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631- 589 -8100
72.19 -1 -4
BOX 26
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03195
DEPARTN1FNT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 2783 6130
Putnam County Dept. of Heal Ili
4 Geneva Road
Brewster, NY 10509
11'1e: KOCHER
Residence
Tax Map 72.19 -1 -11
Town Putnam Valley
Gentlemen:
BRUCE R. FOLEY, P
Acting Public Health f)n,•• nr
According to records maintained by' the Town, the above noted dwelling
IS R
in compliance with Town code and the total number of bedrooms on record
is Three (3)
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER Records on fil
1 I I Buildln- I— 1C•Ctor
BRUCE R. R. FOLEY, R.S.. .. .
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130 October 9, 1996
Mrs. Kocher
249 Sprout Brook Road
Putnam Valley, NY 10579
Re: Addition -
No increase in number of
bedrooms
Dear Mrs. Kocher:
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 October 10, 1996 and this
Department's approval stamp.
Based on the information submitted, the above mentioned addition
is approved with the following conditions:
i. The total number of bedrooms must remain at three without
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.
Ve ruly Vours,
Robert Morris, P. E.
Public Health Engineer
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DEPARTNIF -W OF HEALTH
Division Of Envir0n111ental Health Services
4 Geneva Road, Brewster, New York 10500
(TH) 278 -6130
Putnam County Dcpt. Of FIc,llth
4 Geneva Road
Brewster, NY 10509
Rc: KOCHER
Residence
,yalx Njap 72.19_1`4._
Town Putnam Valley
BRUCE 11. FOLE , I
Acting Public Ilcalth 1)n, • i,,r
Gentlemen:
According to 1'ccol'ds maintained by the l'own, the above noted (lNN.c.11ing
'-S. X r
IS NOT
in compliance Nvi.th''own code and the total nuniber of bedrooms on record
is Three (3)
This information has been obtained from:
CER`TJ FICA FE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER Records on file
T3uildin(" Ill. �cctor
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i
P :W:
SAID A4AP.,F /LED /N T"HE P.UTNAM COUNTY
CLERKS OFFICE ON MAY 5, 1954 AS F?.O•
MAP NO: 372 L
S CA L E: 1''= 4.0= 0" DATE: XU Ly 9, 19 67
BRUCE R: FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278-6130
PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY
STREET: ,1!rAq TOWN �i am Va� TX MAP #
. ++ � qr
NAME iGtta -^ a
�l 1 oc�PHONE 73'7-583Q-._ PCHD PERMIT #
MAILING ADDRESS
Description of Addition
Number of existing bedrooms 3 Proposed number of bedrooms
from Certificate 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 DEPARTMENT,
4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information.
1 . Certi,fied.Check .fpr..:$1.0 -0.00; - -_
1 i vi ng area including basement , if any)
Non - professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
CgT
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UP
1-5;.,.,z e elL I /- - G .
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JT'NAM, CIJUN'll DEPARTM Nf,r r,.,,m `'Tn,
• HOMT 'Pl-,A'oT:oS APTIFOVED
BEDS OM COUNT OINLY.,
41
Date
40.
cg
V-0
A
P
JT'NAM, CIJUN'll DEPARTM Nf,r r,.,,m `'Tn,
• HOMT 'Pl-,A'oT:oS APTIFOVED
BEDS OM COUNT OINLY.,
41
Date
40.
cg
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a' GLOj{T •f T-
ell
iI CLOSET ca?
sT
PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSE PLANS APPPOVED FOR
BEDROOM COUNT ONLY.-
q
Signature & Till-Ile
I> I " C- C L t=,5-S '10
- - ----------- — ------
C)
Date
{
F
1Af M1
t
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental . Health Services
4 Geneva Road, Brewster., New York 10509
(914) 278 -6130 October 9, 1996
Mrs. Kocher
249 Sprout Brook Road
Putnam Valley, NY 10579
Re: Addition -
No increase in number of
bedrooms
Dear Mrs. Kocher:
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 October 10, 1996 and this
Department's approval stamp.
