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Home My WebLink About3996DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.64 -1 -31 BOX 31 03996 1 ly, L■ ' L ` 71' 1 f , 1. ` ■ W70 An 03996 rl SHERLITA AMLER, MD, MS, FAAP Commissioner of Health GRIr tT�. �: "�a•E:�,yf�k�"aB��- P1;��33I`�. Associate Commissioner of Health ROBERT 1 BONDI County Executive . '. r ..�-. < _. ;.... �;� i�l1�E'[Et'1'M13%RI�; NE � s .. , �. -• Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 December 13, 2007 Mr. & Mrs. Cinquanta 32 Ridgecrest Road Putnam Valley, NY 10537 Re: Addition- A- 038 -07 No Increase in Number of Bedrooms 32 Ridgecrest Road (T) Putnam Valley, T.M. # 83.64 -1 -31 Dear Mr. & Mrs. Cinquanta: 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 approval stamp from this Department dated December 13, 2007. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at one without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. All - plumbing, fix, ores must be upcigjtea withv..�t:ti:r.ssiv rt deyices`,`i:a.; r?ew46o r= lush-. - _ toilets, restrictors for shower heads and faucets etc. 4. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals 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 (845) 278 -6130, ext. 2261. Sincerely, Gene D. Reed Senior Engineering Aide GDR:kly cc: BI, (T) Putnam Valley Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERILITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health November 19, 2007 Mr. & Mrs. Cinquanta 32 Ridgecrest Road Putnam Valley, NY 10537 Dear Mr. & Mrs. Cinquanta: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT .B. BONDI County Executive OBERT MORRIS, PE Director of Environmental Health Re: Proposed Addition = A- 038 -07 32 Ridgecrest Road (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. The following comment needs to be addressed. 1. The most recent set of plans received by this Department on November 14, 2007 show a staircase noted as "up to loft ". This Department is not in receipt ...of ary.newly„submitted pians.related;to a-.sdcond floor Prease -3ul iriit'tt To si is . of sketches showing the existing and proposed loft area. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR:kly Sincerely, Gene D. Reed Sr. Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health _o:... �_,.�w'S <. �_'s= ii^. ^'.'G: � :—`. s_•::.: e!t ao :v =.�• <a =mss'.: a. n. .v LORETTA MOLINARI, Associate Commissioner of Health November 19, 2007 Mr. & Mrs. Cinquanta 32 Ridgecrest Road Putnam Valley, NY 10537 Dear Mr. & Mrs. Cinquanta: ROBERT I BONDI County Executive .eSe ..,y �. w8^ V. �: • x - ..�.....•_ y _. :'..a..�:....,,c yr � i0u.. •� RT, MORRIS, PC Director of Environmental Health DEPARTMENT OF. , HEALT'H. 1 Geneva Road, Brewster, New York 10509 Re: Proposed Addition — A- 038 -07 32 Ridgecrest Road (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. The following comment needs to be addressed. 1. The most recent set of plans received by this Department on November 14, 2007 show a staircase noted as "up to loft ". This Department is not in receipt - .... - - a 2 StiiL� rit -t o•sefs _:cFt�3G ia?y szbrriitted`plrs ^rebated tc.; `ecor;d'�1c>di Ple s� r r of sketches showing the existing and proposed loft area. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. GDR:kly Sincerely, Gene D. Reed Sr. Environmental Engineering Aide Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SHERL.ITA AML,ER, MD, MS, D:AAIP Commissioner of Health 1VD`lPb xit, Rri k SN � , -.i° .� •.• •. Associate Commissioner of Health Mr. & Mrs. Cinquanta 32 Ridgecrest Road Putnam Valley, NY 10537 Dear Mr.& Mrs. Cinquanta: DEPARTMENT OF HEALTH . 