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83.12 -1 -4
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PUTNAM COUNTY DEPARTMENT OF HEALTH ENGINEER MU S T
Division of Environmental Health Services, Carmel, N. Y. 10 512 P ROM I D E
PERMIT # .pv—/-485
CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
Town or Village
Located at
Oscawaria Lake -R+ ad Tax �.. 113 Block 4
Owner
Steve Malanphy / Formerly Tax Map Lot s 1.2 subs. Lot f
Separate Sewerage System built by Patrick Malanphy Address Snx 184
Consisting of 1000 Gal. Septic Tank and 375LF x 21-0" width trench
Other requirements
Water Supply: Public Supply From
XXX private Supply Drilled By Berry Beal
4 Putnam Avenue,Brewster,NY 10509
Address
Building Type One Family Residence
Has Erosion Control Been Completed?
No. of Bedrooms 3 Date Permit Issued 3/1
Has garbage grinder been installed? V in
I certify that the system(s) as listed serving the above premises were constructed ease:
of which are attached), and in accordance with the standards, rules and lations, in
Putnam County Department Of Health. C
Date
3/24/86
Certified by
shown on the plans of,t:he completed work ( copies
with the filedfPlan, and the permit issued by the
P.E. R.A. XX
Address Muscoot No, RFDA2 ,,$X 49e, Mahopac, Y 4111cense No. 7 1056
Any person occupying premises served by the above systems) shall promptl1i, �a suchXcction as may be necessary to secur the correction of any unsanitary
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as $oon a a public sanitary sewer becomes
available and the approval of the ,private water supply shall become null and void when a ublie water supply beeom available. Such approvals are
subject to modification or change when, in the Judgment of the Commissioner of Health such revocation, modiflca n or change Is necessary.
Date i -25 by By Title a
Rev. 6/85
PUTNAM COUNTY DEPARTMENT OF HEALTH Permit a
Division of-Environmental Health- Services, -.Carme %. N.:_Y..10512-
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
down or Village
Located at OGrawana Lake Road Tax Map 113 Block 4 Lot 1.2
Subdivision walnut Knolls Suba. Lot a 4 Renewal _❑ Revision - 13
owner /Address S Malanaphy, 3770 .Seymart Pl..ZShrub 0W& Of Previous Approval
NY 10588
Building Type Qne— Fain_- IRAs_. Lot Area J. - iFAC Fill Section Only ❑
Number of Bedrooms 4 Design Flow G/P /D 800 P.C. H. D. Notification Required
Separate Sewerage System to consist of 1200 Gal. Septic Tank and 50OLF of Leaching Fields
^ 0
To be constructed by —Wn+- Sl incted Address
Public Supply From r
Water Supply:
XX Private Supply to be drilled by Not Selected
Address
Other Requirements
I represent that I 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 an regu a ions o e u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwiil
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 r any repairs thereto; 2) that the drilled well described above
will be located as shown on the approved plan and that said well will be installed in accordance ith the standar , rules and regu a ons of the Putnam
County Department of Health.
Date 3/8/85 Signed P.E. R.A.XX
Address Muscoot No. RFD #2, B 488, ahopac, NY105 gl. License No. 11056
APPROVED FOR CONSTRUCTION: This approval expires one year from th ate is ed unless construction of th uilding has been undertaken and is
revocable for cause or may be amended or modified when consid retl n eessary by t Co ssioner of Health. Any change Or alteration of construction
requires a new permit. Approved for disposal of domestic san' arysewage, apd/ r pri a water-supply only.
Date —s _/J By • 401 \ \� �a Title
ALLEN BEALS, M.D., J.D.
Commissioner ofHealth
ROBERT MORRIS, P.E.
Director of EnvironmWal Heald►
June 4, 2013
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Telephone: (845) 808 -1390; Fax: (845) 278 -7921
Mr. & Mrs. Peter Segreto
123 Oscawana Lake Road
Putnam Valley, NY 10579
Re: Addition — A- 068 -13
No Increase in Number of Bedrooms
123 Oscawana Lake Road
(T) Putnam Valley, T.M. 83.12 -1 -4
Dear Mr. & Mrs. Segreto:
MARYF=I LEN O LL
CoudyExecutive
This Department has 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 3, 2013. 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
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 modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
5. This approval is valid for two (2) years and expires on June 3, 2015.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261.
