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HomeMy WebLinkAbout3369DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.08 -1 -10 BOX 27 03369 � t �� i ,, I 1 ,i � L I r ?5. 03369 b - SHERLITA AMLER, MD, MS, FAAP Commissioner oiHealth LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 1.0509 August 8, 2006 Susan Cavanagh - 3 Tyler Court Putnam Valley, New York 10579 Dear Ms. Cavanagh: RS ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Addition — A- 238 -06 No Increase in Number of Bedrooms 3 Tyler Court (T) Putnam Valley, TM# 73.8 -1 -10 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 from this Department dated August .8, 2006. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three. 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 fw�_xc .,.,, ...:�. ... . _. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. This approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. 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 (845) 278 -6130, ext. 2261. Sincerely, Gene, D. Reed Senior Engineering Aide GDR:cj cc: Building Inspector, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 t Il - � -- -' -- _ , 1 t I • L -- I- =inn; - ' , !__ _(-!-,► L!�!I!r►jtij!Ij�ICIIIIi =}�_►_,I - -_ _L_ -- - -�- - -� _I..' I_L.; _ _ ( - -, I- ,. I. L: -I- _ - - -I -- -� 1 -- -�s i. ,�,j, ;•: -� -.I I _ � - -1 -; ! - -- - - - -I -- - -- - - - -- �. ( - -- _ - 91- I 9 s . C 1- t. - 9' S; 1: t' Lq►ztytt -1b i v �? do H f� P�mp©s� To F /w/s H PUTNAM COUNTY DEPARTMENT OF HEALI: l HOUSE PLANS APPROVED FOR BEDROOM. COUNT ONLY i I}t/�IAfjN -ti10 orN�� 'b 3 BEDROOMS g ;• � ALL SUBSEQUENT REVISION /ALTERATIONS TO TI IEEE HOUSE .3L PLANS MUST BE SUBMITTEOjTO THE PCDOH FOR f PPROVAL �% /Y1�7%( y1 � �.�f /Y,-/ %Q�Ia� } TO /FOVSE � I LE i 1; ERLITA AMLER, MD, MS, FAAP Com�m�issiioner of Health Li'�.7 i�z `Ti f�'1'l'i1L..�J•il Y ,iVf�� i�iul'•1=— !` `- •..:9:s, Associate Commissioner of Health ROBERT J. BONDI County Executive C r 7 a? DEPARTMENT OF HEALTH 1 Geneva Road, Brewster; New York 10509 Q 'a ADDITION APPLICATION RESIDENTIAL ONLY STREET TOWN x MAP# 73• ? . NAME V-4 n4"') PHONE N5-5oZ g- �i��O`fi PCHD# �7 C-6i� MAILING ADDRESS 3 T LI-- 6r P&AAA- A-1w �ti IdJ 9 1 DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS 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. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, - Brewster, NY 1.0509, Pb.one: (845).,278- 6130. - . - _ r. o- .,e.,. 7�- eyq..w.... r r.....� .. ....> .... ...... , ..`c' -. y. w v � -�. -. w «. �. — .o-- -� .— y- +�..r• —... -� .n n. r.... r.- ...+.r•..� .. «..... --t!'S • w p..w . w u ... -wz e.