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83.72 -1-47
BOX 31
04093
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BRUCE R. FOLEY
Public' -Health "'Di; ecior' - r
Bruce & Arlene Herring
30 Tanglewylde Rd.
Lake Peekskill, NY 10537
Dear Mr. & Mrs. Herring:
LORETTA . MOLINARI RN., M.S.N._
" Associa -w "PUb ie "Health' Director s
Director of Patient Services
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921
Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085
Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648
WIC (914) 278 - 6678 Fax (914) 278 - 6085
April 19, 1999
Re: Addition- Herring -.30 Tanglewylde Rd.
No Increases in Number of Bedrooms
(T) Putnam Valley # 83.72 -1 -47
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 April 19, 1999 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.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low
flush toilets, restrictors for shower heads and faucets, etc.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction
of the Town of Carmel.
If you have any questions, please contact me at your convenience.
ML:kg
cc: BI
Very truly yours,
Michael Luke
Public Health Technician
J
- BRUCE R.. FOLEY
'"''Putilic'F "Health' Director
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road
Brewster, New York 10509
TeL (914) .278-6130 Fax (914) 278-7921
PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY)
pug —NRr»
STREET 7-19 �/ 6�� Ny �o )ZOTOWN vAz r.c TX 1�IAlE' # 3, �°� _ _ L� r�
NAMEB/t' Cc �A/c' N t PHONES° �--7 °39 PCHD # _ .Q
MAILING ADDRESS 2 C' 7i9 Nom« `v> e- 0'= R-D , Lk -' C- .71 C
/Ex^A1 -s,(J ^'Y, �o S3 2
DESCRIPTION OFADDITIONT O
o/'r/Y
NUMBER OF EXISTING BEDROOMS % PROPOSED # OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR
CERTIFICATION FROM BUILDRNG 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.
.d �. -.__ -+.9 e... - -.-.. ..- _- u -. � ..e. • — ♦ u c. • •...rw.�e •..._ -�.. ».tor. —. -.. .u_ .•a r y.� -.. .. �� S• _i. - -�R • ti. .m•...
Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd.,
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
Feb 98
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DEPARTMENT. OF HEALTH
Division ; Of Environmental .Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Gentlemen:
BRUCE R. FOLEY, R.S.
Acting.. Public .Health Director
Re:
Residence
3 o'' -7�tNG4
Tax Map �� • 12 — I - �1
Town �.l�
According to re ords 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:
ASSESSORS RECORD:
OTHER 'e;G%N--
Building spector
I
g.- > ».. _ :,s: •'an +r'u'w w •,'.,- mow, .i
PUTNAM COUNTY DEPARTMENT OF HEALTH 4 Z
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INITIAL INDIVUDAL ADDITION/REPAIR FORM .
SECTION A: GENERAL INFORMA�jTION
Name of Project Cam. 1`e U-%y (T)(V)
PV TM#
Year of Construction Size of Parcel
SECTION B. TOPOGRAPHY (Please check all appropriate boxes)
1. 1 Y ❑Rollin Sloe entle Slop ❑Flat g S tee P P ❑G p a
2. ❑Evidence of wetland []Low area subject to flooding ❑Bodies of water
❑Drainage ditches Rock outcrop
a LJ p
3. Property lines evident?
4. Water courses exist on, or adjacent to parcel:
5. Existing individual wells within 200ft of the existing SSTS?
YES N—Q
LA
O� O
SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS)
1. Physical character of existing SSTS area.
A. []Level ❑entle Slope �p slo
e
B. ❑Well drained Moderately
well drained
71 Somewhat poorly drained ❑Poorly drained
C. Area available for SSTS. (Primary & Reserve)
M xtremel limited ❑Somewhat limited ❑Adequate —ft x ft
Y —
D. INSPECTION 4
Date Inspector
-Z4
L-JNo evidence of failure ❑Evidence of failure DEvidence of seasonal failure
121\
7 --------------------------------------------------------------------------------------
(Indicate North)
HOUSE
o
(1) Indicate location of SSTS
A. Size and type of septic tank _ gallons
[IMetal ®Concrete OPlastic,
B Type of absorption area
1. Fields. ft. 2. Pits 3. Gallies ft.
(2) indicate setbacks, front streiet, backyard, and side'yard dim ieinii-oris
(3) Show location of well
(4) Show location of driveway
(5) Note physical features (steep slopes, rock outcrops, streams/wetlands)
SECTION E. EXISTING WATER SUPPLY
0PWS 13 Shared well PIndividual well
CONT BENTS :
REPAIRS ONLY:
rilled Muor [24:kasing, above ground
As Built Inspection Required:
Status:
As Built Subn-dtted:
As Built Inspection Done: Inspector:
2-1
ION
NEW LAYOUT PROPOSAL
Mr Bruce D. & Mrs Arlene C. Herring
30 Tanglewylde Road
Lake Peekskill, NY 10537
Tax Map - 83.72 -1 -47
PUTNAM Go,'U "f L,EF',L,RTMENT OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY,
BEDROOi IS
Signature & TA)e Date
APR. -22'99(THV) 09:2-0
r—1 '. —
ONY UP HARRISON
TEL:914 899 6739
P. 002
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sbTangmMR-4
ww Pa=m. em Yoth
TMVXV W 0 UM4?
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18.00'
owl
NEW LAYOUT PROPOSAL
Mr Bruce D. & Mrs Arlene C. Herring
30 Tanglewylde Road
Lake Peekskill, NY 10537
Tax Map - 83.72 -1 -47
22.00'
7
1
GEOG. INDEX 488200 622200
;1
'TITLE NO RGP 717078
I
Area = 9, 663 So. Ft.