Based on the information submitted, the above mentioned addition
is approved with the following conditions:
The total- numbs of- bedrooms must remai n- ate= thr�e'wi "t `i:: .-..
`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 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.
RM/jp
Ve 71ruly yours,
Robert Morris, P. E.
Public Health Engineer
P �4� QC
BRUCE R. FOLEY, R.S.
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
PROPOSED ADDITION APPLICATION - (RESIDENTIAL ONLY
STREET :i Ji�iLi/ j� �K'r'6C- TOWN r'3Mti -'9' TX MAP # �•'� / �% "' , J
PHONE %W-
NAME:. ' PCHD PERMIT # 1
MAILING ADDRESS 541e ly�; y Cm -
Description of Addition
Number of existing bedrooms . - !_ Proposed number of bedrooms
from Certificate 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 DEPARTMENT,
4 GENEVA ROAD, BREWSTER, NY 10509, Phone 278 -6130 with the following information.
1. Certified Check for $100.00.
c„��i�r�g floor plan (all living area including basement, if any)
Non - professional drawing is acceptable.
3. Sketch of proposed floor plan.
Non professional drawing is acceptable.
4. Copy of survey showing well and septic location, to the best of your
knowledge. Include date of installation if known.
Include all wells and septic systems within 200 feet of property line. Any
questions please contact this office.
5. Copy of Certificate of Occupancy from Town or Certification from Building
Department of legal bedroom count of dwelling.
OFFICE USE
Comments and /or conditions
application
August 1995
July 1996 (Revised)
.. .. .... r._. _,.. ..a .. a...•.i, ... ... ... - r, . .. . �]:.:`. ..... - y- r: +A'A: Ar; n l C -�s.V N.: <. nl+
n
w•,: . Iki. i•'i...yy..y••. -.y. s... .. :'GSe:-xr.t.1... ... ,i.s .. .. .'. r3-e::.uAe ( •:-7y rq"^P•.: _
TEST PIT DATA REOUIRFD TO 37 SUBMITTED
::Iii{ aPPLICaTIO`
DESCRIPTION OF SOILS E`: ClU. T ?.ED I' EST HOLES .
' n
DEPTH HOLE N0. .HOL \,0. HOLE . \0 .
61f
d.
R:
1811
241-
30'
78".
8 41t
I\DICA.TE. LE,�LL �T ti`irICH GROUND t%IATEP.. is ENCOUNTERED .
INDICATE LEVEL TO WHICH WATER LE?TEL RISES AFTER BE G E\COUNTERED
TESTS :LADE BY Date..
is
5011. Rate T'Sed _`Ii? �1`' Drop S. D. U'S�Jie Area . TPro: 1^Od +17✓� ,
-— - --
No. of Bedroo -s Septic Tank. Cap Gals. ZyPe �r�c��� �•��
Absorptio n area Provided Ey, l? L.F.x2':' 36 4, iCLn trench. 0-Cher
!.
Address
PUTNAM COUNTY DEPARTL197NT OF HE--"%
F:l
AL
Soil Pate Approved Sq. rt./Gal. ecked b =, i_
Date
PUTNA I COU�:TY DE? _= .? T:NT OF r =.LTH
DTSIISIO�i _JF.ENVIRO \`r�'T�.r� CS - - = ='
-
DESIGN. DATA S1iEET - SEPARATE SE;•
ACE DISPOSAL SYSTE`- _ FILE NO
Owner Address
Tf>✓x,4.�
- -T
Located at . (Street },�'��PozcTS�a� �/J �, Block j
Lot
(Indicate nearest cross street) —
Munici alit AaZA644( 4"L7.
r r
Tn
TTr .
it
T
SOIL PERCOuaTION TEST DATA
F L T T T T
I
ROt;IRED TO BL SLL.:_'__�D f:ITH APPLICYMO-
Hole
"urber CLOCK TIME
PE
PERCOLATTC\
Run Elaose
Dept .o gazer I,"ater Level
No. Time
Fro-:, Ground Surf=ce i- Inc--s
Soil Rate .
Start Stop Min.