+wY. -. --. "1. Certified check or money order for $100.00. Sketches of existing floor plan (drawn to scale, all living area including basement) Q3 Two sets of proposed floor:plan (drawn to scale - with name, street and tax map #) *Non- professional sketches are acceptable �4. Copy of survey showing well and septic locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 C SHERLITA AMLER, MD, MS, FAAP LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: CAVAWA&H .. —P Q. V - M 1 �U?RERT- L County Executive (Owner's Name) -7 Tax Map #: r1 10, �- 1- /0 Address: 3 1 Y LE 1< X 4 f?- T- T o AM -PUT-NAM. VAL-1-SY Year Built: According to records maintained by the,Town, the above noted dwelling, is � - - - in compliance with Town Code. is not in compliance with Town Code. �-�teregai-Redfd6fii-*C-0h& is: This information has been obtained from: Certificate of Occupancy: Other: 3L 1>c- 1) f f 7/2-0/0 Building Inspector Date Environmental Health (845) 278-6130 Fax (845) 278-7921 Nursing Services (845) 278-6558 Fax (845) 278-6026 WIC (845) 278-6678 Nursing Home Care Fax (845) 278-6085 Early Intervention/Preschool (845) 278-6014 Fax (845) 278-6648 PUTN COUNTYDEPAR OF JEJF,= a/ �y •' Dlvialon �•wtionmenW Health'Servloey (�emel Ai Y 1051Z,_ TO or V Tii• Ne. NWl6g'Ad&m OSI q Fee hiidlosed Amount' x1. P. Ad&" _Gallon mSeptic` Tank and Water supply : Nblk Supply' I*= Ad&m ore Pelvate Supply DrUmd-by Ad4m BuIldhM Type Lot. Erosion .C'n h*t-rnl RpPh rrimpfiibt-pl,?: Nm6m.d llodrooms Gadn-? g Other 11"Mirements TO or V Tii• Ne. NWl6g'Ad&m OSI q Fee hiidlosed Amount' x1. I V. . Date Pe�im f ssue Ad&" _Gallon mSeptic` Tank and Water supply : Nblk Supply' I*= Ad&m ore Pelvate Supply DrUmd-by Ad4m BuIldhM Type Lot. Erosion .C'n h*t-rnl RpPh rrimpfiibt-pl,?: Nm6m.d llodrooms Gadn-? g Other 11"Mirements I cartify that the #Yst"*011 §k.F listed iezvi�4�ths ab&rp�.,'pr ted seni4lly as the cone c6a leted*work copies t.A._­ .­ ­ . — with Al I of which are attached), and An _accoidikce the standaidi�;. ;rules lation in ac " Ii '. I FAh I" "iiin; and the. Pervidt issued by the Putn" County 0 R salth. Y Partment q Date \P.E. R.A. Address Liven" N IY3731 _7 Any person occupying, pr6MkSSi.Wv*d by the above systems) she conditions resulting from iUih- uIllik. AR" avallablelanid the a0proiMl or the Ohists, Water iuoply subled 10 m .1 11" ". .." _� 4 ,pdlfk@tloh or chan" w jucignmenl - o, ... t.M 104K 3/89 -5 6riectlonqc any unsanitary V. "nR4m!y beco"m ' approvals we Ainge.. ts. ry. TR PUI'NAM COUN'N DEPAMMM?r OF Iii. -WAR 1&L 'j "AA Re 9' Ae.r.L Owncr or Purclict:;cr of Building Building Constructed by Location - ttreet Municipality Building Type o ... �.�w,�r.1�it :�� j. -��� .. ''u� +47 •;�s�p..:i ;'. ;yyS„�••a�.Q � K. 't.�:•:!P !~ - �.u.'c : � Sect i.on i�.l.ix k Lot Subdivision Name :'►7 Subdivision Lot # GUARANITE OF SUBSURFACE S&MGE DISPOSAL SYSTFM I represent that I am wholly and completely responsible for the location, wor)amnship, 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 guarantee to the owner, his successors, 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 approval of the of' Con. t- rue ior.