1 Geneva Road; Brewster, New York 10509 ROBERT 3. R®NDI County Executive ~ROBERT MORRIS, PE Director of Environmental Health October 22, 2007 Re: Proposed Addition — A- 038 -07 32 Ridgecrest Road (T) Putnam Valley Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Your plans have been returned to you for the following reasons. -.:. • _ 1-. - . It is this Department's iptentiori to separate pTppased gild exi ng- plans- ILs.-oppo- se.r1- 0 .. �._.. __...� r ' ' showing existing and proposed on the same plan. Therefore this Department requires two types of plans for submissions as noted below: a. Existing floor plans showing existing conditions only. The plans must reflect all floors in the house, including the basement, with all rooms noting their dimensions and use. The plans must also be noted as existing showing owner's name, address and tax map number. . b. Proposed floor plans. The plans must show all proposed changes as a finished product. These plans must show all proposed changes as a finished product. These plans should also reflect all floors in the home including basement, with all rooms nothing their dimensions and use. The plans must be noted as proposed, showing owner's name, address, and tax map number. Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 .. .a ., �1.` �..- fix. -..�. r «,x ^, � _ a.—• - .... .. -;� >�: .:pr ..o .. .. r. .�. cr.- .� o. � ^r.,w. s C�•i+r v .. _ .. ,. . r'i.' :« . .. ,',� Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Sincerely, Gene D. Reed Sr. Environmental Engineering Aide GDR:ens o i 1 4gr 14 o'+c- t4 F-iii r w(dipow i i ' Ce-ich'n Pe-i5k+- +0 L - I p2o-pc6�-D ' 1JEE �V Ajr-r i. C F L 5'c A 1,E ci 14 (Qu " ,32. PLxrxAM ti- 41. 77j. I kw r-o"t .15A I s"r. Foo f PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY BEDROOMS 4-.930-0,7 -r,/qA 83,6'q -1 -31 ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE PLANS MUST BE SUBMITTED TO THE PCDOH FOR APPROVAL NATURE & TITLE DATE tlivrrvr "MJ) LU;01 VAA IGZ UU4" go'- EA 6 0 T LMUU3- LLJ -j w< F— C) < cr. 0 C LL- LL- X: 0 LLJ Q C) cr 0 0 la- Lu x < L).j M CO LU M ROW ccn) z LLJ > (T) tcc O a- CC a. CD "IF < < LU LLJ z m C3 cn LJ C2 2 LLJ (n < -44A 1,6 ADew PV- M, LL, cc .. Q U.0 I: .> .a v.. a� .:�j . .d -- . ,. « .I•a:.. -•;^� ii • _ •�. ��'•�.: :: �•': '.�;.. . ., w .�.. - <��. � -.v � . • . ... __ • � • -.a atii. �a': .. +• :•�i -' . •� i 32. i?VOCe�T C e i 9916T. LOFT, I 1 32 Purm(4m �� a `- 93_A_1.31 t. LiuI/uI "Ell LU:Ot rnn roc auca LWUU3 i u►J- �I Pj 1.5 E? U X 1,; t�1 k)Rme, C ; JQLIOLIA Aovt ess -WdoP $3- 0 -i -31 .32 V�`��oegT PV. �r L.. i •a SHERLITA AMLER, MD, MS, FAAP Commissioner of Health MOLINARI,�RN, MSN� - Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT County ADDITION APPLICATION RESIDENTIAL ONLY STREET_ 3 2 0, ( 6,-- cr'e-g -r lC n TOWN PV TAX MAP# 131 NAME C ► N O U PA.) -M PHONE c? I at92 3$ 0 0 PCHD# MAILING ADDRESS 3 Z DESCRIPTION OF ADDITION of Ge-o roo Lis NUMBER OF EXISTING BEDROOMS_J_PROPOSED # OF BEDROOMS _.3 (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 submit this form and the following to Putnam County Health Dept., 1 Geneva -Rd;_ Brev ✓stf;r; NY I(i5iiy;_P>zo so: (�y ) 2"8=6130: .. _. _ .:. . _. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 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 locations 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 Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax(845)278-7921 Nursing Services (845) 278 -6558 WIC(845)278-6678 Fax(845)278-6085 Early Intervention/Preschool(845)278-6014 Fax (845127&- 64 _ - .. - SHEHILTTA AMk•ER -.MID. MS F'AAP Commissioner ofHeal�ls LOR E'dTA MOLINARI, RN, MSN Associate Commissioner ojHealth _ . �. �- �,. .. �t��13I1IZ'��,�S3E3N�bD <.:; •..