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HomeMy WebLinkAbout3011DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.18 -1 -7 BOX 25 0301.1 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES' - PROPOSAL FOR SE4iGE DISPOSAL SYSTEM REPAIR / , -so ,� owNER' S NAME ,�Q L �r R. PHONE SITE I=TION 7M$ - 7. 4 �- I i MAILING ADDRESS 1.7 PERSON INTERVIEWED 00r-WtO i-w i`zr.r. � :�v�tg r PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE go TYPE FACILITY PROPOSED INSTALLER PHONE Proposal (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.fram licensed professional engineer or registered architect. CN e �s — n -..-J a A .. _ s. r_ w . - - - - �1 .. n /�_ i.. --wJll i , e • — / 1 A, n -A . 1- /- � 1 Proposal approved Proposal Disapproved Insoector's Sictnatur itle Da proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 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 drywalls 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, o reported agent of owner agree to the above conditions. / SIGNATURE �/J'✓ TITLE �(r�'i/L' DATE XFM: WZite (PO:D); Yellow 03Hn EI) • Pink (Applicant) R � 1 Proposal approved Proposal Disapproved Insoector's Sictnatur itle Da proposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 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 drywalls 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, o reported agent of owner agree to the above conditions. / SIGNATURE �/J'✓ TITLE �(r�'i/L' DATE XFM: WZite (PO:D); Yellow 03Hn EI) • Pink (Applicant) DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 February 19, 1991 Donald & Susan LaGrutta 17 Columbus Avenue Putnam Valley, NY 10579 Revision A -15-91 Re: Proposed addition LaGrutta, 17 Columbus Avenue (T) Putnam Valley Dear Mr. & Mrs. LaGrutta: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 249 x 189 addition will be added consisting of one (1) bedroom. One existing bedroom will be converted to a family room. A hallway and foyer will also be added at this time. The survey indicates that sufficient area exists to expand or repair the sewage . disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the followinn' conditions: ie The total number of bedrooms must remain at two without prior approval by .this Department. 2e The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. 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 trulyy yoouurss,,, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley DEPARTMENT Of HEALTH Division Of .Environmental Health Services JOHN KARELL Jr., P.E., M.S. Public Health Director 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 January 28, 1991 �, `s Donald & Susan LaGrutta 17 Columbus Avenue Putnam Valley, NY 10579 Re: Proposed addition LaGrutta, 17 Columbus Avenue (T) Putnam Valley Dear Kr. & Mrs. LaGrutta: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a 24' x 18' addition will be added consisting of two (2) bedrooms and one existing bedroom will be converted to a playroom and the other existing bedroom will become an office /den. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the .. follovinc 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. 3. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc.. Approval is granted for sewage disposal only. 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 ypurs, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley LOTS AS SHOWN ON UNRECORDED MAP OF ,,ccric:N No. 2 LAURELWOOD MANOR BT HI/DSON VALLEY ENGINEERING COMPANY,, INC. DATEDA/AY 29, -/930- NOW or Formerly PERRY' YO CUM 35• I 34• ' 33• I I J. 2 .: I 3/• I 3O I 29. PIPE 78- • � ,71 o i b AREA= 22, 9 36 S.. F. h W. e d o rz Of q -5--% pQQ p? T cos}.•:•.,: �-w.o �'{ -p o y.n tu I or s rt. 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