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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.83 -1 -19 BOX 32 or r 6 F'. 16 rl I T'r REBECCA WrMNBERG, RN, BSN Public Health Director ROBERT. MORRIS, PE January 23, 2012 MARYELLEN ODELL County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Phone # (845) 808 -1390 Fax # (845) 278 -7921 Adriana Szaboova 124 Pasadena Avenue Suite 2 Hasbrouck Heights, NJ 07604 Re: Addition- A- 001 -12 No Increase in Number of Bedrooms 35 Oriole Street (T) Putnam Valley, T.M.. 83.83 -1 -19 Dear Ms. Szaboova: 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 January 23, 2012. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at three without prior approval by this Department. 2. The area of the existing sewage disposal system and its expansion area must be maintained. _: . -3::_ _plumbit►g xote ��t�e , ;dared � ith.���tei. savir4 d vi, e., -W' w 10W4lush�; restrictors for shower heads and faucets etc. 4. This Department recommends you contact your local Building Department to ensure setbacks and other current codes can be met. 5. 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) 808 -1390, ext. 43261. Sincerely, lene D. Reed Senior Engineering Aide GDR:cw cc: BI, (T) Putnam Valley SHERLITA AMLER, MD, MS, FAAP Commissioner of Health .�RF. —, M+QI�tN,AI Is 9;M .:...: . Associate Commissioner of Health ROBERT J. BONDI County Executive ,.::h_ ..r. ,< , }itOBERTI6I�ItRI�,��' • . .� . Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 ADDITION-APPLICATION RESIDENTIAL ONLY �p f✓� STREET 3S. jC)L.E-. /ZTOWN PG TAX MA. # NAMESZAZOOG' "`,ia &2EHONE 41— 2e?S - 3S6S PCHD# MAILING ADDRESS DESCRIPTION OF ADDITION Ica— NUMBER OF EXISTING BEDROOMS' .� '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., I Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1 . C ertified check or money order. for $J.00.00. 2. Sketches of exi tmg floor plan (drawn to scale, all living area including basement, to be shown and € toned and use of etch rooms ecified). _ (SP.e, S. do °n.3:e o ..BtillPtin :_ 3. Two Two sets of proposed floor plans (drawn to scale — with name, street and tax map #) * Non -profe tonal sketches are acceptable and preferred. (See Section 3.d of Bulletin HA -1) 4. Copy of survey sh' g all well and, septic locations on the subject property to the best of your knowled Include date of installation known. Contact this office with any questions. 5. .Copy of Certificate of.Occupancy from the Town or Cert tion from the Building Department with legal bedroom count of dwelling: OFFICE USE COMMENTS S. 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 Nursing Home'Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention /Preschool (845) 228 -2847 Fax (845) 225 =1580 i JAN -23 -2012 12:32PM FROM - ENVIRONMENTAL HEALTH 6451767921 T -434 P.001 /001 F -021 SHERLITA AMLER, MI), MS, FAAP Commissioner of Kealrh . -.:mod _ ��.# �' t' ���Qr :t:_r:-�t��- .i�:�,'�'�li:_. ___ u:� �..:�� : y�•'- ��„��g�i�::�a Associate Commissioner of Health ROBERT Ji. BOND1 County Executive trPY q= Director of Environmental Health DEPARTMENT OF HEALTH 1 Geneva Road. Brewster, New York 10509 l' _ • d e Town Legal Bedroom Count & Proposed Addition Status Re: - 504600`/fli i -"� .� (Owner's Name) Tax'Map 9,; / —Z Address: Town: _� �t -`C.P pL _54 e Year Built: �� �•� According to records maintained by the Town, the above noted dwelling, is v in 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: ,,._...�.. 4. - __ .. ,_:.>:::�..::,,_. --•,r _...,....Q,.,..,,.�.'.:x :... .. - �_ �. �-...-. .....�__..__�..____.._..._._.._ ' :.::`. �... .:.._..v,.._.__..