• Com 'i'iarce" f.or the° smTa e- .CI.1sT.o- sal...$? st nm repairs made by me to such system, except where the failure to opeate properly is "- caus'ed by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environirental Health Services 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. I\ In 47, , Corporation Name (if Corp.) Address rev. 9/85 mk Signature Title Corporation Name (if Corp.) v ^flu 1li,bl�nn!, I Address Putnam County 4-..: -., Avision of Envj,r6nmtjjt.;j:1 Jfoalth erv. '-'I' 'r Ipproved as noted foi, con- wit, tPiplicable Rules and Rog-,ilatio Lof thf.. Ciamci,tri,.ry rt. Ti Putnam County Health Departme f1_12 I - , : ■ .1 - .. ­ . I . TYLER COURT R:66' L 135.55' A S 70-26-20W deck D • Ir I. AREA: 1.05 ACRES 265.04 "This is to certify that the sewage disposal system W(.1.1.4 constructed as indicated on this plan and that th.? ,a, 'F.- system was inspected by ' me before it was, cove 1.7 ed over. The system was constructed in accordanc,�. with all the rules and regulations of the Putnam Co�,n- ty Department of Health. ,,Qs HLW), Frederick A. Zenz 292 Main St. Nelsonville, N.Y ION6 NO. 4373 D PROF F SS%0'k W -;:IN- "FEET DIST4NCES t. J 7. AS-BUILT SEPTIC PLAN prepare d for CAVANAGH RESIDENCE 0 0 - TYLER COURT SCALE: 1" = 40", TOWN OF PUTNAM VALLEY 10/15/93 St i. 1. A. A, 5 7 0 A IS1 '33 Iq 63 st at S, 74 rs S7 fol jj SS �3 a181 16 107 1uJ q2 L C 26 30 D S . 11 . . t. J 7. AS-BUILT SEPTIC PLAN prepare d for CAVANAGH RESIDENCE 0 0 - TYLER COURT SCALE: 1" = 40", TOWN OF PUTNAM VALLEY 10/15/93 St i. 1. A. A, PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES 225-0-310 m131�U�, HUi�5�1A1�11alS�l)1,MAAL .°�`x�Y`FMfir:!'A�ii . OWNER'S NAME G (lt4my Qc�i iPCi� t-( PHONE SITE LOCATION 2-1 Pkft4h--A VkXXA -T Nei' l0fli TO MAILING ADDRESS �al•2.2. PERSON INTERVIEWED PCHD Complaint # Name & Relationship (i . e, owner, tenant, etc.) DATE TYPE FACILITY b -wrnkL PROPOSED INSTALLER gaVL AAabNA -13, PHONE Ro-: W Ut�� �►V- Wb ti� w "'A 1000 wu.c.4, PLftrX m%WW- w�-R �( include sketch locating all adja ent "'� 3 thl �Q'� `- 3A�ar �+� NOTE: Repair must be in same location and of-same t as o 'ginal sewage disposal system. Different location may require submittal o proposal ram lic sed professional engineer or VS registered architect. , , tbt -1 D I.►,L ; qty A24uioL rX 1b WWMJL W�k ; 4S.r �ic,,.rRC 5ouo , pF N o - Potous VA- rn► - SePTIC U161W•Vk- 6VWL , w`*T4& L. %*-. Proposal approved Proposal Disapproved Inspector's SigISSfd e & R 1� roposal 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 canponents tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells 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, repo ent of owner agree to the above conditions. SIGNATURE TITLE(�YQtcTN%!Z DATE TP1F55: Mite MD); YeUcw (fin HI); Pink (AnAicmit) 10.1 %. 