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04245
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
OS AL FOR SEWAGE DISP69kCs
OFFICIAL USE ONLY
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SITE LOCATION ID c� ILA V K C- L- Pk I TM# U i V t cl fi & No 6& -& 7
OWNER'S NAME P S'ri- R -, s "A C-RLUUMEX PHONE E,;- 9
MAILING ADDRESS oY k S' 1`e y- e-kSK t L ( I M-4, s7
PERSON INTERVIEWED PCHD Complaint #
. , I Narne & Relationship (i.e., owner, tenant, etc.
DATE 1012 m do
TYPE FACILITY IV C- S
i
PROPOSED INSTALLER F yyj -p-.b aA&p 2-'- PHONE_ -o2Gp <A595-"
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ADDRESS ��� ��c� -r►� IJ�4+.t✓��y,C,� ►ld S� 7T REGISTRATION# r 3�
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 submittaa of proposal from licensed professional engineer or registered architect.
-t4mc uu -ry ft4v tcoo 6Ac PVC C(4-r—c!c
�. LtiClY-fi(otie NO r 6-A ru3rc"2 10 s xtS'TirdG' (-.)Etc- r
_;,as owner o reported agent of owner.agree to the n
conditios. sta on this hus form.:
_ - . _ a _ . _ .. ....... ......
SIGNATURE ! TITLE 'd DATE 1 /?s6 0�►
Proposal 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 comers).
d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Proposalapproved
Inspector's Signature & Title
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
IMITMTOTIA
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PO Box 34
Lake Peekskill, NY 10537
Mr. Robert Morris
Department of Health
4 Geneva Road
Brewster, NY 10509
Dear Mr, Morriss
Enclosed are maps of the two parcels in
Lake Peekskill about which we discussed on the
phone. today.
A.quick reply would be very much appreciated.
Sincerely,
r� . erl-I
Joseph Wagner
JOSEPH F. SULLIVAN, P.E.
8m4u&n,% F.rc9i weA
2972 Ferncrest Drive
Yorktown Reights, New York 10598
(914) %2 -4248
March 19, 1996
Mr. Er Mrs. Joseph Wagner
P. O. Box 3-4
Lake Peekskill, New York 10537
Dear Mr. Wagner:
As you requested, I inspected your open lots on Becker Street and
Johnson Street in the Town of Putnam Valley (83.81 - 248 E; 91.25 -1-
37) in connection with their suitability for the installation of a Sewage
Disposal System and a well on either lot.
I have enclosed a plan of the two lots in question and the locations of
existing wells on the adjoining properties; As I have noted, there is no
inia�r =a -Sei ale= Risposal:Sysfem could- b".-installe&on 4ithW16tand
conform with Putnam County Health Department regulations.
As can be seen, no disposal system could be installed at a distance of
200 feet from the existing wells.
Very truly yours,
,Joseph F. Sullivan, P. E.
JFS(ats
Enclosures
96 -16
y.. _._ ... _ ..., -BRUCE R. FOLEY, A.S.
Acting Public Health Director
. DEPARTMENT OF HEALTH
Division Of Environmental Health Services
4 Geneva Road-, Brewster, New York 10509
(914) 278 -6130
March 22, 1996
Mr. & Mrs. Joseph Wagner
PO Box 34
Lake Peekskill NY 10537
Dear Mr. & Mrs. Wagner:
As requested a field inspection was conducted on 3/13/96 on
your lots on Becker Street (TM# 83.81 -7 -48) and Johnson
Street (91.2571 -37).
I agree with Frank Sullivan, P.E., that the site conditions
on both lots would preclude the issuance of a construction
permit for a septic system for either lot,.i.e., both lots
are not considered building lots by this Department.
RM : roc
Very - tri"• 1 y:' yours;-
b fi - /�
'd, 7ztov'V
Robert Morris, P.E.
Public Health Engineer
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PRELIMINARY �.4 ,
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WETLANDS LINE AND SYMBOL
' f—r
DEVELOPERS LOT NUMBER s
SCALE
—' — — °—°
DEED DIMENSION 100(D)
SCALED DIMENSION 100(5)
83 8
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83.82
TOWN OF PUTNAM VALLEY'. u
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CALCULATED AREA 2.34 AC. CAL
VISUAL CENTROID °
p
50
PUTNAM COUNTY, NEW YORK DATE OF AERIAL PHOTOGR,
/fit ;
I ,.24 ,
1.25
91.26
ARY — — —
PARCEL NUMBER 72
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`Q NY STATE
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