SURVEY OF PROPERTY
PREPARED FOR
ARLENE C. HERRING
SITUATE IN THE
,. N OF PUTNAM VALLEY
PUMAM COUNTY
NEW YORK
--A I C I :.. — 7/1 is A/ A O/`LI 7 /009
i
APO
�4 R
GR
IIN, map is cord on /y to.
BRUCE O. NERRIN6
ARLENE C. HERRING
25
s.
Wve Fenced.
i
..
�n
Lo J
�rw
Q
- -- 00E
set `P /n se7
`F
s0et
24
P K Noi set
112
c
o
0
O
q+
O
4'
113
0
r
22
B
s
o
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O
Pn set
21
115
V
Pn ser
120.15'
Notes
d
,-
I. UnouNori:ed dtsrotim or add /tion to o surroy mop Liaori,g a
1/censed toed survep-'s sea Is o Ndotion of Section 7209 ,
SUb- U/vision 2 of the M— Y-k State Ed.-Mi Low.Y.
2 A1/ certir —tl s ore rood for this mop and copies thifeof oaty
if sold - copies boor the embossed seal of the esu-o ay
.,h— s(gnoture opp—
hereon.
.I /f Nero ex/sts underground krpry --I.,, eesemanI for
oncroochments Which a
lot .vislb/e dur{ng norms Rad.sv Y
nperotions or ore not — th— ticd //y d,,-.b d h k tin- nts
mode Me— to these sur
�; such -ey not be shoS -'en
th/s sane
'
4. firs sur._ /,of property desrlbed h fiber of deeds of
can Wince Owl os
recorded in the Putnom County aerk's
t..
25
111
Wve Fenced.
..
�n
set `P /n se7
24
P °r
112
0
O
2.3
113
3
22
°0
114
h
21
115
Pn ser
120.15'
20
116
Area = 9.560 Sa R.
SURVEY OF PROPERTY
LAKE PEEKSK /LL SECT /ON E
-9 MA IF N ME 'SEC
.
TOWN OF PUTNAM VALLEY .
PUTNAM COUNTY
NEW YORK
SCALE lin= 20lt. SEPTEMBER 29, 1992
Nfi herebv nrNfv thot the —, •linen herein
'a^ f -. .. ra . s,' e .: a.v ,.. . �,..r.� u = o , •.ice- • vc-.b� r
DAVID D. 'BRUEN
a County Executive
.i .
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
December 11, 1986
Marvin O'Dell, Building I t
Town of Putnam Valley
Oscawana Lake Road
Putnam Valley, New York
Dear Mr. O'Dell:
nspec or
10579
This letter is to confirm
concerning the repair to the
Herring on'Tanglewylde Road,
JOHN SIMMONS, M.O.
Deputy Commissioner
RE: Herring - Tanglewylde Road
(T) Putnam Valley
our discussion earlier this week
sewage dispsoal area.of Mr. & Mrs.
Lake Peekskill.
As you know, our Department allowed Mr. Herring to install a 750
gallon holding tank, -until he could purchase additional land to
his north, in which to repair his failing sewage disposal system.
Once this additional lot was purchased, it appeared that allowing
Mr. Herring to. repair his sewage disposal system in this area,
was more acceptable than requiring the repairs to be made in the
area of the existing system which was inaccessible from his
property, and closer than 100 feet to his neighbor's wells.
-T•h e. -r= e•pa`i=� ,- as-- a9p-ruw- e-d--by- this- offlc`e; allows Mr :�Herririg' to
maintain over 100 feet from all surrounding wells except for an
80 to 90 foot separation from his own well.. Although this
distance is somewhat less than our minimum 100 foot requirement,
we felt this repair did allow for Mr. Herring to greatly improve
the situatiori:
If.you have any questions concerning this matter, please feel
free to contact me at your convenience.
WH:mk
Very truly yours,
William Hedges, Jr.
Public Health Technician
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
Ob
S7
MI
P1 - -- -- -- -- — - - -- - �- - - --
Name & Relationship (i.e, owner tenant, etc.)
DATE TYPE FACILITY
PHONE
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.
I
Proposal approved Proposal Disapproved
to
roposal 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 components tied to two fixed points (e•g .,house corners)•
d• System description (e.g., 1250 gal• concrete septic tank, three precast 61 diamo x 6 1.deep
drywells 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.
I, as owner, or reported agent of owner agree to the above conditions.
SMAMURE TITLE DATE
MIS: ftte MED)• Yellow (Tam ffi); Pink (A#iamt) U
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PUTNAM COUNTY HEALTH'DEPARTMENT
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DIVISION OF ENVIRONMENTAL,-:HEALTH- SERVICES
- -John .M; Simmons; M.D:.`
/
Deputy Commissioner of Health
= FIELD ACTIVITYREPORT -'
Sheet :. of /
'
:INSPECTION
NAME _
Orig. Routine
-
0rig. Complain
!_
:ADDRESS
rig. Request
No.'. Street
;,r� M nicipality (T)(-V) (C)
Compliance
Complaint Comp,
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MAILING ADDRESS'
"
Final
P.O. Box
Post Office Zip Code
Group ,Illness .
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Cqnstruction
,TELEPHONE '
'Re inspection
.PERSON- IN .CHARGE
Field, Sampling Only
OR INTEAVIEWED
-
Field; `Conference
'
Name and -Title
d
TYPE
Other
DATE n x_
.FACILITY
•
TIME ARRIVED -
-TIME LEFT -
Explain
,.FINDINGS:
Me
IN:SEECTOR: ;, .
14 6
>A; TELEPHONE:
Signature and Tittle
PERSON IN CHARGE OR INTERVIWt.Dc
I. ackriowTedge receipt.:,of
s:
a` copy of this SIGNATURE:
Field Activity: Report..
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