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03327
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03327
PUTNAM COUNTY DEPARTMENT OF
6v. 3186 Dlvlslom of. Environmental HeWt i Servlcee. Carmel; N Y 10511 B1IF C TE to Provld
n CE A t 0
o F COMPFLL1I,NCE
Permit # t �'
NSTRUCTION PERMIT FOR SEWAGE DISPO/S�AL SYSTEM A q s f
at rcHx-r -a `\TPV`� J
Subdivision 14
Ilk
ame lAi�tlG�katt�Te. cabd Lat q^ TAX Map `s Block ': I of 3
ii'• - e Rea ®wal O Revision p °
Ownei /Applicant Name 1 1 1:� ,t bi tA2 VN
Date of Previous pproval
Mailing , Addross
sousing .Type fPSti.ata` Lot aka )6Z2 . • F>o sedan only
Depth Volume
Number of Bedrooms Design Flow G /P /D FCHD NoHficafdon Is Required When Fill is completed
Separate, Sewerage System to consist of GaIIon`Sepdc Tank
To be cop etructed';by Addirees
Water Suppl Publlc Supply Fro.'.
or. ✓ Pilvate Sa 1 DrWed b �►'� ��Addrese, \�. • "'
pP Y Y•
Other Requirements
represent that 1 am wholly and completelyr'responsible foi the defign and IOCaUOn Of the proposed Systems) 1) that the sepaiate. sewage , disposal ;system`
above tlescribed will be constructed aslihown on'the appro "ved amendment theie to and in actoidance with the standards rules an . regu a .ions o e , .0 nam
County; :'Department of Health, 'antl that on completion thereon s','Cert°f°tate of Construction Compliance satisfactory to, the.COmmissiOner of Health will
De submitted to, the Department and: a wntten guarantee will',tle nurnished the owner hii wttesso►s, heirs or;'.assigns by the Duiltle► that said builder will
place in good operoLng conddion any pail, of -faidi sews a disposal syste uri „ y Ilowirg'thedste of.3lie issu
(1 1
of the Certificate of, ,Construct°on,'Comphance of, _e on °halts rn o► sn two) 2 years immediate) foarilled well dexiibed above I
ante of life approval g y r ° thereto 2 .that •the:
will be located as shown on the approved plan and. that said well will De inst I rtlan with t rtls rules:and regu aeons o� a .Putnam
County Depart die -n7t of Health:
Date . . ��
Signed P.E. R A
Address
pp
ti
J
. 4 License No
APPROVED F,OR•CONSTRIJCTIONe T.hi I' `'
yy}}�� 3 3
s approva expuef3isi' year from the date issued unless Construction of the bu Itl n h b d rt K d i
re4ocable for c"ie or. may be_ amend_ ed'or modified
requires a %new /peerrmit `Approved, for disposal of
Date
i
4
7, 7 �_ i 9• as. een. un e a en an s
ivhen,ca der d necessary by t e Commissioner of,.HeaIth:, Any change or` altera6on.'of, construction
dome' c sew g a r• r u e *water iuPply only.
8Y Title
t•' � OiR�:� � �`7' t 1. ..r- _...t.. Vy w.V �_.R.v�
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Mr. Lessinger
PO Box 668
Putnam Valley, NY 10579
Dear Mr. Lessinger:
I
R. FOLEY,' R.S.
Acting Public Health Director
January 13, 1997
Re: Addition -
No increase in number of
bedrooms
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 January 8, 1997 and this
Department's approval stamp.
Based on the information submitted, the above mentioned addition
IS .approvecl with L e- - o iCUw iiy
1. The total number of bedrooms must remain at one 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 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 yours,
Robert Morris, P. E.
Public Health Engineer
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04/05/1996
11:50
9145289329
ROSE HILLS
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Cert',Ficotions hereoo are el;d for 4ert.
T;Oc Co. & Owne.s for this transaction
only Certifications art not transltrable to
svbsege,ent Bank, Title Co. or Owners.
