ypii a letter with my property map. I &c at xito West Shore Drive, I have waiked on the map to indicate that the distance between the proposed well site and the septic fields is over xoo feet. I also indicated that the property is sloped downward from the road to the lake. Me scale on the map is jr inch = 25 feet) If you have any questions, please Call Me at (212) 529-424 And please let me know if there is anything else that I can send you. Tbank You, J&rA S"U* hre4nOV : bW 04/09/2003 17:20 2125338537 ISCA GS S, ORE • � � � •� *tee. v Uri w� PAGE 01 i = A sr� foam :'r =5.00' MV f dams VKVMV3SO t 1 }I t DIVISION Of ENVIRONMENTAL HEALTH SERVICES APPLICATION TO ABANDON A WATER WELL please print or type PCHD PERMIT # ALVa_D'1 . Well Location• Street Address: TownNillage Tax Grid # //�� i (a wesS , � A-ive ,„ v;. 40-j Map 1'33lock 9- Lot(s) Well Owner: N me: K Address: Well Type: Drilled Driven 'ZDug Gravel Other Depth Data: Well Depth ft Static Water Level ft Date Measured h o Use of Well: Residential Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation Other (specify) 2- secondary Industrial Institutional Standby Water Well Contractor: Name: gj' Address:: 16 D PC14azi V4 A /V /V0 Y_ W h , cx , Reason For �D �z/u'". °I/ SS' ✓'s by �+�:��j c l�se-� /� we- / / Abandonment: Description of Work To Be Performed: Date: l� Applicant Signature: PERM T This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and /or Part 75 of 10 NYCRR and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the information delineated on the application for this permit has been completed. tb � Date of ssue (� P mit Issuing Official Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WA -97 WELL DRILLING 152 BARGER STREET PUTNAM VALLEY, N, Y. 10579 1- 845 -528- 8698 1- 845 -528 -.1491 Fax -1- 845 -528 -1490 PUTNAM COUNTY BOARD OF HEALTH" TO WHOM IT MAY CONCERN: This letter is to verify the status of the hand dug well located at 110 West Shore Drive, for homeowner Isena Sanders... The proposed abandoned well was hand dug, with the diameter of 3 feet. The total well depth is 15 feet. The well's static level is at 8 feet. This well was measured on December 8, 2006. The well has been filled in with clay... I respectfully submit the above information for consideration by your agency, to fulfill the requirement as a well abandoned. Sincerely, Norman Anderson Norman Anderson Inc. President WELL DRILLING 152 BARGER STREET PUTNAM VALLEY, N, Y. 10579 1- 845 -528 -8698 1- 845 -528 -1491 Fax -1- 845 -528 -1490 PUTNAM COUNTY BOARD OF HEALTH" TO WHOM IT MAY CONCERN: This letter is to verify the status of the hand dug well located at 110 West Shore Drive, for homeowner Isena Sanders... The proposed abandoned well was hand dug, with the diameter of 3 feet. The total well depth is 15 feet. The well's static level is at 8 feet. This well was measured on December 8, 2006. The well has been filled in with clay... I respectfully submit the above information for consideration by your agency, to fulfill the requirement as a well abandoned. Sincerely, ��� �;�... ��� /fir, . _ .,�:^� . _ . :....: _: .._ -. .... _ ..- ... - -= •- -� - � - _. ..._.:... � .. - - -- - - -: _ Norman Anderson Norman Anderson Inc. President SHERLITA AMLER, MD, MS, FAAP Commissioner of Health 1.0-RETIfA iv GLiNd k i,-RN-, MSid ` Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 CERTIFIED RETURN RECEIPT REQUESTED /I . ROBERT J. BONDI County Executive 1R013EkT MORi21S;.NE Director of Environmental Health PLEASE REFER CORRESPONDENCE TO: Norman Anderson NAME: Joseph S. Paravati, Jr. 152 Barger Street TITLE: Assistant Public Health Engineer Putnam Valley, NY 10579 PHONE: (845) 278 -6130 ext. 2157 OFFICIAL NOTICE OF NON - COMPLIANCE YOU ARE HEREBY NOTIFIED that non - compliance with Article X, Section 16.4.A of the Putnam County Sanitary Code as stated below: Every person who construct or abandons a water well must obtain a permit from the Commissioner of Health of the County of Putnam. Specifically: An inspection by a representative of the Health Department was made on 1/17/07 and the well was found to be abandoned without an approved permit from the Putnam County Department of Health. An Official Notice of Hearing may be issued. This will make you liable for additional penalties provided by law, including prosecution on a charge of committing a violation punishable by a fine or imprisonment, or both such fine and imprisonment, as prescribed by law, in addition to such other action as lav be f ,:e scribed. A re.- inspection- will be made. _ If you believe the above notification is incorrect, please notify this office immediately. For the Commissioner of Health JSP:kly Very truly yours, Sherlita Amler, MD Commissioner of Health B '"' `4"°� ' C jJepthS. Paravati, Jr. stant Public Health Engineer 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