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BOX 30
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Proposal (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 from licensed professional engineer or
registered architect.
Proposal approved
f ..
Inspector's Signature & Tit
Proposal Disapproved
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 canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be perfonmed in accordance with the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
SIGNATURE /� ?G / Cs-�� j�TITM DATE
CPI,ES: Hhite MV; YeUCW (fin BI); Pink (Applicant) /���
DSslelw at � Cac®al. Nil! le�fl? ' `�s�eee fe iswlds'Paaslfl'.:
" mmC�IWICAIB'®FcobffuAri x
®Ol!ilO<.710N PSG IFOR SRWAfiB DFFOS"
o
ac
-9
s.eawao Aline �✓ %A f ; !sera rye a �TM
Omew/ Ada^. it ohs. Au v CcA r�s� �e —° " °
Da $6 4 A
� Aa�f. a %� 0 o,5 mwa9i m MA 11L R oho Towil
Date Subdivision Approved /V,IA Fee Enclosed 13 Amril;rif
.fair A U Lot rm O.6R. Ac.
Bd!+�4 Depth- Voleme
3.
w G P D 6 00 PCHNotlec
D itloe k Begelr" "M b ootepb>
Nttslime d Hmtlteo®a • ` �
Separate ,Seaeeese Sjates is esulat a4 Gem Tack: ••• a -� OO : �9 , �� a� • olO 7°"/l Q.sc
Te be aisrheoted,by Addiew '
W"Isr S Adhvw
per Pelv000 Soppb.De®ed� �X /�•�^^�. �+•l� -� ada.�.
Odw-
1 represent that 1 am woolly and completely rosponsiblo forth' dssgnsrld location of tno proposod systsm(s) 1) that the. •siparate sawaga di >ias�o 1 system
above destritled wdl bo'oonstrutted as shownfon tno approved;amendment there to and in accordance with -the standards, rules mnrevuiai%nT00%E .. nam- -m
cow nty Ogpiirtmait ol; Meelto.; .and that `on eolnpletion thnreof a •Certilieat ®. of Constiuction,Gompliancs patif<factory,to tM'Commiseloner of.'MMNhwill
be futimlttpd.to the: OspartrnsM an0 a ,writtentquarantes will tis:fumisheO tM ow�ev, hiii:>Iticoossors,`Mbso� aiaigns by'th� 0uilao►, toaLYld bulkier will
owe in food. epwii46i� conAftbn my part of W sewage disposal :vats", durirp' the period of awo (2j ysarsammediately f011owing thed t of-the inu-
wiN "01 tM, approval;of tM CortNkat ® -of Construction' Compliance, of tM „wfginal system o 'any rmpairs thereto; 2). that -the dill lam well douribed a6oye
by loeateo as shown ;on the,apprared „plan andthat said well will_bexlnstal n aeco`r&noe' with the' standards, rinse .and regu ns 'of . tea.' Putnam
Googly papal mart of MNRh,
Gate . 15''' .J --Q % . Signed P E. �! R.A. -
Aaarss WB. L<oROZX ' V J �ic. No 0 7Og3 a
APPROVED FOR'CONSTRUCTION Ybls approval '0 piss' two years -7rom the 'da ee issued unless construction of the building Ms been undertaken and is
revocatile for cause or.may W emended or` modifie0'when eonsWaeO n r> I fay s Oner 04 Ftsalth; Any change or altoratlon of construction
requuw ayw tierinit. Appp�roved f %►q`eifpQo l or`domosik: senile► l supply only.
Rev.
10/88 gate ey Title
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. Allan Cortesi
120 Oscawana Lake Road
Putnam Valley, NY 10579
Dear Mr. & Mrs. Cortesi:
Acting Public, Health Director
June 17, 1997
Re: Addition - Cortesi
No increase in number of
bedrooms -120 Oscawana Lake Rd.
(T) Putnam Valley TM #113 -1 -5
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
June 17,1 997 and this Department's approval stamp.
Based on the information submitted, the above mentioned addition is approved with the following
conditions:
L �Tl' ►e . total number withaui -prof aapproval by fhis MparE6fit
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. The sewage disposal system must be constructed as shown on the approved plans (attached and
approved by this Department prior to the issuance of a Certificate of Occupancy.
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.
WH/jP
Very truly }you - r__ _ -- - ._.- ......._...._..... .