�,: ,, ;..: � ,.. _ I County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Town Legal Bedroom Count Re: LA-, / A] V Ll -,,q—� (Owner's Name) Tax Map #: 0 ` 6 C,4 / — 3Z Address: 3 -�Z 1,V11) Town: )6 Li . Year Built: According to records maintained by the Town, the above noted dwelling, is L.,% in compliance with Town Code. is not in compliance with Town Code._ _..__...._....._ - -- ._.. ..... ... ... - The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: 6��17 D c Z S 96oGi y Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278-6k48 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health ROBERT .f. BONDI County Executive LORETTA MOLINARL RN, MSN ROBERT MORRIS, PE _._..� . •�.;-, :�: , :;. Asststes<'2..00r:tltislr^•'a:�g oj!%�.,.:° ., _ : .. .,-:*, =�, 1. -r- _ . ,,,: ,:M.,,, ar.,: ,��,reetot~ "n��ErrvinnnitlentdJ NealtiP' - °"'"'.:. DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 February 20, 20117 Mr, & Mrs. Cinquanta 32 Ridgccrest Road Lake Peekskill. NY 10537 Rc' Pr'lnost'd Addi►ion .- Cinquanta 32 Ridgecrest Road ( "f) Putnam Valley, TM #133.64 -1 -31 Dear Mr. 8,: Mrs. Cinquanta: The applicati•tirn f()r the ahoy,: refcre.nced project is incomplete. '. Please provide the following: 1. Ac'tuccd SS"1"'S and vVell loc.:11101) needs lit be shown oh,'the survey. The documents Provided show ar(�410seL1 septic an"d we'll. ii6t ;Ictual a .�:'built locations. 2. Floor plans have nol been oro%ided. One set of the existing .door plans and two sets of the: proposed plans arse requixcd. The Oroposed p' lans�afe to include the existing layout so that the proposed plans show the "entire layout of the hbuse'when the addition is finished. All floors. including the hasement are to be shown to scale and all room dimensions are to br.. �rov.ided...:f!lca�c b� �tvi. gat . ah1 nd:an -arch itec-t-is -tot- - . �,a yec -tl Sl;cteh�.y.are'aec e -:a Review of vour application will cot,ttnue once 1110 ah.;tic doaunentation is received. Please do not hesitate to contact us if any questions ahst Sincerely. t1seph S. Paravati. Jr. ASSIstanl Public Health .Engineer JSP:kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845).225 -51116 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax ($45) 278 -6085 Early Intervention/Preschool (843) 278 -5014 Fax (845) 278.6648 SHERLIITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. RONDI r.. Couno, Executive -. _ r DEPARTMENT ' OF HEALTH 1 Geneva Road, Brewster, New York 10509 ADDITION APPLICATION RESIDENTIAL ONLY STREET _32 0 �n TOWN P-V TAX MAP# - / :3 NAME, L ► N QU AX)TA MAILING ADDRESS 3 2. (DESCRIPTION OF ADDITION 2t°_" 00!tz, PHONE C? / 00-58 0 0 PCH11D# NUMBER OF E)USTING BEIDROOMS_]_PROPOSEID # OF BEDROOMS 0 (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 submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, B. P�a�s1Pr,i- 1050:; Phone: (345) 2-18-6130. = . - 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area iiaciuuding basement) 3. Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non - professional sketches are acceptable 4. Copy of survey showing well and septic locations to the,best of your laowledge. Include date of installation cif known:; Label all wells and septic systems within 200 feet r� of the property line. Contact this office with any questions. 5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention /Preschool (845) 278-6014 Fax (845) 278 6648 ` vv,l ''v' non /o��o ��a mu nouv . . . - ,a°"" _ � �m. Udl I u I qUN 1,4:40 tAA 10;.' HUZIf Lw ki UL -- zo 46- Uy /11 /U! WIN 14:41) PAA IOZ NUZU 4&j Ito o r =.9 i ___ - °f� ' K'":. ..., "• '. "_,..y.i�.F - �,�•, -'_:w:+ iP d' � -- --- �N- ...•.. .7 ,... G".': :.' ,., . •i�:•iZZ .: r —7 00 ur . SEAYS , i i r ! . K .� n_ -'na. _. l ♦ : :X�. .. ... v.. .$:`� r. � e. .� � .. rp_ ti ��._.. x r, ♦ .°?�;.« �r.+.Z ::..F r �•qwr. •� . It .