88 ap' ,OV go%onP ail /! qe4 era rlr'o'/ i � ;�'� 4 I , V �. M a E 'b" Q �0 .m ,..r •�,,,, '"yea,. e//"7 dO v � �r .`rw. ter, ✓ c.� - YY _ �y c Gpp '),ear /asH4�e.0 - o T O goapv if . S. a� vvv&N / /a /V& W IMOR l SCALE / /N. _ 4/ q. Fr. /g7s Guy "5(-6A'; cpt\j � iR (4• j� • Q.Jrr�ar�.- •Jk-t'�( NT } CERrrF /ED roe a �j ri/.G�Lr lj Or�'E:.c..:E r /-h.•f �H /c ?6r TlT.L.E' /v.r G?•Aa �2.r ca. /lO A+ A: 7 -1'A. G1 RICHARD H CORR /A9� surveyor who moon this map, Car/dy that Me „ survey shown h&re,)n was completed byyneo,, rfio ✓• /2 , /, %$" that fhlr map was com- pleted byme on N.av13 , /9Vr and that Tj /A's survey Qor Devn prepared 1n. accordance waA I the erlstmp Coda of Pract ce for Land Surveys. adopted by rAe New York Slot& Assoc,atlon of FS Ptotasslonat Land SurjevorS. _ #� . r RICHARD GORR 4:' PL -S. NYS L1c Npyoa./, ` oar �P Ea/ a° 4 I 1 " 11 t :i •1'. a " f RICHARD H. GORR ` PAOFEsIlONAL LAND SURVEYOR t .. - i!• OLDsroNE atf: ♦ ' ..PAC, N.Y., 10 1 teat.ete -arras 1 s'. f•: a . .j, l✓OTES I. A / /&ro/ on , o/ this docum— /, erceo/ br o /••• ^� r ° }. a-t �f i iR (4• j� • t } a �j a-t �f i ; PuTNAm axwY. HEALTH DEPARmw VISION OF ENVIRONMENTAL HEALTH SERVICES 225:-0310 UGE-spa" A� OWMIS NAME I 6uaj CWAZI-Jat<i� ZVI - SITE LO CATION Kb t4zc MAUMr, ADDRESS 'TON ky`1 "i kU-�k to 57i PERSON INTERVIEWED MM Complaint #,a &f 3 -8 8 Name & Relationship U.e, owner, tenant, etc.) DATE TYPE. FACILITY PROPOSED INSTALLER . 6T-1-,4f &NtbN.1& PHONE 01 f--5 - 1ka? Proposal (include sketch locating 1 adjacent wellm,�. �a�- - NOTE: Repair must be-in same locaAQon ot same type as original se Different location a . Lizu require submittal of registered arch � ki-RLAo I-Sao 60 L Sutc- F% T#Wik Pee)+ Proposal approved C Proposal Disapproved ILI Inspector's Signatufe & p I= %,JM-:Cer - sal system. engineer or T. ?-Ayl Date 'roposal 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 61 diem. x 61 deep drywells 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. as owner,, or aatawner agree to the above conditions. SIGNATURE r, TIM .W: V&te MV; YeUcw (Tan ED; Pink (Applicant) DATE I, CN.............. a: I = CR oq I Y 7-S N-0 n - Dat- ciff 2: 1 lyc Lna-5 E= -C E_ D7 a- -tic_ 1, 000 C- i Wi Cut W-, lo C' ellc ca a t s E Z=sz cr--. CLPL -. n= =CN, - ZCA::, E. ovc: e Ic LE r C- wjmj I CUE 3 L: C_ wiz ias---C� cf I✓cx C- ccr -ns s -cne- 2.n z 4m - ----------- C- =-=C= awav t----C:tt h- C=cc��---Cn C- s 01-1 Lz C 1/32 wl�fc-G-t - 6- io 20 —Z C77 S - ZCA::, E. ovc: e Ic LE r C- wjmj I CUE 3 L: C_ wiz ias---C� cf I✓cx C- ccr -ns s -cne- 2.n z 4m - ----------- C- =-=C= awav t----C:tt h- C=cc��---Cn C- s in art •.`( m! w? T ry y v� 111'. PUTNAM COUNTY DEPARTMENT OF HEALTH .. `., ... ..... � ..,�..y - �. .,.. ..„.. x..+ .r.. v:.�v •. :"'.,:. i;.".. .... r9�. x:.' _��. uw4T'"�1 -s.:w .l�:a.. :,:q�•sta..wo r- Aaw ,...+ s:r:�ivfs�F2.v�t �;w 1f ri'* r,:v. "- an,'s••v.. -. .