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631- 589 -8100
62.17-3-44
BOX 25
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02997
2 n da n 3 s S T x •~ ? t.
PUTNAM COUNTY DEPARTMENT OF HEALTH Fe[mi « '
Division of �Enwronmental;,Health; Services YCa�mel N ;Y 10512
5
a CONSTRUCTION .PERMIT F,OR SEWAGE +DISPOSAL` SYSTEM "a p t V�lley '
own ors illage
��-- e:- off Sunset -Hill .RoadTex Mepw 5�3 61ock 8 �t &-4
jf
i �SUDdiV ISIOn _ �'SUbd tot q rRenewal ❑� �' Revision ❑� a�
a 6 I
{owner /AddressC o,Fr,e�der'iek S.tt: Peegsklll,_NY r Date _Of Previous Approval u - •'
One F am y Re S.. �'"'.� F xFill Section Onl ❑ t '�
Sn i8uildingType ,Lot Area - M, k„
✓'� •' ''i \..'' ...} L .� ' W f .y''' f '' uM,,• * t 'p
rooms
N
NUTber'.Of Bed rooms 4 Design Flow G /P /D' 800�e e� ra P 0H D otificatioo =Require d'
yfi,v k °r
Separate Sewerage System Ito consist of 1 r_ *Gal Septic Tank rantl
-. - Owner - 13t Add►e55•c ,•1 1
d ' To be constructed by
,t V
Water Supply Pubtic Supply From n
1
.� •^�fi -` 4 ° w -t 4 S - i
r XX No 5 4„ k
�, APnvate Supply ao be drilled Dy
,4 Address' �Bar�er 'St ee, Putnam Vallevy tw,. 1.OS`7�3 ;.`
'Other Requirements 1' °` -6" Bank Run F111
1_represent that 1 -am` wholly and completely responitbte for the desjgn and location of the proposed sYStem(S) -1) t Wthe separate sewage dis o'fal system
..:. ..t� i
4, -,above'. descnbeti_ will be constructed as flown on the approved amendment there to and; in accordance with 'the standards rules an _,regu a ons o e u nam
a
,,;;County :Department -,f Health, ;and thaYon completwn'fhe►eof a Oert�ficate. of: Constructio ,Compl once ati'sfactory4to the,Commissioner of ,Nealthwill
s jbe submitted to ;the Department, and a wrttten',guarantee -wait Der,furn�shedrthe owner his +succe s;,he.q"g-'assigns Dy the puilder,•that, said 4builder,w II
n
place' ;m good "operating condition any part of said sewage dtsposal sysfem•:during {thetpeiIod two (2) yeard immediately following.thedate of the is ;u- `
5nce "of the approval' of_,the Certyficate';o1 ConstiucUOn `.Compliance ofx tfie malsystem or a y ".repans there ; 2) •that:ttie'drtlled well described above
�w�ll ,be'located'as,sAOwn on'the approved ,plan and that said well will besinstall in ccordance t the _standards rules„ and regu a ons of the. Putnam
r County'Oepartment of 'Flealth
1
a ate`
Date '
.9•?'�y. -.tR t xx.• �c t i v 0 . ar fr ': "�"wav t r 1 at
Add ►esSMuscoot North RFD Box{ Y8 M' Llcense' No.
110'56 _
M APPROVED FOR CONSTRUCTIpN This approvalyexpues +cne yeaglrom t e: d e. ?issu unless construction bt'the' uilAing. has been •undertaken•anG ' is
re4ocabIa for cause orinay b aManded or modified when considered'noces� y tfie: Is'swner. of Health.; Any change o►' al eration of construction'
' requires a new permit Approved for disposal of 4omest ar sewagS ;and/ riv water wpply only
4 3
Date d ^ D► :BY r x�r Tftle
wyt;`",.;
:ReV a 9.61 % '' $- � .a` a' > r,( ys' t qv 3 r .; t r� i �¢ ati. c ^+. Ty : v� ti^:+py y
r § vy w
o `,yc�„ 4� rf' .�'7� x- i ',"i. �c ,�Y� ,�
Z. tit;?'l
Lj PUTNAM COUNTY DEPARTMENT ,OF HEALTH
Division of Environments/ Health Stv/oea,
Ceim% N •Y fOb1? Permit r rg
RTIFICA OF''COMSTR.UCTION COMPLIANCE FOR,SEIAIAGE <`pl$POSAI SYSEMI Putn.aln. Va11Py
._ .
