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00558
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PUTNAM COUNTY DEPARTMENT OF HEALTH
Rev'. ' 3/�6 Division of Envlronmeatal Health Services, Carmel, N.Y. 10512
qh
r� Engineer Meet Provide
CP C.H D Permit N— _
CERTIFICATE F ONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM
Town or Village'.'
.
j �
Located at G �%�� �' L ✓ � � L � %� d Tax Map 1�. Block Lot
e
Owner /applicant Name
CD l2AIW.d1L /y #4LL ,C- f7.. ,4�5Formerly Subdivision Name Sabdv. Lot, N
Z
• Z 3 IrA 76 A I A H AV ,67 Date Permit IuMailing Address p
r '
kA 9, Al /VJ-369J
Separate Sewerage System buut,by VAIVC� Lp �,V C'��57, Cb R P Address 4' Z_� �ryry/4 N l y .:f% 7�Jy n!
Z S'c9f�0 G , ,Al.� 5 �Rl3 % >v�/2,/�GI!
Consisting of Gallon Septic Tank and
r Supply: Public Supply From Address -
Water l3vVD ART�s �N w uAatireaa
orp Private Supply Drilled by ..
Building Type /�f % �iYC Has Erosion' Control Been Completed?
Number of Bedrooms Has Garbage. Grinder Been Installed?
Other Requirements
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans' he completed work (.copies
of which are attached), and in accordance with the stindards,.rules a regula ons, i accordance with led an nd the pe ssued•by the
Putnam County Department Of Health: ,/
Date Z .8 f8 Csrtif(ed.b r!, / �jv R.A.
Address % AH /f` � %G�%� 102 � ,4T7�/Qf L �v Y License No.
Any person occupying .premises,ssr4od by the above systems) shall promptly take such action as may be necessary to secure the correction of any unsanitary
conditions resulting from such usage. .Approval of the. separate sewerage system shall become null and void as soon as a pub " -. sanitary sewer becomes
available and the .approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are
subject. to modification or change' when, in' the judgment of the Commissioner of kaalth, such rev o tion, modification or change is necessary,
,� Oat -. /�T7T�� � �� ��- � = �r,r —Ti— _•_.._
El
COUNTY OF WESTCMESTER
E -11 Rev. 88 DEPARTMENT OF LABORATORIES AND RESEARCH
VALHALLA. NEW YORK 10595
BACTERIAL EXAMINATION OF DRINKING AND TREATED WATERS
Lab. No. W- DO w� {_ Bottle No. r �1 _
�
t
Lab. No. ENT. Oate'Cotl'd�ime �% = 6-a P".
1!ime Time Submitted
f
Tests (Circlell�6PC, Coliform MPN, oliform Membrane, Fecal. Other t
Coll'd by t Age�jnc�,y�Coll'd for se
�Aa %e
Colt'd from: Name }i(, cc�t 0,10 � %S r 60' I nG
Address
u ""Le ' 1
`
ISM. ad. 11;.2
cM•T v
l
izecoo.) IO 1
!
Identification of Source
QL`
ma-
i
Sampling Point within Premises I [ �G
1(/1.+!/
Refrigerated?
Chlorinated? YesXYT�o 0 Free mg /I Total---------L. mg/I. pH
RESULTS OF EXAMINATION OF WATER
/100 ml.
l
.MPN
Standard Plate Count
Bacteria. per ml. (48 hr.)
((Y
Coliform Group
O
Membrane Method/100 ml.
Number Positive Tubes.
Total Coliform
Fecal Coliform
Other
These results indicate' sample a was not) of
Reported by: 0 •• `
satisfactory sanitary quality whe hs sample was
/
collected.
colect
./
i
E` -" -'-' •
. I
_ YYtLL,I,UIdI�'Lrllut�t ntruti'1.�
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
PUTNAM LOUNT.Y DEPARTMENT OF HEALTH
-"
WELL LOCATION
STREET A00RESS: fOWNUVILLAGEICIIY fax GRID NUMSER: ��--
eo�c</A P�9 ?7�h'so/
WELL OWNER
NAME: ADDRESS: a a 3 � 7-0 VAI-1 fl
feATV1,1Ag COti5 /�vC77d� Cd. &,q-7-0,JA y ,yI /dam 1'
P86/ATE
p PUELIC
USE OF WELL
1 - primary
2 - secondary
RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /CONO. /NEAT UMP ❑ ABANDONED
❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify)
❑ JNOUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑
AMOUNT OF USE
YIELD SOUGHT gpm. /N0. PEOPLE SERVED 5 / EST. OF DAILY USAGE �� cal.
REASON FOR
DRILLING
J'NEW SUPPLY = ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION
❑ aEPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL '
DEPTH DATA
WELL DEPTH �� 5 ft.
STATIC WATER LEVEL — 1=_ft.
DATE MEASURED
DRILLING
EQUIPMENT
❑ ROTARY jq'COMPRESSED AIR PERCUSSION ❑ DUG
❑ WELL POINT ❑ CABLE PERCUSSION ❑OTHER (specify ):
WELL TYPE
❑ SCREENED ❑ OPEN END CASING. bPEN HOLE IN BEDROCK ❑OTHER
CASING
DETAILS
TOTAL LENGTH — % ft.
MATERIALS: 1STEEL ❑ PLASTIC p 0 T a:E
LENGTH.BELOW GRADE a ft.
JOINTS: ❑ WELDED kTHREADED O OTHER
DIAMETER in.
SEAL: bZEMENT GROUT ❑ SENTONITE ❑ 0 T FER
WEIGHT
PER FOOT 1b. /ft.
DRIVE SHOE:,NffES ONO
I LINER: ❑ YES t`10
SCREEN
DETAILS
DIAMETER (in)
'SLOT SIZE
LENGTH (ft)
DEPTH TO SCREEN (ft)
DEVELOPED?