Start Stoo Drop in
Min/in.droo
Inches Inc-ez Inc ^es .
36
/� l /�s�S /z
4
/per 1 /d.y3% /x'07 3c�
17
3 Zc
. 16 ,/4 . /8 / % ��
17
1
2
3
4
5
Notes`
'
1) Tests to be repeated at sar:,e
depth u--i1 approx;- .ately equal soil
rates are ob-
tained at each oercolation test
hole. All data to be subnitted for revie,:
2) Depth measL,..reimnents to be ,made
from too of, hole .
Date. 71
Re: :Yrop-rty of. U J- 'z' -c
.,Located atj;'q',' /oam' Z& � Dr- AAW1. yll t -IIVI
77 Block r Lot -04
Gentlemen:
A
DER
STAKEY
-6 authorize 4L
This letter -1 s t
a duly licensed Drofessional -3n27 n=er L--pr az i s t e r e 1 .a r. c 1i 1 +5 t
(Indica )
to.apply -fo r a Constraction 'Per--It. for a se' a r a e s a e r a Z'e s Y s t em; t 0
.,s-erve the ..abave n o t, e d grope -1, c c o rd a 5 t'n the st"andeards, rules
0 U--j -U Zi
or re-lulations as prom,"'.l.c-ated b,y t'n—, C o -i i s s c e r oj-. Putnam v
D' -oartmen of zealtn, - and `t0 Si ii -6 S' 5'a- -7 j a s my b7ehd-I f
sold
s r t ruct on o f
U r and to sucerv; an cons'.
connec-11--ion vil. Uh th-, ma t- e
-Y w i h 'h-= r o v s=ons o s of Article
system or sys ue.*m-s in c on f o r 1 1415 or
1117, Education Law, the Public Health La-.,r, and the. Putnam* County San .-
.tart' Code.
Very truly yours,
C o urf 6-1 t - s il n ad
V-
JL
p F.- ate., Tr
ILI
d
y
rope
V v,
f .. . COL 711d-
Ad= =- s S
Telephone
Aaares-
BOX 267
245-2645
Telephone
*tie 'submitted to the Department, and a 'written,'�guarant wil be
place in good operating 'condition any part of said sews po
ante of the approval of ahe Certificate _of Construction mp -an
.will be located as shown •on the approved plan and.'that said w wil
66urity Depa merit of aHealth
�' No.
-
Date . g
, -
„ = Address
APPROVED FOR-CONSTRUCTION his.approval,expires one,,year from tt
i evocable -for rouse or may be amended nor :modified: when- considered, necessar
requires.a new permit Approved for disposal of domesti n itary se/w
" "'_
n
a1, st or any repairs ereto,'2) that the drilled
da wit the sta aids rules and regulor
IL
License No:
i date Issued unless construction of the` - building has be,
by the Commissioner` of HealEh °Any. change `r alts "rl
and %or p►'vAte water supply only
T)t ..
iVsaid builder 'Will
hedate of the" issu
all described .above
of ._ the • 'Putnam
undertaken 'and is ..
f 'construct ion
i • PUT-NAM /.COUNTY' DEPARTMENT HEALTH-, ;
,OF
1 '' Dfvisfon of Eh ronmental Healrh Services, Camel Y 10512
•N.
CONSTRUCTION PERMIT FOR ,SEWAGE :DISPOSAL SYSTEM
_Z7W a /`uTnl�^1
Town or Village
Subdivision ��+ry'[tJ , `
Lot R Job
`�►
Owne►
i
Address�vr
.
f 66iltlin9 TYPe .1 Lot Area
f } Number of eetlrooms t Tg1�aI HatiifSgle Space Square Feet
`
Separate 'Sewerage System °to nsist o Gal. Septic •Tahit
s lineal feet X s -width trench
ZAIrg
To be constructed by C
Address
1
blic:Supply. Fom
ater.Supply - :P r
"'SuPP1Y"
;Private. to be filled by�
Lltse"
;r
Address.�i f
her Regwrements
r
disposal.�system
(:represent that I am holly an completely res ns�ble• or
i above described will be constructed as.-shown on the approve t _ o
posed system(s)p' 1) that the separate sewage.
d i dance with the standards,•rulas an _ regu a ions of e : Putnam,
'County` Department of ` Health,.';and thaton completion t a,;" _
n n Compliance^ ;satisfactory,to the Commissioner.of Healthwili ._
*tie 'submitted to the Department, and a 'written,'�guarant wil be
place in good operating 'condition any part of said sews po
ante of the approval of ahe Certificate _of Construction mp -an
.will be located as shown •on the approved plan and.'that said w wil
66urity Depa merit of aHealth
�' No.
