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HomeMy WebLinkAbout4403DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 84.11 -1 -4 BOX 33 ,ti , f ` , eir 1 1 1% i F r Tom, r r 04403 :PUTNAM COUP D' Won -o f E vrronme, TIFICATE, OF ,CONSTRUCTION COMPLIANCF( E TY DE PA RTMEP 01 Hse/th- SeM0 'a, O `SEW .AGE DISft �aOF"HEALTH `� nn 1 Ir/n% N Y n1A61? rermit r V • L:_[� °�:J ,L SYSTEM �CITNAAA V ®tL sf Town LOtateG at I�' F' Nr %L� Y_ �V ""Block Formeily Tax EMap Lot N. 1 I�b .;SukA lot N.' �1Nnefr _ ate � 1 %� r /�C�t, i z "-' ray 3 -�> q, � � x Seeppara �5e' era�J'ge rSystem built: b•Y �..Ir�[rs� 1S "� � � �''p'NAddress �9C e�YTw� �� �+CT ,Y• �� Corislsting of Q&_1 `Septic r'• �F 2 eta a 5 Other requirements / N Water Supply Public, Supply From s l j r �..'� .w. E r� ysf��'•G.� ' a'1 IVI�a.% • ;:b'.� Private, Supply Drilled 8y Address 4— LJe - -�=' �4 'v, w Buildi'ri9 TYPe L _ No of Bedrooms °., Date Permit Iswed" Has Erosion Control �8een Compli tedi 1 o - y Y 9,, P .. ,. Y P omp work (copies I certif that the a stems) as_ listed..servin the above• remises were c6nstructed essent all as'ehown on the lane of the c leted of `which are';attached),,and in ;accordance with ,the standards rules and iegul$tione in accordance wiih, he filed plan -and: the permit issued by the ' ,...,,:�, „PUthani TCounty ;Department: Of Health' '� ,,.yam �* r�'r ,+•�.H. ,�r- '- •- •; °�r'� -<--+� , vc rrym,- };:Fk�w, �- zN ��•!.:'� s,��r` ,• ,.Date�� • �4 } Certified byx' P E R MA- PA Addreu lclgna No. Any person occupying premiss served.byahe above systems) shallrpromptly take wch action -is may be neeeisary to stun the co►netlon�;ot any uns.rittary .'' conditions resulting from' U6 ;usage "/ipprovalt'of the 'sipirate sewerage system;atiall become null and vol d> s soon:`a6 j `'publk 'pnit N low. bdeomef - available andiheapproval,of°,the private water supply.shall.beco 6611 and'void;;whap a'pub er supply'bacoines availabla:. Such approvals are` I subject to modif.ieatlon or change when,: in the Judgment of t e° mi stoner of Health; ch:r' cat ion,.:-modlfiwtlon. or changa'la,naceas Oats BY TitN 777777 777�� i I r _ p PUTNAM C®UNTY DEPARTMENT OF HE AY.TH Peet r PV =2 2 -8 3 Y �` A Division of Enwronmenial Health Seiv�ces Carmel N 90592 f � .A CON,STRUCTBON PERMIT FOR SWAGE D9SPOSAL SVSYERA Putnam ValI6v Z W. u. "Located at Peeksk Hollow Road. y' r TeX ►vtaD74.,_4 T7Blocx _k Al -JaY Cottacres. Co e''� ft i } Lot M 2 Renewal Revision Q 5ubdivifion sc Peekskill Ho11ow Rd Put Valley �iyi 6/25/ 9 .i A Date Of Previous ro.;8 :Owner /Address PP Building. Type C 1 `Fain R @S ` Lot Area 10: 313 AC Fill section Only ❑ A s 4 60O f Deg' n Flow G P D P C R ti on r Number of Bedrooms 9 / O tip zr -� �e' Separate; sewerage System to consist of _�� Gal Septic Tank. and $.' " 8 ° Dee O S K'aatLk Nit nam al ey,` j To be constructed by Add.ess 'from' V r`' ,Water'Supply Public Supply Pnvate Supply to be dulled by N, `Ande'rson= - Barger P V 1 NY i Other Requirements # k' I represant that 1 wholly and completely responsible fo and location of 't_he proposed systems) '1') that the .:separate sewage:dispoial,aysterii ,5m xthe�design r described will be constzructedasshown on`the;ppprovedlameridnent thereto, and accordance with the!atantlards rules an [egu avonsO e Putnam,, j „`;above k - s. t ,County Department of iNeetth, :and that on completion thereof aeCertrficatef„ of Construction Compliance' "satisfactory, to the~Commissioner of Health.will submitted 16,­M6 Department °:and a wntten guarantee'`will be,furnishedp the owner his ccessors-' heirs oFassigns ;by