�:�_.,,�..::. ... _ — .:-ate. Other:,- Bldg. File and Assessor's File. The plans for the proposed addition are considered: New Construction xx Addition to existing house only Teardown and/or re -build allowed under Town Regulations 1/23/12 ding Inspector Date 6. Environmental health (845) 278 -6130 Fax (845) 278 -7921 Wutcr Supply Section (845) 225 -5186 Fax (845) 225 -5418 Nursing Services (845) 278 -6558 Fax (845) 278 -6026 Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678 Early Intervention / Preschool (84S) 228 -2847 Fax (845) 225 -1580 _ — T-��— �� t, "., .. ;D'•+ i .1A •, 'r•.. '^+= .:.. — _ .. :.si= y - . Ka .,;::�.�'. ",_ M.'2 ti'1Pu�. �'':�.�w�� �_ y :':' — .� LOT GOT LOT` or GOT N° /0. N °// /V 4/2 /V ° /,3 N °146, &A rfo L4 2Q N• I .• f1,C'�A -. /S, 70,.5 fF I 0 o• �' b go•E• aR i01, SURVEYED & PREPARED BY BUNNEY ASSOCIATES L AND sUR v &yops 20 /IVDOD-tSdlE 1A9ae 80090 KATONAH, NEW YORK b r01- /V„(J.:, 96.88.. � T RC ' �r -'' / 1011.31.7a f, 0 SHERLITA-AMLER, MD9 MS, FAA.P - Commissioner. of Health, &CIARTI__Ki rSN Associate Commissioner of Health DEPARTMENT OF HEALTH -1 Geneva Road. Brewstef, New York 10509 ROBERT J. BONDI County Executive Director of Environmental Health Town Leizal Bedroom Count & Proposed Addition Status Re: (Owner's Name) Tax Map Address: Town: L 6�� �', 5�—C �� . Year Built:. According to records maintained by the Town, the above noted dwelling, is in compliance with Town Code. Is not in compliance with Town Code. The Legal Bedroom Count is: This information has been -obtained from: Z.�7 7' Certificate of.Occupancy: Other:- The plans for the proposed addition are considered: New Construction Addition to existing house only Teardown and/or re -build allowed under Town Regulations Building Inspector Date., 6. 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 Nursing Home Care Fax (845) 278-6085 WIC (845) 278-6678 Early Intervention / Preschool (845) 228-2847 Fax (845) 225-1580 MIN, ,7n 7Q. N n� R40 n" AM T, RI Zoo$ e (MA V , VNI ®R MIN, ,7n 7Q. N n� R40 n" AM T, RI COOLhouseplans.com flan, ID: 1048311- 800-482 -0464 http:// www. coolhouseplans .com/piint_details.html ?pid= I" tog COOLhouseplans.com Plan ID: 1048311-800-482-0464 __7.,� http://tvw%v.coolhouseplans.com/print-details.html?pid= 1048 4; P I Mirror Reversed View - Click Here for Normal View C plans copyrighted by Vnj) 1 .1 Elevation Plan ID: chp-1048 3,.Proe S9_13 -COO Lh&Fse�p[4nv. eom r 1° 80 82:04t4- - 750, (Ok- r Fr I J of 5 rp m -OOLhouseplans.com Flan 1D: 1048311-800482-0464 http://www.coolhouseplans.com/print_Aetails.html?pid=10483 Mirror Reversed View - Click Here for Normal View to © plans copyrighted by designer Additional Image Plan ID: chp- 10483, Order Code: C132 COOLhouseplans.com 11-800-482-0464 FREE Modification Estimate! ._. - Plan motlihcatatjh is 6--*�- Y turl;ing:a Mock o.lan -into y.- ynig q- ustom, plan. {t's °still just a small :. fraction of the price you would pay to create a home plan from scratch. We at COOLhouseplans.com believe that modification estimates should be FREE! We provide a modification service so that you can customize your new home plan to fit your budget and lifestyle. Simply contact the modification department for Plan ID: 10483 at... e Phone: 1-800- 567 -5267 x301 - Talk to a live person that can give you and FREE modification estimate over the phone! o Fax: 866 -477 -5173 - Make sure to include a cover sheet with your contact info. Make attention to the COOLhouseplans.com Modification Department. o Email: moddd @coolhouseplans.com ...and you will receive a FREE, no obligation, modification estimate to get exactly the home plan you've been dreaming of. Plan ID: chp - 10483, Order Code: C132 COOLhouseplans.com 11-800482-0464 5 of 5 12/11/1112:29 AM Putnam County eParcel v2.2: Powered By Freeance 5.4,03670 - TDC Group Inc. ... ....... 