-
Date . g
, -
„ = Address
APPROVED FOR-CONSTRUCTION his.approval,expires one,,year from tt
i evocable -for rouse or may be amended nor :modified: when- considered, necessar
requires.a new permit Approved for disposal of domesti n itary se/w
" "'_
n
a1, st or any repairs ereto,'2) that the drilled
da wit the sta aids rules and regulor
IL
License No:
i date Issued unless construction of the` - building has be,
by the Commissioner` of HealEh °Any. change `r alts "rl
and %or p►'vAte water supply only
T)t ..
iVsaid builder 'Will
hedate of the" issu
all described .above
of ._ the • 'Putnam
undertaken 'and is ..
f 'construct ion
mil!' f
caner or Purchaser of Building
Building Constructed by
Location - Street
Building Type
Municipality
%Z
45-ttmbion 7.4_,x /10,,9
Block
Lot
GUARANTY OF SEPARATE SEWAGE-SYSTEM
I represent that I am wholly and completely responsible for the
location, workmanship, material, construction and drainage of the sewage
disposal system serving the above described property, and that it 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 guaranty to the owner, his succes-
sors, 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 initial use of the sewage disposal
system, or any repairs made by me to such systen, except where the failure
to operate.properly is caused by the willful or negligent act of the occu-
pant of the building utilizing the system..-
The undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
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 day ofCJ ) 19_2 Signature KrA _ l ��•
Title
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP.7,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
WELL COMPLETION RE ORRT—"
3/71
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
COUNTY OFFICE BUILDING - CARMEL, NEW YORK
hss rf+ r7.Kis_tp.b r�m�ler>'�.b pll cfralles. nds�brr�it;kd:t�oi qa -�� �3h - +xen -to m x lad ss r• •�c?ar
analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued.
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
OWNER
NAME 7
-J •1 'M"
ADDRESS /
e V !/ ��/ .S
LOCATION
OF WELL
(No. 6 Street) (Town) (rot Number)
J Q 7 l
P .. ROPOSED,.. •.
USE OF
WELL
BUSINESS TEST WELL
_DOMESTIC ❑ ESTABLISHMENT ❑FARM
❑ SUPPLY 1:1 INDUSTRIAL El CONDITIONING ❑ Opeif )
DRILLING
EQUIPMENT
COMPRESSED CABLE
® ROTARY ❑ A R PERCUSSION 1:1 P PERCUSSION ❑ (Specify)
CASING
DETAILS
LENGTH ( lest)
DIAMETER (inches)
WEIGHT PER FOOT
��
® THREADED ❑ WELDED
VE SHOE
n YES Q NO
MUTED?
2 YES NO
YIELD
TEST
HOURS G.P.M.
❑ BAILED ❑ PUMPEDI COMPRESSED AIR
YIELD (G.P.M.)
WATER
LEVEL
MEASURE FROM LAND SURFACE —STATIC (Specify feet)
DURING YIELD TEST fleet)
j
Depth of Completed Well
in feet below Land surface: /
SCREEN
MAKE
LENGTH OPEN TO AQUIFER (feet)
DETAILS
SLOT SIZE
DIAMETER (inches)
IF GRAVEL
PACKED:
Diameter of well including
gravel pack (Inches):
GRAVEL SIZE (Inches)
FROM (feet) TO (feet)
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
,1 o d —
` D
.—r
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
j 5,t5
DA E WELL COMPLETED
3
D TE OF REPORT
7"
WELL DRILLER (Signature)
U 41
"R V. or
wL
ZA ------
ME LABORATORY
-PEEKSr L
ULL
=s 1879 '1!5.'T6r-race
CroMpo-rl
1
B d g.
