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OWNER'S NAME r A v L 4-
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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENM HEALTH SERVICES
PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR
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SITE LOCATION 21i S v[ Ave— Tm# (aat I7 — 3 — S
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ADDRESS PV ?no K A V W. LE y I to S T3
EWED/� PCHD Complaint #
Name & Relationship (i.e, owner,tenant, etc.)
TYPE FACILITY PS4
REGISTRATION #
13T,
PHONE S' 2C —OLSrr
pro (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system.
Different location may require submittal of proposal fran licensed professional engineer or
registered architect.
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Proposal approved Ot Proposal Disapproved
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Inspector's Signature & Title
with the following conditions:
1. Procurement of any lrwm permit, it applicaoie.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name.
b. Site Street Name, Town and Tax Map number.
c. Location of installed components tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by.one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
I, as owner or reported agent of owner agree to the above conditions.
SIGNATURE TITLE DATE
FW: V&te (PW); YeU w (Tam HE); Pink (Applicant)
MARVIN O'DELL
Inspector
TOWN OF PUTNAM VALLEY
BUILDING, ZONING, AND SANITARY DEPARTMENT
December 209 1988
Department of Environmental Health
110 Old Route 6
Carmel, N.Y. 10512
P.UTNAM VALLEY, N.Y.
(914) 526 2377
Re: Addition - Benben
TM #54 -6 -7 Starview Ave.
Gentlemen:
The additions as proposed (expand two existing rooms)
on the above noted site has received approval by the
Zoning Board of Appeals and this project with
conditions within the Department of Health letter
dated December 149 19889 meets with approval of this
office.
Very. truly yours,.
MARVIN 0 L
Building & Zoning Inspector
MO °Dies
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PETER C. ALEXANDERSON
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
Mr. Paul L. Benben
31 Starview Avenue
RD 2
Putnam Valley, NY 10579
Dear Mr. Benben:
December 14, 1988
Re: Addition - Benben
Starview Avenue
(T) Putnam Valley
TM #54 -6 -7
I have received and reviewed the plans for the proposed
addition on the above - mentioned residence.
The plans indicate that the addition will be two 6' x 8'
extensions to square off the house.
L, kJ
ENID L. CARRUTH, M.P.H.
Public Health Director
JOHN KARELL Jr., P.E.
Director
The proposed addition is not considered by this Department
to be an additional bedroom, or will it result in a potential
increase in occupancy. Therefore,'the plans for the above _
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1) The number of bedrooms remain at its present number.
2) Plumbing facilities be updated or converted with
water saving devices (i.e. low flush toilets of 3
gallons or flow restrictors for faucets, shower head
etc.)
3) Marvin O'Dell, Putnam Valley Building Inspector, gives
a written approval to this Department on this project.
If you have any questions concerning this matter, please contact
me at your convenience.
Very truly yours,
Lawrence C. Werper
Assistant Public Health
LCW:jr Engineer
KITCKEN
6 X 10 BEDROOM
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FOYER
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FLOOR PLAN FOR PAUL L. EENSERN° S HOME
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DRAWING NOT TO SCALE
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