FIRST
O YES D NO
HOURS
SECOND
GRAVEL PACK
° YES
O NO
GRAVEL
SIZE:
DIAMETER 1TO
OF PACK in.
F
DEPTH ft.
607-10M
DEM- ' It.
WELL YIELD TEST I Il detailed pumping
METHOD: O PUMPED tests were done is in-
*COMPRESSED AIR , formation attached?
D BAILED O OTHER ; ❑ YES O NO
WELL LOG If more detailed formation descriptions or sieve analysis I
are available. please attach.
DEPTH FRO &i
SURFACE
Water
Hear-
'ng
well
0i2'
In ter
FORMATION DESCRIPTION �
CIIc
It.
ft.
WELL OEM
ft.
DURATION
hr. min. '
ORAV DOWN.
ft,
YIELD
Surface
,305
iv
7-o -M
-i-2 Ye et
I
WATER O CLEAR TEMP.
)UAUTY O CLOUDY HARDNESS
O COLORED ANALYZED? OYES ONO._
ANALYSIS ATTACHED? O YES O NO
I
t
1
STORAGE . TANK : .TYPE
CAPACITY "' GAL.
'UMP INFORMATION
YPE CAPACITY
FAKER DEPTH
IpOEI VOLTAGE HP
WELL DP.IL iAyc/ 6�/ OAjFG '� 4
ES!i"`` ." SIG t " R
f
IC> 7 -1 ✓ /�. 1
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
June 26, 2012 Fax # (845) 278 -7921
Eric and Monica Schmidt
31 Cornwall Hill Road
Patterson, NY 12563
Re: Addition — Approval - Schmidt
No Increase in Number of Bedrooms
31 Cornwall Hill Road
(T) Patterson, T.M. 23 -1 -22
Dear Mr. and Mrs. Schmidt:
MARYELLEN ODELL
County Executive
This Department has 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 June 26, 2012. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at four without prior approval by this
Department.
2. The area of the existing sewage disposal system and its expansion area must be
maintained.
3. In conjunction with this approval, an approval has been granted to upgrade the existing
50% expansion area to 100 %. Please see plan by Harry Nichols, P.E. for details of
approval.
4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush'
toilets, restrictors for shower heads and faucets, etc ...
5. The approval is for the modifications only and does not validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
6. This approval is valid for two (2) years and expires on June 26, 2014.
Any permits or variances required under the jurisdiction of the Town of Patterson are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43157.
Respectfully,
a eph S. Paravati Jr., P.E.
Assistant Public Health Engineer
JSP:cw
cc: BI (T) Patterson
J
PUTNAM COUNTY DEPARTMENT OF HEALTH �
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
CONSTRUCTION PERMIT FOR SEWAGE TREATMENT SY
PERMIT # (� C)P6r'*" M � GI
7
Located at LN k wcy I Pitt 20 6 J Town or Village I c N_1.W Ko i-n
Subdivision name Grin9,►wjl A, jI f `, Subd. Lot # _* Tax Map � Block j Lot a..Z
Date Subdivision Approved
Owner /Applicant Name ffVW_ t.it4&n iC_" L4= of
Mailing Address •3 1 �-�h ,� �� ffi ll �r
Or.-_
Amount of Fee Enclosed f500
Building Type Lot Area
Renewal Revision t,-,-'
Date of Previous Approval
Zip IIZ.�
No. of Bedrooms --t— Design Flow GPD '
Fill Section Only Depth Volume
PCHD NOTIFICATION IS RE UIRED WHEN FILL IS COMPLETED
Separate Sewerage System to consist of 12—!9'0 gallon septic tank and 400 �� )ILor o1ic,
Vu, G
Other Requirements:
To be constructed by i 8 D Address
Water Supply: Public Supply From
Address
or: Private Supply Drilled by 'j )b Address
I represent that I am wholly and completely responsible for the design and location of the proposed system(s) and that the
separate sewage treatment s,, stem described above will be constructed as shown on the approved amendment thereto and in
accordance with the standards, rules and regulations of the Putnam County Department of Health, and that on completion
thereof a "Certificate of Construction Compliance" satisfactory to the Director /Commissioner will be submitted to the
Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said
builder will place in good operating condition any part of said sewage treatment system during the period of two (2) years
immediately following the date of the issuance of the approval of the Certificate of Construction Compliance of the original
system or any repairs thereto.
Signed
Address
R.A. Date. ,- - 11 -12—
License # S'Cp 124
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Director /Commissioner. Any revision or alteration of the approved plan requires
a new permit. Approved for discharge of domestic sanitary sewage only.
By: 6,gU-L~ 10 Title: 14194le– Date:
Wh e opy - HD File; Yellow copy - B ilding Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CP -97
ALLEN DEALS, M.D., J.D.
Commissioner of Health -
ROBERT MORRIS, P.E.
Director of Environmental Health
DEPARTMENT Of HEALTH
1 Geneva Road, Brewstet, New York 10509
June 1,5, 2012 Phone # (845) 808 -1390
Fax # (845) 278 -7921
Harry Nichols, P.E.
P.O. Box 252
Brewster, NY 10509
Dear Mr. Nichols:
MARYELLEN ODELL,
County Executive
Re: Complete Application Determination for Schmidt
31 Cornwall Hill Road
(T) Patterson, T.M. 23 -1 -22
East Branch Reservoir Basin
The Putnam County Department of Health (Department) has determined that the above
referenced application, including fee, and revisions received by this Department on
June 11, 2012 is complete. The Department will notify you by July 5, 2012 of its determination.
❑ The Project has been delegated to the Putnam County Health Department for
review pursuant to the guidelines set forth in the Watershed Agreement.
❑x Joint rev_ iew with the NYCDEP will commence pursuant to the guidelines set
forth in the Watershed Agreement.
