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HomeMy WebLinkAbout3589DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.10 -1 -1 BOX 28 9111111 to J:: 121 M 09 r I oil T Be , 03589 SIERUTA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health September 9, 2008 Rayex 266 Shear Hill Road Mahopac, NY 10541 DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Addition- A- 167 -08 No Increase in Number of Bedrooms 56 Shamrock Drive (T) Putnam Valley, T.M. # 74.10 -1 -1 To Whom It May Concern: 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 September 8, 2008. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. - I - Theirea 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. 4. The 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 Philipstown. If you have any questions, please contact me at (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:Idy cc: BI, (T) Putnam Vallgnvironmental 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 Q C '�. `� • ` � �iJ'I'NAAq COiJ1K'&'X �EPARTI�YElv7f x�F' �I�IF'N�.,�i'� � , �- f � � r _ �% . ` s Division of Environments/ Health Services, `Carme% lU V�Y 90�12a.�� ; r kt � -� ,� : � � - pk ` "CERTIFICATE OF'CONSTRUCTidw COAAPL`IANCE FOR'` SEWAGE" DISPOSAL SVST�RIB Tti1Aw9 V ,.Sary •w.o• >.:v Y* !a. - - r�r.• K +vna -. wr�k r' LOWn located. at �i+JtT 1�1ga✓ xax':e�ap�IOa/' J� f Owner �t 11 S' A�1 1/Uc,� t l a! C max'. Map Lot #; Z subs # 2Z LLE C i1r ZO „7 Separate Sewerage' SYStem; bout by f��t2o�17 Lo:�l S 4 .fu a IS' lnlG_ Address t -. f Consl`sting of iD Gal: _Septic';Tank and 3yS L 2 a, W�17E ,.'f IZfSNC.I -�` Other requirements GCl/�a/ - �/2�iti/ Water Supply Public Supply From ;Private SuPPIy Drilled. 13 G�CI�ErZ CO Address,.. Iv1 r. c -I. I�t+� !� %j/% t I�Ty � • � /til �� � � T Aj 8uildin9'TYPe lli�/ ' """'�U`E NO. of BedrOOTS 3 Date Permi4 Issued 5 Has Erosion Control Been Completed? I•certify that the syatem,(s) as listed servingrthe above premisea:were constructed es entially as shown'on the plans of the completed work .copies of which are,attached),'and in acoordancewi th' -the standards rules and regulations, n; accordance witH the filed plan; and the-:permit,'i,'"ea by the . Putnam'Qounty Department Of. Heal th,, . tJ �/ Date / ...., r�.�i , Certified by P.E A r „.. . _ Address ou Any "person occupying' premises se(ved by'the above. system( ;) shall promptly take such action as may tie necessary 4o socore the correetlon of any'unsent4ary ti conditions resulting from sucfr usage /approval of the separate sewerage system shall become nuil`and void -as soon as a'public ian(tiry•tearer beCOmen a6a.11able'.and tha approval'of the �prlvat@ water supply shall,beco'me null and void when a .public wa4er wpply becomes' available. -Such ;approvala'aro subject. -to modification or'-C. hange when '• n the `judgment of the .Commissioner,of' Health :iuch redo on, modification or Chenge is necesea►.y. i "- t�•'. 'Date Titre � BY _ so VICES' NC NA'NCO ENVIRONMENTAL SER, I UNITY STREET-AT ROUTE 376, P.O. BOX 10 HOPEWELLnJUNCT�QN, NEW YORK 12533 (914)221 -2485 _ ^ �:�:rir»•n-�'- vs —....� - a —ter -., .=- �:.- ' —� --rz '. n. 1 «.- r;.,,,. ,,. � I ,� � t ADDRESS: SAMPLING POINT TREATMENT: CHLORINATED OE PPM); SOFTENED b ;'OTHER ❑ 'SOURCE.`` DRINKING WATFR ❑WASTEWATER EFFLUENTO.OTHER Ii A.M. i ,i - NCOLLECTEP -w: - TIME :26 P _ DATE b APARTMENT COMPLEX ❑:INSTITUTION o PRIVATE RESIDENCE ❑ SWIM POOL q BEACH ❑ MUNICIPAL 11 `RESTAURANT • q' TEMPORARY RESIDENCE o CAMP ❑ NURSING HOME ❑ SCHOOL. ❑ TRAILER PARK O ,FARM LABOR CAMP O. PRIVATE COMPANY ❑ SEWAGE TREATMENT VOLIFORM l ANT O. OTHER o TOTAL:COLIFORM COUNT M.F.T. G ! T PER 100 M.L. ❑' TOTAL OLIFORM COUNT M.P:N. - PER 100 M.L. b FECAL COLIFORM COUNT M.F.T: PER 100 M.L. ❑ FECAL' COUNT M.P.N. PER 100 M.L. p FR ✓O'ZjE }N DESSERT PLATE COUNT ( f- - 'O AGAR PLATE COUNT PER 1 M.L. fl,FV) A-0 -1 