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HomeMy WebLinkAbout4544DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.05 -1 -25 BOX 34 I low I,yti �, ' E6 - ' .., � ♦, ' } .i L ■ T I m ` Ir J '.,, I r m FJ -1 lrilmml-%-P� 04544 .Nd"'er of ` p �� rate a �-To',be`,'cone Water ,Supp ttier e L r r nt-J G1 PUTNAM COUNTY D�PARTJ-TENT OF HEALTH n= I? 1 V I e T rY .(� F :L:y ' :1. O:: -RIEN '•AI -i -- REAR -T _,.. Date M Al2" t,91 Re: Property of Me, Ox44011,As LA W1 B a iZ r I. Located at GAe0 0 Section Block Lot Gentlemen: This letter is to authorize Me. TO,4 t-a �• ���� �� � a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit for a separate sewerage system; to serve the above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in* .connection with this matter and to supervise the construction of said syster'ri or systems in conformity with the provisions of Article 1 ,1,55 or 14 7, Education Law, the Public Health Law., and the Putnam County Sani- tary Code. Very truly yours, Signed o ner o Property p IAL Counters:" ned Address P.E., R.A., 9V (0 � D Ot yI'' "'A� Telephone Address J < N E,� -7 6 5 Telephone PUTNAM COUNTY n PARTMEN'P Om HEALTH DIVISTON. OP ENVIRONMENTAL J01 T,TIi 'S0VIC'` 3iV`I'Y .:QFrUM. BU1 -T--D `JG : iol DATA S - SUARATE SEVAG� DISPOSAL 5 4 Mw �A i Srtzr 111/((L, .l�lcNoc.�4s ` Address N: - r �c d at'.(Sta�o ®� Ga2DlAJ� dZ, 12p, Sece Mock���.... �. .. n_ ca a nearest cr®ss R red uTr�AM .VALLEY Watershed LQ7L •ltRCOLATI0I1 TEST ATA RE UIR TO BE SUBMITTED 1-1I2'N A, .P�- UQ.N. 93?S �` .� .CLOCK '`il'IM yy pp (('��,jjp� ^P�ER'}COLA�'Z'If?N q(� �r_�D����$ i� FM1��O/(�. M YV. e8 Wa,�i3LS MM rap. fma Piam Craund Surftoe in 1 mchaa . 8611. t� . ^ _Stay DIU Start Step IDrop in InchQC� Trnc?neg InchQ:�.. ��Qa� ��•. 1 ©nJ 11�1C 77 77— .' •• !� �- ... ., •• -eta +mac t �.. • Vatm r 1) Tests to he repeated at man* deapth" untiX � r� tang . a a ®Mai d Qt e�aah g rc4l t oar t ®at s�� @p OF date' V® �3 Ubl.� V,GX-) 110 4. 2 . ��t� �imsuremento to be =d®. fm t0q . pf hole ,'',; • : ' i , TEST P'FT '1'0 V.,19.1i APPLICIAT10N M1111il- OP C7011" IN HOPIS ,I I.J 4, DEPTH HOLE NO. HOLE NO. HOLE NO. G. L. 611 1.211 18" 24'1 3011 36 421f 48" 54 6011 66 .7211 7811 8411 INDICATE =L AT WFAICli GROMM WATER IS ENCOUTITTER-7,T) INDICATE =,,L TO WHICH WATER LEVEL RISES AY, 'R DEI"NG ENCOUNTERED TESTS MADE BY 7• 14 s4ey arepr-&J—jC-e cell -Date 1-2-1141 'N. Sbil Rate Used to Min/l It Drop. S.D. Usable Area Provided �. F, No. of Bedrooms 4 Septic Tank Capacity IS60 Gals. Absorption- Area Provided By _2�S& L. V. _19* 36" IPAT mature Address 12r-L)'44 GF_YM7_Q_ pe-, AKA"O Pte- 1 ejy THIS SPACE FOR USE BY EEAI11T1 DEPARTMENT ONLY: Soil Rate Approved Sq.'Pt/Gal. Chocked by 4 '� f 1 BRUCE R. FOLEY. R.S Acting Public Health Dire -tc, DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914).278-6130 PROPOSED ADDITION APPLICATION :: (RESIDENTIAL ONLY STREET: (:alrq d i'4 ,0 TOti'11 f !/a���✓ X MAP u d mil— 2 Ste. r. A Gam• �_4 ,ONE , c 4V _�2, `7�5 �VEPNIT MA`IILING ADDRESS .. Description of-Addition Number of existing bedrooms Proposed number of bedrooms from Certificate 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 fore and the following to PU MM. COUNTY HEALTH DEPARTMENT, 4 GEN_VA ROAD, BREISTER, NY 10509, Phone`278 -6130 with the following information. Check-, for 1C0L'S: 2. Sketch of existing floor plan (all living area including basement, if any) Non= professional drawing is acceptable. 1 3. Sketch of proposed floor plan. 2 -5 Non professional drawing is acceptable. Copy of survey showing well and septic location, to the best of your knowledge. Include date'of installation if known. Include all wells and septic systems within 200 feet of property line. Any u stions please contact this office. r ^ "A y of Ce rt i f i cat e of Occupancy f rom Tar! or Cert i f i cation f rom Building Department of legal bedroom count of dwelling. OFFICE USE Comments and /or conditions application August 1995 July 1996 (Revised) i BRUCE R. FOLEY Acting Public Health Director DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 August 5, 1997 Mfr. & Mrs. Nicholas Lamberti 9 Gardineer Road Putnam Valley, NY 10579 Re: Addition - Lambert Gardineer Road No increase in number of bedrooms (T) PV TM #85.05 -1 -25 Dear Mr. & Mrs. Lamberti: 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 latest revision date of August 5, 1997 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: _ =as > ...tip v' 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. 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. W ip Very truly yours, William Hedges Sr. Public Health Sanitarian BRUCE FL FOLEY. P.s Acting Public Health oiret,.. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278-6130 ,7, 7 !8; Putnam County Dept.. of Health 4 Geneva Road Brewster, NY 10509 Re: 401 � Residence Tax Map Gentlemen: According to records maintained by the To-vw, the above noted dwelling is IS NOT in compliance with Town code and the total number of bedit-6"orns on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: ­ASSESSORS RECORD: OTHER 'u EA L .4 1 r ' � •��r 1 =jt'fL � '.:, lam•. :��_i :� _� 2 ..l � C"' 'C �J ,y�•4c�y r'v . fal .�� � _ .s£'�.C:,.�i3� -„ ��rC tip � r � Y. MUSTING FOUNDATION i J FOUNDATION PLAN qhfi Kil lk, 0 rad e Aes P-4 �'- Piare are no Adj*oillill 6,0hvoqa 0i - :op so gq a �i f As 4004 mr .wells Wilt-�4'r7 \100, 01 Me.. p I-Opo 3 d we 7 cf -6e P /.;C. coap, 4dde A -Zequi red Area a -200 q* *d x 3 /5 Co 127 6 -X 1' Acqu;red Zcm.?�h 'z Coa7'F-F, '�:,-,� n wi OR z F: — ,-o v /�Z(c 4"59-ct, P;-Ioe 40 Po um F0 4 r 6'ri ve 6SWAGIE' 0/6PO'944, 6YOTA