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Home My WebLink About4640DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 85.13 -1 -18 BOX 35 1�.� 1 17-2 `. ;. N.-661 1 I I is I III loll 11 r 1 in T ' I .1 1�.� 1 PUTNAM COUNTY HEALTH DEPARTMENT ti 6q5'0— a DIVISION OF ENVIRONMENTAL HEALTH SERVICES l c Yea $ 'PROPOSA L F OR SEWAG E DI SPOSA L SYS TE M.R EPAIR :a ;i7T GZ,-- 4-4.77;;G � .� ti: ri :�trGvc: n.a, v. ai e3 :S:e._. 14 :..-.' ..�':.��'. :v -C %a9� a'•: �.a =ems: YES NO Internal Use Only ❑ Repair Permit issued in last 5 years ❑ Not in Watershed ❑ ❑ Repair within Boyd's Comers, W. Branch or Croton Falls Res. ❑ Delegated ❑ ❑ Repair within 200 ft. of a watercourse or DEC-mapped wetland ❑ Joint Review SITE LOCATION 9 �¢/tKJ g &C AVIr TM # ?4111 T OWNER'S NAME T 6-k M A- 91JV9:1L I PHONE #6L(f5' 2fC2,r D' a. MAILING ADC APPLICANT Name ot meiauonsnip v.e., vwrim, ianam, wnuaau11 6 --r --- DATE 0 FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER A1=UZ~4AA6&zr PHONE #. C-.2 6 t9f& 6 SCo+Lv w k,1 -44—P-0 ADDRESS 1114 -LTV N ;J , REGISTRATION /LICENSE # fi'G t -la:rI Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing and proposed trenches) NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location and proposed pumyystems will require submittal of proposal from licensed professional engineer or registered archit 6%, A#'J 21 d k t e-e tr�Y•'z I , /�(,r c� su..�: , f► "�fii .. >r�? I, as owner, or r, ported agent of owner agree to the conditions stated on this form SIGNATURE TITLE 4s,44- DATE rf a Proposal approved with the following conditions: 1. Procurement of any Town Permit, if applicable. 9Submission 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 d. System description (e.g., 1250 gal. Concrete septic tank, etc.) e. Installers' name and phone number 3. System repair to be performed in accordance with the above proposal and conditions ral Appro ed Proposal Denied 0& spector's Signature & Title Date COPIES: White (PCHD); Yellow (Town BI); Pink (Installer), Orange (Applicant) PC -RP 99ML Rev. 8/05 f4.4 PV Pt, I 4 L i IT 00 v 'n a vim- 05 wa Ott 40C \A) Ob 9 5 \3 I IAL � 6 Lij e4z- 40 rug 505 Lo ooDj SHi RLITA AMLER, MD, MS, FAAP Commissioner of Health Associate Commissioner of Health ROBERT I BONDI County Executive :-�c� lr� �ar��°�.::,�'•�t��i"t:�6R- `-'P,+ii31�;`PE "��:�� : �-- -: ><•; -« ,., .� .�-� =I Director of Environmental Health . DEPARTMENT OF HEALTH I Geneva Road, Brewster, New York 10509 September 1, 2006 Howard Gragert 296 Oscawana Lake Road Putnam Valley, NY 10579 Re: SSTS Repair — Marenelli 9 Larksburg Avenue, (T) Putnam Valley TM# 83.13 -1 -18 Dear Mr. Gragert: This office has received and reviewed the application for the above- mentioned project. We would like to offer the following comments for your review and consideration. 1. A separate sketch showing the adjacent wells within 200 feet of the repair is required. aq�.v...�....m..G.. - ..t-�. - -. This office .w c nt nu�7 - t's .pre, vt_i.a e w ..i.• _ upon h c.o. rn..s. iderai o.n .qo ..-+o •. ''— �..... n.. .. .- a...