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HomeMy WebLinkAbout4619DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.09 -1 -5 BOX 35 04619 rz • .r iy96 i L� ' k + "I t' �t 16 1 04619 1 PUTNAM COUNTY DEPARTMENT;OF HEALTH - Division of. Environmental Hea /th °Services Ca>inel; N:, Y. 10512 _ t n a1T! Vea „� ONSTR�1('TlON PERP�ILFQR S 1lVA- E :DISP ®SAL SYSTEM y (T) 'town of Viiiage t° s Florence Road ( Map No. 1319. fj Located at _ ^Section block z Subdivision Dx'lt FBrFn Lof �i Job ;Mich ©las Dubovsky 433 :Arcady RIDad M Owner ' - - ;° • ;' , ,Address Ranch 409 000 SF Ossing N.Y. }' 3 v Building TYPe Lot Area ' %- Number., of Bedrooms 4 1500 + Total 'Habitable Space Square Feet '12 �Q... ` it Separate Sewerage_ System to consist of- Gal Septic Tank 390 lineal feet X 36 width trench Ro ar Head ' 0a110 pi*- Hvllow R6 ad, of v To be constructed by -" � � p = Put a i ya116y, Nj l Water Supply Publ�c.Supply From r ;x Puckey: '0.11 Drillers,, Prlvate'SuPpiy,to be drilled by _ f¢ Address Sprout Rr obk, Road F6_6hskall, ' NY Curtia* Draie Ftcguir ®d miiimutn 15! frD1A sQt3e 13_n�ts_ . Other, - Requirements I represent dhat I'a "m wholly and completely responsible for'the design "and locat�on'of.;the proposed system) arate sewage disposal system above described -will be coristructed'as shown on ttie-approved amendiiient there to .and m accordancewithA regu a ions of the Putnam County Department of ,Healthi _and that on coMpletion. thereof a ,Certificate of- Constructioh,Complilr sf> ;to � Commissioner of'Healthwill be submitted to- the Department,. and i written guarantee' will be- ,furnished the owner his successoi ii i der, that said builder will .,place, in good,operatmg cond�Eion -any part of said sewage disposal system during the period of tev a t oWing: the date of the issu- ance' of the approval ,of the Certificate, of Construction' Compl�an ce of the or�girial system'•or any'r i sth f t i dwell described above iw;ill:be' located as showri- oh;the a' oyed; plan and that said well will 6ennsfalid, m accor6rice<'with t nd'ar. d aMons • of the Putnam County Department of Health 4' �' 1976. jf x Date Signed • P.E. R.A. Northridge Road P kskll, 027$46 Address �,ic a No. A. PPROVED FORFCONST'RUCT.ION This approval expires •one year from the date ;issued unle construat�of �ii' Grog has been.•undertaken and 'is revocable' for cause or may. be amended or.,modif�ed'whenionsid ' ' ecessary by the Com ss�o er,`of Healta.nge or alteration of construction requires a new permit, Approved ( /for disposal of, domestic nitar' ge riv e' supp(yronly -.Date / J- !- 6Y Title r t , Nk- s f PUTNAM COUNTY DEPARTMENT :OF d 'EALT�i „. Division` of Environmental: Health Services Carme %, N. Y 10512 Putnam Valley (T) .CE RTIFICATE_,OF ,CONSTRUCTION_COMPLIANCE, FOR SEWAGE ,DISPOSALr.,SYSTEM .. x ? Town or - Village r Banger Street &Florence 68 III 8 Located , at is f 3t . Tax Map Block♦ V Nochol s' bubo sk of l3 Job :Owner - - - - a � L Y Separate sewerage. system bunt by jbSepYl` P�'ieS Address T'Crompond :Rd, : Fe- ekskill, N. . j A .12.Q;Q 32'8 LF :Of x 36'" Trenches . Consisting of Gal r5eptic Tank and' other :requirements Domestic' Use „Water. Supply: .Public Supply From ' 4w X P.rrvate Supply Drilled ey Anderson Well lllers _ r Address Rar arm S raP l'Lltri iii VEill "N. Y. 107° i Bng Type y Frame ° No of Bedrooms tl:6aW Permit Iswed Has Erosion Control Been - Completed? Yo-° ®e °��p�pl EN�F�° � . r ,�E, , � ' " ° "`' - �bi� �hea��s�t �cd'inPleted'work�(co • ��... e. t,....tw.t.,tw.:c..