-Town or Village
act'- e - ?off�Sunset Hill Road TaX:Map 53� aleck' 8
/:Formerly Tax Map Lot �q &4 � SWA.• Lot 0 -
ne � 3 ,
arat Sewerage;Syste" Duiltaiy,HOWard:'Gragert Address gscawana 'Lak6, Rib ad,Piit. Val,
Oal.: Septic Tank and 50OLF o
NY 10
ng of • 1 00 f F1eld8: .
Other requirements
or Supply: Public Supply From `=
"• XX Private Supply` Drilled ey Norrnan Andersen
Address R 'a.rCt r Rfrac�+ :,Pntn'atn Va.7 l P�i.'1`N. '1`n57A
One Family .Residence .
10 %2'3/84
ding .Type. No.. of Bedrooms^ 'Date Permit Issued
iEro ion Control Been Completed7:
ter.
srtify that the syefem(0 ae listed .serving the above premises were constructed ewe ] a e pe ns of the completed 'work (cogies
gliict are attached] i "arid in accordance with Ube siandards,'rulea and'' eg bone tai 1 `plan, =,and the
ht permit issued by the
yam County
Department Of Healtki.
,8%19/85
Certified DY P.E. R A X
XX
Address. MUSCOOt NO. RF 2 C. na Nti 21105.6
parson:occupying premises served by the above sys4em(s) shall prom ly. to suet a ma i etesaaiy u 0 the, correction of ariy- unaanttaiy
utions. resulting from such usage. Approval of the; separate sewers _ em sh �uil' and' �jd' ali .a'putilk Mnitiry,awer beconas '
able and the approval of the private-water supply shall become null and ;void when v�tbiD mis avallabla. Such approvals are
Oct to modification or change when, In the Judgment of the Commissioner of Ne?aIt n;: Ifitation or chariye it Mceua►y;
BY-9 -TIM
g ,•
9 -81
PUIPIAM COUidTY DEPARTINI NT OF HEALTH"
DIVISION 0,F FNV.rRONbTENT T,
:COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner Charles Milo
Address Frederick St., Peekskill,N.Y.
" ' " "" S ton Pl ac
Located at (Street S inset eHi 1 BQc• 53 Block 8 Lot 3 &4
:......::.... ,....... '(lndica a nearest cross s ree
Municipality Tow.n.. of . Putnam :Valley -Watershed Hudson ..Ri 'v.er :
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH-APPLICATIONS
.o i e
I:umber .CLOCK. TIME PERCOLATION PERCOLATION
dun hUapse Depth to Water Wate r ve
No. Time From Ground Surface in Inches Soil Pate
Start -Stop Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
PTH #1 1.9:45 •10:15 30 15 17.75 2.75 30/2.75 =11
2 10:19 10:49. 30 15' 17.75 2.75 30/2.75 =11
3 10:53 11:23 30 15 17*_ 75 2.75 30/2.75 =11
4
—
PT
H2 1 9 50 10 2.0. - .3.0 :l.E. _ .1.c3 . _ 30/= v.�W
2 10:21 in -Si -An -1A 3 30,1-4-3n
3 11:22 30 16 18:75 2.75 30/2.75 =11
5
i
2
4
5
Notes: 1) Tdsts to be repeated at same depth until aeproximat'elyy equal soil
rates are obtained at each percolation test hole. Al l data to L submitted
for review.
2) Depth measurements to be made from top of hole.
TL _ - i U ..1 1 -'i ' I�_ ICA`l!O --V
DESCRIPTI01d4 u SO11 -i isi�COUiV`1'FRED IN TEST HOLES
DEPTH HOLE NO. DTH #1 HOLE, NO.. HOL
. � - - - - -.: G.L. r Top Soil
--.,. -
6" Silt & Clay
1211
1811..
..._...... �� ..... .
2411
3011
"
3611
42'1
4811
5 ft
60"
6611
7
7811
8411
II'dDICATE =-M AT WHICH GROUND WATER IS ENCOUNTERED 61 - 011
INDICATE LEVEL TO 14TUCH WATER LTEVEL RISES AFTER BEING MICOUNTERED 61 - 0 "
TESTS MADE BY Jole Greenberg DESIGN
Soil Rate Used 11 -15 Min%1 "Drop: S.D. Usable Area Provided S 000 sF
No. of Bedrooms Septic Tank Capacity 1200 Gals. Type Pre fast cones.
Absorption Area Prov e By 500 L.F. x24" X b" ;4th trench.
her
1' 6" Bank Run Fill c,,
TnP1 T._ GrPPn.Pr lgna ur r
Q o n
Address Muscobt North, RFD #2 , Box 488 9
Mahopac._N"Y_ 10541
TIHIS SPACE FOR USE BY HEALTH DEPARTME'iVT ONLY: X � ' 0110y6�0�
oR NE4
Soil Rate Approved Sq. Ft /Gal. Ch ck d by Date
11
Associate Public Health.Director..