Respectfully,
.4 Ilk - - !
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI (T) Putnam Valley
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PUTNAM COUNTY DEPARTMENT OF HEALTH
HOUSI PLANS APPROVED FOR BEDROOM COUNT ONLY
.c BEDROOMS A O 6,% 13
A�l SUBSEQUENT REVISION /ALTERATIONS TO THESE HOUSE.
/PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL
SIGNATURE & TITLE DATE'
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DEPARrri �OF HEALTH"
1(ieaeoa Raii�; ; New Ya& 10509
Telepho®e: (845) 808 -135 Fay (845) 27&7921
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ADDITION APPLICATION RESIDENTIAL ONLY
STREET /73 TOWN' AX MAP #
NAME
.s.
MAILING
ADDRESS /.23 L7 �G r�,�a a� U► �_v �.c, aa, �.i� t
DESCRIPTION OF
ADDITION �'i v► 5�� , 2. eft
*NUMBER OF EXISTING BEDROOMS 3 NUMBER OFPROPOSED NEW BEDROOMS
* (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 accordancb with applicable sections of the Putnam County
Sanitary Cade.
Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd,
Brewster", NY 10509, Phone: (845) 808 -1390.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA--1)
3. Two sets of proposed floor plans k. ..0 to scale — with name, sti,,.,,; t" map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the .Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
5.
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ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
- Director of Ehvironnrental Health dw
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: ogre t o (Owner's Name)
Tax Map #
83.12 -1 -4
Address: 123 Oscawana Lake Rd.
Town: Putnam Valley
Year Built: 1986
According to records maintained by the Town, the above noted dwelling,
iszy in compliance with Town Code.
Is not in compliance with Town Code.
'Thd LegaT•Bedroom "Count "is: ' =3
This information has been obtained from:
0
Certificate of Occupancy: CO # 6 6 8 2/ 8 6
Other:
The plans for the proposed addition are considered:
xx * Addition to existing house only (basement)
Teardown and/or re -build allowed under Town Regulations
4/22J13
Building Inspector, John H. L ndi Date
5.
MARYELLEN ODELL
County Executive
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# 4- -av *eo ool.VcAcrR "04A4 ON SL4d � � �
July 29 19 85 TOWN OF PUTNAM VALLEY 85-0606
Zone District _. R -1 PERMIT RECORD
lication
`li is hereby made for Building Permit Work to start at c)nre
APp
pelcription _, one family
ation of Premises- Street or Road Oscawana Lake Road 113 -4 -T
FCC:. —_ BLOCK LOT FRONTAGE Depth Rear
ACRES (other description) or number of square feet 1..26 acres
SUBDIVISION NAME Walnut Knolls TEL. 245 -7565
OWNER Pat Malanaphy ADDRESS Box 184 Jefferson Valley
246.00
Building Total Livable Area Cost $ 100,000
15.00 Sanitary
Date Zoning Board Approval
S,00 Plumbing
.__15.00 -.-Well
Steve" ' Malanphy -Toian of Putnam Valley
Owner or PurcEaser of Building Municipality
Steve Malanphy
Building Constructed by
Oscawana Lake Road
Location - Street
One Family
Building Type
113
Section
4
Block
1
Lot 1-2
GUARANTY OF SEPARATE SEWAGE 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 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 S_er-
w _of. ttiae._.Ea:tnain : C: o��: ny�r _Den2l+:ment...of�ieal�th:.a.s to w.retYlo�.