All certifications hereon are valid fey th;s
map and copies thereof only if said map or
copies bear the impressed seal of the sur.
veyor whose signature appears hereon.
'It is hereby ceri;44 ehaf this survey was
prepared in accordance with the ertstinq
Code of Pracfice tot. Land Survey+ adopetd
by the New JYork Sta!t Associolian at Pro.
SurveyOrf." .
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DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
March 12, 1996
Trevor Lesinger
Ridge Avenue
Putnam Valley, NY 10579
Re: Proposed Addition
Dear Mr. Lesinger:
Acting Public Health Director
A plan is to be submitted, which may be drawn by the property owner, showing the
existing and proposed floor plan. This sketch is to include all levels of the
house and each room is to be dimensioned and labeled, e.g., dining room
(15' x 20'), etc.
At this time no professional services, plans from an architect or engineer, are
required. Professional plans are not required for all addition approvals. If
further documents are required you will be notified by this office.
If there are any questions on the above comments, do not hesitate to contact me
at Ext. 166.
Ver truly yours,
�Xo
Robert Morris, P. E.
Public Health Engineer
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Acting Public Health Director
. DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road', Brewster, New York 10509
. (914) 278 -6130
April 5, 1996
Mr.,Lessenger
PO Box 668
Putnam Valley, NYT 10579
Re: Proposed Addition - Lessinger
Ridge road.
Putnam Valley
Dear Mr. Lessenger:
Review of plans and other supporting documents submitted at this time relative to
the above - captioned project has been completed. Comments are offered as follows:
1. Separation distance between well and septic is approximately 94 feet, 100
feet is required by today's standards.
2. Expansion area for the existing septic system, 100 feet from the existing
well, is not available.
�uapp111•1& &i ib1 i5 Ire1'eb e717'�1�: •�._ K, w .. _._ �_ F.
It is advised that the proposed addition is revised to meet current standards. I
may be reached at ext. 166 to discuss this possibility.
It is within your rights to apply to the Board of Health for a variance.
Guidelines have been enclosed.
Ver truly yours,
Robert Morris, P. E.
Public Health Engineer
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DEPARTMENT OF HEALTH
Division Of Environmegtal Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
HOUSE ADDITIONS APPROVAL GUIDELINES
Acting Public Health Director
I. The Putnam County Department of Health must review all additions; which. will
result in an increase in living area.
A. Any addition which is considered a bedroom requires a formal approval of
plans (Construction Permit) by the Department and plans are to be
prepared by a Professional Engineer or Registered Architect in accordance
with applicable sections of the Putnam County Sanitary Code, unless
system is presently designed for proposed number of bedrooms. Plans will
provide for the installation of additional and /or new sewage disposal
area meeting present code) requirements.
B. The determination of whether a proposed room addition to a house is
considered a bedroom will be made by Department staff based upon:
- Location of the room in the house
- Size of the room
1. Accessory rooms such as Dens, Libraries, Studies,.Computer Rooms,
Offices, Sewing Rooms, etc. may be considered potential bedrooms.
2. Large bedrooms, which may easily be divided by.a;part.ition !gall; may.
C:ci At F
3. Storage areas or unfinished portions of the addition may also be
considered potential living area.
C. Any addition which is not a bedroom will require the submission of a.plan
prepared by the property owner (to scale) showing the entire house floor
plan existing and proposed. The determination of what constitutes a
potential bedroom will be made by Department staff, i.e., an office 8' x
8' may be considered a potential bedroom. Once the review has been
completed the plans will be stamped.noting the number of bedrooms,
including potential bedrooms. If the number of bedrooms remains the same
as existing, no further expansion of the sewage disposal system will be
required. If, however, it is determined that any increase i•n potential
bedrooms is proposed then refer to "A" above. A letter from the
Department will be issued indicating total number of existing bedrooms
and no expansion of sewage disposal area will be required and any other
permits or variances required are the jurisdiction of the Town.
