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Home My WebLink About4698DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.25 -1 -11 BOX 35 17-- r L J. [ 16 r i r ` Is Revd 86 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 rr ( Engineer Mast Provide ^401 Jr'Z L 4-.5 P.C.H.D. Permit N_ , v - .�TE OF: C�JNSTRUC��:)N rOMPIdiINCE' Frig SW Dis ::: ,� – br V eLocate Y� G Tax Map�Blocktot Owner /applicant a 0, Fo erly Subdivision Name SubCdv. Lot N MaWng Address Zip_ I , S� Date Permit Issued !41d L J 0 Al Separate Sewerage System built by le. Address Consisting of 1il mil! Gallon Septic Tank and ..x ta= Water Supply: Public Supply From Address or: —_ e Private Supply Drilled by F— Yid AX ' '7 —*r Address BuUdlug Type iris i J Yn C�Has Eroslon Control Been Completed? Number of Bedrooms Has Garbage Grinder Been Installed? A110 Olber Requirements NEW Y I certify that the system(s) as listed serving the above premises were constructed sea he plans of the completed work ( copies of which are attached), and in accordance with the standards, rules and regulation Vic; i the iled plan, and the permit issued by the Putnam County Department of Health. �@ Date 6 _ Ce ified by P.E. R.A. Address '� License No. Z 7 Any person occupying premises served by the ova systems) shall promptly take such a o secure the correction of any unsanitary conditions resulting from such usage. Ap oval of the separate sewerage system shall b td' soon as a pubi,: sanitary sever becomes available and the approval of the private water supply shall become null and void when a p vtditef y becomes available. Such approvals are Subject to m diftestion or change when, in the judgment of the Commissioner' of Health, such'revocet n, modification or change Is necessary. Date 7,,.. .. r a'. .M.:.t!. x' i��i.;,'x1` si�.aN'.rY •`�.. sYt1 "51 •>.'•: 'r�4•r,L.c •.r�P•. iE. "'�2.�:y ?9FD(; L` .�1,?g ="''' G_ SITE IDCRTION -v r� r/ ,� /r° d� % 99- 3 - /,d M&LtJ M S PEA INTERVIEWED int , .DATE � � 8� Es Relationship, ( oe, obvner, Pt� % . proposal (include sketch locating all adjacent11s)0 , NOTEo Ro -pair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal fxm licensed professional engineer or registered architect., -. ... 1. Procurement at any wowfn :- peanut,. im app aaaniiem 2a Submission. of as built repair sketc�. in c1 V1 sate go a. owners name. b. Site Street Name Tbwn and Tax Map nmbera c. Location of installed components tied to two fixed pointsa(emge,house'corners)o d. System description (e.g., 1250 gal. ;gncrete seitic tank, three precast 61 dias.*x 61 cue drywells surrounded by one foot.+ graavel)o e. Installer's nacre and number. 3. System repair to be perform in accordance with the above proposal and 'tims. I, as owner, or reported agent of owner,�agres to the above cmxditionso SIGNATURE � 1 , T G �' D � � .B 1.!_ �o Mr. Wharton SylAn Road Putnam Valley, DEPARTMENT OF HEALTH Division Of Environmental Health Services JOHN KARELL Jr., P.E., M.S. Public Health Director 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 March 5, 1992 NY 10579 Res Proposed addition - Wharton Sylt'an Road (T) Putnam Valley Dear Mr. Wharton: I have received and reviewed the plans for the proposed addition to the above mentioned residence. The addition has been approved as per plans bearing than Departments stamp and dated March 5, 1992. 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 shover 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. RM /jp cc: BI (T) Putnam Valley FORM: ADDITION Very truly yours, slo'w /z Robert Morris Assistant Public Health Engineer r MAILING ADDRESS PERSON INTERVIENED PCHID Complaint 0 7 r :fFAIV Rime & Relationship (i.e, owner tenant, etc.) TYPE FACILITY TAO rn a,4 PHONE Lf,-, dL�lFi�j�,/l Pro (include sketch locating all adjacent wells): RATE: 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• f y 1 / Proposal approve Inspector's Sigrgifudre & rA Proposal Disapproved Prowsal aunroved with the following conditions: to Procurement of any Town permit, if applicable. 2• Submission of as built repair sketch in duplicate showing: as Owner's name. b• Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (eog.,house corners). d•- Systen description (e.g., 1250 gal., concrete septic tank, three precast 61 diem, x 61 deep drywells surrounded by one foot + gravel). e• Installer °s name and number. 