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HomeMy WebLinkAbout3864DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -3 -51 BOX 30 I ME oil 0 ;, ; �T 1.1 �� . L lo; moo. ti,1 16'.. r f ��� �� , , E % t �r� IN , -s PUTNAM COUNTYIDEPARTMENT OFHEALTH I ReV. /86 I)ivieiori of_ Eavlronmental Health Services, Carmel, N.Y. 10512 t, °. ;Engineer Mast provide V P.CgH D Perm_itN , 0 . :..LE T E OFICONSTRUMC ON CO �ArI^E P SEM—YA�F DISPOSAb S 'STElI ... /� /gip yq <�Y -" Town or Wage," 4 i ©d Tax, ,Map ..Block f' Lot c" I al Owner /app8cant Name ,/ "G �� ormedy Subdivision Name abdv. Lot M Mailing Address- ZIP Date Permit Issued s J N jo System bulls by G Address 1�'J!G�/ d✓" Separate Sewerage Conotating of �Cl'Ci �..'. - . •:, Gallon Septic -Tank and y �... ���! :: ,. •, Water S, ply: Pabllc Sa i Y /GI'0 s%% Address -- (n n _ _ "•C7 or; Private Supply Drilled;by . Address � Buildinj Tye 1%'fl � e Has Erosion Control Been Completed, Number of Bedrooms* -' Has Garbage "Grinder•Been InetelledY Other itequtromente; - - 3 XU - / e, I certify that the systems) as} fisted ee �iing'.the above' p ;emiaes were constructed ease ti �►9�" lane of the completed work (^cSpies; of which are attached); and in accordance' with the standards, rules and requlat" in a d, 'Health " plan, and the permit issue(t�51y.the'� Putnam County Department Of A , Date w Z7, Z.2 C tified bX P.E. R.A Address License No. Any parson occupylny ,promises served Oy`t above "system(sj shall - promptly, take such action a eonoitions resulting from`'such .usage A proval of., the separate sawera9e,systsm shill become* cure the correction of any unsanitary n_: as a pubt;: unitary nwer.becomy available and the approval: of. the private w_ titer supply shall' deco "a null `wokl' when a •,pu6I mss availabla. Such approvals are sutilect to mod icatl or cha'riye when; In tile' judp'ment of the C Is 'nir of Health` revocation,` moallfleation Of change 4s m, 71t Dat.. By. 1e -s if-, - , lr• PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENV rRORk=AL HE_ALT$_. SE VIf k=S Owner or Purchaser of Building Building Constructed by f Location - Street Municipality / Building Type .3 S Section Block Lot Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM I represent that I am wholly and completely responsible for the location, wor)ananship, 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 - • �r�if �c-a* P.� --cif : - �`.c�r st r�,� tr..or�i;..��.mp ► :iancP.�'.o.• f��:_ t'ne.:.se�ragc . cl� apo�l_:..sys�€�; ...�:: �?y .:. . repairs made by me to such system, except where. the failure 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 build' g u ilizing the system. __Dated this 2y day of �', T 19 �Genexa MCon actor (Owner)*- Signature c ra`j,,on Name (if Corp.) GAd ress w rev. 9/85 mk Signature Title Corporation Name (if Corp.) Address _,r. t T i CR c = Jr� �� I,,,T Y= NICJ - •.may -_- - °-oy_'r.�J a;.::_-.�- �...._;;n. l./ .cr_•..._ T -c c= P_a_— T A G_r I" I I C_ Era_ r_ct ,- �� -. � f-� c•c �-.. I I 1 250 ci:;uC C- Lan c=icC.1 - 0.c_— N L 3C = =T cr i = C_i _- - T D_ �cTJ- G '- _ _ I C. i= - t:-=—=Z- E. < =� 10 12 3. to - I i C_ �` CE HL ti�'� = -- - - ns C-. = T 3nrcL & c - = _ to ter- _�•a �_ � ��.C= S.•c�_ C.CCL� �_C:1 cCC =`3�.? C= _r i___n T -- C�c-c =LL :— =_ - ! % Fi'flir ,�:il'!f7T Lr A� iD.% !? iF Stiii•A1.:i LFrOo�'P•le �.ir P]I�a•w,�nstlad Ekw,lS7cu Y {:ev�i.ua. i►car�,e�F,. M . V. i tci i' F,, u- '^VS•. 