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HomeMy WebLinkAbout3733DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdo(,.s.com 631- 589 -8100 74.18 -1 -c:0 BOX 29 I ' ! ,'T ' is 1�61 IL 9 m 03733 PUTPiAM COUNTY DEPARTMENT OF HEALTH Reiff; . ,3 86 Division of iNi"nmental'Health Services, Carmel, N.Y. 10512 ' w Engineer Mnst ProvidePV 5 ` 8 6 , — P.C.H D. Permit ao CER ATE- OF.CONSTRUCTION COMPLIANCE M&SEWAGE DISPOSAL_ SYSTEM Putnam Valle Town 4- Vt]la-gob _ � Located at L S v iew Lane _ Tar Map 65 "sleep Let 7 Dick Redman Redhart.Biinders h/A Owner /applicant Name. Forme _ . Subdivleion Name N/A Sabdv. Lot Matting Address P.O.,Box 216 zip 105 41 _ Date Permit Issued 1= 23':86 Mahopac., NY Separate Sewerage System built by Redhart Builders, Inc. _Aaare88P.0, Box 216, ,Mahopac, NY 10541 Consisting of 1000 Gallon Septic Tank and ?00 LF X 21 Wide trench Water Supply: Public Supply From Address or: _x Private Supply Drilled byTorlish .& Sons AddressBOx 271, Armonk, NY 10504 Building Type 1 Family Residence Has Erosion Control Been Completed? yes Number of Bedrooms 3 Has Garbage Grinder Been Installed? no Other Requirements I certify that thesystam(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies of which are attached), 'and in accordance with the standards, rules and regulations, in accordance with the file3y plan, and the permit issued by the Putnam County Department of Health. ' Date , —� _ Certified by'-- !�Git✓/Yi.fa *. P.E. X R.A. Addre, - Cashin Associates, P.C. Rte arm e1 NY 105:Laeen.a. No. 26008 Any person occupying premises served by the above system(s) shall promptly take such motion as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void a$ soon as a pub(': unitary sower becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to Jrpdifieation or change when, In the judgment of the Commissionerroo"ealth, wen ovation, modlfic ion /or change is necessary. Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or Purchaser of Building Section Block Lot Building Constructed by ,S KYv I c-W 4,g Location - Street Municipality Building Type Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, 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 "Certificate of- Construction. Compliance" _ for -the. sewage disposal system, or -any repairs made by me to such system, except where the"falure to operate properly is caused.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 Environinental 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. Signature —f Title Dated this /,r;2._ day of J q -J , 19k Corporation Name (if Corp.) P.O. Bo a c�,�� ,� o vim. �✓� ��r Address rev. 9/85 mk . Corporation Name (if Corp.) Address WELL L.V1"1r LLS11Vn B-zrval \-/DEPARTMENT OF HEALTH a Division Of Environmental Health Services w O COUNTY DEPARTMENT OF HEALTH ..Office Use Only STREET ADURESS. 11WRIVITLAUICI TAX GRIO NUMBER: f1 AO NAM RESS: (2Y PBIVATE � rT 1 �. "❑PUBLIC WELL LOCATION WELL OWNER USE OF WELL 1 - primary 2 - secondary 'RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP. O ABANDONED ❑ BUSINESS ❑ FARM ❑ 'TEST /OBSERVATION 0 OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL 0 STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST / OBSERVATION REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA i WELL DEPTH _ ft. STATIC WATER LEVEL ft. DATE MEASURED DRILLING EQUIPMENT O ROTARY COMPRESSED AIR PERCUSSION O DUG ❑ WELL POINT D CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. OPEN HOLE IN BEDROCK O OTHER CASING TOTAL LENGTH fL MATERIALS: XSTEEL ❑ PLASTIC O OTHER LENGTH.BELOW GRADE ft. JOINTS: O WELDED XTHREADED O OTHER DETAILS DIAMETER in. SEAL: ❑ CEMENT GROUT O BENTONITE gOTHER WEIGHT PER FOOT —7 Ib. /ft. DRIVE SHOE: O YES : NO I LINER: O YES O NO SCREEN DETAILS. DIAMETER (in) S LOT SIZE LENGTH LENG (it) DEPTH -TO SCREEN (fQ DEVELOPED? FIRST O YES ONO HOtfR"'W_.