failure of the system to operate was caused by the willful or negligent
act of the occupant of the building utilizing the Sys_
o ,
Dated this � day of � 1 � Si natur
y 9 t� g
Title
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMP,ETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
vl G Itl
Division of Environmental Health Services,
2
DEPTI OF HEALTjj
Putnam County Department of Health
WELL COMPLETION REPORT
3/71
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
COUNTY OFFICE BUILDING - CARMEL, NEW YORK
-This report is to be completed by well driller and submitted to County Health Department together with laboratory report of
analysis of water sample.indicating water is of satisfactory bacterial quality before certificate_of :constructip
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
OWNER
NAME
Pat Malanaphy
ADDRESS
Box 184 Jefferson Valley, NY 10
LOCATION
OF WELL
(No. 6 Street) (Town) (Lot Number)
Oskawana Lake Road Putnam Valle NY
PROPOSED
USE OF
WELL
BUSINESS
DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL
,
El El ❑AIR ❑ OTHER
CONDITIONING (Specify)
DRILLING
EQUIPMENT
a COMPRESSED ❑ CABLE ❑ OTHER
ROTARY AIR PERCUSSION PERCUSSION (Specify)
CASING
DETAILS
LENGTH ( feet)
1 t
DIAMETER (inches)
61,
WEIGHT PER FOOT
19 lbs e
® THREADED ❑ WELDED
—LIVE SHOE
YES ❑ NO
YES NO
YIELD
TEST
❑ HOURS G.P.M.
BAILED PUMPED ❑ COMPRESSED AIR 6 6
YIELD (G.P.M.)
6
WATER
LEVEL
MEASURE FROM LAND SURFACE— STATIC (Specify feet)
301
DURING YIELD TEST leet)
l(
D of Completed Well 285 t
feet below land surface:
SCREEN
MAKE
LENGTH OPEN TO AQUIFER ( reef)
DETAILS
SLOT SIZE
DIAMETER (Inches)
IF GRAVEL
PACKED:
Diameter of well including
gravel pack (Inches):
GRAVEL SIZE (Inches)
FROM (feet)
TO (feet) "
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
0
15
Drilling in overburden
_
PU 9 aVAM 1N4iUN e Y
DEPT, OF HEALTH
Hit rock at r
15
31
Drilling' in rock, set
Qasii;g;,
�rllzrig in� rock- g rani te.
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
DATE WELL COMPLETED
12/' 8
DATE OF REPORT
1/16/86
WELL DRILLER (Signature)
-BREWSTER.. LABORATORIES
Box 224 - BREWSTER, N.Y.
(914) 225-2072
-41ATER ANALYSIS REPORT
SAMPLE NO. 6045
SOURCE: Pat Malanaphy
Oskawana Lake Rd.
Putnam Valley, NY
COLLECTED: January 10, 1986
BY: P. F. Beal. & S'ons, Inc.
BACTERIOLOGICAL EXAMINATION
Coliforrn Count, MF Method
Hose Bibb - Well
0 per 100 ml.
This result indicates the source of the sample was
of satisfactory sanitary quality when the sample was collected.
01
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1y't
zpji .
January 15, 1986
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAa,,HEALTH SERVICES
Date. 3%8/85.
Re: Property of Steve Malanaphy .
Located at Oscawana Lake Road
(T) 113 Section - - - -- Block 4 Lot 1.2
Subdivision of Walnut Knolls
Subdv. Lot # 4 Filed Map # 1649 Date 4/18/78
Gentlemen:
This letter is to authorize Joel L. Greenberg
a duly licensed professional engineer or registered architect XX
(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 supervise the construction of said
system or systems in conformity with the .proy.isions of Article 14.5 .or._
1147, Education Law. c He:otlth Law, and the Putnam. County Sani-
tary Code.
Countersign
P.E., R.A.,
Muscoot North,,RFD #2,Box 488
Address
Mahopac,NY 10541
(914) 628 -6613
Telephone
fery truly yours,
�w
Signed
0 er of Property a.
3770 8eymart Place
Address
Shrub Oak,NY 10588
Town
528 -5936
Telephone
PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS
FIELD INSPECTION REPORT
DATE•
INS, P. BY,:
(Name of Owner) (Street Location)
INITIAL SITE INSPECTION Z T8 YES NO COMMENTS
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...
Adjacentwells/ septics ............................