7 IUD .' r r P _ • 9 =�.F? " "f" !' :ri^.;',�'; A^'� '�`.3.''rS 6r:Jd ['4:�B1.A1.. M i�L;:' i"a+e�'� / o "rt.,..:,.J xc i ri` r•rs N mr Ktis nm.. � W ■ �a +irtimce ■ 0320 ad 2MVEZM 1. p ; d 11 • . Daft f c.Yo^. i b: i.:'ral ' WE 5.00 - WNter d .'9ee6 ^m= Gw.a"e rim r, P. PWK!rPP',ma:9n.se?xu- 99 awab.'t omb awmao Be cevvzat u/` • , /C �'.aw• 1 a,b arei �. WBJW Aux L 1 repromm, .that 1 am WWOly M eognpmaw roe"nomea for the "Ion and toeation: of the propozoo wdom(s)6 1) that th0 tzl 840 ssw di tel stem Oft" downed aria Do consiruo4cd 08 0own oa tho opwovad armandmont throe to and in accordance with tho stondwds. rules a reau County 4 of Q=Ilh% 06W tha4 on cowto .WO.Swro f a •- CCJ4iticato of Construction C~iama r• mtisfactory to the COM1111WOn6r of MMithwal M to M CC=v2ffl=Q. 089'a twittm tWWDORoo win ®o furnished tho 0c a. a. hogs os owns by the builder. Mat told bonder will VINGS in eJ .evanal @Md m.tv wrt of 2020M watra dwome ayt$eai durirj (8) Vega tmnwgimt0ly follewift the date of the how aaae ov 442' (W 4ao Cca4OfiVAO of c000nfictlor► Compumnso of tho orq s 46 mto6 a) 20M tho drilled well downed e6oeo WIN M as C 02 t�.1 pion and tk t a9id mm will bo indalk;s In r®s, ru and re@ s of tote putsam So■a v 0 6 636a It li �i✓ G r' t.ieanse No 1 199 5 -'APPROVIED Pon COMTMUCT1O6bs Th I ottplras tcao the da o'�;it8mmd untaias,'r � n of tho WHOM has Own undertaken and it ate for cam ror rhayr boa or onotiiOiod erGgn oon y by •A Comm , 6th. Any ehar�ga w aitaratan of oor■truetlon gawka8 a reee#1 grrsri4. . At maC d6f:;fOpa1 00 doanofats &an- .a. Iva. 02' C1A$ Oy only. Rev . ,. 2. i0�•�/� -. 10/88 cam PC -1 v E> U_rikT A_ M Cl- ®T-T WIr � - JD,3P -41IR Ir M_E: Z�7 11' C> E7 Yom+ =A' -11 r M ?CA'_TE?N- FOR APPROVAL- :QP :PL4N ". FQR. A '�,STEWnT�w. DISPOSAL SYSTEM 1. Name and Address of Applicant: 2. Name of Project: �� Sys��r�a 3. Location. T /V /C:K�a� 4. Project Engineer: d °�� G'�' /,� ��� 5. Address: License Number: f926 Phone: 6. Tvoe of Project: __�ZPrivate /Resi dent ial Food Service Commercial Apartments Institutional Mobile Home .Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental 'Quality Review (SEQR)? Tyoe Status (Check One.) Type I.. Exempt ✓ Type I-I . Unlisted 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 9. Has DEIS been completed and found acceptable by Lead Agency? ........... 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, c-i a surd nces� z .... � . ... 4 ....... . ... ... J _ _. _: 12. I.f so, have plans been submitted to such authorities? .................. �C' 13. Has preliminary approval been granted by such authorities? Date Granted: 14. Type of Sewage Disposal System Discharge...... Surface Water' 1"'Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) ..... ............................... 17. Is project located near a public water supply system? .....:......� 18. If es, name of water supply ���' °. - /�G-� Distance to water supply Y ?9, Is project site near a public sewage collection or disposal system...... 20. Name o= sewage system Distance to sewage system 1� 21. Date c:_ervee: 2 °. Name of Health Inspector: 24. Project design, flow (gallons per day) ..... .....�L.G ...................... r .. - ... .. .a i+r.. o-. _. i .. .. .'nc-~"^ D.. .. _. �. u �c..•:. . :-^F. :�:rt.; as �{.� -�1�, t `3[: a�. a:�. �.. tw ,. '1"^'C.'~A.._T X'Q_. ii/..: :. 'T: —•-.. �. _.t-a,:....�,` -�'j ..r:.:.. � ,[L �_ DECLARATION made as of the 1st day of November, 1991, by .FLORADAN ESTATES, INC., a New York corporation having its principal office and place of business in the County of Putnam, State of New York (hereinafter. referred to as "Floradan "), and MICHAEL A. DeSIERVI and DEBORAH Y. DeSIERVI, his wife, both residing at.21 Cedar Pond, Peekskill, New York 10566 (hereinafter referred to collectively as "DeSiervi "). W.I T H E S S E T H: WHEREAS, Floradan is the owner of certain lands, private roadways, recreation facilities, and other common facilities for the benefit of those homeowners in a community known as Floradan Estates, situate in the Town of Putnam Valley, County of Putnam, State of New York; and WHEREAS, Floradan desires to provide for the preservation of the values and. amenities in, said -mac as ' w Z'�; ._. _ ...,._ community-- _.