If the Department fails to notify you within the above referenced time frame, you may notify the
Department of its failure by certified mail, return receipt requested. The notice should be sent to
my attention at the above address. This notice must include your name, the location of the
project, the office with which you filed the application originally, and a statement that a decision
is sought in accordance with section 18 -23 (d) (6) of the NYC Dept. of Environmental Protection
Watershed Rules and Regulations. If the Department fails to notify you within 10 days of the
receipt of the notice, your application will be deemed approved, subject to standard terms and
conditions as set forth in the regulations.
Please be advised that projects within the NYC Watershed may also require Department of
Environmental Protection review and approval of other aspects of a project, such as stormwater
plans or the creation of impervious surfaces, and the project applicant should contact the
Department of Environmental Protection regarding such activities to see if Department of
Environmental Protection review and approval is required.
If you have any questions regarding this matter, please call me at (845) 808 -1390 ext. 43157.
Respectfully,
C'�Oseph S. Paravati Jr., P.E.
Assistant Public Health Engineer
JSP:cw
WS2
NYC
Protection
Carter H. Strickland, Jr.
Commissioner
Paul V. Rush, P.E.
Deputy Commissioner
prush@dep.nyc.gov
465 Columbus Avenue
Valhalla, New York 10595
Tel. (845) 340 -7800
Fax (845) 334 -7175
June 25, 2012
Joe Paravati, P.E.
Putnam County Department of Health
1 Geneva Road
Brewster, New York 10509
Re: Schmidt Residence —SSTS
31 Cornwall Hill Road, (T) Patterson
TM # 23 -1 -22
East Branch Reservoir Drainage Basin
DEP Log # 2012-EB -03 62-DJS. 1
Dear Mr. Paravati:
New York City Environmental Protection (DEP) has determined that the above -
referenced application, received by the DEP on June 18, 2012, is complete. The
DEP has no objection to the approval of the above - referenced regulated activity.
This determination is based on the review of submitted documents including the
plan titled "Subsurface Sewage Treatment Plan, Schmidt Residence, 31 Cornwall
Hill Road, (T) Patterson, Putnam County, New York ", prepared by Harry Nichols,
P.E., dated December 2, 1986, last revised June 6, 2012.
If you have any questions regarding this matter, please contact the undersigned at
(914) 742 -2055.
c: Pamela Young, NYSDOH
Sincerely,
Danny Shedlo, P.E.
Civil Engineer III
Wastewater Design Review
REBECCA WITTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
MARYELLEN ODELL
County Executive
TO: NYCDEP DEPARTMENT OF ENGINEERING AND DESIGN REVIEW
ATTN:OvnK�
FROM:
DELEGATION STATUS
FOR
SUBSURFACE SEWAGE TREATMENT SYSTEM
JOINT RE VIE W
New Application
PROJECT: -_ S76," io �
LOCATION: 31 cornw4i A %l t Q
TOWN: SUB'D APP DATE
TM # gc�-.3-- � ---I -It-
SRAM uM1Se ' S .,
oN ty !v 0 `7—
val 11
NOTICE OF COMPLETE APPLICATION: DATE: /a-
❑ Within the drainage basins of West Branch Bo ds Corner or Croton Falls
Xfp
Reservoirs. Ode
❑ Within 500 feet of a reservoir rese it stem or control lake.
Within 200 feet of a atercourse or a DEC wetland and appearing on a
subdivision map app er December 31, 1992
❑ Design flow greater than 1,000 gallons /day.
❑ Commercial SSTS.
JOINT REVIEW
•%
REBECCA WrrrENBERG, RN, BSN
PrrblicHealth Dkvdor
I<ROBERT MORRIS, PE
Director of EnWromneWd Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
ADDITION APPLICATION RESIDENTIAL ONLY
MARYELLEN ODELL
CdtMV F.xecr9fte
c�rt�
4 IU(3
STREET 31 t�4r- 9 -1'i�i L�. lal L 11 , TOWN P H TAX MAP # ��' 9 I " I�
NAME a�4L �A► )HI CA '�6�rAOr PHONE C' )' ' °' �J� PCHD# 4A')--7-Y-.,- 2_
6✓ck 34 7
MAILING
ADDRESS ?�► GDWw ��w �n� -1,l� yv ^ .
DESCRIPTION OF
ADDITION �� fAH1 =f MM 51AME 46j'�ri ► B'OkV% Z4 W1, ; E+
*NUMBER OF EXISTING BEDROOMS 4 NUMBER OF PROPOSED NEW BEDROOMS D
* (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUMDING 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., 1 Geneva Rd,
Brewster, NY 10509, Phone: (845) 808 -1390.
1. Certified check or money order for $100.00.
2. Sketches of existing floor plan (drawn to scale, all living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3. Two sets of proposed floor plans (drawn to scale — with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4. Copy of survey showing all well and septic locations on the subject property to the best
of your knowledge. Include date of installation known. Contact this office with any
questions.
5. Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
4.
REBECCA WrlTEN BERG, RN, BW
Publk Hed* Dkedor
MORRRT MORPL§, PE
erector ofEnvkvmmWd Health
DEPART74ENT GIF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (045) 908 -1390
Fax # (845) 278 -7921
Town Legal Bedroom Count & Proposed Addition Status
Re: Ef-1G .4 Myr49cA `C2W X11V'j - (Owner's Name)
Tax Map # � i �, b-
Address: ,N 604N W41Lli OWL, lAAP
Town. PA�r,rFr1, *H
Year Built: 1 161
According to records maintained by the Town, the above noted dwelling,
is V to in Compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count is:_
This information has been obtained from:
Certificate of Occupancy:
Other:
BALll j AI e'i P *415
The plans for the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
ding Inspector Dat
5.
