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HomeMy WebLinkAbout4097DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.72 -1 -60 BOX 31 visa J�; T .� all , , i. ,.S �. as ' if r ` �r qLm 04097 Public Health Director Robert Shubert 20 Hillair Rd. Lake Peekskill, NY 10537 Dear Mr. Shubert: �. a :.'�. ;: .:.T �: Z.E�.'+�:.�.0:�1�,��:�Li;1�►R�. i�a.:�.,, �1�ir3S.�: -:..;•,•� Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road .Brewster, New York 10509 Environmental Health (914) 278 - 6130 Pax (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 March 11, 1999 Re: Addition- Shubert- Hillair Rd.. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.72 -1 -60 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 form this Department dated March 11, 1999 The addition is approved with the following conditions. 1. The toiaf number of bedrooms'must 'remain `at-Two 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 Putnam Valley.. If you have any questions, please contact me at your convenience. Very truly William Hedges WH:kg Senior Public Health Sanitarian cc: BI a A Public Health Director Robert Shubert 20 Hillair Rd. Lake Peekskill, NY 10537 Dear Mr. Shubert: =, L�i��£1TA� TriC1F:.lii'dfiRi' R.ivTC� AiS..�i:2i::::' <•: Associate Public Health Director Director of Patient Services DEPARTN ENT OF BEALTH 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 March 11, 1999 Re: Addition- Shubert- Hillair Rd.. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 83.72 -1 -60 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 form this Department dated March 11, 1999 The addition is approved with the following conditions. m`" l :� "1'he total iiiimber`of bedrooms `must remain ai Two` °witlout 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 Putnam Valley.. If you have any questions, please contact me at your convenience. Very truly William Hedges WH :kg Senior Public Health Sanitarian cc: BI 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= BRUCE R. FOLEY �u 'l3irector' STREET ' �,la,� TOWN A TX MAP # 3.1 Qo-J NAME PHO aY`T i0 PCHD # '17 — 9 MAILING ADDRESS .t DESCRIPTION OF ADDITION NUMBER OF EXISTING BEDROOMS 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 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 PuTNAM cO"UrrTY DEPARTMENT OF HEALTH SECTION A. GENERAL INFORMATION Name of Project -62 cr 1 (T) TM# Year of Construction Size of Parcel SECTI ®N B. TOPOGRAPHY (Please check all appropriate boxes) 1. L'JHilly LJRoiiing O/Steep slope Gentle slope UFlat 2. DEvidence of wetlands []Low areas subject to flooding "Bodies of water ®Drainage ditches Rock outcrops Y N 3. Property lines evident? L LT . 4. Water courses exist on; or adjacent to parcel? 5. Existing individual wells within200ft of the existing SSTS? LJ� SIECTI ®N C.. IEXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM (SSTS) 1. Physical character of existing SSTS area. A. ®Level Gentle sloe O'Steep P slo e P B. OWell drained moderately well drained Somewhat poorly drained Cloorly drained C. Area available for SSTS. (Primary_.& Reserve) LiExtremel limited 0-ZSomewhat limited MAdequate ft x ft Y A a a �.� a °-•J •� v .