+ u-. ri. Q_ . -. �.fn.:a 's��.� ..'.._ .:. ..o DIVISION OF ENVIRONMENTAL,HEALTH SERVICES Date Re :: Property of Located at (T) Section C k —Block—,, 2 Lot 2 Subdivision of Subdv. Lot # `j Filed Map # 5-1 Date Gentlemen: This letter is to authorize FA -7-e^Z a duly licensed professional engineer "_�or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve.the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in - connection with this matter and to pervise the construction of said su system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. All Countersigned: P.E. #� t�373C Address t'A0' V,I[e V /eS 11 2GS —�oi4� Telephone Very truly yours, Signed Owj�!r of\ ``- P' opoty E`- a-�"•st- S 4T— Address Town Telephone Owner C a- -j 2 Address V V Located at (Street) RJI�L Sec. t Block 2 Lot Z, (indicate nearest cross street) Municipality Watershed 5 Date of Pre-Soaking _ C I -z- I 40 TO BE SUBMITTED WITH APPLICATIONS Date of Percolation Test d 44" HOLE NUdEM CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water level No. Time Ground Surface In Inches Soil Rate Start-Stop Mina Start stop Drop In Min/In Drop Inches Inches Inches -1 .1 ?- I 29 3 Z- 3 't x) — 2 11.0 - -Zj 37 // 3 (0,0 — 3, '30 "y 4 30 21 3 i 3/11 to -`j 5 1,0,0 'Z 2 70 Z-% 30 10-9 1 3 7.6 -acl 50 IZ-0 1 4 73. 30 z, V 5 2 3 4 5 NOTES: 1. Tests to be repeated . at same depth until.apprcximately equal soil rates are obtainedat each percolation test hole. All data to'be submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ,tv� _ - .�u lvvo" .,.,......�... a •, ..�: .. ..f1uL,C� l�Je" � :.,. � Jar'' - . . G.L.•�y t 1' 2' 3' 4' 5' 6'. 7' 8' 9' 10' 11' 12' 13' .AL t 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED �o INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED pip, DEEP HOLE OBSERVATIONS MADE BY: _ Ze-.Z DATE: G 2t ku Soil Rate Used t1-1 DESIGN Z 5r Min /1" Drop: S.D. Usable Area Provided No. of Bedroans Septic Tank Capacity IVoo gals. Type Absorption Area Provided By 15Z L.F. x Other F NEW Name .�, _ Z cn.Z Signature Address SEAL k (� R 43IS � f -A9 �v,i,t � _ to`�I1, �SjF� Via. " THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date f 1:0 D4 a DIVISION OF EN4TIROi m HEALTH S=lICES 22_5+ -0310 • . �r e� _. - � � :.., 1' +r n -+t � : '�- T .t.: - +n:.r. sa.ire:..aa.'" ��iW�J'. 1 <%l� �.. L� Tv l • �'��ir71L��t• i \tlCt'�il�., ^T:•.... �n..rs �'.- .y�i'a• «.i p+,._« t, rro.�•>,�r.ru « .... OWNER'S NAME � uk � PH=� SITE LOCATION '0 dt t CA CL �rt�¢�� V Al �' ." �.`' ! o 1 (0� • 2 ' �-- MAILING ADDRESS PERSON. ILQTEEtVlEWED PCFID Carp] of nt c 3 0 Name &Relationship (�_.,e) jvwner, tenant, etc.) TYPE FACILIV tTji i rJ'fl Al PROPOSED INSTALJuEt PHONE cu `� { ++ic N- a , pe i rL mt U6 f< IGO, S �� `E1�1..G�AvCc A +i� �Ni ►r Cvv:i ry 1 ( -.incite sketr3�..:loaatiii "ad j t Y. Nm: Repair must be in same location and o :same ty a as o 'ginal sewage-,disposal,.syst®. Different -location.:may require suimmittal ol. prgosai from li u i .prc�Le;3a .mi e4i or.. registered architect. ��,� HaW4, �.VrIAK ;° �.