�_ �: .....:�5.,..the� ... _.._.._..._. maintenance of said lands, private roadways, recreation facilities and other common facilities; and WHEREAS, DeSiervi is.under contract with Bonnie Zabor, a /k /a Bonnie K. Marks, as Seller, to acquire title to the premises . hereinafter set forth on annexed Schedule A, which premises are situate within the community known aforesaid as Floradan Estates; - NOW, THEREFORE, the parties, for themselves, their e successors and assigns, hereby declare that the property described is and shall be held, transferred, sold, conveyed, and occupied subject to and together with the covenants, restrictions and easements hereinafter set forth.' -1- 1. DeSiervi shall install a road connecting Austin Street and Pegasus Road,,..At their own cost and expense. The road is to be a minimum of fifteen (15.) feet wide. It is to be constructed of six (6) nchds,'of item #4, properly crowned and arranged for necessary drainage,,, DeSiervi's_:obligation hereunder shall be limited to the installation. of such roadway not exceeding 450 feet in length. Floradan shall be responsible, at its own cost and expense, for all maintenance and repair of such roadway after its installation. Floradan ` herein grants DeSiervi the right to enter upon the property of Floradan to construct the above road. The installation of such road is subject to the conditions set by the Putnam Valley Fire,Department. 20 Floradan warrants and represents that a Stockholders' Agreement, dated May 26, 1974, 'and a further Shareholders' Maintenance and Operating Expense Sharing Agreement_, dated August .F.� 8 1975, were timely executed by and are binding upon at least LL ` eighty (80 %) percent of the shareholders and homeowners within the Floradan Estates community. DeSiervi agrees to execute a counterpart of each:such Agreement. 3. Floradan warrants and represents 'that at least ninety (90 %) percent of the owners of dwellings within the Floradan Estates community are each the owners. of one (1) share of stock of Floradan.' DeSiervi agrees to purchase one (1) share of stock of Floradan, and Floradan agrees to deliver a fully executed .certificate..therefor, at a price of $3,000.00. -2- 4. Floradan has previously received plans from DeSiervi for the construction of a one - family, three - bedroom residence, and installation,..of a fence, on the premises set forth in Schedule A. Floradan hereby acknowledges its approval of such plans. • 5.. Upon obtaining a Certificate of Occupancy from the Town .of Putnam Val:ley.in connection with the construction set forth in the preceding paragraph, DeSiervi shall be responsible to pay to Floradan its customary and prevailing maintenance charges. Such charges shall.be adjusted on .a pro rata basis. Floradan warrants. and represents that such charges currently do not exceed 1$1,735.00 per.annum for the year April 1, 1991 to March 31, 1992. 6, Floradan agrees to permit DeSiervi to connect into present Floradan water lines at DeSiervi's sole cost and expense hard DeSiQrE�� shall maintain said connection from Austin .- Street -or y ... _. -.. .. a .. .... �.. d .. iaPegasus Road to premises set forth on Schedule A. 7. DeSiervi agrees to abide by present Floradan By -Laws and rules and regulations presently in effect or that may be properly, enacted in the future. • 8. Floradan hereby acknowledges receipt of the total sum of $500..00, for preparation of closing instruments; such charge includes all. c1osinC fees and legal fees. 9. DeSiervi _.agrees to pay the customary charges, if_ any, of the utility company for installation of any and all utility lines which. are .required. to service the premises set forth on Schedule A, -3- . 10. DeSiervi agrees to comply with all zoning, planning and sanitary and building ordinances of the County of Putnam and Town of Putnam Valley.: 11. Floradan forever grants. DeSiervi, their successors, assigns, guests,''invitees and suppliers, the right of way for ingress and egress, by foot or by vehicle, from Oscawana Lake Road to the premises set forth on Schedule A, as well as all other roads and facilities within the Floradan Estates community. 