_ Director of., atient Services'
ANT OF" HEALTH,
Geneva I Road ti st k
X`New: York .10'509
&.-(945.) 278 .6130 Fax (895) 278 - 7921
558 WIC (845)279-'6679 Fax (845) 278 -6085
Early Intervcntioo (845) 278 .6014 Preschool (845)228 - 6108 'Fax (845) 278 - 6648
March 28, 2001 .
Milo- Ardisi -
I Sutton Place
Putnam Valley NY 1059
'' Re Addition : Milo - Ardisi 1 Sutton Place
'No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 62.17 -3 -44
Dear Ms.Afdisi: '
I have received and reviewed the plan.-for the proposed. addition to the above - mentioned
residence. The proposal for the addition has been approved as per-plans bearing the approval
stamp form this Department dated March 282001 The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at Four without prior approval
by this rtm
depaent.
_..:..iliL.-dlird vi''Cil %xi5tlu fit a n- rPa `11i '=
maintained.
3. ` All plumbing fixtures -must be updated with water saving devices, i.e., new low
flush' toilets, restrictors for shower heads and. faucets, etc.
Any other pernn -ts 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.
ML:kg
cc: BI(T)
1011
Very truly yours,
Michael Luke
Public Health Technician
(7)
1
I
r
1
tUC& �R FOLEY
5lic Hea11h Duector� ,; `
DEPART
`
Envlroameotal He
VI
.
Nursing Services° (845) 278
Associate Public Health.Director..
_ Director of., atient Services'
ANT OF" HEALTH,
Geneva I Road ti st k
X`New: York .10'509
&.-(945.) 278 .6130 Fax (895) 278 - 7921
558 WIC (845)279-'6679 Fax (845) 278 -6085
Early Intervcntioo (845) 278 .6014 Preschool (845)228 - 6108 'Fax (845) 278 - 6648
March 28, 2001 .
Milo- Ardisi -
I Sutton Place
Putnam Valley NY 1059
'' Re Addition : Milo - Ardisi 1 Sutton Place
'No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 62.17 -3 -44
Dear Ms.Afdisi: '
I have received and reviewed the plan.-for the proposed. addition to the above - mentioned
residence. The proposal for the addition has been approved as per-plans bearing the approval
stamp form this Department dated March 282001 The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at Four without prior approval
by this rtm
depaent.
_..:..iliL.-dlird vi''Cil %xi5tlu fit a n- rPa `11i '=
maintained.
3. ` All plumbing fixtures -must be updated with water saving devices, i.e., new low
flush' toilets, restrictors for shower heads and. faucets, etc.
Any other pernn -ts 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.
ML:kg
cc: BI(T)
1011
Very truly yours,
Michael Luke
Public Health Technician
(7)
1
I
r
1
. •k if'
BRUCE R_ FOLEY LORETTA MOLMARI R.N., M.S.N.
Public Heclth Director Associate Public Health Director
Director -of.- .Patient
kp
- 1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 wIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
Approval is effective for a three year period. Please submit the following :
1. Certified check or money order for $100-00
2. Sketches of floor plans for both main house and apartment (drawn to scale, all living area
including basement)
# Non- professional sketches are acceptable
3. Coliform Bacteria water sample results from the apartment drinking water supply.
4. Septic tank pumping receipt plus letter from pumper that tank is in satisfactory condition.
5. Copy of site plan showing well, septic, and parking area. Include date of installation if known.
Label all wells and septic systems within 200 feet of the property line.
6. Copy of Certificate of Occupancy from Town, or Certification from Building Dept. with legal
bedroom count of dwelling.
Approval by this department is for the water supply and subsurface sewage treatment system
only. The applicant must apply for and receive approval from the individual town to occupy the
accessory apartment and must comply with all applicable rules and regulations set forth by the
town.
Failure to supply adequate quantity and quality of drinking water or a failure of the subsurface
sewage treatment system may result in the immediate revocation of the approval by this
department.
Pg. 2
Nov. 2000 U J`�
..•.�._:- �.- :�^.-ei:o : .:.•c:::r:.'.:.�:...._.:: -.-es: •:- r.m.�:aar+ ;> ti.,�e � .0 - .. _......�:,e`�.�.:_,::°.Js.$,d•. - Z- :,i.:::s =�..: e`::r.'.7.;:. •:w:- �..•.....�vue,: -:i. ��.: �=.... ............:wri.:.::';
n
? . ,r+ Fart l�Gi►r ct /7! r 'LaJ °' " .7 r'ta}9µ v,''
d t'2s ' g rS�w naiF 4f.