�. SECOND. .. .'_ . ... ::. _.: __. . _ .. _ ; t GRAVEL PACK ❑ YES O NO GRAVEL SIZE DIAMETER OF PACK _ in. TOP DE PTH fC BOTTOM DEPTH it. WELL YIELD TEST If detailed pumping METHOD: O PUMPED i tests were done is in- COMPRESSED AIR , formation attached? O BAILED ❑ OTHER ; ❑YES ❑ NO WELL LOG It more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- ing Well Dia' Inefer FORMATION DESCRIPTION CODE, tt ft WELL DEPTH It, DURATION hr. min. DRAWOOWN It. YIELD 9Cm Land Surface 7- A r A �./ L�LL WATER O CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? %1 YES O NO STORAGE TANK: TYPE CAPACITY GAL. PUMP IHF RMATION TYPE -,� XEDRI_Skll CAPACITY— MAKER , l 5 DEPTH (.200 MODEL VOLTAGd-3—C). HP i -WELTL_DRI�LLE`R NAMf TE A&A S5 ` i S � GtniTUR J'x ;2 *� I Armayqmk 0, Yorktown Medical Laboratory, Inc. LAB ® . } 321 Kear Street_. Yorktown Heights. N. Y.11098 Collection Station Used: (914k24S -320' Carmel Peekskill Mt. Kisco ) New City : Director:_.Albert_H. Padowni.!L T.(ASC�J r _ .... ...._ - ....._..Date Taken: u Date Received: (0 Date Reported: Collected By-._ 7 QTDRi_VSkk \` Referred By: M Y. j Sample Source- k0 l' V,-ip5 --1; 7. L �. LABORATORY REPORT ON-BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA XStandard Plate Count per 1.0 ml (Ag.ar plate @ 35 °C) MEM.BRATIE FILTRATION TECHNIQUE (MFT) Total Coliform Der 100 m1 O. Fecal Col i forir. ner 100 r,l Fecal Streptococcus per 100 ml YOST PROBABLE NUMBFR TECHNIQUF..(MPN) Total Coliform: MPN Index ner 100 ml _ Fecal Coliform: MPN Index per" 100 ml OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPLE. WAS) (WAS NOT) (NOT APPLICABLE) OF A. SATISFACTORY SANITARY QUALITY ACCORDING T NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED,. AT THE TIME OF COLLECTION. iivl�w A Albert H. Padovani, M. T. ASCP), Director LEGEND RDS $ Recommend Disinfect - ing Water Source e less than THTC- Too Numerous Too Count °.:; I±.!' C,TC�;,:,C= 4t.,>:Ynt.!r.__.._.. r:x.'�i_-.';;•y;' far ..^+- ?:itiLsvrvt�,+'!'.t•"s tat'r.' _•r+�,.v i..+i' t -- - s.+ry :..r ....- . .. ..� -- � _ :�. _ �. .i. — �""`.°y�,� f :f«�'�.' :.�'�- '_.ii"A.''.�. '•'= s�±��w2� �^ T•`-. a�-- -.�y',',�'i-���-`Cr��r...+r' ..- -a.:�' :. -• PUTNAM COURrY DEPARTMENT OF HEALTH - DIVISION OF ENVIROMPMMT. T.=7%,I,rrwy• INDIVIDUAL MUM SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS .. . ... .. ETE JK'i. " ✓.- icy —[., Y. 44 VV�a DATE: 00 —INSP. BY: (Name of Owner) (Street (Zocation) :.INITIAL SITE INSPECTION US NO ..O MMENTS t Wetlands on /or proximate to property............ Property lines or corners found... ,, -.... Can estimate house location...;.; ..................... Will driveway need cut ............................ Must trees be removed - note these.................. Deep holes representative of entire SDS area...... Additional deep holes needed...................... Sufficient SDS area available considering driveway cut, house location, separation distances,etc -_. Adjacent wells/ septics .......................... Access to urocosed well lajation'for drillinar.__ D. H. 1 Lot Depth to G. W. Depth to rock Soil Descriptio: 0 ft. 3 ft. 6 ft_ 9 ft..: 12 ft D.H. - Deep hole G.W. -.Groundwater D. H. 2 Lot _ D.H. 3 Lot Depth to G.W. Depth to G. W. Depth to rock — Depth to rock So1J. uescriv:: .0 ft.' S t 3 ft. 6 ft. 9 ft.' . ........._'12 ft. 0 ft. DATE: 9 - a 9 - FINAL SITE INSPECTION INSP.BY: House SSDS located per approved plan...........:" Length of trench measured _ Too / Width of trench average _ C2 Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. fran watercourse..................... Natural soil not stripped or SDS area unnecessarlygraded.............................. 