the` builder,.that'said:builder.will pI ace m good operating condition anydpa►t of ;aid sewage d�sposgl system during-;the ,per o of tw6',i ) years immediately lfollowing;thedate`of the itsu= j ' :ante of =the appioval of the4CerCificateof ConstrucUOn Comphanc: he:originalsyste r any r`epa�ia tAeie o 2)'4hat the`drtlled; well desceibed above M� :.:. will be located as shoavn on the`approvetl'pla`n antl that said well wUl ti install_ in.,accordan e ` ith thestandpro , rules, and iegu a— Tiions:: of the' Putnam K COUnty;;Department of Health r 9` - YN� :scoot w; Ada►esa a o ac 0 License 110 56 ,NO;,' APPROVED lid .66NSTR6c.nbN This approval. °exp�►es one yea► rom �e dat issued unless construction .o the budding 'has been,,undertaken. an :7 . '+ ►evocable.-for rouse or inay� be amended or inod�t�ed -when considered ec r'y,` �b theaComrnis o r 'oi Healt Any, change or alteration of ;Onstructioh' ,. x -�.y �. tom' n..' requiresxa ew. Derma 4A roved for disposal of ,domestic wage': d o rivet y onl Rev 9 r a , z It 4 PUTNAM COUNTY: DEPARTMENT--'40F HEALTH: Division' •of_ Enwronmenial. He�alih Seiwces� `Carmel N`�� Y f0512 - - _ ,J CONSTRUCTION PERMIT ,'FOR SEWAGE DISPOSAL SYSTEM 1,� L t " 3 Nti tr x� :., •""�,;.;*.t ,msµ y 77; ;Y OWII .,+^,"'""..r,�- t Ru$ " Located at �'�� � L L L �1. is i�i.l� � • - Taxy Map /� �'� , 1.Block Lot' x "'- SubdrvisiOn t F' °Subd �LOt H Renewal _ Revision v 2 a :Owner /Address' %E FMK L ' L.Lr� ♦' + L Date'Of Previous Approval �tBuilding Type Cy�/..IV�. �.5, L'Ot Area ' • v S Fi11 +Section Only ❑ ,. .Number of Bedrooms Flow G /P /D Notification Required /� P C H D �I� ,t e Separate Sewerage System to consist of = L� o Gal Septic Tank antl��JT `+LJ�e �i/YI C/�/�Gsu �1r4 -a�iV �� S R _[' �:� - To-,. be `constructed by W Address C T f�lc Od . �`' R.1 •IDS Watei`SuPPIy. " Public SuPD.IY` From 1 Private Supply to be drilled by lit FU // ++•� / ! t Address ,V l ► �✓ s'Y i N k 1 Other` Requirements ` rl represent that f am wholly and,-completely responsible for the design• and location of ,the proposed fyrtem(s) , ;1) that the sepaiate sewage dispos�lsystem :above:.described.,will be:constructed',as shown.on.th6.approve`d, amendment +thereto and_in accordance w,itfi the standards,:rules awn :r i ions u�nam County Oepantment'.'ot' Health;; and that.on'completion thereof a Certificate', of,'Cohrtructi'on Compliance satisfactory to the Comrriissionei of Heelthwill be submitted to the Department; and a: written. guarantee will-beJurnished the owner; hissuccessors; heirs of assigns;by the builder, that sald.builder will . place in goo "'operathig; condition' any 'part of _raid sewage disposal syrtem during ;the period ot. two (2) yegis Immediately following thedate of the Issu• j bode of, ,the approvah of the iCertititate;:o1 Construction Compliance of 'the original; system or any repairsrthe'►eto; 2),that-the drilled. well desc►Ibed above: �' ;wili'be located'as'sharvn on the approJeif, plan and',that said well will tie, installed in accorddnce :with tlie_'- standardi, .,rules and 'riqu.aT o� or ss .Of the Putnam County'De artment f Health Date Signedf.+ P.E. R A" I Address L dense No.: APPROVED FOR:CONSTRUCTION This appioval� expires one yea ;from the date issued unless constructio,_,,f the`building,:has been - 'undertaken and is revocable for" cause o► may be amended or modified .when co d n_ ecessacy by the< Co s o er of Health; Any <Charige- or alteration of COnKruction j requires a pew p mil -'A wed for disposal of.domerti sand sewage; a d /or °p vale.„ suooly only ti Date�� Y. S ° Title a r ,Rev 9 81 - + -, w . �'. �. ,..•o. .i • .. .s. .... 