REBECCA w1TTENHMG, RN, BSN
PtrblfcRea MDvedor
ROBERT MORRIA PE
Director of EnviromneWd Health
May 24, 2012
DEPARTMENT
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Eric and Monica Schmidt
31 Cornwall Hill Rd.
Patterson, NY 12563
Re:
Dear Mr. & Mrs. Schmidt:
Addition - A- 074 -12
Schmidt
31 Cornwall Hill Rd.
(T)Patterson, TM #23.4-22
MARYELLEN ODELL
CJ' Fxecuthw
I have received and review the latest set of plans for the proposed addition at the above
mentioned residence. Based on the information submitted, the above mentioned addition
cannot be approved for the following reasons:
1. The proposed bedroom on the second floor increases the potential
bedroom count to five.
2. The legal bedroom count for the dwelling is four. The potential bedroom
count of your proposed addition is five.
3. The addition of a potential bedroom requires this Department's approval
of a revised septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than four potential bedrooms, or
have a professional engineer or registered architect design a sub - surface sewage
treatment system meeting present code requirements.
If you have any questions, please contact me at your convenience.
Respectfully,
Joseph S. Paravati, Jr., P.E.
Assistant Public Health Engineer
JSP:hn
cc: BI (T)Patterson
RTIFIED TO:
;TCHESTER FEDERAL SAVINGS BANK
CCORDANCE WITH THE EXISTING CODE OF PRAC-
FOR LAND SURVEYS ADOPTED BY THE NEW YORK
'E ASSOC. OF PROFESSIONAL LAND SURVEYORS.
ZI
0
m
46
O
O
S. 29°/1'35 "E
A/. 32° 18'20 "W
rtificafions shall run only to those individuals and institutions
.n hereon under the title policy No. shown above. Said certi-
etions are not transferable
SURVEYED & PREPARED BY
BUNNEY ASSOCIATES
LAND SURVEYORS
!URAL ROUTE #2 _FIELDS LANE _
NORTH SALEM, NEW YORK 10860
- _- ___--
*NY, 37 - 1cc No 49332 -- - -
43
Sioees
14' I
N I'
Woe //
Stokes
"n Line —�
37z. o8'
0
J
/ v
, LOT 44
a� - .rr= �r.VrT1oF± _1O/ v AREA = 1.367 AC.
127 4_
I i PsP Its h
�� �� — - -
� -1 � � ►� o_N 1 �:A SrN I y
_: _,0-r
i � V
35:.40'
Line --
Premises shown hereon bei g Lot 44 Qs
shown on " Subo'i vision Mop of Sec> lon One
Cornwo// Ridge" w1d map (ilea in The Putnam
County Clerk's Office on Feb. 28, 1986 as
_Mop No. 2117
f're`aOred For
ec onOb C; o.' e Cons truc tion Co.
SURVEYEL) .jS IN POSSESSION
SURVEY OF PROPERTY
S1TuATE 11V THE
TOW/V OF PA TTERSON
PUTNAM COUNTY
NEW YORK
SCALE' 1" =40" DATE: MAP26�1986
BROUGHT TO DATE: JUNE 4,1986
r+ MAR. 17,19 87
FILE NO. T703-A7 - P31 -3 -44,
t- Cp
Harry 'W, NIchols Jr., P.E. _. _fit— ?>;— G`►F -9 i t 1 1� -- �9.4r �< .: _.
P.O. Box 252
Brewster; NY 10509
.1
S
soi• 7
b
140,
\
\
\
5
+1 1 1
, $ 1
I I
I 1 1 1
1 1 1 1
III 1 1 5
1 `
1, \` v'\e'j
_ -- - --- -- -- --
L.F AB�S0 6L Ot•.J
TREtJC}Y @�Cn' O.C.
\ _ _- _-0 ISTRiBU,li23tJ'
\0c, VEWpY
i 61. 54' 9v
COZ"WALL HILL TCO
S�-TE PLAt�1
SCALE t" =T_O'
DESIGN FLOW - R,
-1 0E0120om5 @ ZOt
SOIL RAfe USED l
_APPLICATION RATE 1.
4g5o1zgTlol�1 TR.E*
RIrQUIRED : 400
FKOVIOEO : 400
-t-E57r Pt-t yEsce
Cd'
TP -Z UD -taPSc
o" -
uo r�asc
fttnam County Depart{
yivision of savironjontal
1pproved ao noted for oon
tpplioable flutes and itegu:
Putnam County Health Dell&
`:Tt li
G ,K
a ^I
�i
PROJECT
CORNWALL HILL
COP,MWAtL_ 9%L.L. RO
' TOWN OF PATTEI2501Q.
CLIENT;
CORNWALL H1LL ESl
223 V ATON" t
KATONAH,
6i
N
1
i1
\
73 FAIRFIE
i�
L
PATTERSON, NE
914 - 271
CONSULTING Sill
\
\
\
5
+1 1 1
, $ 1
I I
I 1 1 1
1 1 1 1
III 1 1 5
1 `
1, \` v'\e'j
_ -- - --- -- -- --
L.F AB�S0 6L Ot•.J
TREtJC}Y @�Cn' O.C.
\ _ _- _-0 ISTRiBU,li23tJ'
\0c, VEWpY
i 61. 54' 9v
COZ"WALL HILL TCO
S�-TE PLAt�1
SCALE t" =T_O'
DESIGN FLOW - R,
-1 0E0120om5 @ ZOt
SOIL RAfe USED l
_APPLICATION RATE 1.
4g5o1zgTlol�1 TR.E*
RIrQUIRED : 400
FKOVIOEO : 400
-t-E57r Pt-t yEsce
Cd'
TP -Z UD -taPSc
o" -
uo r�asc
fttnam County Depart{
yivision of savironjontal
1pproved ao noted for oon
tpplioable flutes and itegu:
Putnam County Health Dell&
`:Tt li
G ,K
a ^I
�i
PROJECT
CORNWALL HILL
COP,MWAtL_ 9%L.L. RO
' TOWN OF PATTEI2501Q.