10 ft. maintained fran property line and 20 ft. fran house .................... Distance well to SSDS(ft.) ....... ��.t...... Number of bedrooms checks.......... ............ Stones, brush, stumps, rubble, etc., greater than 15 ft. fran nearest trench ...ly ............. 15 ft. of peripheral soil horizontal frantrench ..................................... Boxesproperly set .................... . Could surface runoff fran otiveway,�roads'. ground surface, etc., channel near SDS area..,, Does lot drainage. appear OK, in area of SDS.'. 'n'rw"Y o+n%T xV ^" r.Trrrrn YES I NO i PUTPiAM COUNTY (DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM "cafes' at _S1 l.• , aI_a _ Subdivision N/A . Subd. Lot # N/A Owner /AddresRedh r B ii1d rG /P,Q_ Box 216 MahMar,N_'Y. Building Type 1 Fam• Residence Lot Area 2.002 ac, Number of Bedrooms 3 Design Flow G/P /D firm G.P D. Separate Sewerage System to consist of 1000 Gal. Septic Tank To be constructed by TO be determined ENGINEER TO PROVIDE PERMIT # ON CERTkFICAT 0 OMP I NCE, PERMIT r own o .Vil_I &cue Tax Map 65 -lock 2 lot _...._ _ . Renewal ❑ Revision _ -[I Date Of Previous Approval r Fill Section Only ❑ P.C. H. D. Notification Required and 5nn T.-P' X 21 wi dt- trench Address Water Supply: Public Supply From _ Private Supply to be drilled by t0 be determined Address Other Requirements 1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of e Putnam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the date of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) 1hat the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the standards, ru and regulations of the Putnam County Department of�� tHealth. Date _� =l1 l✓� Signed ��- !✓f'4'�'`� P.E. v ,a_ R.A. Address License No. 26008 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the /Commissioner of Health. Any change or alteration of construction requires a '' —23 new permit. Approved for disposal of domestic itary sewage, nd/ r pri to water supply only. $��¢!! Date d -8� BY ` Title &Fitt Rev. 6/85 L PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL, HEALTH SERVICES Date Re: Property oft�{��jZT _3� Located at (T)QuT+�Atq VALL,- YSection (,�S_ Block Lot 7 Subdivision of Subdv. Lot # A Filed Map # �I�j� Date 1A Gentlemen: This letter is to authorize a duly licensed professional engineer/ or registered.architect (Indicat_(� 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 supervise the construction of said system or systems in conformity with'theyprovisions ' of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersign P.E., R. A., Very truly yours, Signed CGS 'M641C� Owner of Property 37 F--i2 Si Address C t'1\6 Telephone . O . Bnx- 21(0 Address Town Telephone PUI'NAM COUN'T'Y DEPAMIENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIELD INSPECTION REPORT \ ED a A f �iC`I V 15t,3 LK) P U:. D INSP . BY. (Name of Owner) (Street Location) INITIAL SITE INSPECTION 2 S i YES NO COMMENTS acs Movt��i j Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... yu� LtuiE i�r, Willdriveway need cut... ....................... Must trees be removed - note these................. IA IA w--14 OIAMf.rf Deep holes representative of entire SDS area...... Additional deep holes needed....... ... .... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ Wfh» D.H. 1 Lot _ Depth to G.W. Depth to rock Soil Descrioti 0 ft. FINAL SITE INSPECTION INSP.BY: YES 3 ft. House SSDS located per approved plan ............. 6 ft. 9 ft. 12 ft. D.H. 2 Lot Depth to G. W. Depth to rock Soil Descri 0 ft. 3 ft. #. 6 ft. f5MMVE &��� j" ��b 9 ft. 12 ft. D.H. - Deep Hole G.W. - Groundwater D.H. 3 Lot Depth to G. W. Depth to rock l 0 ft. 3 ft. 6 ft. 9 ft. _ 12 ft. Soll DATE: FINAL SITE INSPECTION INSP.BY: YES NO CM ENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ............... 