� 'rjl
W7 Yo
Pe6kAllt'N. New �o
P 7-8777
DATE COLLECTED t
-M N� -E
EXAMINATION 10K WM
-RES
3
t7
- OWNER
DATE: RECEIVED
M
k CITY VILLAGE TOWN � /QR NAME OF SUPPLY w
� DATE REPORTED, � -1
,
Ap 'UT
;K-
12 73.
'7Y,
POINT
FSAMPL 1,N'G P
,,
WELL
!"-BACTERIA "'P,Q,'M, -85
L'CHLORINE- AS JRgC b RPEPAT.
� ,, 2 ' :�
r ,LESS .THAN 2.2
�
SAMPLING POINT I�POINT OF TREATMENT
CHLORIDES C
NITRATES (as -N
"
--Z
t
PUTNAM COUNTY DEPARTMENT OF HEAL
Division of Environmental Health Services, Carmel, N. Y. 10512
r'�T�CIrN C: A(1 pp�,QiT^^1 �i'4 ��+1�?�Ppp1- rd'1_1�Q'. `. �i1.f�.'..SC �iJe/9 �. ».r iSS��}r�
z..-��:s .i-?xr ..f.��v.� +. -:;r_ d+=b _!S:��T) ;.Sa 55:,. E.<.� _ .r«`!6� 1._5......d•JJ,.c
rr4�Y: '44�_.. '�7• fhrg 31 ��r��•_
7l"�#T.: �c3: »,,;m't�,.�y'<4,l.�Yi -L�1 �. 5.. /�.� -.. S. ��f_.... �...- _ -..
Town or Village
jz�,n, rJ Aoa/�
Located at �—
/704-0
Un � � Block
eA116� Ge�Aje� (
sss����C.�iii
_ ''7AAe4`:�5�/,, `
Lot Job
Owner
� ����°�f' "��
�P
� """
Address OL#?/a 'S '�f V
Separate Sewerage System built by
-Y*
Consisting of `
Gal. Septic Tank L
lineal Feet X width trench
ie'4 ,9J AfS -A-I-e-E11 .�f
d�
� ` 129el-149
Other requirements —,
Water Supply: Public Supply From .d
Private Supply Drilled By «v
Address
Building Type �� s1i4d�! �JHo zof r�mnBedroo::� s Date Permit Issued
Esc m
Has Erosion Control Been Completed?
I certify that the system(s), as listed serving the above premises
attached), and in accordance with the standards, rules and r
Date I-Z,1'77
Address -4
own on the plans of the completed work (copies of which are
rmit issuednbv the Putnam County Department of Health.
P.E. t° /R.A.
License No. 3 2 7 Z-
Any person occupying premises,served by the above systems) 5 all �'tyrtakb sI.6h";c; ,'as may be necessary to secure the correction of any unsanitary
Conditions resulting from such usage. Approval of the separate se sy t@fi °sfial ome null and void as soon as a public sanitary sewer becomes
available and the approval of the private water supply shall becomA i4gJ 'a I a public water sup omes available. Such approvals are
subject to modification or change when, in the judgment of the Comm' of Health, such revo n, mod' ication or change is necessary.
le
Date , By-
ti
L
si G EN E R A I
1. All requirements and constru
requiremehts Iof the Divi'sion of
of Health of the County of Putr,
2. House sewer shall, be 411.c,ast
per foot, watertight, and root
11 approved
3. Provide 4 non-mete
boxes with slopes as required t
4. Absorption fields shall eon:
perforated bitutinous impregnat
1/16" per, foot in washed Tile size {j/4" to 2 11211) T le st
ti
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that Its invert Shall :be 611 frc
over gravel shall he 511 minimuz
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APPf,ri,
ee,
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the plans.
—T
&. -Run of, bank gravel shall be
before 'installing fields. Run
rate of not less than 2.5 gal.
BY ------6I4tstw Of
natural state in the borrow pit
7. For details of septic tank,
see Coupty Standards.