� _ I I V t O II {{ I 00 O 9 t y 1 OVA e r/. P PwRW O - WP• � 999 L 1. . �ppp qeb �.4 Oeppb • gyp.. paarO06DN oY CaAdLgd -ALA LMd !iu%oYM1a' o^r laciAwotwolast coemd N.Y. 19519 (046) 2*8108 �p b o dWtleA W apoft d lean Fm- CD Ap,FA. 2(,693 S•F'. Oct 0,49a ACRBf, N(F 1�OppMAry I mob Mor,s� ( Y LGZ lilt 9 A � oQO�e�°° i°ANMLIA •pp�•w gf •�I ` I _ I �" I IV I I � 1fl I � � � �•. O d K lI`�i � � iA N �I 1 7 I a�o 1 1 cc as e• �o I S, LmT L I L 0T � .0r `� 1 4 � ` � 1 ..�� •E LOT � ( I IL I o-fog" 1 pm0lmRvem It .� _ I I V t O II {{ I 00 O 9 t y 1 OVA e r/. P PwRW O - WP• � 999 L 1. . �ppp qeb �.4 Oeppb • gyp.. paarO06DN oY CaAdLgd -ALA LMd !iu%oYM1a' o^r laciAwotwolast coemd N.Y. 19519 (046) 2*8108 �p b o dWtleA W apoft d lean Fm- CD Ap,FA. 2(,693 S•F'. Oct 0,49a ACRBf, Well vi t +0 Q: IN 1q.s.. 14'v C.I. I,wo Q%416ni -ranK 30' RIO / F ,216 --- xf.0, a Commissioner of Health LORET"TA MOLIINAR1, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 BERT J. - BONDI County Executive F Town Legal Bedroom Conant Re: (Owner's Name) Tax Map #: 31 Address: Town: Year Built: According to records maintained by the Town, the above noted dwelling, is t. '� in compliance with Town Code. is not :._:.. - in compliance with Tow,,nCode,. The Legal Bedroom Count is: This information has been obtained from: Certificate of Occupancy: Other: Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (8451 77R-6 :ti.`..: tiS•�v� -ip j. -. .. ... '•��.r.: i � .. .. .. :•c .l�.�:K �. .. u.r ..i�y.,� - .•�rvw^ ey.:�:Y.••. ... .. �.� ...r .. .:'/ !: J �aOaeCapNlpM W o L.gt ONM, RL.B• I.id BWVWMIO C-P— 12 caw Me MZA ca MaL N.Y. 1x14 rlw W — •.dwN-6W.rrO.•Wtw A- 21,693 MFl opt 0.41%e ncaeR N(P If q, 4 "rrSZ. Mef LOY >o� 111 i ;ee i Boa i rza 1a1 I M elk O•L any I 1 gar I LOT g A aau+►�� J V � , �' ...I b✓tuli I I { i � �th � h• rA►w � rwr.r r r ` ,�:' 138 AAk- - -- . o•••• � R SST R J �aOaeCapNlpM W o L.gt ONM, RL.B• I.id BWVWMIO C-P— 12 caw Me MZA ca MaL N.Y. 1x14 rlw W — •.dwN-6W.rrO.•Wtw A- 21,693 MFl opt 0.41%e ncaeR SHEIRLITA AMLER, IUD, MS, FAAP Commissioner of Health �:.:•:�._ : . LORETT!R Associate Commissioner of Health February 20, 2007 Mr. & Mrs. Cinquanta 32 Ridgecrest Road Lake Peekskill, NY 1.0537 Dear Mr. & Mrs. Cinquanta: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive ERPMOK Director of Environmental Health Re: Proposed Addition — Cinquanta 32 Ridgecrest Road (T) Putnam Valley, TM # 83.64 -1 -31 The application for the above referenced project is incomplete. Please provide the following: I. Actual SSTS and well location needs to be shown on the survey. The documents provided show rU oposed septic and well, not actual as built locations. 2. Floor plans have not been provided. One set of the existing floor plans and two sets of the proposed plans are required. The proposed plans are to include the existing layout so that the proposed plans show the entire layout of the house when the addition is finished. All floors, including- the basement are to be shown to scale and all-room dimensions ire-_ - •to -be provide 'd. Please be=advised that "sketches "are accepfable and an a rc hi-t6ct is not required. Review of your application will continue once the above documentation is received. Please do not hesitate to contact us if any questions arise. JSP:kly Sincerely, (J)se2pp�h S. Paravati, Jr. Assistant Public Health Engineer Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention /Preschool(845) 278 -6014 Fax(845)278 -6648 Rev. 3186 CONSTRUCTION PE FOR SEW Located at PUTNAM COUNTY DEPARTMENT OF HEALTH Division of knvironme'rital Health Services. Carmel, N.Y. 10512 DISPOSAL SYSTEM Engineer. to Provide Permit # on CERTIFICATE OF COMPLIANCE Permit # f' j:: Town or VUlage Subdivision Name Subd. Let e' Owner/Applicant Name J Mailing Address Af- ."