- .r1ye. •� the above - mentioned comments. Please feel free to contact me at est. 2157 if any questions arise. JSP/kly Ver truly yours, oseph S. Paravati, Jr. Assistant Public Health Engineer 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 WIC (845) 278 -6678 Nursing Home Care Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 v Signature wCA16.. T?RUtIAT I?R!'RT'CTGTI R ". - I acknowledge receipt of this report: SIGNATURE; 02/96 Title; Rev GEP-05-2966 11:20 Pm P- tO A OPR av, PJ-r D /$Ut ?VTM&^ UA tcos�, cp MI-Y '154tt ht Ic U So ps &LY 5-0 0 f Poo" Q ra. L, C-S t4o r 0100 l5TfA,6 Spa L6e N a .4 vom to(o AP Web W.0 0 WOOP5 gs* ✓�-r 940d +K6 L. W 0.0 J N.o wce4 r#4.000,#4j( VOC(L Woo DJ 1 `57- ®6 's � 75 4APE &7 W6 Oct .7mW 9 Djk K &(oiz :5 < 13c 0-7 'g.,p a — r w � ':= ss.+a"�i!' � r, � � -� .ni.. .i :Y� ,. a. , - �. 1� yj _'� S .t- Ri.` 3:n.r .c�i r' �''. J` itt°';` �s' �.` +'a°;'�'.�r�w^a�'..- +�.iG..� ��,,. <. on':.. �'+ac� i 1. a: c= •:1�1'a r:9 ... 3 167- 06 Y � imIN AL Fir--f Oct '76 *�= :�R M 10 �e6 6ft�-G UL 5 < . C., 161 gc ,� OT 4o 6p .:m �I .�. _+. 9'Y °-Se.. �'.`. V fir. °t� w� V �..gll�f ••-si a�fV� %�.p:yRi at. +.. -.... BRUCE R. FOLEY Public Health Director 11 O � ... :r .• `LtJ1CGl rflr •1v1VL11Vlail�°1a�`:.1`t.jy t�.i�l�.• —c `,. .. Associate Public Health Director Director of Patient Services DEPA.RTN.[EN'T OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845) 278 - 6130 Fax (9 45) 278 - 7921 Nursing Services (845)278-6558 WIC (845)279-6678 Fax(845)278-601 Early Intervention (845)278-6014 Preschool (845) 278-6082 Fax(845)278- September 25, .2000 Carl Felice 45 Barger. St. - Putnam Valley, NY 10579 ...._. _.__.... - -- -- - - -- ..... ....... - -... .....__..._....... _.... _ ............. Re: Addition- Felice- 9 Larksburg Ave. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 85.13 -1 -18 Dear Mr. Felice: 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 form this Department dated . September, 25� 2000 The addition is approved with the following conditions:.__.........:..__ ...... . room DI 1� � 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. Very truly yours, Michael Luke ML:kg Public Health Technician cc: BI 0 BRUCE R. FOLEY . >..: �, ..'�' - �.�:�..�:�''.� bt?awljli' :�lie�tliAl •�+•`ciii i�:� ;y. -'- .mow... N >: , - LORETTA MOLINARI . R.N., ,. M. S.N. ..: .�4. -�;; =. • �sv�ss��icfe �i�at 'rfic'•�ezif�;'I�i�r�et�r•'• ,..._b...,.. Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648 Carl Felice 45 Barger St. Putnam Valley, NY 10579 - Dear Mr. Felice: September 25, 2000 Re:. Addition- Felice- 9 Larksburg Ave. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 85.13 -1 -18 ave receive an reviewed -the plans -for the pioposed addition -to the above - mentioned - �- residence. The proposal for the addition has been approved as per plans bearing the approval stamp form this Department dated September 25, 2000 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at One -- without prior approval - - _ by ttlis de arttment�::.' - 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. Very truly yours, Michael Luke MLUkg Public Health Technician cc: BI 4: -ct BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH Division of f Environmental Health Services 4 Geneva. Road Brewster, New York 10509 Tel. (914) 278 - 6130 F= (914) 278 - 7921 'APPLICATIOINT PROPOSED ADDITIO'N SIDENTIAL ONLY) STREET Q TO WIXIRA11414. TXNLAPN q--S",13 P U' NAME 6- PHONE CHD 17 MAILLNIG ADDRESS 6AjqaZ,-7/?, Sf /0 /�� /o> �� A//? W . DESCRIPTION OF ADDITION.. NUMBER OF EXISTING BEDROO'MS S OF BEDROO PROPOSED' - J Ir (FRO.Nd CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING LNSPZCTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by .a Professional Engineer or Registered A�,;hjj; e _#i-accordance v4th-., . ...... ap pli ns 6 uhe?utdh -ounty awtay o - e. — Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278-6130. 