D.H. - Deep Hole
G.W.- Groundwater
D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot
Depth to G. W. Depth to G. W. Depth to G. W.
Depth to rock Depth to rock Depth to rock
0 'ft.
3 ft.
6 ft.
9 ft.
12 ft
0 ft.
3 ft.
6 ft.
9 ft.
12 ft.
boll
0 ft.
3 ft.
6 ft.
9 ft.
12 ft.
5o11 llescrl
DATE: 2— t
FINAL SITE INSPECTION INSP.BY:
YES
NO
COMMENTS
House SSDS located per approved plon .........
Length of trench measured 510 75
Width of trench average
Slope of tile line and trench acceptable.........
Roam 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. fron 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
from trench ..... ...............................
Boxes properly set... ..... ...................
Could surface runoff from driveway, roads,
ground surface, etc., channel near SDS area....
Does lot drainage appear OK in area of SDS....... �--
FINAL GRADNG OF SITE ACCEPTABLE.. ...
t/
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✓
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PUTI,L4M COLrNTY DEPARTMIT OF HEALTH
DIVISION O.F_ EIWTRON=TAL. IMALTH: SERVICES_
CO= OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner S. Malahaphy Address 3770 Seymart P1ace.Shmub Oak.NY 10588
Located at (Street Oscawana Lake Rd .Sec. 113!, Block 4 Lot 1.2
ca a neares cross s ree
Municipality . Toian ' of Putlaam - valley Watershed Hudson Rive
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Run Elapse Depth to Water Water Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stob Min. Start Stop Drop in Min. /in drop
Inches Inches Inches
PTH##1 .1..9 :45 .10:15 30 15 17.75 2.75 30/2.75 =11
2 .10:19 10:49. 30 15 17.75 2.75 30/2.75 =11
3 10:53 11 :2,3_ 30 15 17.7c,_ 2 -75 30/2.75 =11
Il
5
PTH #2 1 9:50 10:20. 30 16 19 3 -- 30/3 =10 -_
10:21:. 1n -si -- 'in
3 11:22 30 16 18.75 2.75 30/2.75 =11
5
i
3
4
5
Note: 1) Tests to be repeated at same depth until aopproxirr'Lely eaual soil
rates are obtained at each percolation test hole. Al 1 data to La subccitted
forrveu.
2) Depth meas-arements-to be ra- -ae frcm top of hole.
- TEST PIT DATA REQUIRED TO- BE, SUBMITTED 14ITH APPLICATION
DESCRIPTION OF SOILS EICOUNTERED IN TEST HOLES
DEPTH HOLE NO. #1 HOLE NO. #2 HOLE NO.
G.Lfl:: Top Soil Top_ SoJ:�
6" Sandy Loam, Sandy Loam,
Bonev w /some
IP•iDICATE L1EL AT WHICH GROUND WATER IS ENCOUNTERED NONE
Ii DICATE LEVEEL TO I-MCH WATER LEVEL RISES AFTER BEING ENCOUNTERED NONE
-STS 14_A.DE BY ,Teel T._ Greenberg Date` 3/7/85
DESIGN_
Soil Rate Used 11= 1'SP4irVl "Drop: S.D. Usable Area Provided 5000
No. of Bedrooms �Septic Tank CaF city 1200 Gals - Type
Absorption Area Provided By anB L.F. x24" xX'" widt .� q
a,QEN EE n,. C
i .'a?-e Joel L. Greenberg
l;nature
/W,
Address Muscoot Nprth,RFD42,Bx 488
SEAL
Mahopac NY 10541
_
s�
�i, �• O 1105
,{ ��
m i1S SPACE FOR USE BY HEALTH DEPARTP.Mi, T
ONLY:
,soil Rate Approved Sq. Ft /Cal.
Chacked by
aata
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' Putnam County Department of Health %N `I *j9 iO7 "E 3/. B3
k' ivision o Fnvaro mental Health Service9 '
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Approved s no d or conformance with q -. 4,9'5O�38 e
applicable Fules and Regulations of the Q /� N
sal Putnam County Health Department. „
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