CLIENT;
CORNWALL H1LL ESl
223 V ATON" t
KATONAH,
6i
N
DRAWING TITLE :
AS-BUJLT SSDS
LOT 44
SCALE : At
DATE 12-2'
DRAWN BY: l'
CHECKED BY:
JOB No.: 81
yU9��1, DRAWING No.:
\
RANDOLPH W. LA
\
73 FAIRFIE
i�
PATTERSON, NE
914 - 271
CONSULTING Sill
DRAWING TITLE :
AS-BUJLT SSDS
LOT 44
SCALE : At
DATE 12-2'
DRAWN BY: l'
CHECKED BY:
JOB No.: 81
yU9��1, DRAWING No.:
\
lO„WEL6
i
AS-BUILT PLAN
SCALE: 1" =30'
'D
��! E TH /S IS TO CERTIFY THAT THE SEWA6F AISPOSAL
SYSTCM WAS CONSTRUCTED AS INDICATED c)iv
rU i c n. . .. . — . .
NOTE : TH /S IS TO CERTIFY THAT THE SEWAGE AISPOSAL
SYSTEM WAS CONSTRUCTED AS INDICATED ON
THIS PLAN AND THAT THE SYSTEM WAS INSPECTED
8Y ME SEFORE IT WAS COVERED OVER, T146 SYSTEM
WAS CONSTRUCTED /N ACCOPPANCF_ .W /TN ALL STANDARD
RULES AND REGULATIONS OF THE_ PUTNAM COUNTY
DEPARTMENT OF.HEALTR AND TRE'NEW YDRtT STATE
DF_PART/"t,ENT OF NEALT1-l.
AS-BUILT CHART
A 8, C D
/
41/'
/9'
2
##'
20'
3
it e,
3#'
#
5N'
ito'
5
57'
/f9'
(.,
G2'
51'
7
&0'
to/'
90 h
8
If'
(07'
(�
9
00'
7# '
N Al r
r 0
/O
(h 0 0
52'
70'
11
57'
70'
12
/03'
02'
/3
&0'
07'
/N
73'
92'
/5
73'
1W
/!0
02'
/O/'
/7
07'
Io(v
1/01
1
1113'lq#,
MOTE
PROPERTY LINE DATA AQD TOPOC>RAPNICAL
DATA TAKEN FROM "6U13DIVIbION MAP OF"
SECTION ONE, CORNWALL Rip[sE
PREPA.REp Fay BUNNEy ASS ,50CI /ZTEtD L.`).
DA.,TEt> MOV. 14, 1985 REVIbED FEb. A, 196(v.
p, 6%
01� to m N N N
Q V Q1 0� 01 0) �1 61
F > >
E�_LEV. 12 -2 2 -27 2 7 7 7 1 7
A97 00 �k
40 4.0
r.� V.
`.
49�.z.o IT
RL = ROOF L.EATER
FD )r*ooTI/VG DRAIN
77),
ll
6
r
(d7�
(4-12)
I
Om 9
90 h
h _
_ iQ- 0
0,
(�
I(? I
Iq R N
N r N
N Al r
r 0
0 Q (
(h 0 0
RL = ROOF L.EATER
FD )r*ooTI/VG DRAIN
77),
ll
6
r
(d7�
(4-12)
Rev. 3/86 Division of Environmental DEPARTMENT
Mccei OCarmel NTY~ R
!�FOR PUTNAIV I eer.to Provide Permit q iosiz :. on CERTIFICATE OF COMPLIANCE CONSTRUCTION PES AGE DISPOSAL SYSTEM Permlf ;q
`��aTr�So
Located "at 0-C)iw WAj -L '41L-L— vet, Town er -rage a
Subdivision Name CoRI.i WALL. qi% f Subd. Lot q T. Map-A Block y Lot z • d .
Owner /Applicant Name'e..e7iZMV44,L -L. tali. -- MSTIAM'J ). Renewal_❑ Revision
Date of Previous, Approval
Mailing Add. '2-'Z- 5% I<A" o 14 AAA 6,V—e Town K%aTb,:lA►iJ - y:111 � � O �3to
P
Building type Lot Area I , Z nc,`i AG Flu Section only
Depth Volume
Number of Bedrooms Design Flow G %P /D 8QQ P.CHD NotlHcation Is Required When Fill is completed .
Separate Sewerage System to consist of J = �� Gallon Septic Tank and 40Q L • F %sea o ye Q T i 014 J idCd
To be constructed by —rl> Cs ZZ �> e<'J4 //clLl� Address
Water Supply: Pdblic'S
apply From Address
ori�_Private Supply Drilled by T Address
Other Requirements
I represent that I am wholly and completely responsible for,thIa design and location of the proposed .system(s), 1i that the - separate sewage disposal system
above, described will be constructed as shown on the approved amenidmeht there to and in accordance with the standards, rules an regu a was o e u nam
County' Department of Health," and that on completion thereof a' Certificate' of ConstiuctionCompliance" satistactory'.to the.COmmissioner of Healthwill
be subrriked to the Department, and a, written guarantee will be furnished the owner,.his successors, heirs or assigns by the builder; -that' said builder will
place 'in goad, operating condition any' pa ern
said sewage disposal system :during the period of two (2) years immediately following the data of the'issu-
ance of the> approval of the Certificate of Construction.Com Ilance of the original system or any repairs they that the. drilled well.descr,ibed. above
will be located as shoavn on the approved plan and that said well w be ed in a rdance with the ndar s,` rul s and regu o Putnam
County Department of Health.