?;4 J dF Building Type Lot Area Number of Bedrooms Design Flow G/P/D_ Se arate Sewer e S stem to —Is' of e 4 iGallou Se tic Ta�hk and Tax Map- —Block-- Lot t Renewal__ EJ Revision __ Ej Date of Previous Approval Town Z 1p Fill Section Only PCHD Notification Is Depth —Volume 'i tenuired When Fill is completed !" J To be constructed by Address Water Supply; Public Supply From Address or: Private Supply Drilled by -Address Other Requirements I represent that I am wholly and completely responsible for the desig .: n and location of the proposecl,-;isyst.em( s); 1) that the separate sewage disposal system amendment there t o and in accordhn ce- n above described will be constructed as shown on the approved amen ith-'. -hq;�iiih.dlards. rules and regulatio s of the Putnim County Department of Health, and that on completion thereof a. ".Certif icate of Constructi."`&m pkiarxcy-' satijhIctory to the Commissioner of HealthWi.11 be submitted to the Department, and a written guarantee will be furnished the owner hij-'su�,Cc# eir§'4w assigns by the builder, that said builcler%�vill , . 3 'i place in good operating condition any part of said sewage disppsal system during the per iod of two V_Ai imniediately following the date of the itsu- ance of the approval of the Certificate of Construction Complihnce of the original systeM, '6'r'any repairs thereto; 2j,,that the drilled well described a09ve i . 1. - 'rIru*les and regulations of the Put6am '6e installed in acco4in h standardst will be located as shown on the approved plan and that said well will,. it i County Department of Health. Date Sign:_d P.E. R.A. Address License No APPROVED FOR CONSTRUCTION: .-This approval expires one year from t14 date issued constr. "ctio,n.--of'- the building has been undertaken and is revocable for cause or may be amended or modified when considered nec%kFry by the Co minhissioner,,94, Health. Any change or alteration of construction requires a new permit. Approveeedr for disposal of domestic sanitary sewage, and /or priv '-.wat :Supply,., only.0-7 Date g I I C. . . ......... A7 I /.' I e�. Ing, 7� 4" r4A A7 I /.' I e�. Ing, ;I OS vtA i i,,��y ylL T ' E 1 M1 ;I OS vtA i i,,��y ylL T ' PUTNAM COUNTY DEPARTMENT OF HEALTH Rev+. 3186 Division of Environmental Health Services. Carmel, N.Y. 10512 Engineer to Provide Permit # tv on CERTIFICATE OF COMPLIANCE CONSTRUCTION PE FOR SEWA DISPOSAL SYSTEM -7 Permit # Located at / f/r t- GTG �.. �r . [Y� . - -Towm r'Zk "'YiLiage Subdivislon�Name �'If e �%' �� // /1 �Sabd , Lot # s ! T. Map r,2 Block [At 4 � Renewal-0 Revislon_❑ Owner /Applicant Name ' ut ! Date of Previous Approval Mailing Address ��/ J! Uri R�� Town Zip Building Type,- Lot Area �f y l' , FIB Section Only Depth Volume P Number of Bedrooms '' 'Design Flow G /P/D �G� PCHD Notification Is Required When Fill Is completed Separate Sewerage System to consist of &Gallou Septic Tank and _ _ ..2 —� jof d9 te To be constructed by Address Water Supply; Pdblic Supply From Address - i or:__Prlvate Supply Drilled by _Address Other Requirements J C ! a eel -0C-j%� I represent that 1 am wholly and completely responsible for the design and location of the p►oposeg4syster tq* 1) that the separate sewage disposal system above described will be constructed as shown on the approved amentlmeht there to and in acco�g7l lce�Withy)�!g�t�dpprds, rules an regu a ions o e u nam County Department of Health, and that on completion thereof a "Certificate of Constru4fi' ft;�CgteftQli�rbt�" •sa�� tory to the Commissioner of Heelthwill be submitted to the Department, and a written guarantee will be furnished the dwner,, hl %upc" Dh:6r ` Z. by the builder, that said builder will place in good operating condition any part of said sewage disposal system during t per ;d'�b`two -( " "j A p� Immediately following the date of the Issu- ance of the approval of the Certificate of Construction Compliance of the original s rsteW'any repairs thereto;`2) that the drilled well described above will be located is shown on the approved plan and that said well will be Installed in accgfdanee *wit ' stAndar °rules an regu aeons of the Putnam County Department of Health. F.