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HomeMy WebLinkAbout3828DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -2 -58 BOX 30 11 no I I rm iuXl m , A Ll ' ' _ ' 1 � g T �_ ELL OWNER'S NAME 9 PU WAM COUNTY HEALTH DEPARTMER DIVISION OF ENVIRONMERrAL HEALTH SERVICES 225 =0310 PROPOSAL FOR SEDGE DISPOSAL SYSTEM REPAIR PHONE L^1 3 6 SITE LOCATION 5b r 10 r- `A A A aJ t � TO MAILING ADDRESS Py +,,,j ►Am V AI%4 �j M b g PERSON MERVIEWED PCHD Complaint # Name & Relationship (i.e, owner,tenant, etc.) DATE a TYPE FACILITY PROPOSED INSTALLER �-@ i .%_ PHONE ky 3 Pro (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal fran licensed professional engineer or registered architect. `�N S a p, ti. Proposal approved Proposal Disapproved Inspector's Signature & TifJ e 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 d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. DAte (e.g. house corners). three precast 6' diam. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. I, as own , re ported agent of owner agree to the above conditions. SIGNA TITLE DATE ] I q 19f3 (-AL Proposal approved Proposal Disapproved Inspector's Signature & TifJ e 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 d. System description (e.g., 1250 gal. concrete septic tank, drywells surrounded by one foot + gravel). e. Installer's name and number. DAte (e.g. house corners). three precast 6' diam. x 6' deep 3. System repair to be performed in accordance with the above proposal and conditions. I, as own , re ported agent of owner agree to the above conditions. SIGNA TITLE DATE ] I q 19f3 V&te (PAD); Yellow (Ttkn ffi); Pink (n1.i®nt) DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 March 2, 1393 David B. White 50 Ploradan Road Putnam Valley, NY 10579 Re: Proposed Addition - White Floradan Road (T) Putnam Valley Dear Mr. White: JOHN KARELL Jr., P.E.. M.S. Public Health Director A plan is to be submitted, which may be drawn by the property owner, showing the existing and proposed floor plan. This sketch is to include all levels of the house and each room is to be dimensioned and labeled, e.g., dining room (15' x 20'), etc. A_ this time no professional services, plans from an architect or engineer, are required. Professional plans are not recui red- -f_or -.al l..addit .-:!on..approvals.,. . If r furthe documents are required you will be not i f i ed -by `th"i s or i 1 ce. Ir` there are any questions on the above comments, do not hesitate to contact me at Ext. 320. Very ruly yours, Robert Morris Assistant Public Health Engineer RM./]P JOHN KARELL Jr. PE. KS Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 March 16, 1993 Mr. & Mrs. White 50 Floradan -Road Putnam Valley, NY.10579 Re: Proposed Addition: Floradan Road (T) Putnam Valley Dear Mr: & Mrs. White: 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: The proposed second floor office is considered a potential bedroom. Therefore, the existing septic.system would have to be brought -to current codes for a three bedroom house by the installation of additional absorption trench. -;The additional absorption trench would have to be designed and submitted to this :Department by a professional engineer. .Upon Receipt. of a. subm-i ss.i on revi sed to ref l ect ' .the above comments, this application will be consder`ed - further: Very truly yours, Robert Morris Assistant Public_ Health Engineer RM/jp A 3, Kcf - - - - -- � �� __ %�a.�_ _W� �, - -is -:_�4 6' fir°_- __--_ _ . _ .00 Ae �v la A J BRUCE R. FOLEY, R.S. Acting Public Health Oire:tor DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, 6revrter, New York 10509 (91;) 278 -6130 PROPOSED ADDITION APPLIChTICN _ (RESIDENTIAL ONLY - / jj �W STREET: i`� /iGdeai/ TOti'ic; �G% TX MAP rF �Z ` Z S N,*E: 2G PCHD PERMIT # iq /0 ko MAILING ADDRESS ? 