1._ Certified check or money order for $100.00 Sketches of existing floor plan (drawn to scale, all living area including basement) Non-professional sketches are acceptable 0 map sets of proposed floor plan (drawn to scale, with name, street, and tax u,) Noa-professional sketches. are acceptable Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OLE-ICE U SE Comments 3 L)trAK1N1tN1 OF HtALAH Division•. Of Environmental Health, Services 4 Geneva Road, Brewster, New York 10509 (914) 278-6130 BRUCE R. FOLEY, R.S. Acting, Public ,Health Director Putnam County Dept. of Health 4 Geneva Road Brewsterj Re: Residence TaxMap Gentlemen: According to records maintained by the ToNNrn, the above noted dwelling IS NOT incompliance NNith Town code and the total number of bedrooms on record is This- information has been obtained rom: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER ME is tiryi, ;',4:. •y 1 `\'� '. ( • ...' - h9 t� sf�r�;Y4-0 Sr [• a � y --��' 7. �i�= •rlt�.r�➢- �y+:bi'.�.q 3': "�m�S�F"r. -,�� :.r:p jxi}? �t 5 t..h', 1b •1` --'-�*' ---- .. __..� _ _..— _....__ asma,we,s• .�.." �. ��..�, .,e•�Mf�• 1 �)�� i. may/ _ - _ 1_ ..� .• - ��1 tx t S 44 ( ` � _ ._rt.. � y Q., t...TY_ • •tea.:.._ } �,:� ; \ ��f' f f �� "•;�.•!1 -r Vii. ri: a Yki`i��. � •5;.. �,�. ,. .r _ ._. Ems.• 1�.. it , . .,. � — ..re,.::.,..�...� . • - �ju� • �t. ;�: 'r! T'r.�%:'}r. •" ---+�. ...+yew � ,�tm .. A �•� 1 }r � f 1 i •' q 1 r i k' II [ � I I f` 1 i •' :•i'- ' .l.n. +::�� Y,�?'1.J''�i•tin —.1iy 5' 1SrP;-- s`- ._.::• f ol KKiln V� �•��` 1-�� .f � e � 41 + .. �hS: D'Tf;11•�}Y+f�i,;ti.�::'�.C.'l `' i,�'�' - �, �1 • _ � ?ti. , _ �. w. .3'� �i' 3..�4tia... -- } -,.; is +,;�:. '• ' :� 0!1' � - ••t�;.�+�q(: y? _ :['r� $ � ��f.7.:wy.•i�2.��t'!I:vy� �•8'� �'�• r ..._ —_.. � .. .. -- -y,�;, '" .c, • �•' 111 I eta., z. :�' '.��. ° ;,i ?r `rJ��t;.t:;�:Y�'�.•.� #ii;... ;,�.: y . .►�.•'— ' �' � f � ! -''- .f t � • r '+t F•2,,t , f'— r�•�0l'''+7y ^� +-�;l �.:•. .. mFRI 'R, t• , f t• , el-CTLI :P, y 1 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES r':.*gt%��:�i$Z�•'es zx�a,�zna.:�:- ,.:�►'�x,::� : "'.. _�...,.a,,E; ::JS:>- 5::�;..�.,�:::. -YI OFFICIAL USE ONLY / SS .off SITE LOCATION k 1VF—R ii 26 AVE TM# OWNER'S NAME d4i,49 F&%1 Ak)ck- LC d/ PHONE !F2- 0772 MAILING ADDRESS PERSON INTERVIEWED PCHD Complaint # ame & Relationship (i.e., owner, tenant, etc. DATE Z I D *11.1, FACILITY f 4 PROPOSED INSTALLERgz�-,/.j I+p-P 6446c-- PHONE 5-26 `5 S 946 IC4 ADDRESS r , -T �r r� r� j) A cL p � N,-/_ I o S7 REGISTRATION# PC-09' 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 submittal of proposal from licensed professional engineer or registered architect. b we- � s -l;:as ownc�_r.;_o rep ;reed agert :cif own�r:a� °ee to the condiions,s+.ated ca- this :ior:. s ^r� SIGNA c`/, ` TITLES' DATE 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 corners). 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. Proposal approved Inspector's Signature & Title COPIES: White (PCHD); Yellow (Town BI); Pink (applicant) PC -RP 99M L a� D 0' } �? ;r,� ?.,- �i7 r ,.� "�.;�,.�6 7s.` .�. j.- �' 7 -a � ''� .fix .r_' .c — :�i" t 7 j�• �. .i� 'e :�`r•�'." e� i n�W.',Y„- el�;•'• �'a a•, •� is S.i ', ::; ooe cn O m C .� CD �.. . � z Y%A V1 r ♦ ti t — �7'�. "fir i `I Z\ .';' {',. ••i• t. •„ r`t' rf it. �- ` „ID,,tgf r 1't''. An ri � y�2°i.� ' °F -.• �':C. � .! 