�t....rc1..c uctnAS�nrv.nn tna ahn�w- nrnr`r�ises we`re_eonstru'cted`esse`ntielly •5s' �10 pies of •which ace , Date New Date 3/25/$7 A Certified by t Address a d 14 k411 Any person occupying premises served by the above system(sj shall promptly take such action Ss conditwns.resultmg from such usage "Approval 'of;. fthe separatersewerage syste shall ecom� ;available and he .approval of the private water supply shaWbecome riulhand void y hen publ subJect to m difitation or cha a when in the Judgment of the Commissioner f FI th su x? w` 'M ^' 7• t F a • _ .. .. i'' • t P.E V A. 6i reuse N0. 27846 .0 Y ( e o t4ure the correction of any'unsanitary i d �n'bs 'a< ublic;sanitar .csewer,becomes' yrBtsro �ppld becomes available Such "approvals are re 'ocat on; ,m d fi' Lion or ,change ,is'.necess8ry YORKTOWNAWICAL'i Rni Ort P n r .40 AESULTt'*oF.--Et)cA-M`IN AT ION DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 July 17, 1991 Nick Dubousky Florence Road Putnam Valley, NY 10579 Re: Propose, addition - Dubousky Corner of Florence Road & Barger St. (T) Putnam Valley Lot 13 Dring Farms Dear Hr. Dubousky: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and revieved the plans for the proposed addition to the above mentioned residence. The plans indicate that a,22' x 24' tvo story addition vas added to the existing residence approximately three years ago. The addition consists of a garage on the ist f-oo�r. Vie. second -story consists of a family room. The survey indicates that sufficient area exists to expand or repair the sewage disposal system, should it become necessary in the future. Therefore, based on the information submitted, the above mentioned 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. All plumbing fixtures must be replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. 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, William Hedges Sr. Public Health Sanitarian WH /jp cc: BI (T) Putnam Valley :w DAVID 0. BNUEN County Executive JOHN SIMMONS. M.D. Deputy Commissioner '' — — - DEPARTMENT.- OF HEAL H a .::.._ = Division Of Environmental Health Services Nicholas Dubovsky RD #3, Florence -Road Putnam Valley, NY 10579 Dear Mr. Dubovsky: RE: Dubovsky SDS Construction Compliance Florence Road Putnam Valley, TM 68 -8 -13 Dring Farm Lot 13 Recently an inspection of the sewage disposal system and well serving the above captioned residence was conducted by a representative of this Department. Subsequent review of Departmental files indicates that a Certificate of Construction Canpliance has not been issued for the completed sewage system, therefore, final approval of the construction of these facilities was not granted. While we realize the difficulty involved in locating older records, at this time it is requested that you attempt to locate the following materials and forward copies to this Department to complete our files: ��Well log fran well driller. Bacteriological analysis of water supply. ,3! As -built plan prepared by the designing engineer or architect. Procurement of these necessary documents may be facilitated by contacting the well driller, engineer, former owner and/or Town. You should be aware that proof of approval of the sewage and water supply facilities serving this property may be required relative to future sale or refinancing of the property. Therefore, it is in your best interests to obtain the above- captioned documents. If there -are any questions or this Department -can be of any assistance in this matter, you can call the writer or ZAr. Hodgens at 225- 3838/3833. JK:mk CC: EMA. O'Dell, BI PV John Romeo, H File Very trul ' yours, hn Karell, Jr., P.E. Director Environmental Health Services F /l /jk /jay -4 TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -11;41 co T-M. (69^ `9-t-6 +` * PUTNAM COUNTY HEALTH DEPARTMENT �4 .a TR�e�l6c>rlE `Y � � -., e - .. , ... �.