`F: •s Date / / Sign" P.E.- R.A. Address License No APPROVED FOR CONSTRUCTION: his approval expires one year from•ttta date issuedt ess`rcgn tjyistlor�°ot the building has been undertaken and is revocable for cause or may be amen ed or modified when considered neceipary by the Co"JAIS change or alteration of construction requires a new permit. Approved for disposal of domestic sanitary sewage, and /or priv ~ w =rr . �supp'Iy3`o a�yh Dated DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512-014) 225 -3641 _. _ ..... LOCATION . TO -C NSTRUCT A WATER WELL - ,.._._.__ - �PCHD PERMIT # VWd WELL LOCATION Street Address C r-� %�O c Town Vii /gage City Tax Grid Number t�s WELL OWNER N4me C91-0-5 /k /0 0_')14114X,; Address rivate 35-30 Gt D,- rr4 &1,00n, . ❑ Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP O ABANDONED ® BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify] ® INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE �O6 gal REASON FOR DRILLING MEW SUPPLY ❑ REPLACE EXISTING SUPPLY ❑PROVIDE ADDITIONAL SUPPLY ❑TEST /OBSERVATION ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE JODRILLED DDRIVEN ®DUG GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES A"' NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: . --'°' Lot No. WATER WELL CONTRACTOR: Name Me'-p o" �'°"%n' -��%� Address • e -� ��/ ®� j IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DIu:TAN;Cu�_TQ PROPERTY _ FROM. NEA.RE - ST .WATER . IN.: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED [30N REAR OF THIS APPLICATION DO,N SEPARATE SHEET (date) 7' &'2< `s PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2'of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump'the well until the water is clear. 2. Disinfect the well in accordance with the requirements,of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. - Date of Issue: q 19 Date of Expiration: 19 p ermit ng ffici Permit is Non - Transferrable EN y� COLASU�o V,E,LL'U W %mac • .. .... � ... � lC:�'Ia�T��i2wi+Nrr 'Qfl4i�l�7�R.7"�lr!!r! �a�e .�ar�- • � . PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; 3__ -J-4- O- MS Date 12 / / I��° y . " ARoX�r1ATELY � .� �• .r.... ... ...,... _. -.... ....; �T.w- iw�.. .. � - r..nnd. ..v- O... / . M1. ... « , �... T l � r. .+a!v. �. "- ..�:..¢ ..p w. � .. z � .�.i.ti -_-� nna.a .:a. � ... / . ii _ � .. ��. ..., ._.- __...._ -- _... A�.:' AiYG.' J' 1/ IfIV. LVI. K: 1��• �' IYvf uJ :1{.•9:��r+��nS•.�:.�r........ ... .r pUTNAM C7OUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES ITIDIVIDUTIAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS . l REVIEW SHEET'- CONSTRUCTION PERMIT P it t 7 /BY: ' (Name of Own ) (S eet Location) COMMEN'T'S YES NO I DOC[IMMM LF trench provided _ required _ 60 ft. max. Permit Application Corporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3). Fill i 30" Perc Hole cd Other House Plans - Two sets If PWS - Letter if wellrpermit Variance Request RBQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data :Two -Foot Contours Existing & Proposed Driveway & Slopes Cut :Footing /Gutter Curtain Drains Perc & Deep Holes Located Representative -of Sewage & Expansion Area Expansion Area; shown; gravity flo w,suff.. size Pt • If,. .i .Pit !& -D- B3x • Sh , & Dettiiied House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Property Located Property Metes & Bounds i. House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type•pipe No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields JP 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains -- Curtain, Leader, Footing i 351to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) . 