Date 7 C'r �!_ Signed R.A..—
Address "7'3 F1%Fi.a =�,i. �'JaT ITt.I� �.?Y License No X5'78
APPROVED FOR CONSTRUCTION: •This approval ees a year from the ate 'sued unless 'construction of the building "has been been and is
revocable for cause or may be amended or modifietl when xpir c i eretl eeisary y Com issioner of Health. Any change or alteration of construction
requires a n w p mit. Approved for disposal of domest nitary sewage, n ivat writer pply only.
Date By Title -
�.cvnu'uyn, anY pare or..aaia, sewage. aisPOSarSYf
ante of the ap`piovaf :of the Ceititicata of'rCOnstruction .CopIlanc
will. be located a3 shown on the approved plan`and'th&Fsaid weil,will b insta
County De/partment of Health
Date el t- S�gne
Address IMLZ r
APPROVED -FOR, CONSTRUCTION This,approvslexpnes oney ifr
revocable for cause -or May -ti.e amended 64—modified when con 11 a n' "ef=7
requires a ne er 't. oved for disposal of domestic i r r
Date - . BY
during the period of: two: (2). years' immediately dollowing ;the date of dhe issu-
or,iginal system of any r rs: there' • 2).:tnatahe drilled. well described above
n,, actor rice -w' th st da s les -and egu aa— Ti'ons of ' the Putnam
i
p 1E. A.
�T—- -M-M�16 License No�
dat ".issued unless construction-of the building has. been undertaken and is
by Commissi h r Health. `Any change or alteration of o-nstruction
ari' r` '►iv t t f, PDIy: only.
Title
RANDOLPH W. LAURENT, P. E., P.C.'
73 FAIRFIELD,DRIVE
PATTERSON, NEW YORK 12583
914 - 278-8108
CONSULTING SITE ENGINEER
July 9, 1986
Putnam County Department of Health
Two County Center
Carmel, NY 10512
Att: Mr. Michael Budzinski
Re: Cornwall Ridge - Lot No. 44
Cornwall Hill Road
Patterson, New York
Dear Mr. Budzinski:
Enclosed are the following:
1. Three (3) prints of Drawing SS -44 "Proposed SSDS -
Lot 44 ", revised 7 -9 -86;
2. "Construction Permit for Sewage Disposal System -
Revision, dated 7 -9 -86;
At the direction of P.C.H.D., the SSDS design has been revised to
standard absorbtion trenches.
We would appreciate your review, approval and reissuance of the
Revised Construction Permit at your earliest convenience.
Sincerely,
Richard S. Clark
RSC /map
CC: Mr. Kenneth Emerson with one copy each.
CWR8617 REV.
enclosed:
f or
:x
1'U. 1Vm.1 %A Njy .L LC.ttlttl/'1C1V1' Ur nrt, .Lb
DIVISION OF ENVIRCtMZrAL HEALTH SERVICES
DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE'NO.
Owner(Ix "W)'u- EgMr�< 1►.A(_ Address ZZ3 V-)S ;�, A &)E IL.t�T►.t \r��f��4 ►G�3h
Located at ( Street) zt (ZT• i (A Sec. 15 Block tv Lot C ,
(indicate nearest cross street) Cdr
Municipaiity �1, T - r" Watershed — C,r.:►�i
Date of Pre- Soaking &---k b— Date of Percolation Test iG-16
SOLE.
NUMBER CI= TIME PERCOLATION PERCOLATION
Run Elapse Depth to Water From Water Level
No. Time Ground Surface In Inches Soil Rate
Start -Stop Min. Start Stop Drop In Min /In Drop
Inches Inches Inches
'Z.-7 j G .o.
2 Z77,
4
5
4
5
1
2,�
i0 i ?
4 ®���
5
t
�ti y
1. Tests to be repeated
are obtained.at each
for review.
2. Depth measurements to
rev. 9/85
at same depth until approximately equal soil rates
percolation test hole. All data to'be suhmitted
be made fra:n top of hole.
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS Mi00UNIERED IN TEST HOLES
DEPTH HOLE NO. Z
1'
2'
3'
4'
5'
6'
7'
8'
9'
10'
11'
12'
13'
14'
HOLE NO.
HOLE NO.
INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED
INDICATE LEVEL TO WHICH WATER LEVEL RISES'AFTER BEING EN�'1.MTERED L�
DEEP HOLE OBSERVATIONS MADE BY: `I? C- '- i,2Z— DATE: Cp
DESIGN
Soil Rate Used Min /1" Drop: S.D. Usable Area Provided ajucaU S.�
No. of Bedrooms Septic Tank Capacity gals. Type
Absorption Area Provided By L.F. x 24" width trench'
Other
Name ��1J17cD�1� �il�. '� -lei. i Signat
Address '�`3 F1�i�FtCt �fUv'G ` ;J � � `�,�' `
SEAL 3 -0
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: -� �,Q= :.:.'.'i'�'v ,'
Soil Rate Approved sq.£t /gal. Checked by Date
i
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
AFFIDAVIT - CORPORATE OWNER APPLICATION
FOR PERMIT APPLICATION SUBMITTED TO
PUTNAM COUNTY HEALTH DEPARTMENT
TO: Commissioner of Health
In the matter of application for:.
Cornwall Hill Estates, Inc.
I, Kenneth Emerson
represent that I am an officer or employee of the corporation and am authorized
to act for Cornwall Hill Estates Inc.
(Name of Corporation)
having offices at 223 Katonah Avenue
:Katonah, N.Y. 10536
Whose officers are:
President: Edward H. Emerson, 223 Katonah Ave., Katonah, N.Y. 10536
(Name and Address)
Vice - President: Kenneth Emerson & Martin Diano, 223 Katonah Ave., Katonah, N.Y.