4.. � ... ,• i .., .r .... v. •'YL < -. .1 .1: ]n. rs .. �. .•J....w.. .a. .... .� •.. � J •r .• ... v .• <A• ♦n .. lJn'w. ,r♦ 7`{ t ; "�� Drvrsron of CONSTRUCTION PEER POR stWAGE D Located- at P6ek Gka 1 ] R61 1 dw Rp Subdivision A1- �Ta o ales GO owner Al Tai• GoftagQs Go Building Type 1 fame lY resldencGE t Number of Bedrooms 4` Design Flow Separate 'Sewerage: System to consist of 1 '( To be'constructed by • Pat-1 IC3Stl]�{ :.-Water Supply Public Supply From * Pnvate'Supply to be drilli 4ddress Barger S`.1 - -- - - - - -a F' K 01, RT� l l ® A ISPOSAL MTERA P nam Vall ei : r ,.Town or, illa9e k 1 1 Other Requvements ** s rr d� ameter 8 t 0 (;represent that 1 am wholly and completely,respon: :above described will bi§ constructed:as shown on the; County Department of - Health; "and thatfon comp bb submitted 4o the-Department . and 4-Witten !i place in good operating condition any pa %t of as ante of 'the approval of -the Certificate of Constl Putnam Valley New Yo'r deed esig(i and location of the proposed system(sj; 1) that. the separate .sewage disposal_ system i l l- dis will be located, as shorn on-the approved plan and that said well will bemu County Department of Health rate - Ma v` 22 19 79 ~signed �'. Address RR M t oot} N APPROVED FOR CONSTRUCTION This approval_exprres one year -.fi ;revocable -for cause or may_ be amended or modified "when consrd'ere 'ne requWas a _new permit Approved . for disposal of domestic sane r' Date r there, to and 7n ici&rrdance with the standards, rules an ,regu a loo o e .0 nam ificate of ;Construction Compliance. satisfactory to the'.Commi3sioner of Healthwil(' nished the owner h�sR•'successors heirror assigns.by. the "builder,; that said builder will ystem dunng:'the period of'fwo (2)= years, immediately _'follow i(ig --the date of: the issu _ if the onginalrsystem'or any repairs.thereto, 2); that the -tlrilied ;well described, above • I stalled m- accordance -' dhthe,stand`�ds, rules and;�regula;is, 'of •the:- Putnam - RA NeY. 1 license Ivo. 11056 > - e date _i ed unless :'construction; the.buriding _has been uridertaken'.and is essary, by th' Co ' issioner.,of Hea`Ith. A;ny change - or `aiteration Hof construction ya g a r: pr a ter.•' Title : ' PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM :.,..%x.,- .-,., �-�_ t. __. , _ ..�. ....a.. - ...,.. _ ate. . -, rn•- a;- ,_- kEr:- o.-:m.ro.....d. �.:a` - -.- c> >. c. �a,.. u,...,,y.�...ayo,...- .- e..��, o. o nom. Peekskill Hollow Road 72-4-17 Located at Tax Map Block AI-Jay Cottages Co., Inc. 2 77 -132 Subdivision Lot Job Al -Jay Cottages Co., Inc. Peekskill Hollow Road Owner Address Building Type One fami 1Tres- Lot Area 1 311 3 Putnam Valley- � Y- _10579 Number of Bedrooms 4 Design Flow 800 Total Habitable Space 1 500 Square Feet Separate Sewerage System to consist of 1200 Gal. Septic Tank and 4 precast concrete leaching ** Paul Kastuk Peekskill Ho 1 1 ow Road To be constructed by Address Putnam Valley, N.Y. 10579 Water Supply: Public Supply From * Norman Anderson' Private Supply to be drilled by Barger Street Putnam Valley, N. Y. 1 Address *J. 81 -011 diameter a 1 -011 deep. ��1� Other Requirements I represent that I am wholly and completely responsible for the design and location of the proposed s); 1) the a mA sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance tpe st ar � r es a gg a ons o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Co pli nee" r �ct �y t Issioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his succe heirs t "''ns'6° he b it , that said builder will place in good operating condition any part of