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' Ole ;. .ryn.,�.i�.. r '�•J :o _ i � �u� V� �� . �.r,777 ••• 'fib. `� /� Y V \ /IY 1 ` i � 1 Ads �. (30 % vf� 44 ti.. iw 41 Z1.1 -.k icy, Al . ._ ... ,.0 f [ r. V i- X31. �:;. ^� t•' '^•Ali. ty xK Gi G.i S d- �°r ,e ♦T f a% r _ .r �i t LORETTA MOLINARI Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 December 3, 2004 Angela Buckley 45 Barger St. Putnam Valley; NY 10509 Re: Addition — Buckley, 45 Barger St. Increase in Number of Bedrooms (T) Putnam Valley, TM #85.13 -1 -18 Dear Ms. Buckley: 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 December 3, 2004. The addition is approved with the following conditions. 1. The total number of bedrooms must remain at two without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. - -- -.3..:.�Yl-pli 3ribing fixtures must be updaied with �✓af;;f sawing devices; i.e.; n6e low i`lush toilets, restrictors for shower heads and faucets, etc. Any 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. ML: lm cc: BI (T) Putnam Valley Sincerely, ;_7: 4 Michael Luke = Public Health Sanitarian v` Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York, 10509 ROBERT J. BONDI County Executive Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 27 -�8 B Early Intervention/Preschool (845) 278 - 6014 Fax (845) 278 - 664 0? G PROPOSED ADDITION APPLICATION (RESIDENTIAL ONL STR]EIETI' 2 ' U--e TOWN f T% MAP # NAME� PHONE PCHD.# A 3'13 - a y MAILING ADDRESS y,.' dfI-,R9e,,e 5z' iaae JV. z2,5 79 DESCRIPTION OF ADDITION / /X /p d x �x-ao nit L i'yi ai S410—,4-C4 NUMBER OF EXISTING BEDROOMS4 PROPOSED # OF BEDROOMS �- (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., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. t4. Certified check or money order for $100.00 L2: Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable L-3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non- professional sketches are acceptable =i4 -Copy of survey showing well and septic location, to the best of your knowledge. Include date :of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. . OFFICE USE Comments Feb 98 1 L AI?KSBUigG Road: 6/71177pr-oved 4VENUE_ s94 °33 DOE ,S got °33 co Cal tPell 3Z lo 0 �. U J9,1717ke i arcs /. -�' �� o� �, • , 14r. 000,4c. • Res ' • � �/ -o � �o 1 N. B4 0-33,0 0- %Y. - N. Bg - °33" ,fie ::- _ 23 ,• y Qa , 00 `y, 000 iedcol- -ecf fo the Se �3ooir�`' C /1 /o!y Tip/e an70//-77°i d GUai -anfy orn a `. q - J sy ,v o . Y.Sfa eLi:Sur -Y Z _ BARGE',q - s egg oo "/y ,. ., ._.:...� ., �.`[..mC,..• „ - -,,� _,. _,:..� _ yam; .�, _ , t t - ...__....... - -_ if _ .. C> ,....._.___ _ ..._ .. _ - - -- , _._.......,.._......... . .. _ ...... . - i ,I I lar.a- �v1E,7N7 DF MEAL-TH - ij n o!gnature & • Bate .- ....... -. _ (845) 526 -2595 HOWARD GRAGERT Licenced In Westchester & Putnum Counties BLACKTOP o SEPTIC SYSTEMS o i BENCHING ® WATER LINES o FOOTINGS 296 Oscawana:Lake Road, Putnam Valley, NY 10579 1lG c. u CK� --rte Date 0 Z 4 v 6 1. PUT oar ►� 1)64 - CC.�_ v a,4 1 mcmm EIMI a -� I _ '1 r I E FAWN, ME EIM 1 r . L ARKSBURG C/17irn l-011ed Able _ �' .4hENUE -- - - 5.8¢!*3300E — -- ��— - - - - -- e95.90__ _ {- 3/. /Or d/ tj 000,4C. cons. o fib .......� o �AyCO� - lJ o�►I �� 0 �` G Q2 . ?j N. B4 °33'OO IY Dew 230.00...... �••....N.B4 °3300'!Y. 26/.36•--`, =•r� �' - �� t,e�fifedco�recf �`O 74170 Se � i � h� �` Tif /e•ar�dGu2ran��Cornpa o ✓e�j�ooir` C /1/opv o/- 74OrlTle / /cf N fjrh/ Qa �' C H..E`LL / l t ov p BARGER Z s A 74S•, 4 t n t� f .F • t ".