20 23 24 tS 25 Page I of I Site In(ametion _ACO Ota Opd" The cWerdaMl j4a6jj�-J; 7WM'OW.' on ft map d4ft* vA'ZOOM adiii Vleoiip 6 ua Wit i4point cocka http://putnamcountyny.com:808I/Freeance/Client/PublicAccessI/index.htinl?appconfig=eParcel—v22 12/13/2011 Dat +.,..........191 3 .............., is..:.. 72 TOWN ®F�cP�UTNAM VALLEY 2/' Zone District ........... Rr!.. Sanita2 Application is hereby made for ............... '�J Permit Work to start .................... a .... QXaC.!✓..r.....r. ................................................. ............I.................. Description 3 see a e its ............................................. r................... ........I.......I.............. ... � .. /.3.... ... ........................ .....................?....r.. ....P.........................: ,� Locationof Premises — Street or Road ............ rlo l.e i� ..e ................. . ... .... .... ................,............. .............................................................. ..................... SEC. ......... 8 .............. BLOCK ..... 5.................. LOT .93..-9.?......... FRONTAGE ............. ............................... Depth ........................... Rear ........................... ACRES (other description) or number of square feet .................... SUBDIVISION NAME ..... I AKE.... PLEKSKILL ..................."' OWNER I. o.. ...CUM................... ........................ ............................... :................ ............................... ADDRESS ... C�R.141LEa ...,�,�'. s..... .... ' �'K I•L• L.'.......,..y..y.... ROOFING LAND Dimension of Building- Width Depth Stories TypeFoundation .......................... ............................... Size& Use Each ....................... ......................r........ Room with Window Area .................................... SewerageType ........................... ............................... Size of Septic Tank ................... ............................... Lineal Ft. Drainage ..................... ............................... Sizeof Dry Wells ..................... ........................:...... Plumbing Description................................ ............................... Description............................................... ................ AdditionalInformation ........................ ........................... . ......................... . ................. . ......................................................... . ....................... ............... ........................r...... This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary .Code of the Town of Putnam Valley when requested by inspector. Estimated Fee $ ..... ............................... Building Cost $ Total Livable Area ............... ............................... ... .............. $ ...... 5.itDo ............... Sanitary Date Zoning Board Approval ................................................ ............................... $ ..... ............................... Plumbing $ ..... ............................... Well 0so��' �' �: � "b"►o0b�o�e.6o- eo ►0i••000s'o•o ° disrabut3 sin:o. provided a o b . • e . e • USAB -tE AREA AVAI' L ALE ON 1VREMISrS: + J p 0:0 o, 0' o o, r e ",e, o yon o o ro b e o o e o• ,e o o• s e 'v •. •• 7, b DR1i TN1tGE OF L1',ND iJ.J a Vu 'ry.I.�f�'.0 O�•1•• Artificial R bae ao,o,000ti'+,o�b►66ipbj .r.o..�m.a.a, �Curta�.���,py �el�.,- d�a�.ried usa'b� a area �p'���.h.�.py - ,r MUST ':bA iLS:ratya .Lia, "' 'U •I KfiD A1]d 1�t129 $ OW PQX',2SZt ,,••icy St✓.vots. .LZ3, .'16i3L1QC16 y. zoo Point -j ---^ -� Property. Ziraes, ex , t 9 stWU6 ures�' d °i b � .tint ne :;, eater pours ©s, v�e�.