3• System repair to be performed in accordance with the above proposal and conditions. as owner, or reported agent of owner agree to the above conditions. SIGNATURE TITLE DATE : Dbite (?CHD), Ye1]ov (Tom ED; Pink (Appl.ia mt) PUTNAM COUNTY. HEALTH DEPARDEW-- DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camnissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME '2r'o Z-!f � Orig. Routine Orig. Complain ADDRESS 1,o Orig. Request No. Street Town IM No. Ctinpliance Canplaint Capp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE PERSON IN CHARGE OR INTERVIEWED Nam and Title DATE TYPE FACILITY TIME &RIVED 12 FINDINGS: TIME LEFT / Reinspection Field, - Sampling Only Field Conference Other Explain i /Y 76' hL I acknowledge this Field Activity Report. SIGNATURE: - 6/86 TITLE: .F 4 -1 al 3 •�Y s/ 97 6.r ? . Joao ph ootcl Q,� \`• ca Ac s s 94 92 Pz % N L7 -.�•.. E ti; a `; ; _ -- /✓G►✓ Sv 3/m GOn J •s ------------------------------------------ I F52E I DOOR 6'-r 6 -r NOTE ALL WOC,0 FQANtNG NIEMBERS TO BE SW-AT;-M INM4 5/8• I I 3•' 18 DP(:)I-Tr FRE 2ATED IRDER FAZE DCCQS TO BE G SF-'-= CLOSNG T 4• LALLY COLLM• W1 Ve 2'4' CCtr- FTQ PAD E X I S T I N G Y CcUfm W/ CC'W- F=Tr- PAD STORAGE / LITILMIES 2-2(r2 W1 518*)dr STEEL FLITCH PLATE FU---;4 GRGER L EDaSTtr. BA-cav§Rlff Z F<Xt-VATK)N G A R A G E -------- --------- — -- — ---- — --- ------------------- -------- I ---------------------------------------------------------- ------- d go EMSTING d i CRAWL SPACE 8'LOA 1 . I *- -------------------------------------- .2' 8. - ------------ ------ --- ------ --------------------------------------------- ---- CCC• LANDM 1 - DECXAEOVE I I I U I I --------- LALL-L Lt,,E= OF DECK e TAIRS A it x ........... e a 6`9 25• -2- 1.2820 fin' fin' W" )Ow 4• 1I I 2-2X12 W/ 5/8)V STEEL FLITC34 ---------- — ------------------------ i r -- ---- - - - --- ----------------- — ---------- PLATE FRI4 S GN 2DE32 2820 --------------------------- ------ Vz��Lw GYP-E3OAQD 2820 1. •i'2820 LITILITY ON 7 FIRRED LJTLrry WALL w-a IA74DOW WINDOW WALL ------------------------------------------ I F52E I DOOR 6'-r 6 -r NOTE ALL WOC,0 FQANtNG NIEMBERS TO BE SW-AT;-M INM4 5/8• I I 3•' 18 DP(:)I-Tr FRE 2ATED IRDER FAZE DCCQS TO BE G SF-'-= CLOSNG T 4• LALLY COLLM• W1 Ve 2'4' CCtr- FTQ PAD E X I S T I N G Y CcUfm W/ CC'W- F=Tr- PAD STORAGE / LITILMIES 2-2(r2 W1 518*)dr STEEL FLITCH PLATE FU---;4 GRGER L EDaSTtr. BA-cav§Rlff Z F<Xt-VATK)N G A R A G E -------- --------- — -- — ---- — --- ------------------- -------- I ---------------------------------------------------------- ------- d go EMSTING d i CRAWL SPACE 8'LOA 1 . I *- -------------------------------------- .2' 8. - ------------ ------ --- ------ --------------------------------------------- ---- CCC• LANDM 1 - DECXAEOVE I I I U I I --------- LALL-L Lt,,E= OF DECK e TAIRS A it x FANALY QC<)tA 25• -2- 1.2820 fin' fin' W" )Ow A, 1I I 2-2X12 W/ 5/8)V STEEL FLITC34 I ------------------------------------------ I F52E I DOOR 6'-r 6 -r NOTE ALL WOC,0 FQANtNG NIEMBERS TO BE SW-AT;-M INM4 5/8• I I 3•' 18 DP(:)I-Tr FRE 2ATED IRDER FAZE DCCQS TO BE G SF-'-= CLOSNG T 4• LALLY COLLM• W1 Ve 2'4' CCtr- FTQ PAD E X I S T I N G Y CcUfm W/ CC'W- F=Tr- PAD STORAGE / LITILMIES 2-2(r2 W1 518*)dr STEEL FLITCH PLATE FU---;4 GRGER L EDaSTtr. BA-cav§Rlff Z F<Xt-VATK)N G A R A G E -------- --------- — -- — ---- — --- ------------------- -------- I ---------------------------------------------------------- ------- d go EMSTING d i CRAWL SPACE 8'LOA 1 . I *- -------------------------------------- .2' 8. - ------------ ------ --- ------ --------------------------------------------- ---- CCC• LANDM 1 - DECXAEOVE I I I U I I --------- LALL-L Lt,,E= OF DECK e TAIRS A it x FANALY QC<)tA 25• -2- 1.2820 fin' fin' W" )Ow 1I I 2-2X12 W/ 5/8)V STEEL FLITC34 I PLATE FRI4 S GN 2DE32 1. •i'2820 %IJTLJTY W?IVOW to NOTE 47 COW-' FLOOR 6X6 WIRE KIESW 4! G12AVl3 BASE 4 ML POLY K4943L L-4: 4j—� I' 4030 4030 ----------- --- ------------- 4'; -3- ------------------------------------------ I F52E I DOOR 6'-r 6 -r NOTE ALL WOC,0 FQANtNG NIEMBERS TO BE SW-AT;-M INM4 5/8• I I 3•' 18 DP(:)I-Tr FRE 2ATED IRDER FAZE DCCQS TO BE G SF-'-= CLOSNG T 4• LALLY COLLM• W1 Ve 2'4' CCtr- FTQ PAD E X I S T I N G Y CcUfm W/ CC'W- F=Tr- PAD STORAGE / LITILMIES 2-2(r2 W1 518*)dr STEEL FLITCH PLATE FU---;4 GRGER L EDaSTtr. BA-cav§Rlff Z F<Xt-VATK)N G A R A G E -------- --------- — -- — ---- — --- ------------------- -------- I ---------------------------------------------------------- ------- d go EMSTING d i CRAWL SPACE 8'LOA 1 . 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