ORY TECHNIC ° T +d T.EO I HEALTH . DEPT. Owner or urc ash er of Building Municipality 7— Building Constructed by Section Location - Street Block Building Type Lot GUARANTY OF SEPARA' E SEWAGE-SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and draina'g'e 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 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 further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of,the:Putnalm..County Department of Health as to whether or not the - ,Pd lure 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 19 Signature 24�g na -T Title Fi_� If corporation, give name �f and address), - - - - - - - - - - - - - - - - - - - - - THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION 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 R" ECOV� MAR 191982 PUTNAM COUNTY DEPT, OF HEALTH PUTNA COUP, ICTITI Z. L&at6d At "D HEALTH Re 7. ed the. urniih I 1 5 by'66,builcier� that said builder will C - obstruction _'_.'thw original �stenI ir-s'fheretoj 2),.that the,drilled well clesrribed above reg rtment -o' ic ' 12 *44 P,%-, r; t P* -t--ma n ei qvrlity bof-ya m;'UY --v, of ior; wi �,EFCRT -VIUST SE X,,rlXNX!71 V) 1"',4 ;*"M 35 DAYZ CF VNEIi. sli Louis M. Volpe, 1,nc. Route 44,Box 683 - Pleasant LIalley, N.Y. Tfj—!i6 3wacij (Tawo.) Vux&4pr) Shamrock Drive, Putnam Valley See. 68, B1. Lot 2 A '�1171 11COCren' KDaK 401 `1430 J Granite GM 76WATSTIC FARM Ta WEI ;? , A E Paid R l CCAMESZO 71 C AM P112CURSiWt 49 ft. 6-1 15 x .1b. Lj eaxRD PUMPED MARESSEV1,AK 5 5 40 143 ft. DIAME, A93) 211 DiGmabcv nf well including t`. M PA0.0: .. - -% stitch 0XICt locatioa ni w4l tvi"i Cletenra IWO rtfirIr rrnt 4 _30 f..,.�° 1 Overburden A '�1171 11COCren' KDaK 401 `1430 J Granite GM A '�1171 �,`,%-iz, OF REPORT i9m. A '�1171 PUTNAM COUNTY DEPARTMENT OF HEALTH 'D vi, RT DIVISION OF ENVIRONMENTAL. HEALTH- SERVLCES _. or 2 1979 pl1TNAM. COON REP_Tj, 'OE HEAL R, Date ck* 59 1119 Re: Property of .k . a4 �RA Located at �1T�s'�" state�'yerS1 Section- 408 Block S Lot Z Gentlemen: This letter is to authorize ry iL 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 Luw,t;v l.iuij w1 LI1 1.1115 ma C Lejv anti to. supervise the cons truc -ciun of said system or systems in conformity with the provisions of Article 14S or 147, .Educ_ation _Law, _ the. Public Health. Law, .-and the : Putnam County Sani- tary Code. Countersigned: *' %' V P .E ., UA , # Address Telephone Very truly yours, yK3 Signed Owner o Pr perty �3 lea., T' rl1lt I \�l:.ilk � M• IaS & Address 9,j4,-?31, ?In Telephone 17ZCjtb.l� PUTNAM COUNTY DEPARTMENT OF HEALTH J - :.�:� :- M . -... ... �::::�- ° ..zav�r,�sz.�N:.:O� :F}N��oN.M•AL::���r:� ��R�rlc ...��•�}�:� ����1�: ?9.:�.:� . .. , .. _d :.:�.�': .COUNTY.. OFFICE BUILDING, CARMEL, N. Y. 10512 :`PUTNM':COUNTY: DEPT :QF HEALTH . DESIGN DATA 'SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE N0. Addre6s Y3 34tt+. West *6. r< , Located at (Street Sec. 69 Block— S- -Loti2 �. 1ndicate nearest cross s ree Municipalit -Watershed SOIL.PERCOLATION TEST DATA.REgUIRED TO BE SUBMITTED WITH,APPLICATIONS :,Hole Number CLOCK._TIME PERC CATION . PERCOLATION Run - Eapse Depth to water Water Level.' No.•.. :.,.:.Y :.:. ::::' Time .. - From. Ground Surface.. in - Inches :......... .... Soil. Rate Start -Stop Min. Start Stop Drop ,in 'Mi;n. /in drop Inches Inches Inches. to (0 20 24 - : 10 to � to .4— j"gS.:.:3:,f�.,. i! � x:14 3`20. ; �` •% * :. Z,�, . • . 23 . ' 'j'• : �:'��. •._ _. ._..:36.: 3 2.0 c 3'336 All Z6 2•) -14.1 Notes :''-1) Teets to be repeated at same depth until a roximately equal soil rates are obtained at each percolation test hole. All data to be submitted for-.review. 2) Depth measurements, to be made from top of hole. ly, b TEST PIT DATA - REQUIRED TO- BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES. .. DEPTH HOLE NO. G.L. }�--- 6" �. JA 1_ INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED —MD INDICATE LEVEL-TO-WHICH W TER LEVEL RISES AFTER BEING ENCOUNTERED TESTS. MA-DE.