:� F CATER �;>,.
.CV•� �s•. 'r.''t �''.i`$z. t, '`it�� °.^47``Jj�t •:
• " @rtifl ' t. r`�°�::a >.. > p i' + ,� w 4 °� r;�` F •,�>. ,� � � <"''�s�a �'�'rn ' �'+*��` t'`''
ccupancy A PP 1�;,
n cya�•tpion�Nos,,q
un
,^Slxr. - ,ty+�� � � - «.M� %:F�' I r; 3.n r'YS�"✓� .��Y' Jt 4ft�S. ,�r fT Y r t ^-... r.
i -'it �F 1 }t•.�j ' .. , +
ti { ` ;, a aof Sutton Place', U n rh VaI =3ey
.�heretofo e�f�i'ed an a r ` �' r
'pphcat�on forta buildm h havug
Code sand g .Pelt pursuant °` to the Zoning' p'a
,xeLaws in effect m the Town of :Putnam Valle ace, Sanitary
aidrr�
tP e�egwred fee sthereor and the. ;undersi ed ha�n ;:b m .;County, Nevi►, York,, ha
the ap° can't' `as subs u ntl'' " g y :personal ins g
re".- Yproceeded with. > . pectiop� ascertained that
pL ace Ft1ie uue a < : the erection} or ement of th` 't `
Q meats of the laws ^- r, a se
with r 4 . rot p po d� strut "
` and matersa�.s? met ev re ' ` as ,afo'Tementioned and that{ , {he said .. woik
��blly�completedl;ndare' read► for: occup v hon r F tiiatV theiremises have r�r
certificate; 01 occue3'PaX anti to the io �
an ursu , . p visio sof law Now S I fi
� P►cy ^is thereby issued derthe seal ' of r ,
+� t o er ,AA ° { ? the Town of'utnam`
�`�G�,� •+ �}� .~� wed in �]�w'L�-'u�,,' A.0 S{ �.1 I
e o-r
fof an�+uader - ;a Y Isuthorud agent
seal e T of TOWN` NAM VA Y�
I of th o Putnam Valley : O + ORK
c};�= t �•� �- t.;l.'fY txi }> �. By . /�i'w.rr /. I ..
.... .. .. ... - 1 t T:'fT C ♦ iaSl. rAif_. ...[.i..0.+..a....v..........., �..:d.J. _ «`..... � �d� . .. _.
• ` �g
��► '� V
1 -1 T Ii
y -{
Eastern ,States Septic Co.
Statement
P.O. ,Box 161
�._...R�.,.�•r,:`L IL�I %YV%�� /Y'.Zi✓ ✓/W �'i�� 1� 1r-v `J� Ji �i _t'_h r.. - .w .�. .ice...- ..4�.,..r, Y- . -. -�,. . -. �., i. P. .,. - - -4v• ..- -
914 -05128 -6842 02
Bil� I To.
Lenore Milo
1 Sutton Place
Putnam Valley, NY 105 79
D111— rofi /rn inn nnriinn With neumvnt
Eastern States Septic Co.
P.O. Box 161
Mohegan Lake, N.Y. 10547
(914) 528 -6842
Terms
Due Date
Entered By
Amount Due
Amount Enclosed 1
C.O.D.
9/13/2002
JM
$0.00
Date
Transaction
Amount
Balance
08/13/2002
Balance forward
0.00
08/30/2002
INV #.1315
337.84
337.84
08/30/2002
I
PMT #1595
- 337.84
0.00
W
CA)
I
I'
I
CURRENT
1 -30 DAYS PAST 31 -60 DAYS PAST 61 -90 DAYS PAST
OVER 90 DAYS PAST
AMOUNT DUE
DUE DUE DUE
DUE
I
0.00
0.00 0.00 0.00
0.00
$0.00
YML ENVIRONMENTAL SERVICES
321 fear Street
Yor.kto.wn Heights, N, Y, 10598
Albert H. Padovani, Director
LAB #: 32.206348 CLIENT #: 55896 NON STAT PROC PAGE • I
ARDISI-MILO. LENORE DATE/TIME 7
TAKEN." 08/2.8/02 09-.001::,
1 SUTTON PL. DATE /TIME REC'D. - 08/190/02 02:;30P
PUTNAM VALLEY, NY 10579 REPORT DATE: 09/03/02
PHONE: (845)--526-4320
SAMPL. INS S TE,-. I - SUTTON PL. PUTNAM VALLEY SAMPLE TYPE'-- POTABLE
PRESERVAT I VES -. NONE:
COIL. 'D BY.- LENORE ARDISI-MILO TEMPERATURE — : < 4C
NOTES ... : KITCHEN TAP COLIFORM METH: 11F
NNNIVNNNIV- IVNNNNNNNNIV - ~--1 NNNNNNNNNIVNNAI -- -----
DATE FLAG PROCEDURE RESULT NORMAL - RANGE METHOD
08/30/02 MF T. COLIFORM ABSENT /100 ML ABSENT 1008
COMMENTS:
BACT THESE RESULTS INDICATE THAT THE WATER (WAS) NOT) OF A
SATISFAC-TORY SANITARY QUALITY ACCORDI1HE NEW YORK STATE
AND EPA FEDERAL DRINKING WATER STANDARDS, FOR THE PARAIIETE-RS
TESTED, AT THE TIME OF COLLECTION.
