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Home My WebLink About3352DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.05 -2 -56 BOX 27 03352 ' go ,, ' Is - r ' ' '� '� to in ' ' i 1 �i J i � Ism T L tr� F1. �. J 4y�. go , 03352 OWNER'S NAME SITE I=TION MAILING ADDRESS < DATE 1.• V PUWAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES (j PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR S'z ? -9YS7 r- Cr 1 e k So v\ PCHD Complaint # (i.e, owner,tenant, etc.) X TYPE FACILITY 1-0 / PHONE -7 3 cl -- 2-08 REGISTRATION # Pro (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. Uhl �rt��l &OX F&fZ.. /5A -C,*�- F / %--Q Wipe a Il Proposal Disapproved r000sal aonroved with the followinq 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 d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. Date (e.g.,house corners). three precast 6' diam. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. I, as owner, or reported agent of owner agree to the above conditions. 7� c� SIGNATURE `� `G r l;7 i TITLE 0 i2 DATE I (� PIE'S: White (MD); YeUc w Umn BI)i Pink Qgliamt) rl pri C- p A D AKaP,'— G-W �A-5 19N A N ---13 : AD rff CAW Yi 7i NA NA I 0 00, 0 v 0'r ti At m Qyx 50 m PETER C. ALEXANDERSON County Executive ' IN DEPARTMENT OF HEALTH Division Of. Environmental Health Services 110 Old Route Six Center,. Carmel, New York 10512 (914) 225 -0310 November 28, 1990 Kr. & Mrs.. Mendela: 351 0scawana Lake Road Putnam Valley, ' HY 10579 Re: Proposed addition Mendela, 0scavana Lake Road (T) Putnam Valley Dear Mr. & Mrs. Kendoir: 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 the enclosed porch has been converted. to a kitchen and living room. The entry to the existing fourth bedroom and. bathroom have also been modified.,_ The survey indicates-.that sufficient area exists to expand or repair the.sewage .disposal system, should it become necessary in'the future. Theirefore,`based on the information submitted,.the *,a*bove mentioned addition 3s APMVED. with the following conditions: 1. The total number of.bedrooms must remain at four without prior approval by T. this 'De partment. 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.', for 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 yours, William Hedges Assistant Public Health Engineer MH /jp cc: BI (T) Putnam Valley N Yw0SO a E''TgT�c aq� z n a C 4A y oD C A D it :.� C ` '� , 5Qe Ilk- I-C C4 CC Z06. 9.2 Nw � a�H �T t\ m 4 b o ar 9 :• lu ru 7r to a ►. o� ON �°, 0 r a3�ti2 0 ® C 0 5 a0 3S 3 5 ao 36 M.v rh RI � � y � ,�� ✓ � B�Tr� N�• yo,Gx 3 F P, z 0 N, y O W 0 W i s ti. Ib � h2� � D ^e N, y O W 0 W i s ti. la .� Y INVOICE . -• _ jd - CUSTOM `, .w y ER ^� S41 - V-ERSON - _ Tani s - PtIIdPED 8EPTlC TANK w a a .�11N0 SNAKE . SERVICE Al - CHEMICALS.". _ 4 1 - - _ - rP— P ' o „000 f ivT a, :. LJ- NOU- 11-'90 22:27 T- M #987-02 -- Yorktown MedicaI Laboratory Inc. _ LAB � 321 Kear Street _ Date Taken Time; d Yorktown Heights, t4. Y. 10598 Date Rc 1 a : 0 ma Time mate Aeported a _. logo Director: AlberRH.Aadovani Al. T.(ASM Collected By: Frank C. }lope, C.P.C,A.* Referred By: r Sample Location; Pre - Purchase Inspection Service, Inc. PO Box 611 Somers, NY 70589 _ phon - 245 -6076 J _ +/ Phone // Sample Type L FOR: �►__ — , •t Repeat Test? � , (check one) LABOP,ATQRY REPORT ON THE QUALITY OF MATER INOR�CANIC�PON- METALS (mg /L) MICROBIOLOGICAL (CFU /1001nL) Acidity Alkalinity Chloride Detergents, MBAS hardness, Total'. Nitrogen, Ammonia Nitrogen, Nitrate P- osphate, Total _ Sulfate S.0 1 fide S::li'tte __�..._ GENERAL BACTERIA Standard Plate Count- (CF'U /1.OmL) MEMBRANE FILTRATION TECHNIQUE i Total Coliform Fecal Coliform I _ Fecal Streptococcus MOST PROBABLE NUMBER TECHNIQUE Total Coliform Index Le a c .�..