said sewage disposal system during the ri o w (2) y �S(ir�im4 i ely f ng the date of the Issu- ance of the approval of the Certificate of Construction Compliance of the original sys em an rU irs ? i the dri d well described above will be located as,shown on the approved plan and that said well will be installed in accords c ith , nc�ards, $s and r y ions of the Putnam County Department of Health. ��, ✓� 05� Date — ALUUSt 15,' 1977 Signed P•E. R.A• Address Box 417, Katon h New �'Vrk 10536 Licen a No. 11056 APPROVED FOR CONSTRUCTION: This approval expires one yea from the date issued unless str tion of the building I as been undertaken and is revocable for cause or may be amended or modified when consid a ey�e,�sary by the Commiss' r of Health. Any change r - ration of construction requires a new ermit. Approved for disposal of domestic vita s a e, or rivate to j 9 Date -� �/� ? / By Title ` l 6SY Owner or Purcliaser of Building Municipality QjZQ 1-4 j5tE, &t4ST. eGe;P 74 Building Constructed by Section V19-r=kO .1-14 1+ J�JL& iJJLWLJ �/_Vl Location - Street Block Building Tyle Lot GUARANTY OF SEPARATE SEWAGE-SYSTEM I represent that I am wholly and completely responsible for the location,.workmanship, material, construction and drainage of the.sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health, and hereby guaranty to the owner, his succes- sors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately folloTJir_g the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- :t '. : Yvlobs_of -=the. 1.1 tnam,.Courity .Department of Health as- 'to whether -br -rot the' failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the sy m. Dated this day of (%C• 1994 Signatu Title If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of_Eealth :j X WiLk COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF wit Dk4ol" Of 9111141111111111 COUNTY OFFICII BUILDING,;,.. CAMUL. NEW That report is to be completed by.vqll driller and submitted to County Health Depa!tmqnt.,taB@tNr,with laboirstory.report y REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ADDRESS C.roniser Construction Corp. Box 26, Route-82, Hopewell Junction, New York 12533 (No. a Street) (Lot X"00601r) own Peekskill Hollow Road, Putnam Valley LOCATION OPWRL US1 of WIFUL BUSINESS DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TM WELL PUBLIC AIR OTINIER SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING DRILLING IOUIPMEN, COMPRESSED CABLE OVIFIER ROTARY ❑ AIR PERCUSSION 1:1 PERCUSSION ❑ (Sawlfv) CASING MAU LENGTH (test) DIAMETER(Inches) wvoki PER FOOT CASING 910VTWW 100. ft. 611 17 lbs. THREADED ❑ WELDED 1WfffYES 36MtN0 Tyn' Ll No I HOURS O.PJA. YIELD (G.P.110.) ❑ BAILED ❑ PUMPED 0 COMPRESSED AIR 1. hour 15 15 MEASURE FROM LAND SURFACE -STATIC (SPOC/li RING YIELD TEST feet) Depth of Complol" Well in foot below Land surface YIELD UST LEVEL DIFTAU MAKE LENGTH OPEN TO AQUINK i—ftu SLOT SIZV_ DIAMETER (inches) IF GRAVEL PACKEDt Diameter of well including gravel pack (inches): GRAVEL SIZE (lnchos)� feet) To faefl N. M FROM LAND SURFACE . N DESCRIPTION S ketch sketch exact location of well with diatences, to at t000f two permanent landmods. FEET to FEET 90 Sarid and Craypl 90 115 Limestone Of yIeW was tested of different depths during drilling, list below FEET GALLONS PER MINUTE UN WILL COMPLETED 4/24/E O.ATE OF REPORT 4/26/84 J VYEI� I_ DRILLER Pignatpre) Patricia E. Freligh, Vice President ti 1".,,`�;,4. ♦ V ZV i. `J' , INC. P.O. Box .10 Hopewell Junction, New York 12533 .Laboratory Un'If 'St.. & 316 . Hopewell Junction, New- York 12533, Phone 914- 221 -2485 ;. ' ®i"r' d_Rep.t Tc #sbes r� ;r No. 84 -b -2279 Address* Box 26, 'Houdwell Junction Received 7/19/84 Sampling Point & Address: 1,dt 2 g63 l pud E Pg&jL&ki Time Set Owner/Buyer. 