'j
L
si G EN E R A I
1. All requirements and constru
requiremehts Iof the Divi'sion of
of Health of the County of Putr,
2. House sewer shall, be 411.c,ast
per foot, watertight, and root
11 approved
3. Provide 4 non-mete
boxes with slopes as required t
4. Absorption fields shall eon:
perforated bitutinous impregnat
1/16" per, foot in washed Tile size {j/4" to 2 11211) T le st
ti
41y
7�,.
, V
V I
-7—
that Its invert Shall :be 611 frc
over gravel shall he 511 minimuz
APPf,ri,
ee,
*
PlelAs--whall De 36
the plans.
—T
&. -Run of, bank gravel shall be
before 'installing fields. Run
rate of not less than 2.5 gal.
BY ------6I4tstw Of
natural state in the borrow pit
7. For details of septic tank,
see Coupty Standards.
All trees infield area and
removed.
9. Leader and footing drains mu
fields.
10. During any construction, ke
11. Well log and water analysis
before Certificate of Construct
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T
b DnJLIJ `R. - rULEY.
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., ^ M.S.N.
Associate- Public Health Director
Director of Patient Services
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention (84.5) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648
April 17, 2001
William Vaccaro
649 Sprout Brook Rd.
Putnam Valley NY 10579
Re: Addition - Vaccaro- Sprout Brook Rd.
(T) Putnam Valley Tax # 72.19 -1 -4
Dear Mr. Vaccaro:
I have received and reviewed the plans for the proposed addition to the above mentioned residence.
The plans indicate that the proposed addition will consist of the following:
A second floor playroom and first floor office and computer room
Based on the info tioLn mitted the above entioned addition cannot be approved for the
following reas
2
3
ryl...
The legal bedroom count for the dwelling is Three . The potential bedroom count of
your proposed addition is Five .
The addition of a potential bedroom requires this Department's approval of a revised
septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than Three potential bedrooms, or
have a professional engineer or registered architect design a sub - surface sewage treatment
system meeting present code requirements.
If you have any questions, please contact me at your convenience.
ML:kg
Very �Luke
Michael
Public Health Technician
t.
ce
---1=CTRT- -
4(!
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Le. /_ ._5_3
PUTNAM COUNTY DEPMITMENT OF HEALTH.
.
Division of Environmental Health Services,' Carmel, N. Y 10512
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM
Town or Village
MAO
4 '7_7 Block
Located at
.4 Job-
Owne A� rA A Lot
P11 r"i
Al VT . Address __4_
Separate Sewerage System built byA.�4 .. width trenc!
Consis . It in I g of Gal. S . eptic Tank lineal Feet X
Other requirements
Water Supply: Public Supply From
.11 . .
1-1" Private Supply Drilled By
Address 'IV Y'
Date Permit Issued
Bedrooms
Building Type 4 < j2 O:AJ ZiA1_
Has Erosion Control Been Completed?
I certify that the system(s) as listed serving the above preen
attached), and in accordance with the standards, rules al.
Date
own on the plans of the completed work (copies Of
mi�t issued-by the Putnam County Department of Hea
P.E. R.A.—
tifi
License No.
Address
n as may be necessary to secure the correction of any unsanit,
rternis)
Any person occupying premises served by the above syst
conditions resulting from such usage. Approval of the sellar,4.. ecome null and void as soon as a public sanitary sewer becory,
available and the approval of the private water supply shalk.-becom n a public water supply becomes available. Such approvals
ct 0, rno_,,-!L,_at.;on or_,cha go when,, in the judgment 'of the.. Co of Health, suqh revocation, modification or change is necessary.
n
F• -t. By– Title
Date
�.uali_,t ng condition any part of
said system _;onsrrucL,:u ;i-.7; vlilich faiis to operate for a period of two
years immediately following the date of initial use of the sewage disposal
cD
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 occu-
pant of the building utilizing the system.
