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Home My WebLink About3887DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.16 -1 -11 BOX 30 ti to - -. it we .. wil Owner— :L TI Address-J- ' JD Water Supply: p�blic-'Sypply.� e6ni Has r Ion Control Been W! � 17 Block:: jo - Ab �rml is _SUC are tj iE - wil Owner— :L TI Address-J- ' JD Water Supply: p�blic-'Sypply.� e6ni Has r Ion Control Been W! � 17 Block:: jo - Ab �rml is _SUC are tj OWNER DATE RECEIVED CITY, VILLAGE,.TOWN VOR NAME; OF SUPPLY DATE REPORTED gal o s SAMPLING •POINT 1olL sAp�ear.d RI�� a OscC~wo.n.a LkL lkj..: BACT8RIA PER ML. (Agar plate count at 350 Q. COLIFORM GROUP, (Most- probable`No, /100m1.) - .. -, AL =:ppm .• o� DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL -- ppm: rLVUnivL fir) - mg. /i• These results indicate that the water was YleS of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) WELL LOCATION T0141T OF PUTNAM VALLEY 'W= °DRirrn LOG A vD REP 0 stree Bank (Upland Drive, Putnam Valley) --- s.ecti.on WELL OWNER _ +� name -address' city or town a WELL DRILLER name address city or town BASING DETAILS YIELD TEST WATER TSVEL SCR. BEN DETAILS ~' —+`� Mengh: 201 450 feet hrsBailed or Pumped—Hrs. Measure From land Stati,: 18.5Mt surface) �- Make:. Diameter: tt Inches Yield: 1i GPM When Bailed r Pumped ft Length Ft.�iot lot Kind: Diameter In. 'TOT'AL DEPTH OF WELL 450 Feet r Depth From 'Give description of formation penetrated, such as: peat, Ground Surface 'silt, sand, gravel, clay, hardpan,, shale, sandstone, granite, etc. Include size of gravel(diameter and sand (fine, medium, course), color of material, structure (Loose, packed, cemented, soft, hard).(Ex. Oft.to 27 ft. fine Packed, yellow sand, 27 ft to 134 ft gray.granite) :ror-ma --i:on Descri tion Skf!tch exact location of well to I at least two permenant Landmarks I C .4 ; r 4- t i _...�_ -Date Well Completed 4/16/75 Date Well of Report 6/26/75 Driller signature PUTNAM COUNTY DEPARTMENT OF HEALTH -DIVI_SIQN OI. Pl\?VIRON^� ,....c. c.,. .. , x .a. ix -• �, c•.. - . �*`4'gs'.r ^— � r �sr�ma - � � is.a� rs.. .�v..,. sx- d .. .. r- .. Date February 20, 1975 Re: Property of- Located atuP14AIVO l% ,t/4 *40 ,-v 01C (A Block 01 Lot.. !L Gentlemen: This letter- is to authorize -STANLEY, Ia LARDER a duly licensed professional engineer, (v: or registered architect (Indicate) to apply for a Construction Permit for separate sewage system; to. serve the above noted property in accordance with the standards, rules or regulations as .promilagated by the Commissioner of the Putnam County Department of Health, and to sign all nece$sary papers on my behalf in connec :Lon warn tnis matter ana to: supervise the construction of said system or systems in conformity with the provisions of Article 145 or 1.47, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. , P.E.; # �% ? d 3 ,I Very truly yours, Signed PEEKSKILL SAVINGS BANK., Owner of Property hl Address 3 /ao ®WESSIO�� Telephone 4DOUGLA5 C ,DijcvA` AY Mortgage Officer, ' �2tl A� _ �20.+. - ! Aa i)AJ Ole, %r✓7�Aii/� y // •�"cL� y` Owner or Furctiaser of Building Municipality ocy !