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631- 589 -8100
62.63 -1 -44
BOX 25
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PU NAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL YOR SAGE DTSPfl�a ;�_ evc'i�t...p�n�Tp: A�..�'�.
aakw's NAME 0 --/ /21-3 4116.
SITE LOCATION �S '? ��rC'• - lz�
MAILING ADDRESS
Name &
� D
. 9D 1 DI'
e
RoLLo
PHONE 7,/'/-2Z7 -758'1
-n!# ��- 63 "/ yyr
PCHD-Complaint #
Inship (i.e, owner tenant, etc.)
TYPE FACILITY
�',i/rtcc',/•.�c' PHONE P2 311
REGISTRATION # /
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 from licensed professional engineer or
registered architect.
re mo l t— d lv P tee act
Proposal Disapproved
al-;? 5179
Inspector's Signature & Title Ate
Proposal approved with the following conditions:
1. Procurement of any Town permit, if applicable.
2. Sub=mission 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 canponents 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 owne#,,or
SIGNATURE
agent of owner agree to the above conditions.
IP1ES: *Ate Cb=; YeUc w Ohm BI); Pink L pUauit)
PC -RP 97 1
TITLE
DATE
e
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I
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
Tel. (914) 278 - 6130 Fax (914) 278 - 7921
Anthony & Josephine Rollo
Sencer Road
Putnam Valley, NY 10579
Dear Mr. & Mrs. Rollo:
yActing Public Health Director
May 21, 1997
Re: Addition -Rollo
No increase in number of
bedrooms TM #62.63 -1 -44
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 latest revision date of
May 21, 1997 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
L .The total numb _•s . ^ oon s gli s. reffAain at ? ng :nth"�?t 1 nor ..rr:., . a:
2'-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.
WJP
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
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Apri121, 1997
Bill Hedges.
Putnam County Health Dept.
Approved'Putnam Valley Planning Board
Style of Home Cape
2 Bedroom upstairs
'Remove existing house - existing 2 bedroom remain
Stick build
MAY-13- 7 WED 9:05 VICTORIA BROOKE HOMES 9142264673 P.01
i --
VICTORIA BROOKE HOMES
670 LEETOWN ROAD
STORMVILLE9 NEW YORK 12582
914-227-3989
FAX: 914-226-4673
NUMBER` F PAGES:
including cover sheet
ADDITIONAL COMMENTS:
IT
2852 2852
BEDROOM
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2 2852
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2668
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UTILITY BATH —7-11 116L—OSiRLA
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CD
01
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BRF/ j p
August 1995
Revised July 1996
houseadd
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r,. ._ ..�
II The Putnam County Department of'Health will allow the replacement of an
existing residence utilizing the existing sewage disposal and water supply
for the following reasons:
A. Hardship due to fire or other catastrophic event.
B. Dwelling has become a hazard and.risk to human health or safety.
C. Case by case request approved by the Director of Public Health.
The applicant must comply with all of the following:
(a) Septic system operating satisfactorily.
(b) Potable water supply meets bacteriological standards.
(c) Square footage of replacement essentially the same as existing
structure.
(d) Footprint of replacement essentially same as existing structure.
(e) Same number of bedrooms as existing.
Note: Definition of what constitutes a bedroom will be made by
department staff using same criteria in House Addition
Guidelines.
(f) Approval by local town building and zoning laws.
Note: Any increase in square footage of dwelling or increase in number of
bedrooms requires formal submission of plans from licensed Engineer
or Architect meeting present code requirements.
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