William Hedges
Sr. Public Health Sanitarian
JEFFREY A. EC®NOd®119 P.E.
_ Consulting. Engineer _
Environmental - Civil o Subdivision /Site Work
June 10, 1997
Mr. William Hedges, P.E.
Public Health Engineer
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: Septic System Application - Cortesi Residence
120 Oscawana Lake. Road
Project # 96 -6
Dear Mr. Hedges:
Enclosed herewith please find the following items required. to
obtain a Health Department permit for 'the above - mentioned project:
1. One (1) copy of the existing property survey.
2. Four (4) sets of the proposed septic layout.
3. One (1) copy of the Engineers Authorization letter.
4. One (1) copy of the Design Data Sheet and Test Pit Data.
5. One (1) copy. of: the Construc_t-ion.- Permi -t ,: - -
`®__.'a__. -. - ::•-6: Sighed'Ne:gh-�or-Notification letters. "`'
The owners of the above - mentioned property plan on finishing the
existing dormer portion of their house to add a 3rd bedroom to the
2 bedroom cape.
Should you have any questions, please do not hesitate to call me at
(914) 962 -5722 ext. 222 days.or (914) 227 -8965 evenings.
Very truly yours,
ey A. Econom, P.E.:
ulting Engineer__
JAE:me
enclosures
d: \jobs \96- 6 \pchdssdl.per
cc: Allan'Cortesi
2 Loganberry Court o Hopewell Junction, New York 12533 • (914) 227 -8965
April 29, 1997
NEIGHBOR NOTIFICATION
CONSTRUCTION PERMIT
Re: Department of Health Review of
Proposed Sewage Disposal System
for property:
Name: Allan.C. & Mary E. Cortesi
Address: 120 Oscawana Lake Road
Town: Putnam Valley , NY 10579
Tax Map: Sect. 113 Par. 1 Lot 5
To Whom It May Concern:
Please be advised that an application for a Construction Permit
relative to the construction of a sewage system for the captioned
property has been made to the Putnam County Department of Health.
Attached please find a copy of the latest site plan.
If you have any questions, concerns or information which may bear-
-pp-
s =- a- iea�idn� uyQ :A ay...
Mr. Hedges or Mr. Morris of the Health Department at 225 -0310.
Very truly yours,
RECEIVED BY:
Address:
Tax Map: —3 -7
�u
n ;
N
\t p
p� l y �4
\SSION�'��
�91X
PERMIT TO COMMENCE WORK APPLICATION
eJ/
T.M. 1 'ZZ,/Z -3 -_7 ?"
- j*ULING ADDI ' i� 1,7v; _ QJG47LV •,� 7 vijmr.. 1__ J�p o? %�_
1OC11'1'xON OL' V
P1t01'LXtTY ^� are NC111UM IUrMZWrION GI' At7 /Ale
SUDDIVIS1ON Jm I
ZONING SILL• Ol- wr (so.lyr. )_ 4 a_5 3 t#[:IG11T
/I rT // /Ue vv .f�27C, %i� DECK
Ul:sclul�l'xoN ol�y coN�l7zUCraoc� -�
NO. OF FAMILIES
PER BUILDING [���[` lWIMl1'1'L COSH' Or.. I=*
—,,'do hereby, agree L-haL the building Code
will be cokiplied with whether u -ae same is specified or not; as well as the
Sanitary Code, Plumbing Coco area any other Law, icule or regulation affecting
said str ucL•ure or building. 11e Inspector shall have the right. to enter any
prat"es during the dayLbne, at reasonable hours, in the course of his duty.
(Owner or Agent)
X find ploL• plan Lo conf001 Lo Ube Zoning Ordinances of We Tom of Putnam
Valley_ and hcrr.Uy .ap�nbve l;a���e ;. �ubjecL to urtlleL' appinval and oat�pliancc with
i�f � U1c'- S Late •- Bufldi ng Godle gild Ule` Sw1t al^; code Y v r - ' � ►,: .
Pluibinf Code, as well as any over law, rule or legulaLions of Lhe State,
CounLy, '1bMm, or Bureau or Deparb=L hereof.