1Vamee Addresss T'elo .N�o .: Treatment: Chlorinated Softened Other ". Sources Drinking Water System. .,XX Other Collected BE. f`rnni GPr Dateo 7/19/84 Time: BACTERIOLOGIC EXAMINATION OF • WATER Examined Total Coliforxaz Count AlioF'aTo 1 leer 100 ML . Fecal Coliform Count M.F:T. .'Per :100.ML � C Fecal Strep Count M. F. T. Per100 ML 'Total C ®lfforan Count Mm �' ®1Vo Per 1D0 ML Bact raolo ist .; wGt�tL �: . Fecal Coliform ,Count ...fit© P.No Per _100 ML Sterile Blank Per 100-ML Date Reported /Mailed -TT14ESE RRESUL,TS Ir1DICATE THAT T'HE WATER SAMPLE DID DID NOT j. MEET SATISF'ACT'ORY SANITARY ..QUALITY WHEN COLLECTED, The .esults of these tests represent a.physical and _chemical, analysis of the. sample as ..delivered to this labo.ratoryo This laboratory assumes no responsibility for the identity of he` sample or. for 'the sampling technique-or storage procedures employed prior to ' 6e, receipt of these samples at this facility, IEMICAI.. AND 'PHYSICAL EXAMINATION OF 'WATER Chemical Examination .:(Results in Milligrams Per Liter . 844k`-3050 Ammonia Free asN Arsenic atECOMMENDATION ,Nitrites asN +,..: Barium .:Nitrates asN -= Cadmium MBAS (Detergents) 0,02 ' : Chromium Sodium Copper Sulfates _ Iron Fluorides ;. :: Lead 'Chlorides :` 4. Mari tines 0 0 0 Physical Examination .__Hardnass, Total asCaCO Mercury - Color w Units - Alkalinity asCaCo Selenium Turbidity Units 01 ` . Silver Odor Units : Zinc <Conductivit Units The chemical parameters tested are jj ftpp�- kwithin Reported by ' the limitations of New York`State drinking water standards and the Maximum Contaminant Levels of Date deported 2 84. the EPA when.the water was. collected, The results circled represent those in excess of the limitations, Putnam County Department of Health Division of Environmental Sanitation AFFIDAVIT - CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY- HEALTH DEPARTMENT TO: Commippiolner of Health In the matter of application for repreeent that I am an officer or.em'P loyee of the corporation and am authorized to apt for /94 Q_;; 40�� - _!. - 'X " (name of. corporation) haying offices at .7 f -- Whose of ficerp AM President dr7es Kd- and F) Vice-President M 30 WE __ amq'4Pd7Adde6T _ Secretary �, 7' r9l CZ 19a., I,/"- WW R" "(1474W —anU Kd­dr;e7s'g)"�_ Treasurer !4 '7iI_d"XdcTj_ (Name. e s"W arO that I am and will be individually of the corporation with respect to the sequent acts relating thereto. Sw 1. 1 Qrp to before me this dav of N A N URNS NOTARY PUBLIC, STATE Of NEW YORK QUALIFIED IN PUTNAM COUNTY No. 4607700 -Commission expires March 30, 19 74 responsible for any or All nets approval requested and all .pub- Signed .4U<,e_ e, Title Corporate Seal e PUTNAM COUNTY DEPARTD04 T OF _ HEALTH' p ..._. DIVISION OF ENVIRONMENTAL HEALTH SERVICES. Date August 1 1 , 19T7� Re: Property of Al -Jay Cottages,Co.,'.Inc. Located at Peekskill Hollow Road TM 72 -4 -17. Section Block Lot 2 .(Gentleman This letter is to authorize JOEL LAWRENCE GREENBERG a duly licensed professional engineer or registered architect ( Indi.cate ) to apply for a Construction Permit for a separate sewerage system; to serve the 'above noted property in accordance with the standards, rules / ;t�r� :� ::� }t�ni,l;tl;e�i by l;h..C,c�ion�x of the P�tt�rm Catnty oI ;ul� Department. of Health, and to'sign all necessary papers on my behalf in connection with this matter and to supervise:the,const.ruct.ion of.said system'or. systems in conformity with the provisions of Article 11.5 or, 1117, Education La �e_'ptip c Health Law, and the Putnam County Sani� tai'y Code Very truly yo s, Gnua.