> FLT � �ry� �c- • % %% ' Building Constructed by n7-p% /L',aP Location - Street Building Type Block Lot 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 Ser- ;rde.e .of- .the.. Rutnim, Cou t.y- Department.. of H6.alt:h�as to _T "rhe..ther .o.r .note .the. :...: failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the system. Dated this day of j U 19YSignatureit -~.. ~� Title'% L AA V, hj "� If corporation, give name jj and address) gyp_ /�o4p- - -A1/- - - - - - - - - - - - - - - - - - THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OY DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health u, PUTNAM COUNTY DEPARTMENT OF HEALTH Date Re: Property of k. re'o Located at ✓ Block 4>/ Lot Gentlemen: � ®ER _ This letter is to authorize .' TAN I a duly licensed professional engineer or registered architect (IndicaTe–T- to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards., rules or regulations as promulgated by the Commissioner of the Putnam County r.- ....., e- ,.. �- .F� LLF....1 +L. .J 1-i. �+ •.�v. - "11 —^n -n nn_— ran r^vq Zvi mtr �h��n7 f' -1 in LCi�JC1.rU1L'G11U .V1 S1GCL_LU11, CL %A UIJ n71s11 aLi s7 yll ,uiy ..vi1LAi�. .ii♦ connection with this matter and to supervise the construction of said s stem or svyterrs -in conformity -with. the. _provisions of Article 145 _or .147, Education Law, the Public Health Law, and the Putnam County Sani- 'tary Code. Countersigned :zt, P.E., ., # 22Z-d A rST ANLEV 1. LAN-DER ( Se �� BOX 267 do 4 Very.truly.yours, Signed r 2 -�. Owner of Property A dress Te ep one is 'Y Ar KiTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ...,r i. -: 's a p .,. _ r. .'ii,.:::ic:.'t d. .:r. .. ..- . c..,. r- .+r_�..... .. r.� -i .r , r_ . �.w ... °t::.: "�. ':,;j f .' .r ... ..- _..:r: „ — • . COUNTY OFFICE BUILDING, CARMEL N. Y. 10512 -.= DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner' , �� L��L.c �i�l,��s �, Address RPM ' .T X - Located at (Street) SM. ' �� Block <53/ Lot n ica .e nearest cross s r� e .._Municipality /� r�i �` %�^%,� .� G� �e Watershed 14__Zsle CC 644 'q C. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Rmul Elapse No. Time Start -Stop Min. Mpth to Water From Ground Start •Inches Surface Stop Inches Water Level in Inches Drop in Inches Soil Rate Min. /in drop 2 2 3 /913 111-7 5 2 0 3 5 Notes: 1) Tests to be repeated at same depth until anproximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted for review. 2) Depth measurement's to be made from top of hole. j o ,. s TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS _EIICOUNTERFD.. {TNI TEST. NODS _ � 1:.- _. - .. .vw. . Y... .et. c— T'��.'�:Y.�i " ^' .•w__�•o�- !•!.,.y.F...... – —_ -Y.:...:< tiY.:. L . .r .• .,r/+r Y ..;::.: .. 'EPTH HOLE NO. %�I HOLE NO. HOLE NO. 211 • .411 J If III �II �tt $n �fl III l \fI ill �i W C/�„;.a �L.�.e.ry ��i�cY ✓•tee" a ,r �.cry.'t�?kti G! 7. 1 r a h i w her !DICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED �DICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED _ 1" ;STS MADE BY Date - /Z - // -il Rate Used__�r Min/111Drop: DESIGN S.D. Usable Area Provided of Bedrooms 3 Se. tic Tank Ca cit =' �' Gals. f- t p n y Type 149 µr.. sorption Area Provided By %�� L.F.x.2 - width trench. 