`: .y _ :: •. ,.'o•_ Ft.. : :.. viNr.. aa.:- .p'�r+s �.:x; �`Wt:�Q`1� .R•� ° ^1=`DI'VIS ION­ OF ENVIRONMENTAL HEALTH SERVICES Johh'A.1 Simmons, M.D. Deputy{;Commissioner of Health NAME` ;pygo�lSKY ADDRESS �1,aREwt 2afl D F" R m VA l.t-G4 ri.•. No. Street Municipality (T)(V)(C) MAILING'ADDRESS P.O. Box Post Office Zip Code �= 'TELEPHONE •. ;PERSON; IN 'CHARGE -OR INTERVIEWED Name and Title DATE 4p; 19 TYPE FACILITY TIME ARRIVED,,.-'-- I TIME LEFT ! ;:FINDINGS ;, •:. L.tous� Ie, n�,c��r� -c _-c �wa�A��'�D� t�u,-Fa�.��• c.►r�,�v �s — FIELD ACTIVITY REPORT — Sheet I of L TNRPVrTTnM _ Orig. Routine Orig. Complain Orig. Request, Compliance Complaint Comp _ Final _ Group Illness Construction. _J Reinspection Field; Sampling Only Field Conference Other P Explain IR.INTERVIEWED: :-acknowledge receipt of a copy of this e1d_.Activty Report .................. 85. SIGNATURE: TITLE: WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OIL HEALTH 3/71 Division 'of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This report is to be completed by.yvell driller and su_bnnitter p Caunty °H«elttt epaswtliDertt togetlsert� ritts-ialioratory�repo"rVof� 'a alySls of Gva{'eP sample ndica£ rig water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER ME SS LOCATION OF WELL No Street) (T n) (Lot Number) PROPOSED USE OF WELL BUSINESS ® DOMESTIC ❑ ESTABLISHMENT ❑ FARM ❑ TEST WELL ❑ SUPPLY INDUSTRIAL ❑ CONDITIONING OPeEfy) DRILLING EQUIPMENT OTHER ❑ ROTARY ILJ AIR PERCUSSION ❑ PERCUSSION ❑ (Specify) CASING DETAILS LENGTH (feet) , DIAMETEnchea) �/ WEIGHT PER FOOT n , ILA THREADED ❑ WELDED R E SHOE YES [] NO A C7 IRG T OYES NO YIELD TEST HOURS G.P.M. ❑ BAILED ❑ PUMPED JX COMPRESSED AIR YIELD (G.P.M.) 13 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) DURING YIELD TEST [feet) ±D.pth of Completed Well / feet below Land surface:J('j SCREEN MAKE LENGTH OPEN TO AQUIFER (feet)' DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL PACKED: Diameter of well including gravel pack (Inches): GRAVEL SIZE (Inches) FROM (feet) TO (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL MP TED DATE'OF REPORT WELL ER (Sign r ) 3 :,Mwn Valley, 0 weer or 4r c ha s e r or-' iii, ding 1,fan i c 1 P 6L l'i t Y Nicholas Ddbove4 Jft 1319 Me E, I on . . . . . . ....... ...... N511ding CQnstruct6-2i'by ' Barger ST & Florence Road N. Wood Ranch GUARAIITY'OF SEPARATE SEWAGE SYSTE14 reprop'ent that I. am whail.y and coinplete'4.y lresponpibje fqp #1P workmanship, rate rial, cons truQtion and drainage of th location, w e sewage disposal system serving the above. described property. and that it has ba"M constructed as shown on the approved plan or approved anand-ment- thereto and in accordance with the standards, rules and regulations of thb P utnem County Department of Healtho and hereby guaranty to the owner, hits. quccea- sors heirs or assigns, to place in f a in good operatg condition any part o said system constructed by me which - fails to operate Afor a period off' two years immediately following the date of initial use of the s'awage di . spopal system, or any repairs made by me to such system, except where the Q , 6 to operate properly is caused, by the will-ful or negligent. act, of the occ1j.