BRF /jp
August 1995
N
_..��. _t.v •. "'ui{tJu�rll "'''u LL JOF- ,•S��yCT T ^_�.., T.K "t
Acting Public Health Director
DEPARTMENT OF HEALTH
Division Of :Environmental Health Services
Xk
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
10: All.Concerned Parties
FROM: Bruce R. Foley, R. S.
Acting Public Health Director
SUBJECT: Revised Addition and Well Guidelines
DATE: August 1995
Effective immediately please find the Department's new policies and procedures
relative to Home Additions and New Wells.
Please note the Department will require existing sewage disposal systems to meet
present code requirements, including all separation distances, for additions
involving any increases in potential bedrooms and has eliminated the 15%
guidelines as instructed by the Putnam County Attorney's office.
Should you desire to discuss this matter please contact this office.
1:. :...
DEPARTMENT OF HEALTH
Division Of Environmental Health Services '
4 Geneva Road, Brewster, New York 10509`
(914) 278 -6130
;Acting Public Health Director
ADDITION APPLICATION - (RESIDENTIAL ONLY
r'
STREET: ,lUe TOWN et /trtd TX MAP #
NAME PHONE y1 .S2 E - ?9S PCHD PERMIT #
MAILING ADDRESS C;.`? �o� (� (� � vrp- U - A '1 0 5
Description of Addition
Number of existing bedrooms I Proposed number of bedrooms /
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.
2. Sketch of existing floor plan (all living area including basement, if any)
Non- professional.drawing is acceptable.
_ "c'-�c i ci' Wi3'I`.' ai +3GtOSEG i Ul' Dl
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.
OFFICE USE
Comments and /or conditions
application
August 1995
Cv���
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At
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
tj�
.. ..._ -- ..
Prue DVDMTM 4111-11-0-4,
WELL LOCATION
Street Address Town/Village/City Tax
R I L GC j9vE vT 0RAll ✓ALCEy
Grid Number
WELL OWNER
Name Mailing
/ZEK.0 2 k ES
Address
private
O Publ is
USE OF WELL
1 - rimar
2 - secondary
RESIDENTIAL 0 PUBLIC SUPPLY O AIR /COND /HEAT PUMP
0 BUSINESS 0 FARM O TEST /OBSERVATION
® INDUSTRIAL 0 INSTITUTIONAL 0 STAND -BY
® ABANDONED
0 OTHER (specify
AMOUNT OF USE
YIELD SOUGHT S"-/ D gpm /#
PEOPLE SERVED /EST. OF DAILY USAGE gal
REASON FOR
DRILLING
NEW SUPPLY
OREPLACE EXISTING SUPPLY
OPROVIDE ADDITIONAL SUPPLY
0DEEPEN EXISTING WELL
®TEST /OBSERVATION
DETAILED
REASON FOR
DRILLING
77' 0
r
r'i .4 _ _E�/1 � � ,�,,� � �� a4- t�
WELL TYPE
DRILLED ®DRIVEN
®DUG 13GRAVEL
C1
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: All d
Lot No.
WATER WELL CONTRACTOR: Name. f✓O QA44x 14 ��� 2 S a wJ Address :� U j ,ug,�.A U/d tr C EN
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _>4.-NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
.o 1'':�.L'T`'.:YC�: .� Pi vu(tiv.E.oT-Y...:4•'N�l"n.%'. ;,s,E.nnWc,m Tmn.» prA�}7. .. ...✓ _ ._ > -. _ ... .. _,.
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
[]ON REAR OF THIS APPLICATION N SEP T SHEET
22. -9"7
(date) (signature)
PERMIT
TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the
provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and
provided that within thirty (30) days of the completion of water well construction,
the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance.with the requirements of the Putnam
County Health Department attached to this permit.
3. Submit a Well Completion Report on a for rovided b the utnam County
Health Department.
Date of Issue: \jv(" 19�
Date of Expiration: J(/� Li 19 P � rmit Itsrgl Official
Permit is Non - Transferrable to copy: H.D. File
low'copy: Building Inspector
2/87 ink Copy: Owner
Orange copy: Well Driller
'�D'�- y�•�"I�F��J��I ���iGl��'�:n•[P- ..7.s. .. •. :':e. •• "v�.oancw�.n:".si•'ar.