50' intermittent drainage course Se tic Tanks 101 tran Foundation; 50' to well 15' Well to PL GENERAL Legal Subdivision `Subdivision Approval Checked Ex approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) to On DDS Plans & Permit Same DAVID D. SRUEN County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services Mr. Joseph F. Sullivan December 3, 1986 2972 Ferncrest Drive Yorktown Heights, New York 10579 0 IDear Mr. Sullivan: JOHN SIMMONS. M.D. Deputy Commissioner RE: Proposed SSDS Colasurdo & .Velluci Ridgecrest.Road (T) Putnam Valley Tax Map *.92 -2 -10 & 11 Review of plans and other supporting documents submitted at this time.relative to the above captioned project has been c pleted.. Comments are offered as follows: submit 3 copies of well permit _:..__.. -r ro�xide more spece cr ? at i °azEs by° r��ovin Menem -c16sei- .t.o dwelling; more laterals but in a narrow arrangement will maintain separation to nearby wells. Upon receipt of a submission, revised to reflect the above -comments, this application will -be considered further. . . AB: pt cc: AB JK File L� Very t my yours, e n ' Asst. Public Health Engineer TWO . COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 1 •' " US 5, UTP •' Z1077 10, zo V ; 150.114 3, M� DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. i. .. •,- .:: -, ... 1. /,�. �. r- %%� .. � °.. .Ct .;.. .:. ... .r :,- �R.. :. ... e .. _Tr ' = ra::::a:•.sai.•t•..i ., .. Owner . ^ r;� /� 5.,/ c > Address _ jS /l �t /'i r! C f J Located.at (Street) .4 Sec. Block .�� Lot Jo -515-1jJ Undicafe nearest cross street) municipality G Watershed t SOIL, PERCOLATION TEST DATA REQLTIlM TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking Date of Percolation Test 4. 5 Q-> 1/` 4 5 '1 2 3 4. 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated are.cbtained at each for review. Depth measurements to at same depth until approximately equal soil rates percolation test hole. All data to'be submitt0d be made from, top of hole. HOLE NUMBER CI= TIME PERCOLATION PERCOLATION 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 C .-- 3 le 4. 5 Q-> 1/` 4 5 '1 2 3 4. 5 NOTES: 1. 2. rev. 9/85 Tests to be repeated are.cbtained at each for review. Depth measurements to at same depth until approximately equal soil rates percolation test hole. All data to'be submitt0d be made from, top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED - WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. L HOLE NO. G.L. ZIL 21 31 V 51 61 71 81 91 �10, 129 13' 14' EV -INDICATE ME INDICATE LEVEL To WHICH WATER LEVEL RISES AFTER BEING ENOOUNTERED DEEP HOLE OBSERVATIONS MADE BY: C-3 DATE; DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedroans 5 -Septic Tank Capacity 4-eCq - gals. Type Absorption Area Provided By L.F. x 24" width trench Other "r Name Siqnatk Address FOR USE BY HEALTH Soil Rate Approved ONLY: sq.ft/gal. Checked by Date ,�,,,;� "',.�,,,,. .t._ : us..:.i:S:' � r�' s.. wxw. nw% S: iu:. Z•. H.$.` �. L.: �y. �::: ti.= ...S.'aic:a�:::�'...�:.;.�:: �::._.: 'r `:ti._. .t ". �.-.:..:.. �� • �'�• -fir. �. PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS FIaD- INSPECTION REPORT - • DATE: INSP. BY: '1 (Name of Owner) (Street Location) " INITIAL SITE INSPECTION YES NO COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found................... Can estimate house location ....................... Will driveway need cut...