`•.l.art PQ�'v,ovs T4 f 21 G T2t4 'All f C*E.C. ;L -.0F -3- 1Q. °i!�%rb, l t..`:.'1 � �•^ i r <<.:;1:C!(ay. YY% 1 vi9 /rpJ..�Jti. >'• J%.'CL C tJ1 Uf� `i-f�r �...r.r. .. ,- .,•ra.c. i Z - .. ..s3 r'i r : , c'�,ti 14 -'•_ l T -,;.A r `. .... -.-�„- ti •:.,R tLe � frr Proposal approvedt z Disapproved Yk �' Inspecto`r's Si a &Title �-i;° -^ ,.. �-- �••... --.G L: •a.e,....w•.�i+c 6 �1� -F fi ;eC4� "�C .t ^yY V 1 °' g.,..:: •��'rui�rle. ';a >rf t ,. ' t �a'c"�!� w' r ' ..w:eY i � . ` � Ott; > a with :the" fcill®an: conditions: �, Proposal PpY'aved nq a r t 1. -. Procurement :Of::, °'Town pe ut- :_ifs bvplil le. 2.. Submission of built rMair sketch in du ticate Shoo ing .. l �' C .xtt�� 3�y �' � .Y ^',,sy�3�,tt�•i yq - 1 ' a tk r5t`Y, ' � ���t a. Owner s name. b =Site Street Name, TCam and Tax Map number^ 4 Ltation of installed com3onen tied totlao fi�oed pouits (eg..,iicuse 'cons) c diem d. System c�escriptioaa :.(e.g. i2sb gal : colc:crete septic tank, three precast 6'rrfi . x 6 deep drywalls s�u�rrcunded by ;one e: Installer's tame and number. 3._ Systen repair to be performed in accordance,wi above proposal conditions �yt i and 4 r t the C ,�, fi _fl.�1 �i +.. r is +� t x E 'r'r e ,'t`i:,a t', # ,'• S..rr� n' .y.' . r � r .n �,�3r : .� fa f� •�� � w�M �' ^', # "r ' � P 7 ''` i e r •. �` r -. rA� r � S s7 : i i 1 r�,•. wt3�C,p�4�i,1�,i'; as owner, r ant of comer agree to the iab0lcre �oonditions.�t ii44 �' • tt� f evv [Ir r _: p �p��.r.''C' �i ��'+i„ �Y SIGNPITiIItE J y -Vl! iA y Cf x t TI'1'IitQN3wN'R DOTS �b i t T T 1 #�n.iat i �. 'c` .. G��•'.k't't!?� 'o'�b5r ,, +�'4+ �':^x°A�xI��+I +.lFa1Nt'd"i�sy�tV'�•�s'+n x •e4L...�{ dY�'t�7� ♦'�, .. :"!}.Y 's^ °iI.R; .r�i�4nt ttla�im•�, i ay�yl �..s i� y 1 i. .yak .. S 'X.. �j f ",' f `� ? �i F 3'' •• r 9�'rt`N+, t.t�AiYty. t A {' -".1. + 1. kT.R,�,' j Z-4 N ,�j r .`t fYF. ., .. a: .,- , 1 Cr.d r' Yr.�rw�ri� �,(`��� ; t :zx x 'T' t ,'f �rt�.. , j ��:.�� � �j •r : � v } Hr4 �f�Fti`y ,�.�, � ,� � i� ..��' r .,:t 'ire. Rs :. t«4' f ���` c A -� x ; 7 C i4t .. J .t't F t f d , �� •� 4``+ ! 7.f� , ,`', _4, r s a• - 7si.�..;c} 1..cs { �c •.s.r ... �:'v n •T ��$��xb.j.�fi+�r .'y�„• �. �34 .!t'J4,_r?�'�..',;;'i!�•� -"�� .� . fir...., >..4 '°. as�t'h,Wr .3's .... :�S�.,Y`'�".a -•_ YL�. �� .. +�F,�i:3�i �'T� ...9':4� +�.:.`f'S.1N4�0 � +,M. .. A.o .� .d•r i -. 4... u.:r. r M'1 ., ti.: PETER C. ALEXANDERSON County Executive y.