The undersigned furth-er agrees to accept as conclusive the de-
termination of the Director of the Division o - P Environmental ental Health Ser-
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 day of JI-X1 19 1-3 Signature
Title
TIf corporation, give name
and address)
– – – – – – – – – – – – –
,Z'
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP.7,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Putnam County Dcht. of Health
4 Gcneva Road
Brewster, NY 10509
Rcsidcn c
Tax Mai) a• �g....�
gown ...
Gentlemen:
According to records maintatried by the "1 "own, tlic above noted dwolling
'�.�. ._ — ter. ._- -�.-r. ..se .. �-. v s -... w ... ... �.. _ - �P- -- r - ..._....._. •u- .....,�_. �... . M. v.• ... e.ae � 1 . ...-
IS NOT
in compliance wiLlI TOwn code and the total number of bedrooms on record
is .�
This information has bc.cn obtained iron:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER 6t" /c t6i
' ".i��iy
j$Y•J1� �F> t��,ry���'7(�
�F
{t fY:
" {o
`,
^t ;y ; iN
�.' -
• ... .P_ �. - r`,y.s. r ... .. a rs % 1 �L�i�..._
XtAv
Putnam County Dcht. of Health
4 Gcneva Road
Brewster, NY 10509
Rcsidcn c
Tax Mai) a• �g....�
gown ...
Gentlemen:
According to records maintatried by the "1 "own, tlic above noted dwolling
'�.�. ._ — ter. ._- -�.-r. ..se .. �-. v s -... w ... ... �.. _ - �P- -- r - ..._....._. •u- .....,�_. �... . M. v.• ... e.ae � 1 . ...-
IS NOT
in compliance wiLlI TOwn code and the total number of bedrooms on record
is .�
This information has bc.cn obtained iron:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
OTHER 6t" /c t6i
a - -_.
BRUCE R�.(� FnOLEY
�:.X.._;raari:
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
,ORETTA MOLINARI R.N.,.,M.S.N.
�s.:' s' tzii��iFn�zc '°�•i�u:t%�'�3:t'eEi`Urg- _;:d:�_.:,;..:
Director of Patient Services
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 (RESIDENTIAL ONLY)
STREET (D 7 .Sproc��oovfTOWNPG goe 44�wTX MAP#
NAME GtJ l/ t jj ccgjea PHON%R - 736 -PCHD# - O
MAILh TG ADDRESS G /�
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS S PROPOSED # OF BEDROOMS 3
(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.
�P. ea � �.. .a'q a 1s ut-_ fi ,_ •�.ro� , : ��. ��. _ e .. fi.n � 11_'oi. ..r.• t, .c •. .. , 4" - %' i' w_-
10509, Phone 278 -6130.
1. Certified check or money order for $100.00. .
X2. Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non - professional sketches are acceptable.
X3. Two sets of proposed floor plan (drawn to scale, with name, .street, and tax map #)
*Non - professional sketches are acceptable.
X4. 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
Feb98
BFhouseguidelines
IM
BRUCE R. ^ FOLEY
Public Health Director
•d
_ " -- -- = . �`LUR�7TA• NIULINA1tI R.N., IvI.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 (845) 278 - 6014 Preschool (845) 228 - 6108 F tf,948 2WI
William Vaccaro
649 Sprout Brook Rd.
Putnam Valley NY
Re: Addition- Vaccaro- Sprout Brook Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 72.19 -1 -4
Dear Mr. Vaccaro:
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 April 24, 2001 The addition is approved with the following conditions:
1. The total number of bedrooms must remain at Three without prior approval
by this department.
, ae„s;r i -Cin sewggcE .disp a :_;WSTm5,
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
William Hedges
WH:kg Senior Public Health Sanitarian
CC:BI
BRUCE ~R�FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
William Vaccaro
649 Sprout Brook Rd.
Putnam Valley NY
Dear Mr. Vaccaro:
April 5, 2002
Re: Addition- Vaccaro- Sprout Brook Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley Tax # 72.19 -1 -4
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 April 5, 2002 The addition is approved with the following conditions:
1. 7T,, he total number of bedrooms must remain_ at Three without prior approval .
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.
Very truly yours
Mike Luke
ML-kg Public Health Technician
cc: BI
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