/VIJ t,
__;;;v1 /OCU�
13UII DING AM 1145PWIM
No Fee- - Chapter'.23 - Section 23.o -C
0
April 29, 1997
NEIGHBOR NOTIFICATION
CONSTRUCTION PERMIT
Re: Department of Health Review of
Proposed Sewage Disposal System
for property:
Name: Allan C. & Mary E. Cortesi
Address: 120 Oscawana Lake Road
Town: Putnam Valley , NY 10579
Tax Map: Sect. 113 Par. 1 Lot 5
58S-.'Whom It May Concern:
Please be advised that an application for a Construction Permit
relative to the construction of a sewage system for the captioned
property has been made to the Putnam County Department of Health.
Attached please find a copy of the latest site plan.
If you have any questions, concerns or information which..may..bf2ar.
sari _t !e_..L za— Lth:'.Der,dir prat's review of th -s �appl��u�iGiT, y0lt '1Tlay 'mall '
Mr. Hedges or Mr. Morris of the Health Department at 225 -0310.
RECEIVED BY:
Address:
Tax Map:
Very truly yours,
B
Title: &)17'51A /w , 6i�EuZ
X49
A.
n
u w
F� 0701
°�aSS10NR //.E1
PURIAM CrUNI'Y DEPAFMME TT OF EFES,TS
DIVISICN OF ENVIRUMU� HEALTH Sc.. --VICFrS
DESIGN DATA SriT— SJPSGFa,CE SrZ4AGE DISPOSAL SYSTEM FILE M.
Cromer Mrs. g -HP,S. ANN CofTz--5!' P.cdress Q0 C35GAwjqNA 1,Ak gggb
Locates at (Streeet) dZDPC) sec. X13 Block 1 Lot
(indi ante nearest cross street)
municipality PmIT /AM VALLEY Watershed
SOLL P = .�COLASICN ZEST DATr? REQU RED TO EE SUEtXJ = WiTE APPIJ(=CNS
Date of Pre - Staking . Date of Perc olatien Test
EOLE
NU4= a= TDE'
PERC ATIGN
PaCOLr.T_TC-N
Run Elapse
Depth to Water Fran
Water Level
No. Tug
Greurd Surface
Ln Inches
Sbil Rate
Start -Stop Min.
Start StoD
Droo In
Min /In Crco
Inches I-nches
Inches
-
2 11 2,1 Q 1� t c��j �h dW a,� I r> �J, Oq hi ln�i n
4
5
I u I
3 is , 05 6r� �a b�j r�rr I ��; /b t� oIn
4
G1
1
2
3
4
5
NOTES: 1. Tests to be repeated at saw depth until aroraxim3tely equal soil rates
are ebtaine:l at each percolation test hole.- All data to' be submitted
for review.
2. Loth maasLL- re -m2nts to be irad.e fran too of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED W= APPLICATION
DESCRIPTION OF SOILS E1,KrAJN'TERED IN TEST E=
tL`
DEPTH HOLE NO. HOLE D)O.
G. L. cO) l
2'
31
4'
5'
6' Somme,Ic��
7'
8' ...
9'
10'
11'
12'
• c.
C�`c4Yaa V'�'�i
61ZN lCl1i'
zaody Cry
13' _
INDICATE LEVEL AT WELIC H CROUNDVWER IS ENCOUNTERED dD /-le-
INDICATE LEVEL TO WHICH J ATER LEVEL RISES AFTER BEING EN (jN`I1=- �Or
DEEP BOLE OBSERVATIONS M.POE BY: J s 1rrx -1 A • &oHnm. _P_f DATE: q - a -CM
DESIQN po Vo
Soil Rate Used -7 Min /1" Drop: S.D. Usable Area Provided 85'0 f ,e -wn5p
fix.
No. of P,e&ocros 3 Septic Tan}: Capacity /000 gals. Type /kQAM
Absorption Area Provided By 00 L.F. x 24" width trench
Other
Nacre CAT& A . �,., �� �. Signature
Address H ? 1- c&qyry�gAy 0 )uR-r SEAL
14Q�*-w�L-b J urjc'rizr� N. Y 1as
THIS SPACE FOR USE BY HE?LTI DEPAR7M M ONLY:
f-a AnnrnvP, -1 -- . f t /gal . Checked by
OF io y
� OTp�g
�p�,SS14NP�,
Date
APPENDIX L
PurNAm oyiNiy bEPARTmEaT OF HEALTH
D M-SION-0 -INVIR R4EN'
DATE: I q
RE: Property of I-LAW COT&S
Located at id,O 0swa;ona L-alv_, koAo
M Section 113 Block Lot
SubdiVision of AA1
Subdv. Lot # _4-A Filed INIap # OV Date iv
f
Gentlemen:
This letter is to authorize
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
pr(xnulagated by the Ccmnissioner of the Putnam County Department of Health,'and to
sign all necessary papers on my behalf in connection with this matter and to
super.vise
the.,
.construction
of-, --said system lor..systern.s -in conformity .:with.:_,tb.Q-.--
provisions
of
Article 145 or
147, Education Law, the Public Health Law, and
the
Putnam County Sanitary Code.