Inspector
TOWN HALL.
':i.C.•El�.. a'F'Y NY. --gAf i{�;��, �.�9�Wt^uv"sLC:eS Yrvv
(914) 526 2377
TOWN OF PUTNAM VALLEY
BUILDING, ZONING, AND SANITARY DEPARTMENT
Robert Morris
Putnam County Health Dept.
Fair Street
Carmel, N.Y. 10512
June 22, 1987
Re: Well Permit - TM #54 -6 -33
Dear Mr. Morris:
Having reviewed the.attached application for a new well
and same meets separation requirements.of one hundred feet .
(100:') minimum. from and..SSDS area, same is approved by this
Department.
Upon, completion,of well the owner shall submit a copy of
well Log.and water analysis report to Building Department.
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Very truly yours,
r
MARVIN O'DELL
Building Inspector
MOT: es
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER CARMEL, N.Y. 10512 (914) 225-3641
Z-
RUCT A WATER WELL
PCHD PERMIT
WELL LOCATION
Stree ddress To /Village/C*t Tax
Y3
Grid Number
WELL OWNER
Name Mailing Aadress
-1 a'%V%-ev� gox 113
01'rivate
1:3Public
USE OF WELL
I - primary
2 - secondary
G-9-SIDENTIAL 0PUBLIC SUPPLY CIAIR/COND/HEAT PUMP
C)BU9INESS 0FARM 0 TEST/OBSERVATION
0 INDUSTRIAL CIINSTITUTIONAL 0 STAND-BY
13ABANDONED
DOTHER (specify:
AMOUNT OF USE
YIELD SOUGHT gpm/# PEOPLE SERVED /EST. OF DAILY USAGE_ �00 gal
REASON FOR
DRILLING
eirw SUPPLY []PROVIDE ADDITIONAL SUPPLY
OREPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL
OTEST/OBSERVATION
DETAILED
REASON FOR
DRILLING
WELL TYPE
DVRILL'ED
DRIVEN
[:]DUG []GRAVEL
0
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES
IF WELL IS LOCATED IN A REALTY SUBDIVISIO7, NAME OF SUBDIVISION: o 0 � -tAA-
F - 0- IS I A Lot No. :1
WATER WELL CONTRACTOR: Name COV�tll
Address:
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES --�NO
NAME OF PUBLIC WATER SUPPLY: 1U) P, TOWN/VIL/CITY
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
1, MON REAR OF THIS APPLICATION 13-0 Q.SEP �JTE S#Y��
(dat4) Csignature)
PERMIT
TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the
provisions of Subpart 5-2 of Part 5 of the New York State Sanitary Code, and
provided that within thirty (30) days of the completion of water well construction,
the applicant shall:
1. Pump the well Until the water is clear.
2. Disinfect the well in accordance with the requirements of the Putnam
County Health Department attached to this permit.
3. Submit a Well Completion Report on a form provi2d the Putnam County
Health Department.
Date of Issue: 6�1 196
Date of Expiration: 19 PeFmit Iss6i'ng Official
White copy: H.D. File
Permit is Non -Trans ferrabl e Yellow copy: Building Inspector
2/87 Pink Copy: Owner
Orange copy: Well Driller
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Certifications hereon are valid for Bank.
Title Co. & Owners for this transaction
only Certifications are not trapsferable to
subsequent Bank Title Co. or liwners.
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CERTIFIED TO: 'L/.4//c9P,4G A/,OT /ON.9L
B4'Y[�SECV� /TY TITLr' f 411.1LAM71 'Co. All certifications hereon are v:ylid for this JOHN SALVATORE ROMEO
2GP 72.d99 map and cop n
'es thereof only if aiJ map or Consulting Enginre, & Lmd Surntyor
copies bear the impressed seallof the sur-
veyor whose signature appears fSeTeon. 1 NORTHRIDGE ROAD
PEEKSKILL, N. Y.