�j3�.�.1 Signed �i SFC 110 o``� Owner o P perty r NE`s =_-- Peekskill Hollow Road .. Countersigned , "T Address Putnarn Val ley, New York 10579 P.E., R.A." # 11056 914- 528 -2380 Box 417 Telephone (Seal) .Address Katonah, New York 914 -232. -5033 . Toic3p hone 0 • �- ��� ' � \._. _ ..,. �., �.... ......,mv.�.�,... .............. . v.._............ .. ,... I'' J ��. �� r �iy �i•..� ii.. '� �M'... �^'0:::/y'0 +� , __. v`dw P.,, 'r3 .>a77 e`R a,�"�F.:•Wwm � ..�i :'r. ... n;s,Sa'0 i.. . - +9+N •. -. �.cit �..at�:�+.�+W��^�'u..:en. ice. .i :., ...i.. �� ~'� JOHN KARELL Jr., P.E., M.S. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Richard Domato 261 Peekskill Hollow Road Putnam Valley, KY 10579 Dear lair. Domato: August 26, 1991 Re: Proposed.addition Domato, Peekskill Hollow Road (T) Putnam Valley - TH 072 -4 -17.2 Putnam County Health Dept. OPV 22 -83 I have received and reviewed the.plans for the addition of a master bedroom, To the existing two bedroom residence. A review of our records indicate that the construction permit issued for this residence, was originally for a three bedroom dwelling. - The .,gonstruction. compliance. issued or: August 9, 1989 also indicates that the sewage disposal system was constructed for a three bedroom residence. Therefore, this Department has no objection to the addition of the master bedroom as indicated on the floor plan. The total number of bedrooms must remain at no core than three without prior approval by this Department. 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 yours',, �'�.iCi•�.I. - -'`inn 1` --••- �"i- y ��~ Via•'+ William Hedges Sr. Public Health Sanitarian WH/jp cc: BI (T) Putnam Valley n Richard Domato 261 Peekskill Hollow Rd. Putnam Valley,N.Y. 10579 Mr. William Hedges �f Q Putnam County Health Dept. 19 70c.�f / 110 Old Route 6 Carmel,N.Y. 12512 August 19,1991 Re: Bedroom Conversion. at 261 Peekskill Hollow Rd. Putnam Valley,N.Y. 10579 Tax Lot 17.2 Block 4 Section 72 Permit No. PV2283 Dear Mr. Hedges, As per our conversation on Aug. 15,1991, in reference to my converting a one car garage into a third bedroom,please find enclosed a floor plan of the dwelling showing the existing layout of the house and the proposed alteration. As discussed, I will need a letter stating that this alteration will comply with the current county sanitary code:Permit No.PV2283.' :,Also•.;along with .the letter of com_pliance., y�ou� will be sendingc me a copy of the current septic system layout. Thank you for all your help .If you need to contact me during working hours,my phone number is 914 - 667 -0565. Thank you for your cooperation, ichard Domato ° %a .1 ^� f itria/on of Environ 1 EN? y 1 - _�RI�gRIJCiB ®6� ��'�, �rnT®I,'•M y co�l�La�lICE ®R y�ya '1/•22 -�3 SE�1I,�Ca� DISC Permit o Located at SAL SYSTEM nor .p Separate $e ��OnV / Formerly 4� ��. Tax lisp n �L TOtYfI p t�� ;y Oge Ystem built by 9 0� k w 1 rl r� T°" �P Lot p °a aioc consisting of 114. Lot p Other Gal. SePtle Tank and Address requirements `4 Water Supply. Public Supply From s' Private SUPPIY Drilled By Address' •.0 Building Type ES flas Erosion Control Bcn Completed? ' Poo• of Betlroc 0,t certify that the of which sYstem(s) as listed are serving �tnam Count attached). UP H alccordancith the ebOve Premises were 1 << Y Department • th, tandards• rules and regu ationsesse tiallY as ehc,, on the on with the filed planf and Y�Pleted work (copies permit issued by the ®cbg' AJOR -77N Certified by Any Person Address conditions resulting �0fnisos available and oiling fro sOreod by the above f P.g,_� the a m such usage A tYStem(s) shall R. sub)eet to modifi Pproval O4 the Private pproval of the separate promptly tatc0 such action as LIB ration or Chang Private *he mister supply shall Deco tn s0w tYttern shall beeo Ma �ieass ►Y to � Poo. n. ►n cf y g� n Data ` the lodgment t d void wr hen a pub° null and;vOid as � P° tho corrOctlon of an donor of health, °r suPPt o Public Oanitar Y unsOnitory Y bolo ova 16,6 beeornos Rev.. s -e1 9y_ .t.M.. .- Ch r cation.-- _modlflcOY on Or chongo Is np Opprrovols Oro 4 'r. 3 pant of the buii_u1,,, Tteto The undersigned further agrees to accept as conclu��v„ termination of the Director of the Division of�rnvironmental Health Ser- vices of the Putnam County Department of Health,las to whether or not the failure of the system to operate was caused by;,the willful or negligent act of the occupant of the building utilizing the sy M. of da s a Dated this y ��, 19�� Signa. u Q Title" _ j :.If corporation, give name :gand address) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - rrWP'P-W fl) PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES : _ =e(11JNTy OFFICE BUILDING,- CARDEL, "N . ` Y: 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Al -Jay Cottages Co.,Inc,Address Peekskill Hollow Road, Putnam Valley, N.Y Located at (Street Peeksk i 1 1 Hol 1 owR56x. TM 72 -Block Lot 2 �Indicate nearer cross street) Municipality. Town of Putnam Valley Watershed Hudson SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to Water a er ve No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 1 8:10 - 8:28 18 36 39 3 18/3 =6 2 8:29 - 8:47 18 36 39. 3 18/3 =6 3 8:48 - 9:06 18 36 39 3 18/3 =6 5 2 l' 8:15 - 8:33 18 -36 39 3 18/3 =6 18/3= ..:. _.... �z..__ 3 8:53. - 9:11 18 36 39 3 18/3 =6 4 5 , 1 2 3 I- 4 5 Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. 1 HOLE NO. 2 G.L. 6" 12" 1811. 2411 3011 36" 42" 48" 54" 60 66" 7211 410 HOLE NO. 3 ,Tr) so 11 Topsoil T Topsoil _ Sand & Stones Sand & Stones INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED - None W 120" INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - N/A TES9S MADE BY Joel Greenberg Date July 7, 1977 DESIGN Soi�..R e €tsed 6 -7 Mir 'Drop: °S�:b. Usabl6 Area Provided . SOO:O s s f No. of Bedrooms Septic Tank Capacity 1200 Gals. Type p re, rete Absorption Area Provided By L.F.x24'— width tre IR Ro ENCE (4) 3' -0" diameter x 8' -0" deep precast concre leach �TamE Joel Greenberg Signature o _ Addj--ss Box 417 SEAL Katonah, New York 053 v AQ9 A ,V -k- 011056° TH2 SPACE FOR USE BY HEALTH DEPARTMENT ONLY: °� NEB Sol; Rate Approved Sq. Ft /Gal. Checked by Date i t 7 ,v�9 TftX GeT /7 Z I3GdG/f Y j: SEG 770.E r 7 Z? Y„ p was ,ems e/!�C .g 2 D Z37-. C7o ,A TO CfI'il ENE M. .t7o M�Ta 13ED eoo�'I r FvLL « SMALL 9GRT BATH c L, BED srA: c+ 200. A uvo e5 2 ooM L /�i.vG 2 oo," ��. HALL_`,iAY r- c t. sTEe Al UPP� 2 p i,�i G LEVEL BEO,eooM i(�TcNEN �2ooM �G0o2 PGAN ..rte..... .. .. .. -. .�.. - ....�. -. _. ... �Y±.m - T_ z r �C y Q l M D E a PGi4� s E f3ASEi��ivT \ lAr Le AC#4 i N 4 \� \ R BIW2 )A t000 46A L. 47, '?PefT 1c, T"'L I FAMILY 1 CJ )a K 1 ----- - ----- P A,:',, two Lo6A-riotj/�� A P> c- 4101 14' 12+* 514 4 7S8 Putnam County Department of IlealtA Division of Environmental Health Serv'cet ►p;roved as r.Otcd fc'7 conformarce "Ith akDpjuo�albble �I�Tul anx paCulatiors of the co,anty DVartzent. Date .. ture & it lkl' 077�� . -- I Wol A t2ol 17- g' FL � : L , WRF. U AIR, HM 214"IF -C CT. , GREEN W PLA I V D a' e: 7 AUG 'A41