Countersigned: #&
P.E., R.A., # 0 J0q3 11
s
Telephone
0
M UIj
Z
(P
4
\��SSlO�P�
0790
very truly yours,
Signed: 4Z_
Owner of Property
xv
Address
Town
f- C712-
Telephone
19
X*M
SITE
4AM
?ERS(
DATE
•,• •
Proposal (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 from licensed professional engineer or
registered architect.
l
Proposal approved
Inspector's Signature & Titli
Proposal Disapproved
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 ccmponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep
drywalls surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Da _
I, as owner, or reported agent of owner agree to the above conditions.
SIGNATURE / �� r` G,- /�-' % �,, ZE DATE
PTF:4z Uhitn (IUD): Yellrw (Tan BM Pink ( limnt)
PQ1lHAM COMM DEPAITIMMM of HEALVE
DIvBa�baa d nowbou6nisid HOMM swdm& Chem& N.Y. 10512 Roglispor tip Peavue, Pon g
as CERTIFICATE OF COIDUAMM
COI nwx7 01+1 PRUM IFOR SEWAGE Feat 0 lO z
Biecotad std ayd i�i�WffilVA LAhe, / \040 AhRM !)�11. ll l� • 105 l
NNW N 1 UK' We iy %fa �� � Yy
Data of Prewbae Appwal
.AdfErora -QSr -A WANA I A6 ACAS) To" ZIP
Date Subdivision Annroved 0V� Fee Enclosed [3 Amnt,nt-
TyPe R Q i Q9WT'A i.._ pert Am O . d9 A C... 1+51 Sscd m odb LJ DeP& vahtme
mumb.r at Beam.. H Deli Flow G P D f0 00 PQHD NodBcadm Is Requited when Fm Is.aaaspbsted
SePmob SeWMW Sysism t condos ac_ MD -GaSae Soptic Tank
To be ooeealneI sd.by Address
Wptar SaBq*• Pd ae Step* Ffew Address
anftivaoe Soppb Ds®ed by EJU371 -4 U—..
otb 0- 3.' 6f X.o.,B, .611 uaed :& k1a`l ar Val.
I represent that 1 am wholly and completely responsible for the design and Iocotion of the proposed system(s); 1) that the separate sews o dis oral Star"
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations -o o. n m
County Department of Health. and that on completion thereof a "Certific ito of Construction Compliance" satisfactory to the Commissioner of Healthwill
be supmitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder,. that mid builder will
Piece, in! good .operstWq condition any part of acid sewage disposal system during the period of two (2)- yews immediately following thadate of the ism-
once of the approeal of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above
well be located as shown on tie approved plan and that said wall will be installed in accordance with the standards, rules and' rag—Mon-60f the Putnam
County DqmrinteM of Health.
Date P® O (� Signed P.E. R.A.
Ar l J. Ad i ens No 070 9.3g
APPROVED FOR CONSTRUCTION% This. approval expires two years from the date issued unless construction of the building has been undertaken and is
revocablo for cause or may be amended, or madified when considered necessary by the Commissioner of Mann. Any change or alteration of construction
requires a new permit. Approved for disposal of domestic sanitary sewalge, and /or private water supply only.
Rev.
10/88 Date By Title
APPENDIX 3
PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL_ SYSTEMS
�' KEVIEW'SliEET'foi CONSTRUCTYC)M PERMIT'
STREET LOCATION NAME OF OWNER
BY B. HEDGES R.MORRIS OTHER DATE
TAX MAP #
DOCUMENTS.