-BY, -Da t hS DESIGN Soil Rate Used l "Drop: SoDe Usable. Area 'rovided' No of Bedrooms Septic•`Tank Capacity Gals e eea ct'k Absorption Area Provided ByL.F.x24" 5w. q Name aa�dP: ljTm ure Addres ..; . SEAL �` ( �. S � �, 1 � THIS SPACE -FOR 'USE BY" HEALTH DEPARTPENT ONLY: r�.o� .NEB Soil Rate Approved -Sq. Ft /Gal. Checked by D te- LORETTA MOLINARI . Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Environmental Health (845)278-6130 Fax(845)278-7921 Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085 Early InterventionlPreschool (845)278-6014 Fax (845) 278 - 6648 June 9, 2004 Mr. Gattone 56 Shamrock Dr. Putnam Valley, NY 10579 Re: Addition — Gattone, Shamrock Dr. No Increase in Number of Bedrooms (T) Putnam Valley, TM #74.10 -1 -1 Dear Mr. Gattone: 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 June 9, 2004 The addition is approved with the following conditions. 1. The total number of bedrooms must remain at 3 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 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. ML:cw cc: BI (T) Putnam Valley Sincerely, Michael Luke Public Health Sanitarian --gugustg. -C7attone 9:� FAX (845) 526-7034 Public Health Director DEPARTMENT OF HEALTH 1. Geneva Road Brewster, New York 10509 Enyironment2i Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 61558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278-6082 Fax (845) 278 - 6648 LORETTA MOLWARI R.N., M.S.N. Associate Public Health Director Director of Patient Services ADDITION APPLICATION (RESIDENTIAL ONLY) STREET TOWN %�4 �Yh# // �16-9 YJX MAP NAME 4vL-pw PHONE A PCHD9 L7 0 MAILING ADDRESS S/} "VAt4ji'VA4 DESCRIPTION OF ADDITION_ NUMBER OF EXISTING BEDROOMS 3 PROPOSED # OF BEDROOMS (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal apprc;val of plans (Construction Permit) prepared by a. Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sinitary Code. submit this form and the following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY 1052, Phone 278-6130. 1. Certified check or money 6-r-d6i foe $100.00. ;:-.2.' c- Sketches of existing floor plan (drawn to scale, all living area including basement) UJ -r- -.1 ­ < " * *Non-professional sketches' are acceptable. z n 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map 9) *Non-professional sketches are acceptable. -a- �r- 4. -C-ID Copy of survey showing well and septic location, to the best of your knowledge. Include date of U-J 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. OFF7CE USE Comments Feb98 Khous mgidehnes E Public Health Director DEPARTMENT OF 1 Geneva Road Brewster, New York HEALTH 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 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: Re: 5 �114 rz't-, Residence Tax Map 1 q , to — I- , Town According t records maintained by the Town, the above noted dwelling is IS NOT in compliance with Town code and the total number of bedrooms on record is 3 This information has been obtained from: % CERTIFICATE OF OCCUPANCY: V ASSESSORS RECORD: J MPA-ST911 BFhouse i -AugwtA C 7attom 56 SHAMROCK DRIVE ADJUSTER- APPRAISER TEL. (845) 528-7238 PUTNAM VALLEY-NY 10579 4....I .. ...... ... .. .......... . ........... .......... .......... ........... I .......... 1 ........... ........... L qb �a ID Sao cyR� 9� 1 ® z � b a u t. \ X4,-' \ \ A c � CR 1 :1... . 1 y� a� �N V(J4 0 0 v Y Z � 40� ,✓ /F �i�icrra `l w n � .°i -fii (/) FA'M AS -zV611Z 7- r21,WA1S1eA1S 44 00. 7 4 /.Z' ea. 0 9 53.0' &14' 47'9' 1/0 ? -7, 14 94.6' 1.5 9,70' 16 I?e. 0' 17 99 . 3' 5, 19 840' &70' /7- AV,-9-f Z,56ZWO TOWN Putnam county Depaitiuent of health Division of H- ?Sdth Services ...... wi'tIl lions of the 7, Ifee w 16 MAR 191982 PUTNAM COUNTY AEPS OF HEALTH :7 1 -7