__ pant of the .building ul-ALlizing the syste r,h. The undersigned further agrees to accept as conclu.,iive the do­ -termination of the Director of tb.a..Div1,qion of a-ivirorun.ental Health V -tqAjn Coup.t-T D sp Fir III-man tr- oi! --1is q­lth. &.s by the .fAtli�re f 'the wil"ful or nag' igant ... P '0 OPOZIa5a wets C�W;C,110d' 4. act of the occupant of the buildIng utili:4ing the systr:,m. Dated this 10 day of February 19 Signature .. LAti- corporatlon,,'g�Ve pamo and address) - - - - - - - - - - - - - - - - - -- - - - - THREE (3) COPIES ARE REQUIRED WITH TURLE 113) COPIES OF FINAL PLANS. P.WRE CERTIFICATE OF COMPLETION WILL .Bg ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE. OF DATE OF FIRST USE OF SYSTEM.. - - - - - - - - - - - - - Division of Fvironmental Health Services, Pi.-Itnarn County Department o.,," Rog1th JOHN S. ROMEO. P.E.t& P.L.S. I NOFjTHRIDGE ROAD PEEKSKILL. N.Y. 10566 737-1056 JAMES L. RoMANELLI. P.E. SALVATORE J. Amico. P.E. FOLEY ROAD RFD #1 RFD #30. BOX 375 BOX 239. KATANAH. N.Y. HOPEWELL JUNCTION. N.Y. 248-5755 226-7652 ROMEO, ROMANELLO, & AMOCO, P.C. CONSULTING ENGINEERS & LAND SURVEYORS I NORTHRIDGE ROAD. PEEKSKILL. N.Y. 10566 - MEMBER OF NEW YORK STATE ASSOCIATION OF PROFESSIONAL LAND SURVEYORS MEMBER WESTCHESTER PUTNAM ASSOCIATION OF PROFESSIONAL LAND SURVEYORS Putuarn County Department of H61ath Division of EnVironm6htal Health Services County Office Building Carmel, N.Y. 10512 Gentlemen: A14y 19 1976 RE: SSDS*for Nicholas Dubovsky Florence Road M. As requested by you., I have revised the enclosed separate sewage disposal system plan for the above mamed lot. T have been monitoring this lot regularly since last fall, At no ' time have I encountered high water inihe deep hole., although I have designed a curtain drain to pick up any ground water that may be encountered. In addition, -I have red66igned-th6 systamf6r the 20 min/inch 'shbw'n* on the plans filed with-your*1offtice.' Ho'wever, again *4 tests indicated a rate of 5 - 7 and I had previously designed it for 8-10. Very truly yours, John S. Romeo P.E. & F.L.S, JSR-. clr 1 � JO N S. ROMEO. P.E. R$P.L.S. JAMES L. ROMANELLI: P:E. $ALVATORE J. AMICO, P: E. 1 1 NORTHRIDGE ROAD � FOLEY ROAD RFD' #1 _ RFD a30. BOX 375 ••• , PEEKSKILL. N.Y. 10566 BOX.239. KATANAtC N.Y.. HOPEWELL JUNCTION. N.Y. 737 -1056 248 -5755 - 226.7652 ' ,ti+ �.4. o-,' i..�. -;: =+ri _� 3"'Li.`i.- ,C,,. .-e� � o,.'em:� ;�- ':ai '�1r�• °� .. N .. .. .. .... � _ .-, •, -` - ROMEO, ROMANELLI, & AMIC0, P.C...' CONSULTING ENGINEERS' Q LAND SURVEYORS 1 NORTHRIDGE ROAD.' PEEKSKILL. N -Y: • 10386 " MEMBER. OF NEW YORK STATE ASSOCIATIOW OF PROFESSIONAL LAND SURVEYORS y MEMBER WESTCHESTER PUTNAM ASSOCIATION OF PROFESSIONAL' LAND SURVEYORS . June 22, 1978 ?Utnam County Department of Health County Office Building Carmel, N.Y. 10512 ATTENTION: Vt. Robert, Tutoni RE: Dubovsky SSDS' Sanitary Engineer %_.. Map .1319 lot 13 Dear Sir: As previously discussed, T. had Mr`. Dubovsky excavate a new. eight (8) foot deep hole above the area of thea'idstalled septic system. The material is excellent R.O.B.'gravel with no water encountered anywhere within the eight foot hole. The following "day., the hole was still dry. This occurred after the very,,wet spring we have had and after some very intense storms. I have observed the lot in,:-question and existing deep holes for the past two . (2) years and have never found any water conditions present,' '€he e.fore ° _I- cane' definitely recommend .•that curtain - drain- -that' -'. ...- , ..:.:.. n .' was indicated on the original subdivision is not necessary as' ie origins soil condition should very capably handle the system for the hous that has been constructed. Very truly yours, John S. Romeo F.E. & P.L.S'. :. s � ,_1 - "._.,� . e 1 .'1�• �� - - - - -- -I -_- � __ � -- _ _ - _ -_ - - � __ __.._. LU LL 4 Ik f_. h `. x ,''r- :� <<' r+:':'r. {yry .v •�+ y'..yr .. Sa: Y -� � _�f �.'�i��_• °'c rr. 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