2,P
Y
ERMIT APPLICATION
=
= EXP. AREA• S N; GRAVITY FLOW, SUFF. SIZE
PC -1
= IF PIT & D BOX SHOWN & DETAILED
WELL P PWS L
E. N - IO
NO.OF`BEDROOMS
LS & SSDS�WAN 200 FT. OF PROPOSED SYSTEM
ESIGN DATA SHEET(DDS)
S & BOUNDS
F-H
ORATE RESOLUTION
PLANS THREE SETS
E SETBACK NECESSARY (TIGHT LOT)
= HOUSE PLANS - TWO SETS
, E SEWER - 1 /4 "/FT. 4 "0; TYPE PIPE
E'NO BENDS; MAX: BENDS 45° W /CLEANOUT
= VARIANCE REQUEST
FILL SYSTEMS
SUBDIVISION
f CLAYBARRIER
GAL SUBDIVISION
FT HORIZONTAL: SLOPE 3:1 TO GRADE
(FILL
BDIVISION APPROVAL CHECKED
X10
LLJ`FILL SPECS m FILL NOTES
RC RATE
= FILL CERTIFICATION NOTE.
REQUIRED DEPTH
= DEPTH GAUGES
RTAIN DRAIN REQUIRED =STANDPIPES
=FILL PROFILE &DIMENSIONS
= VOLUME
GENERAL
= FILL IN EXPANSION AREA
= EX- APPROVAL SSDS ADJ. LOTS
= WETLAND ( TOWN/DEC PERMIT REQ ?)
TRENCH °�
= DATA ON DDS PRMIT ` . _ _-
NC OVIDED '• 60 FT MAX
= PRE- 1969 - OTIFIFIC_ ATION
LLEL,O ONTOURS
m.. l � _ ION PROVIDED
= 100 YR. FLOOD ELEVATION
SEPARATION DISTANCES SPECIFIED ON PLAN
REQUIRED DETAILS ON PLANS
FIELDS
=
afS GE SYSTEM 'P - RTH ARROW)
10' TO P.L., DRIVEWAY, LARGE TREES TOP OF FILL
=S IC PR LE GRAVITY FLOW
= 2 TO FOUNDATION WALLS 15' WELL TO P.L
_��OES (GRINDER NOTE)
=40 TO WELL, 200' IN D.L.O.D., 150' PITS
=
ESIGN DATA: PERC AND DEEP RESULTS
100 TO STREAM WATERCOURSE LAKE (INC.EXPAN)
TWO -FOOT CONTOURS EXISTING & PROPOSED
= 50' TO CATCH BASIN, _35' STORMDRAIN, PIPED WATER
DRIVEWAY & SLOPES CUT
= 10' TO WATERLINE (PITS -20')
= POTIPTG7GUTTER4CURTAIN DRAINS
= 50' INTERMITTENT DRAINAGE COURSE
_ ° OUSE,WELL, SSDS
= 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS
= NOTE
= 15'MINTO C.D. S= >5 %,20'- 4 %,25'- 3 %,30'- 2 %,35' -1 %,100' <1%
= PE C_& DEEP S LOCATED
= 20' MIN TO C.D. DISHARGE /100' WITH 182 CONS DAY DIS.
_ PRIMARY AND EXPANSION
SEPTIC TANK
LOCATION MAP
m 10' FROM FOUNDATION; 50' TO WELL
.,two COMMENTS:
11
V 9 5 �i� "1 E._ S•i i �x � c 1 � b.
.- .-id'1 na �.` -� � -a _ �1.. .. VV1157 N.t6�11Y. tr)Iwl.c � -•v �'�.a �. . .. • � .>. � � • . ....
Environmental . Civil o Subdivision /Site Work
November 10, 1996
.Mr. Bruce Foley, P.E.
Commissioner
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re: Septic System Application - Cortesi Residence
120 Oscawana Lake Road
Project # 96 -6
Dear Mr. Foley:
Enclosed herewith please find the following items required to
obtain a Health Department permit for the above - mentioned project:
I. One (1) copy of the existing property survey; and
(4) sets of `the` proposed septic l'a'yout . A 4_
The owners of the above - mentioned property plan on finishing of the
dormer portion of their house to add a 3rd bedroom to the 2 bedroom
cape. The septic system is designed for 4 bedrooms for future
expansion, if necessary.
Should you have any questions, please do not hesitate to call meat
(9.14) 962 -5722 ext. 222 days or (914) 227 -8965 evenings.
A.
n �
W
JAE:me.
enclosures
#96 -6
cc: Alan Cortesi
Very truly yours,
A. Econom, P.E.
`y'� ' Loganberry Court • Hopewell Junction, New York 12533 . (914) 227 -8965
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