�.Sy. springs.; .dry. t�a]Fl1 q c r ;ns fer - 00f or are' dlraina$e; DZSUINcES'BEDILEN SV0 :EEA t ;Ss ?,y,G��JC jExB 1 5 r0 ADi�C;UiL'x'E DL1NAGE. 0+ SE[,�xLISPOI, .' IA�2 ►It�i'sl:,a;;w<vun;iS�ttl�1� ' USE CONST. 1 Family Wood Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Log Cabin Brick Tile Oiled Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms . Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Tan. Courts Gas Station Brick Attic Open Garage Piers Attic Finished OTHER SLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X front Shacks Part Brick X Side Cottages Full Brick Van, X Rear Bungalows Cement Floor Log X Encl. Electric Finished Shingle Misc. Phone at'SB�'B.°tn:""" 'COtnp:..o_ ±be '= .Pla�r.• ___: ..:�kx;;ar%r - - -- =- Field Stone Driveway Width Depth Stories TypeFoundation .......................... ............................... Size& Use Each ....................... ......................r........ Room with Window Area .................................... SewerageType ........................... ............................... Size of Septic Tank ................... ............................... Lineal Ft. Drainage ..................... ............................... Sizeof Dry Wells ..................... ........................:...... Plumbing Description................................ ............................... Description............................................... ................ AdditionalInformation ........................ ........................... . ......................... . ................. . ......................................................... . ....................... ............... ........................r...... This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary .Code of the Town of Putnam Valley when requested by inspector. Estimated Fee $ ..... ............................... Building Cost $ Total Livable Area ............... ............................... ... .............. $ ...... 5.itDo ............... Sanitary Date Zoning Board Approval ................................................ ............................... $ ..... ............................... Plumbing $ ..... ............................... Well 0so��' �' �: � "b"►o0b�o�e.6o- eo ►0i••000s'o•o ° disrabut3 sin:o. provided a o b . • e . e • USAB -tE AREA AVAI' L ALE ON 1VREMISrS: + J p 0:0 o, 0' o o, r e ",e, o yon o o ro b e o o e o• ,e o o• s e 'v •. •• 7, b DR1i TN1tGE OF L1',ND iJ.J a Vu 'ry.I.�f�'.0 O�•1•• Artificial R bae ao,o,000ti'+,o�b►66ipbj .r.o..�m.a.a, �Curta�.���,py �el�.,- d�a�.ried usa'b� a area �p'���.h.�.py - ,r MUST ':bA iLS:ratya .Lia, "' 'U •I KfiD A1]d 1�t129 $ OW PQX',2SZt ,,••icy St✓.vots. .LZ3, .'16i3L1QC16 y. zoo Point -j ---^ -� Property. Ziraes, ex , t 9 stWU6 ures�' d °i b � .tint ne :;, eater pours ©s, v�e�.�.Sy. springs.; .dry. t�a]Fl1 q c r ;ns fer - 00f or are' dlraina$e; DZSUINcES'BEDILEN SV0 :EEA t ;Ss ?,y,G��JC jExB 1 5 r0 ADi�C;UiL'x'E DL1NAGE. 0+ SE[,�xLISPOI, .' IA�2 ►It�i'sl:,a;;w<vun;iS�ttl�1� ' CISNTY-l' 6F PUTICAH. TOWN: LIS PROP ERTY"."DES CR IPT ION-' REPORT THIS REPORT". YOUR INFORMATION, IT:SHVWS IMPORTANT* DATV WHICH ., HAS:'. BEEN', COLLECTED. 4OR � YOUR PROPERTY.0*' If rUl'INFOR0141-1104: i 'IS CORRECTo KEEP THIS:REPOar- IF.CORRECTIONS ARE' REQUIRED --S-ECAWE. Of INCORRECT. OR:.141SSrNG DATA* PLEASE MAKE THE &PPROPRU ATE -COARE-C.T-100S & RETURN- THE REPORT WITHIN- 5 DAYS 'OF RECEIPTa' 3721800 83.83-1-r-19: SPEAVER: ROBERT AdRlE:AlJSTI-K 3:5..- ORIOLE ST LACE;PEEKSKILL MY 10,537 -PROFERTT.-�'- DATA *kOPERTY'..'101. 