12. Floradan reserves for itself, its successors and assigns,. the right to lay and maintain water pipes, gas and electric telephone lines along and across the premises, but shall not be obligated to lay or maintain such lines except water pipes, in which. event Floradan shall restore the premises to original condition; provided, however, that the exercise of any such right wi11 not interfere with the use of any _future or present improvement on the premises, nor constitute any condition, right of re -entry or forfeiture under which DeSiervi can be cut off, subordinated, or otherwise disturbed. 13. The premises shall not be used for other than private residential purposes and shall not have more than a single dwelling for one family and sufficient, in DeSiervi's own discretion, parking space for use by DeSiervi in connection therewith. 14. No trade or business of any kind which may be objectionable will.be permitted on the premises. -4- 15. No .fence over two (2) feet shall be erected on the premises witho.ut.'.:,.the written, consent of Floradan, provided, howevert that the fence set forth in paragraph 4 may be erected. 16. 1?qPilITY4 shall not throw or dispose, 'of garbage, refuse or. rubbish -on the premises or on other property of Floradan or- the adjacent premises., and such garbage,,'refuse or rubbish shall not. be kept on, the* premises for more than .24. hours.. Notwithstanding the foregoing, DeSiervi may :store such garbage, refuse..or.rubbish in suitable containers for disposal on a weekly basis 17. In ca.se.D.eSiervi wishes to sell the premises, they will first offer them to Floradan on the same terms and conditions as is proposed to sell them to another, and Floradan shall have ten (10) days within which to accept or decline such offer. if Floradan does not provide written. notice of its acceptance or declination within said ten (10) days, DeSiervi shall have the right 'to effectuate such sale.. 18. At the.. time DeSiervi rents or leases the premises, Floradan may strictly enforce the observance by the tenant of the reasonable rules and regulations above mentioned. 19.: No dug,, Orilled or driven well is permitted on the. premises set forth in Schedule A for the purpose of obtaining domestic water so.long as Floradan is ready, willing and able to pr ovide water "i V d;prem isps. 20. All o. f the above covenants shall be binding upon the successors and assigns of Floradan, and the heirs and assigns of 5 DeSiervi, their.executors and administrators forever. DeSiervi agrees that in the event' of a transfer of title, that any. conveyance of the property by them will contain a recital of the above covenants specifically or by incorporation by reference thereto. -All of.- :':the above covenants shall be understood to run . with the hand and,: .become binding on the parties, their heirs, successors, and assign . .21. Floradan Estates, Inc. represents and warrants that it is the successor to Floradan Country Club, Inc., which is the successor to Floradan Lodge, Inc., the party of the first part in a Deed dated April 8, 1961, to Bonnie Zabor, as party of the second part, which Deed was recorded in Liber 548, page 273 on August 3, .19:61 in the Putnam County Clerk's Office, and which describes the same premises as set forth in Schedule A herein. Floradan Estates, Inc_. further represents that it has the _. .,....__ .:... aut;ority ._. Etta" ieb' Does decide..: i1it' --al of---the-­terns--- provisions, conditions and covenants in such Deed or other prior instruments of record affecting the premises, excepting the grant of conveyance, executed by it or its predecessors stated herein, whether or not deemed to run with the land, shall be of no force and effect between the parties hereto, their successors and assigns. 22. The executory obligations of this Declaration shall take effect only upon DeSiervi acquiring title to the premises pursuant to the Contract of Sale referred to in the preamble of this Declaration. IN WITNESS. WHEREOF, the parties have executed this -6- o - 3 V. 1 H: SERVICES Ca F = v Cr C«LTr� �.�C 1 -S =�� 'rr S JCS• l!S ,Av�-r� C. c: �=•—:_\-T_S - ?' �9S Y I wJ . CCL :N Z'S CCL- t7Crc�e �5.^.