+ . e cTr tT• v� .v... � - ��`n .. .�50:,.. �.... sR. —. r�s .0 .V4. . �,. • .z r v • .:'F .. � n . .�.T)1� N 'I`. • .iiw� 4�� rf .... r..r„i..� 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: t?644 1 Residence Tax Map Town? fy- f% According to records maintained by the Town, the above noted dwelling zc �/ IS NOT in compliance with To„n code and the total number of bedrooms on record is—� This information has been obtained from: ° CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER r'4iq7U � 010- /--1 /-C/ ,42 Building frispector �a ..s t skjo •t C`Pl�(r. .l v Liu• GtvSET - \VANTTY .`' -T) V {1 T `E o o F >: ' 3k6° sL Pit. .�„e . X O Y aPE rtI NCo To E e ILOJEO , � (�� �..� YG{� . _ Z i ZeJET P!/7' /H. . Gi+OS' TQ `YI�.1� =' 'k (�x(STI,.,y j :i Pied oom i! o °• ed oo m of ,TINc, SIC W is To 136 rrercv n _ EYI j, kY1N YV r: i S71tiC ql f CD, TO e-8 ftmoveo Z ;Y I ii A.!JD MADE INTO w •QQ t 6 �� - - - - -- = I - t. t ,u 14 1 :t . ` yGY:Q. aa1SOdC1Yd •� lJJ.. .t is I •" ;� a3 ncvt3y .t � T- a3AOty3Y 3'd o1 13 ^ >c7� � 1,`.i � as of Yo�a1 �t+ll4lxp o '9nlisti3 9 �lvM _ _ •� I � joc) Lu ��� u I n I , •a _ �0 3no4.O^ Rio..L O I i._ �jrtlttx9) ' Z}- �' i � --P' _ �'atd nt �i� voo1 it F7vNn1 oh of •; ---- - . � � 0 ! croo C3AOV1371 rt.CC1•ll ! t! 9v> .1aw�11µ a'av;_.: i _ _ t1 ., ,p �3,tYa yat+cvnt - ,11. 9n1 H `? { 3GO? �3 ;a,3Y 'tv lx3 0l ..NOOn.tr oasodoad t ;CL•SE PLA41S l� '" , ✓ ! �:q a3lnan.'a� oy . Y33 YQ (1 OvU S2 t! S!gn2Ears UaM . v 1,. • t LOT 74 122 ku Q QZ 75 I 76 'f 55'. 20.00, S. 32 02.5'kv- 121 %e S7-p-- y F,4VA ^'115 //o as E 77 11-9 POA D i SHED v 14,,,Z45 -5F 0 7.9 4 6 R.= /06.50' Z 31 50 c. 100 cq 06 V-7 �l 6 A.. 1--4-j LOT 74 122 ku Q QZ 75 I 76 'f 55'. 20.00, S. 32 02.5'kv- 121 %e S7-p-- y F,4VA ^'115 //o as E 77 11-9 LL e3o LZ.vo i SHED 14,,,Z45 -5F 7.9 6 11-7 c. LL e3o LZ.vo i SHED /20 72 116 //.57 ig /V z "V = /-:5v, LOT HEREON " ON MAP ENT /TL EO SECT /ON .4C. c-1Z_eZ? //v THE 1--le17'1v,4A-f COC O/V ll-lAgY 28, 192-9 � PUTNAP'1 COU'I Y DEPARTMENT OF HEALTH HOUSE PL NG APPROVED FOR N BEDROOM COUNT ONLY: �ED T z ; - .o .. a .... Sigeature & idle —mate 1 �\ 0 n paml oti m' 1 .1 'T )a-511 ' z � CL 40411 . j t 5•-0 ` J--� �asoC�o� w0 vrYER: To BE'. P�POPOSBO wtvoew Q __ 1a .d lea Q ) Tr, vi4SNER DKI EC G6 UCi ".i CP D- S � R( n 86 PeT -foVED ✓d r7� - - -- 9,n o71 wlc+ 57nIF� P� -i-7o Be Re MOV eo X11 L11,IR7'N ICEVOVEC Al1D I O y>.o nitcner <ve I I wart �-, 1A, Ptaca I a h�Z 2 -10 FL. JOIST (Ex115 TIw,G1� i I i2°% .O.6ovc- O O y �! L i v i n g Foo m 4ef Rotiae d R 1, It �RoPt�SED� - -' oof miff �1')I a lb-, WALL 4 sr.ISTIWA ! V'x KTl�l` vt1oK To D6 .30 Gio_ET ro B6' ry NovED ' ICEM1vV FD -Y N _ I �•I t • i t i; is cl 1. r Prima R�L_k y �i co cp co . 4 31 =11 l (f-jo 1 0 cd c 0 CD 0 z y G'U�t 2_0 c41 11 aj r VIA / M 0 QD U_ DATE: _ - 7 loco .5oa h r\ LEONARDI AND SON CONSTRUCION INC. 6 CAROLYN DR. ,- CORTLANDT MANOR, NY 10567 (914) 980 -3554 Putnam Ilc.# PC -560 West. Llc.# 067 Putnam County Department of Health Division of Environmental Health Services SSTS Repair — Final Site Inspection Date: f ( r Inspected by: D i— Installer. 