10 ft. maintained from property line and 20 ft. fran house... ....................... Distance well to SSDS (ft.) ...................... Number of bedrooms checks ..................... .. Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench :... ........... 15 ft. of peripheral soil horizontally fran trench ..... ............................... Boxes properly set.... .... .................... 3ould surface runoff fran driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. /• =JUN DEPAIMEUV OF, HEALTH DESIGN .DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYST]M FILE IAA. .. . ... . - -. - - - - -. -. . Owner REDHA;z :K dj Address F 0 1'n ktko pA - Located at (Street)SjGYVtC,,,,! LA(,aO Sec. Block 2 Lot 7 ( indicate nearest cross street )) Municipaiit_y IM VAL.L.e,Y^ Watershed, C.QD "-C)►., SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking /i �- Date of Percolation Test 1 ;2-0 ' HOLE 24 1 Ig 3 9319' 13� 7 ) 4 32-0 3c� . NUMBER CLACK TIME PERCOLATION PERCOLATION Run Elapse: Depth to Water Frcm Water Level No, Time Ground Surface In Inches Soil Rate Start-Stop Min. Start Stop Drop In Min/In Drop Inches Inches Inches 1 ) 7 a9 3/1 . 1-7 22e --z3 3 1 CA l -7, VJ 4�35g --,J?Sb n l 6 f 7 %: J 2�1 5 5 2 3 5 NOTES: 1. Tests to be repeate6 at same depth until approximately equal soil rates are obtained at each percolation -test: hole. All data t:6- be suimit . for review. 2. Depth measurements to be made, fran.,top of hole. rev. 9/85 �s 221Se `4S 17 jgr, 24 1 Ig 3 9319' 13� 7 ) 4 32-0 3c� . 5 2 3 5 NOTES: 1. Tests to be repeate6 at same depth until approximately equal soil rates are obtained at each percolation -test: hole. All data t:6- be suimit . for review. 2. Depth measurements to be made, fran.,top of hole. rev. 9/85 7' L 8' g' 10' 11' ' 12' 13' 14' INDICATE LEVEL AT WHICH' GROUNDWATER IS ENOOUNTE M INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED DEEP HOLE OBSERVATIONS MADE BY: IZ-JZ DATE: i 1 Zt� 8 ;` DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided 560 O No. of Bedrooms 3 Septic Tank Capacity /OC e0 gals. Type MAsx)"Cr? r Absorption Area Provided By y .. L.F. x 24" width trench Other cc`'S`ONAL E/yG� Name CASR 1 ILt dESS�C� �T'CS `?G f Signature Address 32 ELF- S a SEAL se Pia ST THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVimmwPAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS REVIEW SHEET - CONSTRUCTION PERMIT ....ln � Ye. �� �. 'SP •� . �.�..?.� � ... ..... .. Tp .. -� ..q.asn ... K'+n��.41t ^•.. 1q ': L V1. Y � /�� ... CDmf: t bu9t-ocu2S _ SKYLPicw LK) BY: `h (Name of Owner) (Street Location) - DOCUMENTS L ermit ;!application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets r If PWS -- Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail --,'Well Detail, Service Line if over nstruc:tion Notes sign Data Two -Foot: Contours Existing & Proposed Driveway & Slopes Cut ✓Footing /'Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage .& Expansion Area Expansion Area; shown; .c3ravity- flow,suff.. -size - F PLunped 'Pit &' D ­F3oX tJhoWn' '& ' Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curt:ain, Storm, Leader, Footing 25' to Catch Basin 10" to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same a WMAM MM ©= MM MM KIM= Me MM MM Me MM MM 0� ©m e ■_ DOCUMENTS L ermit ;!application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets r If PWS -- Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail --,'Well Detail, Service Line if over nstruc:tion Notes sign Data Two -Foot: Contours Existing & Proposed Driveway & Slopes Cut ✓Footing /'Gutter Curtain Drains Perc & Deep Holes Located Representative of Sewage .