SUBMITTED BY:-
Albert
. Paclo van i, M.T . (ASCO)
ELAP# 10383
kj
ELAP# 10383
,yr •I '. -.ea/a r�.r:�/ishrCbi'3r: ,`4.1« 7 ix' Say Yrn•••.�a -ter, rpa•,. ..c.�•w.�.,ni.a.+
Septic Inspection
Property Location: 1 Sutton Place, Putnam Valley, NY 10579
This statement present the findings of a visual inspection of the accessible surfaces areas at the
time of inspection. The inspection was made primarily for the detection of septic failure. This
evaluation is not a determination of the septic systems adequacy or future operation.
Eastern States Septic Co., makes no representation, guarantee or warranty, expressed or implied,
concerning this inspection and assumes no liability.
The following areas were inspected.•
[ ] 1. Physical conditon septic tank .
r l 2 I2.. eimeli f 6QX !-'i m..la poee waste Does T iv S .P_ Vents-.
4. Inlet & Oudet Baffles
As a result of our inspection, the following was noted:
We uncovered a 20 "Manhole cover that access the center main cleanout of the septic tank This
tank appears to have been serviced in the passed and their are was no visible evidence of septic
failure at the time of this inspection. This is a 1250 Gallon Pre -Cast septic tank. 11", F
This Septic tank has passed our inspection!
.� �r-.� ..rs_ .. - ...�....vo.- -.r. -s - '.r.. - .r.-- �.....,.�v�. � niiAYk uf.SFi_ :•i
Inspector: R{ 'I,/ DATE: l /3 /b a
Eastern States Septic Co.
P.O. Box 161
Mohegan Lake, N.Y. 10547
Business: (914) 528 -6842
1
BRUCE R FOLEY
Public Health Director
..- .a. ..0 �si•^ • . :.E+'- p!:' w. tcwa'n�r+o.ni'M�.i+r :. .r ,�...
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648
February 13, 2003
Milo
1 Sutton Place
Putnam Valley, NY 10579
Re: Accessory Apartment, 1 Sutton Pl.
Three Year Approval
(T)Putnam Valley, TM #62.17 -3 -44
Dear Mr. & Mrs. Milo:
I have received and reviewed the plans for the proposed accessory apartment at the above-
mentioned residence. The proposal for the apartment has been approved as per plays bearing the
approval stamp from this Department dated February 12, 2003. The apartment is approved for
three years with the following conditions:
1. The total number of bedrooms in the apartment must remain at One without
prior approval by this department.
2. The total number of bedrooms in the main house must remain at Three without
prior approval by this department.
3. The area of the existing sewage disposal system, and its expansion area, must be
maintained.
4. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Very trul o
Michael Luke
ML:lm Public Health Technician .
cc: BI (T) Putnam Valley
BRUCE R. FOLEY-
W MET X
rA 'MOLTNARI RN., M.S.N.
Associate Public Health • Director.
Director of Patient Services
DEPARTMENT ' OF'BEALTH
I Geneva Road
Brewster, New. York 10509
Environmental He2lt hj 45)278-6130
Mrslaag Se ' rvices (845)279-6538 NVI ' C (8,'S)279-6679 Fax(945)279-6085
Early Intervention (845)278-�6014 Preschool (845) 279-6082 FLY (845) 278 - 6648
FW
own
Renewal ❑
Yes No
STRUT I U,-UOf)- Aa e � TOW 4-2.