�. Manganese Mercury Scd -um Zinc XISC_1LANEOUS p= (units) Color (units) Odor (TON) Turbidity (NTU) Fecal Coliform Index KEY FOR TERMINOLOGY N/A = Not Applicable LT =.Less Than ( <) GT = Greater Than ( >) TNTC= Too Numerous To Count CON = Confluent ( =TNTC) NR - Non - reactive REMARKS /COMN,ENTB (For Lab Use) Potable M Non- potable STP INF STP EFF Other: Sample Status: (check each) Out_uoinr F,103 H C 1 H ,2SO4 NeOH znOAc Other.. Incominv L E L: ° C GT 40C PH LE 2 pH GE 9 PH GE 12 Other: THESE FESULTS INDICATE THAT THE WATER SAMPLE kWAS �i (WASN'T) (N /A) OF A. SATISFACTORY SANITARY QUALITY ACCORDING TO TH YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN °T) N/A MEET THE SATISFACTORY CHEMI CAL, QUALITY STANDARDS OF THE NEW YORK STAT 1KING WATER CODES, FOR THE PARAMETERS TESTED9 AT "THE TIME OF COLLECTION. i Pf 35 (2/86) Standard N.V.B.T.U. Form 8004 - Quitclaim Deed - Individual or Corporation (Single Sheet) a "CONSULT YOUR LAWYER BRFORE SIGNING THIS INSTRUMENT —THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. 14 This Indenture, made the day of October , nineteen hundred and eighty —seven Between PHILIP MENDOLA and •DOREEN C. MENDOLA, Husband and Wife, residing at 129 Oscawana Lake Road, Putnam Valley, New York 10579 party of the first part, and DOREEN MENDOLA 3s-1 =ISM' Oscawana Lake Road Putnam Valley;, New York 10579 party of the second part, Witnesseth, that the party of the first part, in consideration of Ten Dollars paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and beinginthe Town of Putnam Valley, County of Putnam and State of New York, known and designated at Lot Nos..59 through 64 inclusive, on a certain map entitled, "Amended Map of Camp Lookout, Town of Putnam Valley, Putnam County, New York," filed.in the Putnam County Clerk's Office on January 30, 1930 as Map No.. 121A, and more particularly bounded and described as follows: bEGINNING'at a'point`of 7inte =section of the division line between Lot Nos. 64 and 65 as shown on the aforesaid Filed Map and the northerly side of Oscawana Lake Road; RUNNING thence along said last mentioned division line, North 23 degrees 43' 00" West, 206.92 feet to a point; RUNNING thence North 60 degrees 48' 00" East, 240.00 feet to a point; RUNNING thence along the division line between Lot Nos. 58 and 59 on the aforesaid Filed Map, South 40 degrees 35' 00" East, 183.34 feet to the northerly side of Oscawana Lake Road; (per survey; South 40 degrees 36' 00" East 183.37, per map) FT-R-TNING thence along said northerly side of Oscawana Lake Road,. the following courses and distances: South 44.degrees. 37' West, 100.00.fe'et; _ T _ South =60= degrees 00' .-West, 100'A0 feet and` South 62.degrees 32' West, 100.00 feet to the point and place of BEGINNING. Together with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; Together with the appurtenances and all the estate and rights of the party of the first part in and to said premises; To Have And To Hold the premises herein granted unto the party of the second part, the heirs or successors and assigns'of the parry of the second part forever. And the party of the first part, in compliance with Section 13 of the Lien Law, hereby covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost :of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. In Witness Whereof, the party of the first part has duly executed this deed the day and year first above written. In Presence Of: ,1.