(Name and Address)
Secretary: Janet G. Mastropietro, 223 Katonah Ave., Katonah, N.Y. 10536
(Name and Address)
Treasurer: Lynne Diano, 223 Katonah Ave., Katonah, N.Y. 10536
(Name and Address)
and that I am and will be individually responsible for any and all acts of the
corporation with respect to the approval requested and all subsequent acts relating
thereto.
a�
Sworn to before me. this % 'a day Signed: r'�l
/ yr,
of ( ^ �rc,� N _ 19 9 Title: Vice President
Notary Public
LIONEL WEINSTEIN
Notary Public, State of New Y.01A
t;o. 60.419' =160
Qualific -! in Wa:itc!1crt :;r Ctoum*v,
06nimiss;oh Expires thnuch 30. Lg
8/84
Corporate Seal 0 f-011" � ..v ^
Z Iriv
PUTNAM`COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services
AFFIDAVIT - CORPORATE OWNER APPLICATION
FOR PERMIT APPLICATION SUBMITTED TO
PUTNAM COUNTY HEALTH DEPARTMENT
TO: Commissioner of Health
In the matter of application for:
Cornwall Hill Estates, Inc.
I, Kenneth Emerson
represent that I am an officer or employee of the corporation and am authorized
to act for Cornwall Hill Estates, Inc.
(Name of Corporation)
having offices at 223 Katonah Avenue
Katonah, N.Y. 10536
Whose officers are:
President: Edward H. Emerson, 223'Katonah Ave., Katonah, N.Y..10536 -
(Name and Address)
Vice - President: Kenneth Emerson & Martin Diano, 223 Katonah Ave., Katonah,N.Y.
(Name and Address)
Secretary: Janet G. Mastropietro, 223 Katonah Ave., Katonah, N.Y. 10536
(Name and Address)
Treasurer: Lynne Diano, 223 Katonah Ave., Katonah, N.Y. 10536
(Name and Address)
and that I am and will be individually responsible for any and all acts of the
corporation with respect to the approval requested and all subsequent acts relating
thereto.
Sworn to before me this day Signed:
of 19 tc
Notary Public
LIONEL VIEINSTEIN
Notary Public, Stnto .of New YWR
No. 60.4 199160
QuaNfied in V,'w- tchW:tcr Count{ c�
mmmissmh- Expires Morch 30. 19 b
8/84
Title: Vice President
corporate Seal
.+ -JC4 -� s i - y :� 1 :u. S -?-. L t Y f _ 4 a .�.: ^t� c - 4 s,.:c•• -.
':. •... .: ��.:r�— �wr-ice! ,. '.: .. _ M1 ..... _ _ _._ ... .. _ _
PUI.`NAM COUNTY DEPAR`IIME11T OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES
INDIVIDUAL WATER SUPPLY & SUBSURFACE SEDGE DISPOSAL SYSTEMS
REVIEW SHEET - CONSTRUCTION PERMIT Zr
DATE MUE110:
BY:
(Name of Owner) (Street Location)
CCRAI TS YES NO DOCUMENTS Q 7
Permit Application
Corporate Resolution
Plans - Three sets
Engineers Authorization'v -v
✓ Design Data Sheet (DDS)
Deep Hole Log
D r),� Ih W Consistent Perc Results (3)
0"0 �sti ^_ ) o
30" Perc Hole
Other
JF
House Plans - Two sets
If PWS - Letter
Variance Request
REQUIRED DETAILS ON PLANS
Sewage System Plan
Sewage System Hydraulic Profile - Gravity Flow
Fill Profile & Dimensions - Volume
D or J Box;Trench /Gallery; Pump pit details
Septic Tank - Size, Detail
Well Detail, Service Line if over
Construction Notes
Design Data
Two -Foot Contours Existing & Proposed
Driveway & Slopes Cut
i/' Footing /Gutter Curtain Drains
Perc & Deep Holes Located
Representative of Sewage & Expansion Area
Expansion Area;shown;gravity flow,suff, size
If PmVed Pit & D Box Shown & Detailed
is /Z Q House - No. of Bedrooms
�p Wells & SSDS's w /in 200 ft, of Property Located
f Property Metes & Bounds
House Setback Necessary (Tight lot)
✓- ouse Sewer - 1/411/f t. 4 "0; Type pipe
i/ No Bends; Max. Bends 450 w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
✓ Fields
10' to P.L., Driveway, Large Trees
20' to Foundation Walls
100' to Well; 200' in D:L.O.D, 150' pits
100' to Stream, Watercourse, Lake (inc. expan)
t 15' to Drains- Curtain,Storm,Leader,Footing
25' to Catch Basin
10' to Water Line (pits -201)
Septic Tanks
10' fran Foundation
50' to Well
15' Well to PL
CAL
Legal Subdivision
Subdivision Approval Checked
Ex- approval SSDS Adj. Lots Checked
Wetland (Town/DEC Permit R & D)
I I I Data On DDS Plans & Permit Same
d . . V.
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner Co,- "w,�u. ljiLi- Fj,,rATE4 �zmc.. Address 223 K/. -rr ANNA Ay V, _KaTONA4 Ny - IOS3(,
Located at (Street Sec. B] ock Co Lot ZI
n ca 'e neares cross 4sr!e e
C44�
Municipality. Watershed C(�07-D`f../
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED.WITH APPLICATIONS
To7 e
Number CLOCK TIME
PERCOLATION
PERCOLATION-
un Elapse
Depth
to Water
Water Level
No. Time
From Ground Surface
in Inches
Soil Rate
Start -Stop Min.
Start
Stop -
Drop'in
Min. /in drop
Inches
Inches
Inches
? ?
1+
DEPT OF HEALTH
5
Z6-
72 22�
3 2 :?
_ 5
Note:;: 1) Tests to be repeated at same depth until app�roximatel. equal soil
rates are obtained at each percolation test hole. A1y data to be submitted
for review.
2) D--pth measurements to be made from top of hole.
DEPTH
G.L.