NAME
CA (),a s-1- PA I PHONE S 5 HD -rur
MAIL S LNG ADDRESS. Wt—b Y-.\ Q�Aino M
MAILING ADDRESS OF APARTMENT
P NUMBER OF BEDROOMS iii' MAN HousE,3
NT�,.OyiBEROF-BEDROOMSIiNAPARTMENT
Please submit this form . and the requirements on page two to the Putnam County Health Dept., 4
Geneva Rd,, Brewster, NY 10509, Phone 278-6130.
Approval is effective for a three year period. The
period to renew the legal status of the apartment. . y
�c In t reapply7at the end of each
Signature of Applicant
-"Approved Date 2 112 td 3 to. I Z tt I to
Title
Q=E U13E
Comments
I
IT.
Ail
16
Ji
1
rs
P
�3
'4
.T -
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLYNS APPROVED FOR
BEDROOM COUNT ONLY;
3 BEDROOMI" r ✓►, wJ�
167 .
�e
~ Public Health Director
•. D:.i+ "'iiii NaVliil1%'11`�i l� i�'`:�� 1V1.��.1`I•.'
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845)278-6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648
March 28, 2001
Milo - Ardisi
1 Sutton Place
Putnam Valley NY 1059
Re: Addition - Milo - Ardisi 1 Sutton Place
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 62.17 -3 -44
Dear Ms. Ardisi:
I have received and reviewed the plans for.the proposed addition to the above - mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp form this Department dated March 28, 2001 The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at Four without prior approval
by this department.
The area of the existing sewage disposal system, .and -its expansion area., must be
�..:..?�
'maintained.
__.._ _... _ . ._.. ...
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
Michael Luke
ML:kg Public Health Technician
cc: BI(T)
Public Aealth- Director
Associate Public Health Director
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION aESIDENTIAL ONL r.
STREET ' TOWN TX MAPS 1 J3- 'l
6n �I�c°�
NAME 1 �, o S( HONE 84 -�S)�-q W PCHD#
MAILING ADDRESS
DESCRIPTION OF ADDITION c C N 0 S
I
NUMBER OF EXISTING BEDROOMS-y _PROPOSED # OF 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 Sanitary Code.
r... _ .... ..... .....
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00. .
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non - professional sketches are acceptable.
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
*Non - professional sketches are acceptable.
4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of
installation if known. Label all wells and septic systems within 200 feet of the property line.
Contact this office with any questions.
5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept. with legal bedroom
count of dwelling.
OFFICE USE
Comments -
G
Feb98 f °
BFhouseguidelines
BRUCE R. FOLEY ,-
1 Public Health Pjrec:or
LORETTA MOLINARI R.N., M.S.N.
a:::.:. ..:...- «:`art.,•;. �!!,S'Ke'at�.:= P.�I>k.^ ���v':`��:.'. ».'ie ?; "r.:i�:!" .. ..,::ov:.T
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
" .ale cC(
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
Residence
TaxMap��� /-%-
Town
Gentlemen:
According to records maintained by the Town, the above noted dwelling
IS
in compliance with Town code and the total number of bedrooms on record is 1-/
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:_
OTHER 6K,I let,
BFhouseguidelines
�3
Building Inspector
N.
y I
• ' ;` r :r t' f LO>;id'11` Oi_nA?T Ti' OF HEALTH
PU T I
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r'' HOUSE PLA N'S A ±'PF-r -,," D FOR i:,
t DROON:; (;Fit. NT O M i,
'•,,�� BEDR0C`!`'
1, F14
Signature & Ti'je' X15 Date
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Charles Milo Town of Putnam Valley
Owner or Purchaser of Building Municipali.ty_.
Charles Milo
Building Constructed by Section
Sutton Place- off. Sunset Hil'l',.Road
Location - Street Block'
One Family Residence' 304 .:
Building Type Lot'
..'GUARANTY OF SEPARATE SE11AGE. SYSTE • :
I represent that I am wholly and completely res -oonsible fo'r the
location, worl-r!anship, material, construction_ and draina,e of thEt sewage
disposal system serving the above described property,. and that it has been
constructed as shoi, on the ar•proved plan or approved anend -merit -.thereto',
and in accordance with the .standards, rules and regulations of the Putnam
County Dep' r:went of Health, and 'hereby guaranty to the - owner, his. succes-
sors, :heirs or assirr!s, to place ir..,00dVcp °rair_g condition any Hart of
Said system .constructed by nie :rhich fails to operate Tor a period- of vro
years 1miredi ately follo:•;in' . the date of initial use of the• sewage disposal
syste !, or any repairs Made by Me to such system, except :•we're the failure
to operate properly s caused by the :•rillfui or negligent act of the occu-
pant of the bulzn u.�•z.ix±g._t4,::e:. vSrste:rl.- - - "''��.. �.:. _..... — -
The unders.io-ned further agrees to accapt as conclusive the de-
ter.mination of the Director of the Division of Environmental Health Sar-
vices of the Putnam 'County Department of Health as to whether or not the
failure of the system to operate was caused by the willful or negligent
act of the occupant of. the building utilizing the system. ,
Dated this 5r"day. of 19 Signatur.