372800 TK 35, ORXOLE= .OrRIEET'l STIA. Oar. SC410OU' a-•ISTJtl-CT 372903 PLEASE' I-N-FORMATIO'k, JF. YOUR:. - PltOPfRTT..AtAS, SOLD SINCE 01:192 SAIL, E: DATE SALE- PRICE. ;irE mo+ TYPE 0V EXTR-Y'.' ESTI-RATZ TYPE 210 1::: FA14ILY'',RES: Loull fis ks WAILASLE UTILIETLES: ELENURIC ATfR:- NTP-E:�., O SEVER % P Rul ATE I til-L81*6 STYLE n EXTERI-Pt WALL': I.AS TYPE : P E. Of _.; HEAT, '.TPE<O,f .. FUEL:,*. X ST. a 4L� AIR ItESIDENCt..&ATAV. BUNGALOW: :Ekk - 8-JILT: :: F:T...'LI:V----I4G AREA 1: 10-9 OT - SM. SEVROOKS' NA Fu No:" SATHIRoolft- FI.-REPLAtES.- fl 41� a s.,o+ JM< �Ipn E, T*E- urpE -off ESTIMATE' 104 kAkEf0$AL&'._ Tolli.,Akff " TO-t-URCISE:10-is OT-10fu_IVDIC, A - T E-. Of 'Of r" p ATE.:; &,* :AECK.1-46 THE—- "X'..tA4f.LE 0 *HtSPECTI -'BjELOili,:BE;S.f$RE.::TO%.Iv#ltc. BE AW.Ajtf-.:* TRA JOIERE it R&T, sf,-:� O.T. Eg-: -AT-A lTEXS.J0AT.'ltA-Vl- BEEN :COLL�ECT90."0-6;k.;'fO.Ug::%'P�OOP'f-R-T.!-',Wx'll.c#i,:.:A..ItE:"."-T,. Oft: THIS:: lt.EPOkT. I F •oRRECTtVltS'-- ffAV-t,' $ElElfr- 14401-1 PLEASE'.' Sle N... 4a. ;- 2 -.0 DATE -4 7 19e- PUTNAM COUNTY DEPARTMENT OF HEALTH ��� DIVISION OF ENVIRONMENTAL HEALTH SERVICES 1SCgG APPLICATION TO CONSTRUCT A WATER WELL uu ) � � p(e p'iii1t23P't9pe _ -: - - . , • <,_ •�• �n r �`- r'; ; °- ,GHD:P.ermlt. if- �VLl. 0 Well Location: Street Address: To illage # � 3 _/_ * c Map Block Lot(s) Well Owner: Name: Address: /? Use of Well: �—Residenti&7 Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought - gpm # People Served --Est'. of Daily Usage ,A gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: c Address: s/ Is Public Water Supply available to site. es No ' Name of Public Water Supply: ----- -' Town/Village -- --�- Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:: -. 3�Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take; appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director y evision or alteration of he approved plan requires a new permit. Well to be constructed by a watey 11 � ller �ed by Putnam County. / Date of Issue,' - `t: -..`' f Permit Date of Expiration,, { o Title: _ Pernnit as l�1 ®al= ,'�fl�� ®s rra e White copy - HD file; Yellow copy - Building Inspector.; Pink copy - Owner; Orange copy -Well drill r !ryh 0 114 U orm WP -97 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES'°_�� APPLICATION TO ABANDON A WATER WELL please print or type PCHD PERMIT #,q W /,}.- 0-< Well Location: Street Address: TownNillage �-_ 7Map Tax Grid Block Lot(s) Well Owner: ame: Address: Well Type: -Z Drilled Driven Dug Gravel Other Depth Data: Well Depth ft Static Water Level ft Date Measured Use of Well: Residential Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation Other (specify) 2- secondary Industrial Institutional Standby Water Well Contractor: Name: Address: Aior/ #m / (Jz-sv � t,,5 2- b Reason For New W2u . 't� f� i Abandonment: Description of Work To Be Performed: ! 14 p"' w -?13 ��yJ d,�,��� Date: `�U_t Applicant Signature: PERMIT This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and/or Part 75 of 10 NYCRR and provided that: Within 30 days of the completion of andonment of the water well, the applicant shall submit to the Department a certified statement that a info ation d eated on the application for this permit has been completed. J)13 Zo f Date of Issue Permit Issuing Official Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WA -97 -30 E. S-.14 019 -;0 9 09 OL, SURVEYED & PREPARED BY BUNNEY ASSOCIATES LPM.D JVRVe)"'OPS 20 wooDidglelD64: Rcgla KATONAKNEW YORK ,---? .- . ,Z/ - . F) .- Z2" -I S. Cl) x 11,11F Z. or /vi, 98 lk t V � -30 E. S-.14 019 -;0 9 09 OL, SURVEYED & PREPARED BY BUNNEY ASSOCIATES LPM.D JVRVe)"'OPS 20 wooDidglelD64: Rcgla KATONAKNEW YORK ,---? .- . ,Z/ - . F) .