"it is hereby certified that this; si,rvey was
SURVEYED: '1491/ . 2a, ' /9B6 prepared in accordance with h+ esisting
BROUGHT TO DATE Code of Practice for Land $uryoys adopted . E. ¢y.LS. NYS LIC. NO. 027646
by the New York State Associa1;on of Pro -
BROUGHT TO DATE _ fessional Land Surveyors. '• { °_NCROAC:HraENTS BELOW GRADE IF ANY NOT SHOWN
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SURVEY OF PROPERTY
Certifications hereon are valid for Bank.
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only Certifications are not transferable to
subsequent Bank, Title Co. or Owners.
CERTIFIED 7..1
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All certifications hereon are valid for this
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PEEKSKILL, N. Y.
NEW YORK
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certified survey
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SURVEYED:.--;
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SURVEY OF PROPERTY
Certifications hereon are valid for Bank.
FOR
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only Certifications are not transferable to
subsequent Bank, Title Co. or Owners.
CERTIFIED 7..1
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All certifications hereon are valid for this
J6HN SALVATORE ROMEO
SITUATE IN THE
map and copies thereof only if said map or
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copies bear impressed seal of the sur-
veyor whose signature appears hereon.
I NORTHRIDGE ROAD
COUNT)
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"It is hereby that this was
PEEKSKILL, N. Y.
NEW YORK
A1.911 W
certified survey
in accordance with the existing
SURVEYED:.--;
rb
BROUGHT Tl.:,: DATE
prepared
Code of Practice fnr Land Surveys ado pted
NYS LfC; NO. 027846
SCALE: 1 -30
by the New York State Association of Pro.
BROUGHT T4 DATE
fessional Land Surveyors- •
ENC R ' 0 -fHMENTS BELOW GRADE IF ANY NOT SHOWN
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PEEKSKILL, N. Y.
"It is hereby certified that, this survey was
SURVEYED: W 19146 . aty
prepared in accordance with the existing op.- G
0
Code of practice for Land Sur-�;-: adopted
BROUGHT TO DATE
NYS LIC: NO. 027846
by the New York State As,ocitii.. of Pro.
BROUGHT ' TO DATE fessional Land Su-ey.ors.• NT . S BELOW GRADE IF- ANY NO . T SHO-.vN
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SURVEY OF -16OPERTY
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SURVEYED AS IN'%:OSSESSfON
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RIDGE
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AVENLIE
Certifications hereon are val4l"for BeA,
Title Co. N Owners for this; Transaction
only Cerfifi'cafions are not fran'sferable to
CERTIFIED TO
subsequenf ' Bank. Title Co. or'O wners.
r/ 7j.'r f -Izlqzglerr Co.
All cerfific. flons hereon are vilid for this
. I
JOHN SALVATORE ROMEO
map and copies thereof Only if wid map or
copies beer the impressed sea'f �f the sur.
ve or whose signature a ea.s here
C,,nsulring E�givz— & Land Surveyor
PP on.
PEEKSKILL, N. Y.
"It is hereby certified that, this survey was
SURVEYED: W 19146 . aty
prepared in accordance with the existing op.- G
0
Code of practice for Land Sur-�;-: adopted
BROUGHT TO DATE
NYS LIC: NO. 027846
by the New York State As,ocitii.. of Pro.
BROUGHT ' TO DATE fessional Land Su-ey.ors.• NT . S BELOW GRADE IF- ANY NO . T SHO-.vN
ii_4
Z of
k . ja
Z,
1'r �Z41VIYO ;Z
0 " 1,4MZ1W-6l�. M
7,1 vs-z- y
SURVEY OF -16OPERTY
3URV I-
FOL
zZ.V'Wa.r.e
SITUATE.,fN THE
-,,rv,.w ►azz
COUNTY
NEW 1;5'DRK
SCALE: jro
SURVEYED AS IN'%:OSSESSfON