20(1 &'t \t Street Locatio - -o (� Owner: r.. - e - M Repair ` p rm eit #: I. Type of System: Conventional 0 Alternate 0 Comments: "�� Q� Ac.; ®,��id�i m5er 2. Se tic Tank Yes No N/A Comments a. Septic tank size ,000j. . 1,250 ... other ..... % /, oo o GRAl -7�L,4C b. Septic tank installed level ...................... / ✓ c. 10' minimum from foundation .................. d.. Distribution Box i. All outlets at same elevation (water tested) ... ii. Protected below frost ............................. / V iii. Minimum 2 ft. Original soil between box & trenches e. Junction Box — properly set ........................... f. Trenches i. Systemompletely o ened for inspection ii. Length required Length installed( iii. Pie slope checked ... ............................... ti/ iv. Installed according to plan ..................... v. 10 ft. from property line — 20 ft — foundations ... vi. Size of gravel' /. - 1 %z " diameter clean ......... ✓ (� o 2 �` V vii. Depth of gravel in trench 12" minimum ......... viii. Ends capped .... ......................:........ g. 'Pumg or Dosed Systems 3. Sewage S stem Area a. SSTS Area located as per a roved plans b. Fill section — - c. Distance from water course /wetlands 4. Overall Workmanship a. Boxes properly grouted and installed correctly ........... b. All pipes flush with inside of box ......................... c. Backfill material contains stones <4" diameter ......... d. Curtain drain & standpipes installed according to plan e.. Curtain drain outfall protected & dir to exist watercourse , f. Footing drains discharge away from SSTS area ......... g. Erosion control provided ............................ Adational Comments: Rt(o(AM �A�� �aJ1n►L Cibuiie� J,1���1" X22 ftv i SYS+, f1Ba�e bw,nef 5�� '�T2es -for &%Ur- 5 -6—e~ koltse- leii v. re-Mo .Sb�f! . UAk, +4 �o P ( t,Ven4 RFSI Rev - 011312 keep PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES EL _ . PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR � .... a - . ,.. r , ...- . • -°-- --sue... ... ,.... ., ...._ . . , -,. ... IR YES NO / Internal Use Oniv PERMIT # 1-3 ❑ L�am, // Repair Permit issued in last 5 years Il-"Not in Watershed ❑ Lr1' Repair within Boyd's Comers, W. Branch or Croton Falls Res: ❑ Delegated ❑ lid Repair within 200 ft. of a watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION Z-0 " TOWN cE w, L '% TM # 93-� 2 OWNER'S NAME "� PHONE # MAILING ADDRESS 7,,`00 APPLICANT Name & Relationship (i.e., owner, DATE 1 —Z Z- - FACILITY JJTYPE S PCHD COMPLAINT # PROPOSED INSTALLER Z-at ALA, I CL S e �t PHONE # 1 f i f4'0 ADDRESS a LL 1 )I^ c ,V4f' %EGISTRATION /LICENSE # j�'G 5-6 Z; Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed system) NOTE: The Department may require submittal of proposal from licensed profe�gion I, depending on the nature and extent of the repair. _ ��C� /0 CL/ I, as owner,agree to th condition tated on this form SIGNATURE / TITLE 0t/ DATE O (owner) L.tfie septic installer, are to Comoiy tt�.tk�ie conditions of this permit fur the septic system rep r SIGNATURE �-�"� ' TLE 6 W;% -vt/' DATE --� (Installer) Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, Town and Tax Map number b. Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled•until authorization to do so has been obtained from the Department. ,•�" INTERNAL USE ONLY Pro s j fed ©�'� Proposal Denied ❑ 3 13 Z3 Inspector's Signature & Title Date Expiratio D e ,Repair proposal is in compliance with applicable codes Yes ia- No O COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 CA x,11 �� , 1 xi G'N SAN , j b X 50 a I r` I � 1 j �UD Iy . y. C- m N N W 0 w r m 0 m a 90 cn 0 0 1 w w w TEST PIT DATA DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE # t HOLE # HOLE # HOLE # HOLE # G. L. rr 0.5'7 i 1.� 2.0' ►, J aM 2.5' 3.0' 3.5' 4.0' 4.5' 5.0' 5.5i�,qc 6.0' 6.5' 7.0' 7.5' 10.0' Indicate level at which groundwater is encountered Indicate level at which mottlinz. is observed Indicate level to which water level rises after being encountered Deep hole observations made by: Date l i'Z3 2 Design Professional Name: Address: Sipature: Design Professional = Seal Jan 22 13 11:00a Leonardi & Son Const. 1- 914736 -9311 r).2 PROPOSAL FOR &WAGE TREATMENT SYSTEM REPAIR YES Internal Use Only PERMIT # ....... > _Cl . Repair: Perm!!-:ss:,W rsst • yea►s tr _ _ _ _ _ ' . ❑,�: Not in_Watershed. . ❑ �.i Repair within Boyd's : ers, W. Branch or Croton Fails Res. ❑ Delegated ❑ ❑ Repair within 200 t. watercourse or DEC - mapped wetland ❑ Joint Review SITE LOCATION ze - - TOWN `w c1�t+r�. `;' ' � TM # � 3.7 OWNER'S NAME L�ctt'" �' PHONE # MAILING ADDRESS �r..E'— 'o o✓ OVtn APPLICANT C ter.. v� ✓',l,t_ Name & Relati _e., owner, ten co orj DATE 1— ZZ 13 l= LITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER /c. L&4l CiL S e =L PHONE # 2/� C �+ � � ADDRESS ^ ' & .+�-r REGISTRATION !LICENSE # JLG 5 Proposal (include a separate sketch 1 ing the house, property lines, all adjacent wells within 200 feet of repair and the location of existi and proposed system) NOTE: The Department may require su ittal of proposal from licensed professional depending on the nature and extent of the repair. f 4t-ls 'a • � .c� � I, as owner,agree to th condition tat SIGNATURE n this form TITLE C-t/ DATE //7 (owner) I, the septic installer, a e to comply a condition, of this permit for the septic system re r SIGNATURE TLE fg Wkei- ' DATE r -� P o 1 a ro vritfi the i Ilawi co it bl e. 1. Procurement of any Town Permit, if appl 2: Submission of as built repair sketch by septic system installer within 30 days of the repair, in duplicate showing: a. Owner's name, Site Street Name, T and Tax Map number b. Location of installed components ti two fixed points c. System description (e.g., 1250 gal. crete septic tank, etc.) d. Installers' name and phone number 3. System repair to be performed in acc ce with the above proposal and conditions 4. The proposed SSTS repair is consider best fit design and there is no guarantee to the duration at which the completed SSTS repair will function. 5. No completed work is to be backfilled u I authorization to do so has been obtained from the Department INTERNAL USE ONLY Proposal Approved ❑ posab Denied ❑ Date Expiration Date Inspector's Signature & Tide Re r proposal is in compliance with ail. icable codes _ ___ Yes D No ❑ COPIES: PCHD; Owner; Installer PC -RP 99ML Rev. 2/07 0 • �3i0 32