'i- // Oder 1 me dress IS SPACE FOR- USE BY HEALTH it Rate Approved Sq- Checked by Dote Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 January 30, 2002 Bank of NY do Jacqueline Lynfield, Architect 82 Oscawana Hts. Rd. Putnam Valley, NY 10579 Re: Addition -BNY /Conn Fristrom- 9Uppland Dr. No Increases in Number of Bedrooms (T)Putnam Valley, TM #83.16 -1 -11 7o Whom It May Concern: ]have received and reviewed the plans for the proposed addition to the above - mentioned rzsidence. The proposal for the addition has been approved as per plans bearing the approval lamp from this Department dated January 30 2001. The addition is approved with the Rowing conditions: 1. The total number of bedrooms must remain at four without prior approval by.:tlus The area of the existing sewage disposal system, and its expansion area, must be maintained. ;. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. ny other permits or variances required are the responsibility of the applicant and the jurisdiction ,)f the Town of Putnam Valley . Eyou have any questions, please contact me at your convenience. .v1C,:lm BI(T)PUTNAM VALLEY Very truly yours, Michael Luke Public Health Technician BRUCE R. FOLEY { Public Heolth :Director, DEPARTMENT OF -HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLIN_ ARL.,RN.,:M�S.N::. ps "socraPe -'Pu6T4F lrenrtli Director' x Director of Patient Services Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 ADDITION APPLICATION (RESIDENTIAL ONLM STREET UtWlaktb 't�4V6 TOWN V TXMAP# NAMEa� 1 vt lc . e PHONF, 995 1529 006 . PCHD# a r�s+CP. off- - ivl �'1 p� -eice, C�t,ta i K sr MAILING ADDRESS UJO, Kt 6t1M Y, DESCRIPTION OF ADDITION le-a-t rOOrn adder tM -t- riecA) Vk+Z/►eA-1 �- i icIFE- In � (o Ac,- To tvia 2 a CCess� b le a NUMBER OF EXISTING BEDROOMS 4 PROPOSED # OF 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 accordance with applicable sections of the Putnam County Sanitary Code. `- Please 'subrrut this form and the following t6 Putnam County Health Dept., 4 Geneva Road, Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00: . 2. Sketches of existing floor plan (drawn to scale, all living area including basement) *Non- professional sketches are acceptable. 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) *Non- professional sketches are acceptable. . 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. Of Occupancy from Town or Certification from Building Dept: with legal bedroom ✓ count of dwelling. OFFICE USE Comments Feb98 BFhouseguidelines moik-1 BRUCE R. FOLEY LORETTA MOLINARI R-N., M.S.N. Public Health Director �� YOt1 Associate Public Health Director �irector- � Pa!terrt. ,�S_n� c;eL �: -TIC A�'T -Kj r OF HEALTH _ �. I Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Re: "t Residence Tax Map Q3, Town -- Gentlemen: According t records maintained by the Town, the above noted dwelling IS IS NOT -. _ _ in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: . CERTIFICATE OF OCCUPANCY: I / ASSESSORS RECORD: OTHER b:,�Building Inspector BFhouseguidelines f�� Z • ..:•�..: � ri� ,ra. ; „ ^ y ti l: ' . . X 8. •y. 1i : * "Y 9t � �;{` . �, + r 4 a � I . i 2 •� - � GAS . s � � 6n. e l � d • �� ; .r. .