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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEKAGE DISPOSAL SYSTEM REPAIR
OWNER'S NAME TQ E' k ;'0 l a u l.� GGo PHONE
SITE LOCATION Ci. �( (�l6 P IL TM , °1 f/ Z
MAILING ADDRESS LAtl �' lc� k (y Cl. I ,o 93
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PCHD Camplaint #
Name & Relationship (i.e, owner,tenant, etc.)
TYPE FACILITY
PHONE � 2L — ,� 9
G® c..c c— -bk- 139
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.
Proposal approv Proposal Disapproved
Insvector's Signature & Title Date
Proposal aooroved 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. Iocation of installed canponents tied to two fixed points (e.g.,house corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' 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 Mt of owner agree to the above conditions.
SIGNATURE TITLE DATE Z
SPIES: V to MD); YeUc w (Tam ED; Pink (Anlicsnt)
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DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225-0310
September 20, 1991
John Crecco
Lake Drive
Putnam Valley, NY 10579
Re: Proposed addition
Crecco, Lake Drive
(T) Putnam Valley
Dear Mr. Crecco:
JOHN KARELL Jr., P.E., M.S.
Public Health Director
I have received and reviewed the plans for the proposed addition on the above
mentioned parcel.
The plans indicate that the existing 10' 80 x 12' deck will be enclosed and
converted to a family room.
The plans indicate that the existing residence is approximately 47' x 25'
(approximately 1055 square feet).. The additional (10' x 12' 120 square feet)
repre:.eats an � ...p� ... a-,ly `i2„ ...
- ircr���e�:o� a roxissa..� n.- ..:�..� .. ti _ � _._ _ .
Based on the present policy of the Putnam County Health Department, additions of
15% or less, which do not increase the potential occupancy of the residence, does
not require approval by this Department. Therefore this Department has no
objection to the proposed addition.
WH /jp
cc: BI (T) Kent
Very truly yours,
William Hedges
Sr. Public Health Sanitarian
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Dc--e AUG(tSi 29 1983. a
% Revised._ APRIL 3,
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' (914)896 -9113 12524
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porce / shown des,gnote d is lots 328 33 in "' t
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block 3, os .shown cn omy entitled, LAKE ._ i .. .r•„ .., ,r .- ..-,. .. - -.
r-EEKSK /LL, Section " acted •grit ;3,.1929 -. x:r + n :r•. .: y ? r r
mode by Hudson Vni 'ey £nyrneerhng Co,! C. '-a::h,n;
fit ed in /hz P. C. C. D, on h'ry 28, 1929 .nder " �.�: yf•.r- ,r.,.,..1 n._ .. _ r ?�',ar o:,
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file noB5, sec. A. r
the POLGHKE51SIE SAWNGS BANK, C041MONWEALTy' LAND
-a TW ' A TIT L E - DVSURANCE CO. , AB L ABSTRACT CORP, J b N 8 .
- DIANE CRECY'O in accord once w ith the minimum strndo/ds
=.? I for title surveys of 'fh e New York Stofe Assoc iot ion
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^of ProfessionLoni� Surveyors.
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