1zff Description of Addition `eflI C:--I 1'7d% le c� Number of existing bedrooms Proposed number of bedrooms from Certificate of Occupancy or Certification from Building Inspector ._`2-_ Any addition which is considered a bedrecm 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 follcyring to PUTWAN, COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BREWSTER, hr>' 10509, Phone 278 -6130 with the following information. -1. Certified Check for $100.00. 2. Sketch of existing floor plan (all living area including basement, if any) Non- professional drawing is acceptable. 3. Sketch of proposed floor plant 11 Non professional drawing is acceptable'-' 4. Copy of survey showing e;ell and septic location, to the best 'of your -knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. 5. Copy of Certificate of Occupancy from Town or Certification from Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions / 12 / application August 1995 July 1996 (Revised) DEPARTMENT OF HEALTH Division Of Environmental Health Services Ceneva Road, Brewster, New York 10509 (914) 278 -6130 David B. White 50 Floradan Road Putnam Valley, NY 10579 March 2, 1993 Re: Proposed Addition - White Floradan Road (T) Putnam Valley JOHN KARELL Jr.; P.E. M.S. Public Health Director Dear Mr. White: A plan is to be submitted, which may be drawn by the property owner, showing the existing and proposed floor plan. This sketch is to include all levels of the house and each room i's to be dimensioned and labeled, e.g., dining room 05' x 20'), etc. At this time no professional services, plans from .an.architect or engineer, are :.., regt 'red:• professional plans are not- required for all'addition approvals. If further documents are required you will be notified by this office. If there are any questions on the above comments, do not hesitate to contact me at Ext. 320. L✓e hJ Very 1 y yours, MOU0 Robert Morris Assistant Public Health Engineer RM/jp 3. DEPARTMENT Of HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6'130 WIUCE rl. FOLEY, R S. Acting Public Health Uur•,:tp, Putnam County Dept. of I-Icalth 4 Gcncva Road _ Brewster, NY 10509 Residence Tax Map 'Town Gentlemen: According to records maintained by the "I'own, the above doted dwelling IS IS NOT In compliance Nvlth 'Town code and the total number of bcdrooms on record This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER \ aCurds r } Building Inspector T7----------- -------- ti L7-Yes& t` �J� x {-• i�j � I v . t��7, lit 00 1) NJ C) C) 0 0 U-1 CD 0 CV CV rn (V S 66 38'00 E FRAME PLAYY HOUSEffl 100% 'SEP INK EXPANSION C 4' LINE-/ ' ONE ST0R FR M � (EX 11IN .0} N 66 38'00" W 60.00' FLORADAN ROAD Q 0 0 CV GV cV r� Existina septic lovout for: DAVID & JANET WHITE 50 FLORADAN ROAD PUTNAM VALLEY, NY 10579 DATE: 1/7/98 N.T.S. 0 0 0 0 FRAME `- SHED (3) TRANSFER BOXES (10) 375 GAL GAWES 4' OF GRAVEL ABOVE & BELOW PIPING s TANKS (TYP•) N 66 38'00" W 60.00' FLORADAN ROAD Q 0 0 CV GV cV r� Existina septic lovout for: DAVID & JANET WHITE 50 FLORADAN ROAD PUTNAM VALLEY, NY 10579 DATE: 1/7/98 N.T.S. ,_.....r :yam .., � ..t• .� [ � ..- ., -�. h. • tir - ;+�i .� ..�>: � e. .: .. �: -'p.� r a �.... �' . ... i — _ - �1' .� r•R".! ....� _ a. , e+ . � �;. -. 0.., ti .. , i✓ /F OST ER �'� ' NZ3�2 DDE ` ti 3 n r 0 a 3 il �m M � 7 F� Z /OU OD 0 N N o a o� 0 o° Janurary 30, 1998 DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 Mr. & Mrs. White 50 Floradan Rd. Putnam Valley, N.Y. 10579 Dear Mr. & Mrs. White: l BRUCE R. FOLEY Public. • Health .Director Re: Addition - White 50 Floradan RD. No increase in-number of bedrooms (T) Putnam Valley Tax # 83.12 -2 -58 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 latest revision date of January 30,1998 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: ;- The -totQi number-of- dedroorns- must'• remain at Two 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. Approval is granted for sewage disposal only. 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 yours, William Hedges Sr. Public Health Sanitarian WH /kg cc:BI (Putnam Valley) SONITEC INTEGRATED SYSTEMS 22 West Lincoln Avenue MOUNT VERNON, NEW YORK 10550 7"' (914 ) 66773399 JOB SHEET NO. 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