(:t ,%(..teL( .IL000CJaZ .,.,s2 3 ,. i . II 11`•'aeP Standard N.V.B.T.U. Form 8004 - quitclaim Deed - Individual or Corporation (Single Sheet) CONSULT YOUR LAWYER BEFORE SIGHING THIS INSTRUMENT- -THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. � :.Tus_Intep3tlre, r :ade:the ;Z^.. dayof -.:Oc obi?r':: ,;nineteed'he3ndred`and ?e gr:i y�s�von% Between PHILIP MENDOLA and DOREEN MENDOLA, Husband and Wife 129 Oscawana Lake Road, Putnam Valley, New York 10579 party of the first part, and DOREEN MENDOLA 3S'1 -22aOscawana Lake Road Putnam Valley, New York 10579 party of the second part, Witnesseth, that the party of the first part, in consideration of Ten Dollars paid by the party of the second part, does hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of the second part forever, All that certain plot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Town of Putnam Valley, County of Putnam and State of New York, as shown on a certain map entitled "Amended map of Camp Lookout, Putnam Valley, New York, Clifford Country Estates, Inc. Owners and Developers" filed in the office of the County Clerk of Putnam County, at Carmel, New York, as Map 121A, on the 30th day of January, 1930, and shown by Lot #65. TOGETHER with an easement in perpetuity over and across that certain tract or parcel of land known as Lot 9 Lee Avenue, bordering on the shores of Lake Oscawana, for the purpose of going to and from said lake. Said parcel of land is reserved for and to be used by property owners at Camp Lookout, alone. Together with all right, title and interest, if any, of the party of the first part in and to any streets and roads abutting the above described premises to the center lines thereof; To9ether with the appurtenances and all the estate and rights of the party of the first pbrt;in And to said premises; To Have And To Hold the premises herein granted unto the party of the second part, the heirs or successors and assigns of the party ofihe second part forever. And the party of the first part, in compliance with Section 13 of the Lien Law, hereby covenants that the party of the first part will receive the consideration for this conveyance and will hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. In Witness Whereof, the party of the first part has duly,executed this deed the day and year first above written. In Presence Of: d s 19 ara RtV1a 8o of Putnam Valley - Department of Health - Division of Sanitation DESIGN DATA SHEET. . .SEPARATE SEWERAGE SYSTEM d atr?, ed of water supply:. driven -dug well - spring- public Location.. X2.3 Block..... Lot.. fo Lot Area... Bldg. Type. �'tr�u,t• �L,G Occupancy. . OF ROOMS: ............ Bedrooms. Y: ....... Future. XTURES. Kitchen - dishwasher..... Garbage - grinder...... Bathrooms...... Automatic laundry:... Other. . ... ...... ........... UC �a LLAGE FLAW: (200 gal. /bedroom)...,? ..................... . .. (Increased capacity required for garbage grinder -�50)• LE CAPACITY: ?0 ..gallons below flow line; .depth air. space......... MATERIAL: ,.`:r.t:.... total depth.......... liquid depth.......... width.......... length ............... partition............ OIL TESTS: 1st ...min.; 2d ..........min.; 3d .....min. oil to 5 -foot depth......, .. .........,...how known ............... ests made by... when. .. BSORPTION RATE allowed ......... g.p.s.f.p.d.; Checked by.. ' ....... in` allons........ Rate........ Requires ..... sq.f`t. bottom area, trenches rovided by (describe absorption fi�d)...l�a,•?� I.r:C.t: :.• •.• w distribution. box:.p?:ovid -pd !e - SABLE AREA AVAILABLE ON PREMISES: .................:...... ........• RAINAGE OF LAND (show on sketch):. natural ...l-_ ..................... artificial ............. curtain drain...:................. ned usable area MUST be provided be USTUA 16 REWU1HEll and must show all pertinent reatures; north point, property lines, existing structures, driveways, water or gas lines, ater courses, wells, springs, dry wells or drains for roof or area drainage; DISTANCES BETWEEN SUCH.FEATURES. COMPLETE PLANS FOR ADEQUATE DRAINAGE OF SEWAGE DISPOS L AREA -all details of workable sewage system DATA SUBMITTED BY: - s mature ) (date Owner( ); Builder( ); if cok oration, g14 title existing field Checked by: records ( ); inspection( ) By date