+..... .. W1Ta..a.,6 Y. . . \. - . Q+t ♦. -. X'. .... } � '1 /. a. ...... n'_°.I DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. Glenn Cavanagh 5 Ridge Road Putnam Valley, NY 10579 Dear Mr. Cavanagh: September 13, 1989 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director Re: Proposed Addition - Cavanagh Ridge Road (T) Putnam Valley 'TM #61 -2 -2 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: This Department has determined that the above- mentioned addition is adding two bedrooms. Therefore, it will be required that the sewage disposal system, which serves the above - captioned property,be upgraded to present code requirements for a three bedroom house by a Professional Engineer or Registered Architect. ` °`" -'�"` °"`"'Upon "receipt -of�a submission, rev "ised�to reflect'�the abovecomments, this "� Y��_ °"��-- �°'� ^ application will be considered further. LCW: jr Very truly yours, Lawrence C. Werper Assistant Public Health Engineer John M. Simmons; M.'D. PUTNAM -COUNTY HEALTH -DEPARTMENT - - - Lj-Lv.L5-LvN OF ENVIRUN-w-241tui HrAuln bramVIU-so Deputy Camaissioner of Health FIELD ACTIVITY REPORT - NAME Z4 zi2 ADDRESS No. Street Town TK No. MAILING ADDRESS P.O. Box Post Office Zip Code 0-00490[01 PERSON IN CHARGE OR INTERVIEWED Name and Title DATE TYPE FACILITY TIME' 4 TIME LEFT Z41 FINDINGS: 4-- Sheet of Orig. Routine Orig. Complain Orig. Request Ccmpliance Complaint Carp Final Group Illness Construct-ion Reinspection Field, Sampling Only Field,Conference Other Explain INSPECTOR: ,,A- . .. TELEPHONE: Signature and Title PERSON IN CHARGE OR I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: CO PUTNAM CWNW HEALTH DEPARTMU DIVISION OF ENVIRONMENTAL HEALTH SERVICES 225-0310 m atm, S NAME 6-C sir.! CA0AjrA"-t 9 �> SITE I=TION 4T MAILING ADDRESS PERSON INTERVIEWED PCHD Complaint Name & Relationship (i.e, owneritenant, etc.),` DATE TYPE FACILITY R45 I Al J. PROPOSED INSTALLER ti,v f54. y 6 V�L-�N-m PHONE 941- Cat s. .,Proposal -finclude- sketch ;Joi*t1n..g, al-I a -10 NOTE. loci *-of—sai-ri type as r� da- 6iii system. NO! same 1 _-�ioft'a , —, , � . 6 Repair must be in It—ri original sq�@ge s p Different location may-require submittal of proposal 1­r6m­11 siona l engineex or registered architect fp ?If-FLASA 'I-50o &,h -iYA,,tY wiT4, wm 6Pm, Pyc PAtvc,, - I _pj-,(, -,V"IL - V<Wq�tb tAJ�T_11( TAWC VT. too. 0 A 1" Proposal approved Proposal Disapproved Inspector's Sig'rtue ° &y Title Date 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 69 diem. x 60 deep drywells 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. Iv as owner, or !Bn,f f owner agree to the 4" ,,,condition 'o SIGNATURE 7z TITLE Riko Vj YtA U LI) 10 0W.* VMte MD); YeUcN (Tan 91); Pink Qnilaint) F K. �q 5- V<Wq�tb tAJ�T_11( TAWC VT. too. 0 A 1" Proposal approved Proposal Disapproved Inspector's Sig'rtue ° &y Title Date 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 69 diem. x 60 deep drywells 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. Iv as owner, or !Bn,f f owner agree to the 4" ,,,condition 'o SIGNATURE 7z TITLE Riko Vj YtA U LI) 10 0W.* VMte MD); YeUcN (Tan 91); Pink Qnilaint)