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BRUCE R FOLEY, R.S.
�• ... �,ctirg .putrlie Haatttr �^QrrcrifOr'
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
ADDITION APPLICATION _ (RESIDENTIAL ONLY
Dom' ,(f
S T RE` : (? I P64j4,l t (/L i',' TOWN l4 A*'•� L_LL TX MAP # �� •'Z� v I
NAME: blv(a VFW SIZ � b PHONE '5Z CO' 3 �(IZ PCHD PERMIT .�
MAILING ADDRESS Qb C"1 U •� a^r VOa� �v
Description of Addition t,4 Q: P6427-k kot7,,J p:,, LZ Lt -4 1NGt Y.r�
Number of existing bedrooms C_ Proposed number of bedroc:s 1
Any addition which is considered a bedroom requires formal apprcv?' of glans
(Cl- -nstruction Permi-) prepar_c by a Professional = ^cineer or P,eg�sterec Aro;hitect
in accordance with aCplicab'le sections of the Putnam Ccunty Sani:ar,, C,de.
Please submit this 'orm and -cl lcw i n5 to rU- :�:� CCI;NT`!
4 GENEVA ROAD, SRE'aSTEP, NY 5C9, Phcn.e 2'3 -61CC wi to t "e fol'lcv;7r_ 1nfcrmat-cn.
1. Cartified Check for $100.CC.
2. Sketch of existing f "leer plan (all 'living area including basemen_, if any)
Ncn- professional drawing is acceptable.
3'. SKeti:ch of proposed f leoi~� plan r W
m4^
Nen professional drawing is acceptable.
4. Copy of survey snowing well 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 lire. Any
questions please contact this office.
OFFICE LSE
Comments and /or conditions
application
August 1995
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Bruce Van DeVeerdonk
61 Peekskill Hollow Road
Putnam Valley, NY 10579
Dear Mr. Van DeVeerdonk
BRUCE R. FOLEY, R.S.
Actin6- 0u6lic Health Director
December 1, 1995
Re: Proposed alteration
61 Peekskill Hollow Road
(T) Putnam Valley
Review of plans and other supporting documents submitted at this time relative to
the above- captioned project has been completed.
Plans submitted indicate that the existing one bedroom accessory building will be
converted to a storage shed and the existing storage shed will be converted to a
one bedroom accessory structure.
This Department has no objection to the above proposed.
Ver truly yours,
Robert Morris, P. E.
Public Health Engineer
RM/jp
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BRUCE R. FOLEY, R.S.
• -` ^'" ::, <iAcei. ^,y Public. , —I th � fectOr,
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
September 29, 1995
Bruce Van deVeerdonk
61 Peekskill Hollow Road
Putnam Valley, NY 10579
Re: Proposed addition:
Van de Veerdonk
Peeksill Hollow Road
(T) Putnam Valley
Dear Mr. Van DeVeerdonk:
Review of plans and other supporting documents submitted at this time relative to
the above- captioned project is in progress.
1. Formal approval of plans, prepared by a professional engineer in accordance
with applicable sections of our submission guidelines, is required. Plans
will provide for the installation of additional subsurface sewage disposal
system meeting present code requirements for a one bedroom house.
Upon receipt of a submission, revised to ref l ecf" th6 above'- coMIMer ts, -this _
application will be considered further. I may be reached at ext. 166 to discuss
any questions concerning the above comments.
RM/ j p
Very truly yours,
Robert Morris, P. E.
Public Health Engineer
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