•.... - Must trees be removed - note these ......... ...... Deep holes representative of entire SDS area...... Additional deep holes needed.......... ... ...... ,Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/septics .. . nrrc�ca t-n nrnnngM well 1nraf'inn�fnr.drillina..... D.H. 1 Lot Depth to G.W. Depth to;rock Soil DescriDti( 0 ft. 3 ft. 6 ft D.H. - Deep Hole G.W.- Groundwater _ D.H: 2 Lot D.H. 3 Lot Depth to G. W. Depth to G. W. Depth ,to rock Depth to rock 0 ft. t 3 ft. 6 ft, 9 jt. 1�.: ,�..: 9 ft, boll FINAL SITE INSPECTION INSP.BY: House SSDS-located per approved plan............. Length of trench measured Width of trench average Slope of the line and trench acceptable......... Roan allowed for expansion trenches .............. Over 100 ft. frcan watercourse .................... Natural soil not stripped or SDS area unnecessarly graded .......... • ... .......... 10 it. maintained from property line and 20 ft. from house... ........................ Distance well to SSDS (ft.) ....................... Number-of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ....... .:..:................. :.... :... Boxes properly .:.:....................... Could surface. runoff Iran driveway, .roads, ground surface, etc., channel near SDS area. Does lot drainage appear OK-Jri area of SDS'..., _. FINAL GRADNG OF SITE ACCEPTABLE .... Soil Descri tion 0 ft. 3 ft., . Eft 9 ft. 12 ff. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date j. � Re: Property of 1j /0- -5 1", C/w Located at %�s Ceti �/"5 %�� 9 L/ ection / 2- Block Lot Subdivision of Subdv< Lot # lit' Filed Map # /rs�.� Date Gentlemen: This letter is to authorizers U.S' /-a'✓ //� ��r% 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 promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on.my behalf in connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Counter PeEe, 9 Addr e s s /aasnxeaes� °` z Telephone p,—. Very truly yours, I I - 2- Z., 4�� Signe Owrier of P perty Z'-�-xa � - -n nn n`R 'Le-2 Address k4c6 :=- IC�S;U I $� Town q 1 -A4— Telephone II. IV. M VI. AVPJJMIX C b FINAJ, SITE INSPECTION Datg Ins ted by OWNER U AC J i TM # OR SUBDIVISION LOT # / /p / I 10 IMP- S,� :. SEWAGE DISPOSAL AREA a. SDS area located as per approved plans b. Fill section - Date of pl c ment �1 - 2:1 barrier. LGTH WIDTH AVG.DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 15' frcrn SDS area. e. 100 ft. from water cours wetlands. SEWAGE DISPOSAL SYSTEM,,-''l _ a. Septic tank size - 1,000 1,250 b. Septic tank ins led 1 el -- c. 10' minim fran f c-u-naation d. No 90° bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches -- f. JUNCTION BOX -- ro 1 set g • TRENCHES 1. Length required Length install 2. Distance to watercourse measured_ ft. 3. Installed according to plan - 4. Distance center to center Lr 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran property line - 20 feet - foundations 7. Depth of trench < 30 inches fran surface 8. Roan allowed for expansion, 50% - C 9. Size of gravel 3/4 - 11" diameter ✓ 10. Depth of gravel in trench 12" minimum 11: Pipe ends capped h. PUMP OR DOSE SYSTEMS :.... I. Size of -p,.-rip �-,- 2. Overflow tank 3. Alarm, visual /audio -- 4. Pump easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Department estimated flow per Sycle HOUSE ' a. House located per approved,plans. b. Number of bedroans WELL a. Well located as per approved plans b. Distance from SDS area measured ft. c. Casin 18" above grade. d. Surface drainage around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted b. All pipes partially backfilled c. All i flush with inside of box d. Backfill material contains stones < 4" in diameter Q ; e. Curtain drain installed accordin to plan z s bX 1rtic�'Oe-Cj f. Curtain drain outfall protected & dir.to exist.water urs ---- g. Footing drains discharge away fran SDS area h. Surface water protection adequate i. Errosion control provided on slopes greater than 15 %. 10