�.ili. °_Ci2 ta ' Deeo Hole -L,-)g i I Pe_ c vole )reo`•l ouse Plans S/S _CV Per` (�) F. cd variance / E^2=R J S u'x1V 1s10A !T- .PCrovc! C e-ca1 i- Gv_6-Gva1 and SS /DS =!"i1. Xts Ce.c.:L.�� ai - e-I --.-.� CZ DDS Pl ='15 .'`C _ __ ! L .S..�1? Sys Gra =c= ' -- _ ` -= over t� c'1 ✓t�5 i = -ice =r reL�_) - - - _s-__�_ oc T-y -- P1 L -& D E�cx S'llM & D=- I•,aiis & SJ:IJ' rain 200 - O: P --,D2C 15 _r '._'sue 10t) C?7Zaz TTl^'ii D''_5== '�1C✓J SP ` T =T -t ON PT_ =!. 1111 �C'SLO P.L., Di1 T °.�c\ , ! y? Z'- pass 20' t'J 2'O:niEaz1Ci1 Ka" is -- 1$�. .... ..to Well; 200' In D.L.O.D, 150' l00' to Si= Ti= L? =COI? a�, e 1) lei_ JJ i 0, to Water S_:...c Tdrks 10' ': � _ _ Lc1 a l:,' W..11 to �� JOHN KARELL Jr., P.E., M.S. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Francis Sullivan 2972 Ferncrest Drive Yorktown Heights, NY 10598 Dear qtr. Sullivan: January 28, 1992 Re: Deservi Austin Street (T) Putnam Valley Tel 083.12 -3 -5.3 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: � y Minimum distance from the edge of the absorption trench to the retaining wall is 19 feet. Also note height of the retaining wall. ei2.. Septic tank is to be shown on fill plan. v Fill is to be shown extended horizontally 10 feet from the edge of the absorption trench and sloping 3:1 to grade. �. Dimensions of fill section are to be shown on plan. 3 � Depoth:. UA- 0g' es,', one' ih each corner and in the center of fill pad, are to be shown on plan. :' Standard farm PC -1 has not been submitted. 7. Finish floor elevation, septic tank invert elevation and J -Box invert elevations are to be shown on SSDS profile. . Proposed contours have not been shown on plan. Deep test holes are not representative of the expansion area. Addition deep test holes are to be excavated. These additional test holes are to be witnessed by a representative of this Department. Upon Receipt of a submission, revised to reflect the above comments, this application will be considered further. Ver truly yours, Robert Morris Assistant Public Health Engineer. RM/jp r• Y' L&Wwo W45 • at • ;I r io • • •• s � •• � i� v � a�• tea•. . - Y7�SIGiV` i i"'SS � SU65L7EXi SF V DISPO`:SYSTEM A Address ,'�C'/ ��i'J�i % �G�G�'•G� f � Owner 1 y Located at (street) �� � � SC f Z Block 3 Lot (indicate nearest cross street) municipality ,%�� �� � Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH_ APPLICATIONS f Date of Pre- Soaking /C,/ Date of Percolation Test HOLE NL24BER CIGCR TIME PERCOLATION PERCOLATSON Run Elapse Depth-to Water From Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In Drop Inches Inches Inches 0 2 G/ jell 3/ V j 4 5 10 4 5 1 2 3 4 ' 5 NOTES: 1. Tests to be repeated'at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to*be submitted for review. 2. Depth measurements to be made fran top of hole. 0 TEST PIT DATA ] TO -BE SUBMITTED WITH APPLICATION IN TEST HOLES 14' - -INDICATE LEVEL AT WHICH GROUNDWATER IS yENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED DEEP HOLE OBSERVATIONS MADE BY: DESIGN Soil Rate Used %� Min /1" Drop: S.D. Usable Area Provided.- �' Ua No. of Bedrooms .5 Septic Tank Capacity de'O gals. Absorption Area Provided By L.F. x 24" width trench Other �G �✓"G '�"�� �! �/ �, `� G5 ds Name Address Soil Rate Approved sq.ft /gal. Checked by Date { js a i z mcpgo", MAY, 4 Olin. x who s y =, } F - i P w r S M, Q Q, y MT WZA popa a< i N lot • ' � -` a 'y}a"� + r' �` y' v r ,� -� a .� sL ,,,� � �� t�..£ .gym yy: � RMA 4WO } W t� `� r z Ary AM x£ 4 a. `` -101 Alto A 1 -_ A tt 04 wm oils - r. fit. J.i + •. __ --... ,y.: xa r3. -+�Y+ .... -.. Lv:..,4 -. er -,.... ,t Ts„ ->i �T.> ..+w. ......+o= ,....� =a. '"•...; -'w._ ..•.. frq Ys ♦. 4 #? 2 N, AJ -. `wt ry i t n t - , .��� •' � -� 4 ,'� � �. fix � asf�� ��ij"�rh t=-a" �ti +,�`'p; iL VRI t .q.• ... � ..�.ao. P • +m .....n -.. .._,�. s- .. r .. e+.D +=..: .... w. W k .�pr, w �aD ter- �. mss.. �. .�+. •O.O ^ 4 �. .. k ,p r a e f t .�, �' c. � � t4 c$ «�, c Y I �r.• � v� �e`��};. mss' . _. - .. i�??- ttl- .i�"'J '•�';R/ •' _ .. , _�,i�"'?r, - Y? "°Yy?.. �r � rr''c'. al�''?� :'.<�Y, s':r.v