- Z2" -I S. Cl) x 11,11F M x Invoo -'NORMANANDER-SONLWC 152 BARGER ST, # PUTNAM VALLE Y, NY 10579 Date Invoice 5/4/2005 3400-1623' P.O. No. Terms Project Description Rate Amount 1, 1 TAX MAP 83.83.1-19 VALLEY WELL PERMrr '0 6 ..LD. WELL. foot @ per 6"' 13.00 40T; �F �pq v Tog 02 XUPTAM VA EY - Dep rtmen t of-Healtb. �''Di is ion Of Sanitation A Dt5TGTT DkTk SHEET ��PARJ :Tti . SENTERAGE SYSTEM i Located at.(.(,.", -pf Ovvne,rP T' oca'GIOD.O Block.... Lot. Lot Are , a Bia T�rp e 0 ccupa ic Sour6e of water' supply.: driiIed_dtiveb_d,ag well,_8prihg-public. :,:.. vo • 01? Izooms': 0 m • ... Bedrooms .','.Future .... FIXTUpES: Kitchen-dishwasher. Garbage-gr athrooms, - - - Automatio laundry.P .... SE ".-AGE. FLOVI 200 gal./bedroom)�,.:,. N Nnereased capacity- re quire d'*.'L' or P-.AVb,9LgSe grinder j0 ° o• ssP,0LCCP--O flo ."lin :�.dept T.01)K, CIi.PACITY: gait"Ans below.- vj _e; TANK MTTMIA , 4 total depth P: . . . liquid depth. - • • 0.0 length. . . o o 0 0 a P art SOIL TESTS: M. in. 2d' '13 Soil to. 5-foot (lepth....... ....... ,.,,•how; knovm, 0 • P i Tests made by..,. when ......... A ' MORPTION I'M allowed �.Qhecked by ............. t Galjons,.•.... Rate..•.,., Require s. sq, I.t. bott.01(1 area ILI ol6l 3117 o2 c -- - - - - -- --- - - - - -- - - - - -- n 130.40 8 l39- — - - — — — — _ — B / — — — °I -- - -- — — — — — — — — — — — _ _� —8— — 14V ° -- - - -- - - -- a P/ IV 22 PJ ffi 104.36 — — — — — — — A.Gi 06161 a — °— — — — — —. 139.89 N ° - DRIVE - - - - - - - - - - ----- - - - - -- - - -- iJ 9 - PJ N — ° _ - -- O 137.86 -- — — — — — — — — — 11 of O 104.36 - �r 9r.90 r -- — — — — — — — — — _ $ i I I — — - - — — — — — — — — — — — — — — — ev _— _p Bl — °O -- - -- IO - - -/6 — — — -- — — — _ S /J v BI 1 i 361 I g z m--- - - - - -- — — — — — — — — — — — — — — .. 1 P1 1 to i i 23 /B /J — — — — — — — — — — — — — — — — — — — — 1904 _ — — �, 5 9o.s6 sn 104.56 _ _ — — — — — A7 d — /s 9/ — / — — — — -- - - - - — — — — — g/ M — — — — — — — — — — — — — — — — — — - 154.41. y_ _ /I s - — _ — /l .Ri e ro — — — 9 JS - - - - - — — — /J N 19 _ - -- l9e /s B 192 Iga'. 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LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Noonan Anderson, Inc. 152 Barger Street Putnam Valley, NY 10579 May 16, 2005 Dear Mr. Anderson: ROBERT J. BONDI County t` x`edathw Re: Proposed Well Moroney 35 Oriole Street (T) Putnam Valley 83.83 -1 -19 A field inspection was conducted on the above referenced lot by Brian Stevens, Public Health Technician. The application to replace the existing well is approved with the fgllow.ing ..stipulations :. ...V:.. .. s - . 1. A minimum casing length of 100 feet is required. 2. The existing well is to be abandoned once the new well construction is complete. Please provide notice to this Department two days prior to abandoning the existing well so that this Department may witness it. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion by the permittee. Please contact the writer at (845) 225 -5186 ext.2235 if you have any questions. Sincerely, Brian R. Stevens Public Health Technician cc: RM, file Mr. Moroney water Supply Seen (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (945)27&4130 Fax(845)278-7921 Nursing Services (845) 278 -6558 WIC(845)278-6678 Fax(845)278-6095 F.nriv Yatervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 02/18/1994 02:36 845-528-1490 NORMAN ANDERSON INC PAGE 01 .. r .r.b;,u'p„:':p : :io w�ylK` -�dtEti �::e ?.�.. ^a, :..��. (titi.i^ l:a v.. %�.. ._. .Gi.:.:. _. :�_ ' °, ... lit ���. �# � ��' ♦'� � i'� ♦ r.at •nor c.or /,e IV I Nf 14 Ah a .0 t4a 70-5 f - I � i "V Aro rte! on rm t o 0 RIO SujtvL-TM a PURPMED By BUNNKY ^SSOCIATIES Z40 PP. Y0ftK 9,6.8 ty NO O f -: .. 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