& Expansion Area Expansion Area; shown; .c3ravity- flow,suff.. -size - F PLunped 'Pit &' D ­F3oX tJhoWn' '& ' Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Curt:ain, Storm, Leader, Footing 25' to Catch Basin 10" to Water Line (pits -201) Septic Tanks 10' fran Foundation 50' to Well 15' Well to PL GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same ,.� - . L_,�:',� � ��;_ _ \ -�\ � _ �------ �-=- -, _ Jt.;' '��; �. ,, � • •' . 11. , • •.0 � ( � �'I.f. � i if �,a = .` , 4 -..I IF / �.• • a V I x j, j f tF i Obi— r T. ON •j ''°— j r E i� I �• l F , f a � a : • .�_ --- �. _ •� _ I ` 7 � r� � � i Y j '� j FI I . � f �' � I ,E � .o �^ lit IF- MV i• •.'a• f o Q • �`•��... .r�� • Ct _ '•r. -w. •; } � •y. �`., 600 \ ^._ � „v � ..Y O •:� .r �'•_ C '�tG�� y.,.. * p. t,\ _,. ;. .z.x •+- _•J i S-�” s�• � .•- �-".•�'' �' �.-� kt, • + : +� .•� 4�e,.� e ltj r jrt. A c ,.. r. _ ,�- .�� � 1,:,.; o� • a? 1 t ._� _.yr IF ,� �� `• • f ,� "`, . .. ty i a Y r'a7'.y a- J -•a-_. ! i. }lr . F'f 4 tt � - .. _. -' '..k_ �•,� R a .j �? . /.- } (� i I:.f i �.y �.: ja. ��• 'fit �' 1 �'.. ar. - �g/, r ♦�d. ��}{��• k.: -�� q { � [ -'r �--•iv '� -+: N � � It �.. 1 � •:., T. .. I • .O/.yt,'+�":1' _! � _ ',i �. 3' ,�.�y ,s=* �vt•• {4. 'S• �f �' .1.''Y. ,t; �, iY.^• _ _. 'I { .i �,y} `Mti,,.:_� - #!.r _ BRUCE ­It' FO,.E Public Health Director LORETTA �MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road !• Brewster, New York 10509 ' Environmental Health (845) 278 - 6.130 Fax (845) 278 - 7921 1 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 F'ax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 May 13, 2002 Martin Cantor, RA 7 Cook Lane Croton on Hudson, NY 10520 Re: Addition - Bard H. Mauraj No increase in Number of Bedrooms 14 Skyview Lane (T) Putnam Valley TM #74.18 -1 -20. Dear Mr. Cantor: 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 May 12, 2002. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three (3) without prior approval by this ......... : l 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. 4. 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 G William Hedges Sr. Public Health Sanitarian WH/jp cc: BI Y ~Public Health Director 1:09E'Ce 'MOLINAM R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York .10509 g&4 s/►,���r Environmental Health (914)278 -6130 Fax'(914) 278 -7921 1 t Nursing Services (914) 278 - 6558 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Preschool (914) 278 -6082 • Fax (91.4) 278 - 6648 To h't Q; C=am, ,�i�} Date: -Z r a� - C. 0 S 0 Re: Addition - /� ct� �-J j Al' 5kj v' e,--' L 1. ` Dear Mr-. y� K r"�J iv.� -7� I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that the proposed addition will consist of the following: Based on the information submitted, t e above mentioned ad ' i ' i .64iindt be approved for the following reasons: ' Q 1 6A 2.o- The legal bedroom count.for the d elling is ^ ^< :The potential bedroom count of your proposed addition is-- 3. The addition of a potential b room requires this Department's approval of a revised septic system plan from a p ofessional enkineer. l k Please revise the proposed flogr plan to reflect no more than potential bedrooms, or have a professional engineer:'br registered architect design a sub- surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. Of Very truly our; -Michael Luke ML:kg Public Health T revision t NAF MA N - 1fit. i N \ , F a. \ F K J N\ IL 4� . / - �;.^ {� _ � �. '' �, \ \_ � �E /a�%�. c.F�l\,� � ±1 \• ie.�,' '.,._.. Jam... �� ... �, sr3d °p��;,E -• .� \� ff_���!\• l`_'U,f -_ t �G i i �\- It`t I.ov, t P;;cspp zed.. ,_� ^rab:U!�t✓ _ �,,Jv+.c7r�ati psi{ lTV'vl ' _� l 4�tr.j1A(�1�1M1lTi 1 W �.�xisT��1y g Q• Lek " ±.i- i� G 2 3 4 5 r 6 If i S s4�s' s D a�... it c ;A tF •s -!`9 .,. �: ✓Fa•_o?' .'. s.e' I.c ti.H >7EH :,in7 K 41 >14 '.:c?Ev ��}' � � Lv'�.Cl_G:s .�. - =>: +• !:! 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