Title �c c� $r rowl OVl4c•-
(If corpo ation,'.give name
and 'address )
THREE (3) COPIES ARE REQUIRED ?^WITH THREE (3) COPIES OF. FIN 'LL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL ' BE ISSUED
GUARANTOR IS .REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I
Division of Environmental Health Services, Putnam County Department of Healtb
' WEL6 COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF MEAL7
,
a Division of Environmental HNlth Services
:;:'..; . _; . • COUNTY. OFFICE BUILDING - CARMEL. NEW YORx
This report is to be completed by welt® Iler and submittad to County Health Department topethsr with laboratory report of
1
z arealysls Of water sample Indicating wafer is of satisfactory bacterial quality before oe Ate .of o9natratic�npts
Ctio ..T� �Y,:.^ti•r..u•aY
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
tit AIArNEB NA (' ADDRESS `
LOCATI ®W.lko. uesrJ Yaw (lo( Mumbo,): .., ,
I AF T+IELL . .
$tit •r r
BUSINESS
R '2-( ;. t PRO ►p ;tp" DOMESTIC ❑ ESTABLISHMENT ❑FARM TEST WELL
ys sa uft
r r IM�Lt 3 PUBLIC
SUPPIY ❑ INDLSTRIAI
AIR
CONDITIONIidG OTHER, ) '
iUf ®RILLINO COMPRESSED CABLE D OTHER
r lIi1JIPMEPIT'' ROTARY ❑ AIR•PERCUSSION ❑ PERCUSSION ,iSpidPy)
.
ti 6A$MIO LENd (lasfJ, DIAMETER(lnchec) WEIGHT PER FOOT
_ + f ,O TAftB rr / ❑ THREADED . ❑ WELDED DYES ... NA XtS 100
+? .
o+ouas t
lz TEfti { C�,;BAILED ❑ PUMPED COMPRESSED AIR
IMAT6R MEASURE PROM LANG SURFACE- STATIC /Specuy iseU DURING HELD TEST [loot)'
rfEl Dop4h of
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MAKE . I 011N to /�QUIFER� (loot/
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PACKED: ravel 9
p pack (IneAoe):
oi<rtxirwM LAND SuRFACI r is
FORMATION DESCRIPTION Sketch oxect to�eflon of well Olidl dlataae", se at imi
to 'FEEY two permanent lanOmarlw.
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Yorktown Medical Laboratory, Inc. LOCATIONS:
321 KEAR SST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203
321 K6r Street 201 BUTTONWOOD AVE., PEEKSKILL. N.Y. 10566 737 -8777
'Yorktown Heights, N. Y. 10598 ❑ 495 MAIN ST., MT. KISCO, N.Y. 10549 666.3335
(914) 245 -3203 ❑ STONELEIGH AVE. (NEAR HOSPITAL), C IMEL, N. Y. 10512 278 -9330
Director: Albert H. Padovani M. T. (ASCP)
� DATE RECEIVED:
DATE REPORTED: �' _ �/
SAMPLE SOURCE: ls J 1 /� ��n Labi /
• /�Y� 30� !� X
REFERRED BY: agess'
L ��iL 7N%�»'l lY�� /� /u��� J Collector : �!L 0
LABORATORY REPORT
mg /L
❑ ACIDITY ............................ ............:....:............. ❑ ALUMINUM
❑ ALKALINITY.; P= A-
................/ - ....................... ❑ANTIMONY ................................ ...................:...........
BACTERIA, TOTAL /mL ...... J. 1 .............................. ❑ ARSENIC .................................... ...............................
❑ BOD, 5 DAY ............................ ............................... ❑ BARIUM ....................................... ...............................
❑ BROMIDE ............................ ............................... ❑ BERYLLIUM ................................ ...............................
❑ CARBON DIOXIDE, FREE ....:... ............................... ❑ BISMUTH ........................... ..... ...............................
❑ CHLORIDE ........................................................... 13 BORON ........................................ ...............................
❑ CHLORINE ............................ ............................... ❑ CADMIUM .................................... ...............................
❑ COD .. .......... ................ ............................... ❑ CALCIUM .................................... ...............................
❑ COLOR( U n i t S ) ................. ............................... ❑ CHROMIUM (tot.) ............................ ...............................