� 1 W21 '1r � -3 .. cll S , �F. �Ejo/ ► D �P � � /C�n io /0 071 Oak a. .mss zw S /nom AA , C n ., � 33 • '. , • ' I+ New, (� �� \: 1�•'.'t. / '. , 4i h I� 3/� , /•�• (p � -�:• �.+((j� 'eta � a .. c,,"� T t�i1 r �° VV ro p - x C3) ' 1 ' Mog . *taa Sad i a S'i i n l4Gp_Drivil z vo t 0Alf a Nam I f t• �� •' -�..C� kpowtd wat4 let ' ' ti o• F 1 - f NE .Asp-. v D f ' . ar cr Is- _ 'raw 34' �C -9 Juk 1 ' �4 o N EGK D0I -�I 1.agend; Fr,c�r4rnG Ca ♦� A be„ G e__ - A- . G.S. E'!- pt a r�.yt naef�a gas ?oo I, P.2. i)re? Znio� Gt�ef. GO 4 Q fit - • � - ` � 6Z 9NA. z `k QiG a } ^ Frope�4 L;ne— edt nS jF +v stgja. G►.r ;�` 4-�- t j NOT =: (RE: S[CTION 7209 OF THE NY STATE "EDUCATION LAW ") IT IS UNLAWFUL FOR ANYONE OTHER THAN A L1CcT!'SED LAND SL'RVEYOA-TO ALTER OR AMEND THIS SURVEY IN ANY MANNER, IF A PROFESSIONAL LAND SURVEYOR DOES ALTER CR AMEND THIS � SURVEY HE SY.i' 1NDICATc -FIE DATE AND NATURE OF SAME AND SIGN AND SEAL. THE AMENDED SURVEY ALCORD.NvLY. i j ENCROACHMEWS BELOW GRADE IF AN4 NOT SHOWN HERE ON LOCATION SURVEY. NO STAKES OR OTHER MARKERS SET UNLESS SO INDICATED. PREMISES SHOWN HEREON BEING: L o-E-_ 14c.12. �a p Na: 1255 P�e•�na� Coon o �• i REQ' J 1 , • og PREPA CERTIFIED T O ' • No. BY: James V�f. Irish Jr., PE' , LS a B-gnk O� t�Iev�ck' Q�ruz+em e.� `, Cori n Fr. bM I`JYS Lic. No:,32,687 S4imle- ow -astal Nr T..�,t�r• I Consulting Engineer £r Land Surveyor I 8 Aldar Cour, Cortlandt Manor, NY 10567-1304 304 IN ACCORDANCE WITH THE CODE OF PRACTICE OF THE NEW i YORK STATE ASSOCI;yi ION OF PROFESSIONAL LAND SURVEYORS. SURV t3$7t . �UTr SC Are ()PP O I As A yMa•dyR� . i �� Maq.liaitSb} R� tv N 3s 04P.v�:� t < 66 X 1.11 26�'X Q F R `C oy a `` f3° 96 6' ' �2' Sri � 2dY -F -, Q�rb°r V1 0-- a: AZI PI•+ De uP 2 U 4 w V P' v�. rck �z �i \l � l ` . a* 544 _ — N W �•S� -� CfoscCu4L•NGIN �C.nm•4.� ` �_= yt�;�S W. IR/ yRgA0 4A- A.G.S.Y : ptba,c �arwucLSwin�rn:n9 Pool, It Z Qos9r «�•••. t5' / 09 QoSSe o •��" c $1 �'� �) tea 61 •q1 Z �� $) I Cau t2..s P� R`.^tA+ g� 'Aced 33�i �a C.rn.P., corn+ya +ea! me-40 e-te O = _ N dale, Rind.Z Founctg4lpo r Z ? }; `1 $C C,0 1 * '.Fi`?687 N`r OI`oDiLti4� -• S� • ®� ®� STgre FNE'N��P� G4MeNr KTS.tNa} iv sc lm I' a NOTE: (RE: SECTION 7209 OF THE NY STATE "EDUCATION LAW ") IT IS UNLAWFUL FOR ANYONE OTHEh THAN A LICENSED LAND 'SURVEY OF PROP E RTY SURVEYOR TO ALTER OR AMEND THIS SURVEY IN ANY MANNER. IF A PROFESSIONAL LAND SURVEYOR DOES ALTER OR AMEND THIS SURVEY HE SHALL INDICATE THE DATE AND NATURE OF SAME AND SIGN AND SEAL THE AMENDED SORVEY ACCORDINGLY. SITUATE IN THE``. i ENCROACHMENTS BELOW GRADE IF ANY, NOT SHOWN HERE ON LOCATION SURVEY. NO STAKES OR OTHER MARKERS SET UNLESS SO INDICATED. PREMISES SHOWN HEREON BEING: Lo (- No.-L. Map ND. :Z f pu +Warn Co.t��v �►.v l Qrookdal� i{dok +�� 'OW N or- PUTNA NALL�.Y PREPARED TuI l3 'LODl r CERTIFIED T &•.QjA�,."ss,,t,.I: T :Tne�rancaCOn.M�� L�1o•RGP- 1387th l BY: James W. Irish Jr., PE, LS �as nV C Ny��i2tis r c'TfwC+e._ 64 •i� . Cori n Fri Shr*en �~ NYS Lic. No. 32,687 S.coot�...�wie1 NerdrT.ti.c�" - V T N M COUNTY, NY. Consulting Engineer & Land Surveyor IN AC ROCIN AC ROC DAN, CE WITH THE CODE OF PRACTICE OF THE NEW 8 Aldar Court, Cortlandt Manor, NY 10567 -1304 YORK STATE'ASSOCIATION OF PROFESSIONAL LAND SURVEYORS. SCALE: 1" =50 q af. 1: 4 w r Ji d