6"
12"
18'1
24"
3Q. .
u
36"
4211
48"
54„
60"
66"
72„
7811
8411
TEST PIT DATA REQUIRED TO BE SUBMITTF..D WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
HOLE NO.-- I _
Y. . .
HOLE
NO.
HOLE
N0.
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE. LEVEL TO WHICH WATER LEVEL RISES. Aln'ER BEING ENCOUNTERED
TESTS MADE Date.
DESIGN
Soil. Rate Used 6 7 7 Min/1 "Drop : S.D. Usable Area Provided 9 0.* a g . F
No. of Bedrooms Septic Tank Capacity 10 a O Gals. ^Ty.�
Abuorption Area�rov a Bye L.F.x24" �(?'dta 1: r
Address 7 ✓ SEAL c.. Vii; :,r .:. �:;� -=
'1'1113 SPACE FOR USE BY Fi INH DEPARTMENT ONLY: `` ``�FcS�►U�����
:5c1.1_ Rate Approved Sq. Ft /Gal. - Checked by Date
VED
SEP 2 C 1985
DEPT A® pOU1VTy
F
BRUCE R. FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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 Fax (845) 278 - 6648
Preschool (845) 228 - 5912 Fax (845) 228 - 6113
February 28, 2002
Eric Schmidt
31 Cornwall Hill Rd.
Patterson, NY 12563
Re: Addition - Schmidt, Cornwall Hill Rd,
No Increases in Number of Bedrooms
.(T)Patterson, TM #23. -1 -22
Dear Mr. Schmidt:
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 February 28, 2002. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at four 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 Patterson.
If you have any questions, please contact me at your convenience.
Very truly yours,
Michael Luke
ML:Im Public Health Technician
cc: BI(T)Patterson
y
} coin HE.�Ir�
a 1'Geneva Road (845):278 6130' > '
L f ,Brewster, NY 10509, Date /D r �.
Received of ...... .....�
The Sdin
r �
` For r Gs 5� 02
' � ' `THAIV6C YOUR r'
t y.
Cash ❑Check -P4f;0 r Credit Card By %y%; u
(
BRUCE R FOLEY
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
Director of Patient Services
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
ADDITION APPLICATION (RESIDENTIAL ONLY)
STREET /(j i�Lrl�ljK4l TOWN Z1�c.Cl TXMAP oZ�, "yZo7
PHONE %a0b& PCHD# CSC As-
NAME 3 "Q a
MAILING ADDRESS ,��
DESCRIPTION OF ADDITION
NUMBER OF EXISTING BEDROOMS 4 ROPOSED # OF BEDROOMS d C \
(FROM CERT. OF OCCUPANCY OR'��J
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 Road, Brewster, NY
10509, Phone 278 -6130.
1. Certified check or money order for $100.00..
2. Sketches of existing floor plan (drawn to scale, all living area including basement)
*Non - professional sketches are acceptable.
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #)
*Non - professional sketches are acceptable.
4. 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
Feb98
BFhouseguidelines
BRUCE R. FOLEY
Public Health Director
LORETTA MOLINARI R.N., M.S.N.
Associate Public Health Director
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
Putnam County Dept. of Health
4 Geneva Road
Brewster, NY 10509
Re:
esidence
Tax Map ;1, 3,
Town
Gentlemen:
According to ecords maintained by the Town, the above noted -dwelling
IS
IS NOT
in compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD:
-� C7
Building Building Inspecto
BFhouseguidelines
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-
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PUTNAM COUNTY DEPARTMEIN'T OF HEALTH
HOUSE PLANS APPROVED FOR
BEDROOM C {)U" T Ot,il
�BEDFO;','t:
Signat =�¢ ;obi z�a� o l
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Eric & Monica Schmidt Tax Map#23.4 -22
31 Cornwall Hill Road, Patterson
o0o
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HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
BEDROOMS
7a.",0 -.�
Titi Z-
_e
5,�::. Date
Eric & Monica Schmidt
31 Cornwall Hill Road, Patterson
Tax Map#23. -1 -22
t
PUTNAM COUNTY DEPARTMENT OF HEALTH..-.
HOUSE PLANS APPROVED FOR
BEDROOM COUNT ONLY;
BEDROuP, ,IS
s
a
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Eric & Monica Schmidt
31 Cornwall Hill Road, Patterson
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CORNWALL HILL ROAD
.TOWN OF PATTEP-150W„ NY
CLIENT:. - -
,COR -NWALL HILL. E5TAT- S; WC..
2Z3 KATONAI4 AVE.
KATONAN, - NY
RANDOLPH'W.LAURENT,PE 'PC.
73 FAIRFIELD "DRIVE
PATTERSON, NEW YORK 12883
914 - 278 -:6108
CONSULTING SITE ENGINEER'.
' DRAWING TITLE
PROP03ED SSDS
LOT" 94.
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- DRAWING No
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IMMw L II_OS6d LPOr'Oontormanoe- with
ale Rules and Regulations of the
ealth peyartment.
=IS
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'. PAA
PROJECT : -
CORNWALL HILL ESTATES
CORNWALL HILL ROAD
.TOWN OF PATTEP-150W„ NY
CLIENT:. - -
,COR -NWALL HILL. E5TAT- S; WC..
2Z3 KATONAI4 AVE.
KATONAN, - NY
RANDOLPH'W.LAURENT,PE 'PC.
73 FAIRFIELD "DRIVE
PATTERSON, NEW YORK 12883
914 - 278 -:6108
CONSULTING SITE ENGINEER'.
' DRAWING TITLE
PROP03ED SSDS
LOT" 94.
�Of NEVV.'
'.'SCALE.: SNOWN
LLIA,y yO,p� DATE<,4 17 9Co -
I,� 2 �9 �, DRAWN BY. CBM
�.n - CHECKED BY: RW_l_.
� I
�^1yP JOB No 861`7 -44
- DRAWING No