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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
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16
MAR 191982
PUTNAM COUNTY
AEPS OF HEALTH
:7 1 -7