Q CYANIDE ............................ ............................... ❑ CHROMIUM thexavalent) .................... ...............................
❑ DETERGENT, ANIONIC ..........:. ............................... ❑ COBALT .................................... ...............................
❑ FLUORIDE ............................ ............................... ❑ COPPER .................................... ...............................
❑ HARDNESS ............................ ............................... ❑ COLD ........................................ .........:.....................
Q MPN COLIFORM COUNT/ 100 ml ............................... /1❑ IRON ........................................ ...............................
�M T COLIFORM COUNT/ 100 ml ......r/
................... .O LEAD ....................:................... ...............................
❑ CONFIRMATORY TEST ............ ............................:.. ❑ LITHIUM .................................... ...............................
❑NITROGEN, AMMONIA ............ ............................... ❑ MAGNESIUM ................................ ...............................
❑ NITROGEN, KJELDAHL ............ ............................... ❑ MANGANESE ................................ ...............................
❑ NITROGEN. NITRATE .................... ❑ MERCURY .................................... ...............................
❑ NITROGEN, ORGANIC ............ ............................... ❑ NICKEL .. ..........................................
',...... ' Q�GR -_. (, a n i t:S.:l. ...._ .:. <.... ... ............. ' ❑- ?ALeAOi'v'P�� . ..........:...............:.:.. " ....................
❑ OIL & GREASE ........................ ............................... ❑ POTASSIUM ................................ ...............................
❑pH ( UIlitS) ...................... ............................... ❑RHODIUM .................................... ...............................
❑ PHENOL ................................ ...... ................... ........ Q SELENIUM ..............:..................... ...............................
❑ PHOSPHATE (ortho) ................. ............................... ❑ SILICON .................................... ............................... i
❑PHOSPHATE (condensed) ............ ..........................,.... ❑ SILVER ........................................ ...............................
❑ PHOSPHATE (total) ................................... :............ ❑ SODIUM .................:...................... ...............................
❑ SOLIDS. SETTLEABLE, ml /L ...... :............................. ❑ TIN ............................................ ...............................
❑ SOLIDS, SUSPENDED ............. ............................... ❑ ZINC .........................:.................. ...............................
•❑ SOLIDS, DISSOLVED ............. ...........................:... ❑ .................................................... ...............................
❑ SOLIDS, TOTAL ..................................................... ❑ ...... .......................................... ...............................
❑ SOLIDS. VOLATILE ................................................ ❑ REMARKS:.........,........:................... ...............................
❑ SPECIFIC CONDUCTANCE (uhmo s /cm) . ............... ❑ .................................................... ...............................
❑ SULFATE ........................ ...............................
.❑ SULFIDE ........... ❑ ......:........ ...............................
❑ SULFITE ............................. ............................... ❑ .................................................... ...............................
❑ SURFACTANTS ..................... ............................... ❑ .................................................... ...............................
❑ TURBIDITY ( NTU): ............... ............................... ❑ ..........................:......................... ...............................
THESE RESULTS, INDICATE THAT THE WATER WA OF A SATISFACTORY SANITARY
QUALITY WHEN THE SAMPLE WAS COLLECTED /
THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM-
ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS,
DRINKING WATER STANDARDS (PART T2) FOR THE PARAMETERS TESTED
WHEN THE SAMPLE W S COL TED. -
,,� VA = not applicable
2�C/Y
Albert H. Padovani M.T. (ASCP), 6irector
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL 9ALTH SERVICES
Date October 22, 1984
Re: Property of Charles.Milo
Located at off Sunset Hill Road (Sutton Place)
(T) 53 Section Block 8 Lot 3 & 4
Subdivision of N/A
Subdva Lot # Filed Map # Date
Gentlemen:
This letter is to authorize Joel L. Greenberg
a duly licensed professional engineer or registered architect XX
(Indicate
to apply for a Construction Permit for a. separate sewage system, to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
connection with this matter and to supervise the construction of said
system. or sy:tel. Iii won OY_ff11iY_W7t1 t�,- �F._i:�_Y_1t� _�?L`�n° Cf -.ILr:- z-,"a 11 _
147, Education
tary Code.
Countersi
tLd ARo is Health Law, and the Putnam County Sani-
�6j��RENCE �R��•S /�
Q o
41
R NEV�
P.E. , R.A/ , f 11056
4
Muscoot North, RFD #2, Box 488
Address
Mahopac, NY 10541
914/628 -6613
Telephone
Very truly yours,
Signe
Owner of Property
Frederick Street
Address
Peekskill, NY 10566
Town
914/737 -5540
Telephone
I
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