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Home My WebLink About0672DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.11 -1 -4 BOX 8 i,yti,. I - I Is � m, � , � T �` ' Ism . , .�.. ;.,�'� -� 00672 BRUCE R. FOLEY Public Health Director Robert Morrera Mt. View Rd. Patterson, NY 12563 Dear Mr. Morrera: 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 (914) 278 - 6130 Fax (914) 278 = 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6Apr119, 1999 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Re: Addition- Morrera- Mt. View Rd. No Increases in Number of Bedrooms (T) Patterson Tax # 23.11 -1 -4 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 April 9: 1999 The 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. 1 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 MI,:kg Public Health Technician Cc:BI I -t. 0 DEPARTMENT OF HEALTH Division of Environmental Health .Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLYI BRUCE R. FOLEY Public Health Director 6t 72 STREETI'.I`.�;� . (!✓.[�.c: ,�� TOWN X MAP # NAME PHONE 2 HD # g� D MAILING ADDRESS J� `� o win -�c� \/ t:�.J (Zd, , 1 a�, ei✓�a,n tJ� 1 Z:sb� DESCRIPTION OF ADDITION,,/,��z1��JVr.�' NUMBER OF EXISTING BEDROOMS 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. r 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 v 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. d 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 ". : DEPARTMENT OF HEALTH Division . Of Environmental Health, services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen: BRUCE R. FOLEY, R.S. Acting Public .Health Director • _ � l c1 �i.�f � Tax Ma To= According to records 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 -.3 This information has been obtained from: CERTIFICATE OF OCCUPANCY: ASSESSORS RECORD: OTHER L'o. dz�' . . $uilding Inspector fix"':: �ti.""°":.%:? � +�'.. -'F"S::",�'xt�", ..,..R: st.:�." e'�SNZa."xi- " >t�+.i��w:..r� �i�.Zfg?,i'�'c'Y"�' ' a'�c'�';.{I'r" ;t._ �._,. _ .:.�'.`� y.•..:�;. � S 3 z {.. }•r .. .. ri 7 .r,t .-^A. la Z - - 3- - _ .._. '- ' � � � `� ''�► _ ;tom sir ` - y f� Ift kk .yip s i� e d r 4 T-10" - 23'-4 IT-9y 0 -7-1 Hall Bedrm. 3 Bedr4-i 2 IH IT 1 -3" (Y-Vo Fla,, R_& R APPRIYVAL T- IT41 -1 Kit( 111-4- 26' 11--- -P - - -• ivihiz Rc 10-4 # r,V,j oundatia,% -p— wu wi0 SiIUP: ITO 7-,LLD: R APF'HfVAL Lr., JG3 WiFt MCNRFAA LOCAMN: W-TERSON, MY OAM 7-12-:-,3- COMMUOR: 261 rFLV.i _FOU_ndavon _P1_cn FOY UR A'''F'RCYA! : r0 5NUP: TU � .tLPr. F � R APP1tUb'AL AS (3iiP_: FAV1, t3Y: FI 17... �<. 1 IT-P 2x4 collar ties 32 inches an center to 2x6 rafters 16" an 51-311 center Marvin CDH2O14 Double Marvin CDMO14 Aluminum ucy flashin 71(ty vapical) I new iaoF . . . . . . . . . . . . . . . Ex M Bedroom!" Attic Coll" Ties 5'4� on center (match cjdsfing)7 Upper Livi L 3I432 SK -3 1Mafeh Dew with existing alt 20' A ;�� L�J per trunudacturar's $ trip new roofing inII tinJJ recommandati 6-61' A See clovatio 9 Y-L for false Relocated Q --dorracrabove- pull-down stairway = Attic .�C ...... .... . 3 BEDROOMS Mr �_,;Wmra a � > Dii. New walls am 2x4 Wd2 with 4° insulation and 5/8"FRSR each side See clovatio 9 Y-L for false Relocated Q --dorracrabove- pull-down stairway = Attic .�C ...... .... . .. ... ..... > Storage Wd2 Loft Double Closer -Sister new 2x6 rafters to existing ........... to atW with new rafters ......................... .... Ex Bedim Ex Bedrm New Dcd=p New double 2x i Bed nook header and jack studa to hazing below T_ Doubts Marvin Double Marvin 3" I CDH3014 CDMO14 arch down roof 18"Microtam beam flush at guage ceiling 121 29'-10" AFr in attic storage loft clad in FRSR Tbc windows are shown with Mania catalog nanobars to fit existing openings or new S. attached Door Schedule far am and quantity of units M a e A*, 23. t I - I - Morrem Rpmeidpnc Dili I MR! Fuciatin8 house strU Wte era remain to be reflnishcd as regnirod wherever shown thus) . Under screened h -- CW2430 Railing continuous @ 3 -41 AFF: 30-3 4x4 posts 48° on cotdrA Open Dec— Screened in Porch 2x6 rafters 16"m center 6' - la' -0 ,• martin 830 036 CFDR6068 P OX 1:.110 So-3 - -- 2F-C 7- step -- — labs r W3630 Align wall with old Ileoal 4DIi36 ! I No ees un bn n�ertd to I ' SoLchBasna Sbrage 21 36 ! door !fame Closet L 2 Block Block Coordinaln removal Dw 1 B Filler after new - • ' "- ®I to functional Black 6 W s S1136 Ki lilt u' -t• PmayCloset a•_e. - tchen Breakfast Nook 1 612 M 4 —'— —frig Bide panels 7t ,� ty.„ 31 -3 Mud 1\111 `I'Do 2 2' - `5 � - 36 WM 361 SheNce SI -23 � (' 30 \-W I230 Ewting 3 ' pi. finish is W be 2boaed Bbck /PT Up -- tl• -2�• 4'- io• ---� 4' rm.. 'nod and a�tendcd into new areas from Black °O$$ I the materiel salvaged $om ceiling and other U4' weber prodmosotib oe�te wh poy pf d eeaa demo er - - - -1 \ dds . Dining Roo Living Room 5'_6' UWRoom Cortade w Suter existing stu a to align with _ Block F' new addition 2x6 alon and 2' i fill with new A -19 inaWation 7w. _ p• Dili I MR! Fuciatin8 house strU Wte era remain to be reflnishcd as regnirod wherever shown thus) . Under screened h -- Po parge pup Was labs eaeen No ees un bn n�ertd to I ' SoLchBasna Sbrage Cow Block Block Bock Black WPM 114•rebrpmef=csngwnp* vqwba.b. aide' h Crew Speoe 2boaed Bbck /PT Black Black Block W.PM U4' weber prodmosotib oe�te wh poy dds Vapor barrier and it berWass h Joist UWRoom Cortade WRSR WRSR Block Black FRSR SW torebddleatockcetigwhS' mesodb Wotan bar BasemeN Bdwoan Tie 8 WRSR WRSR WRSR WRSR WRSR Ce6g dtpas am W.C.. hWW tor awe Foyer Tb 8 WRSR WRSR WRSR WRSR WRSR bm83s tor W e° FFF cave on trft an Ex gSbmp Can WRSR WRSR WRSR WRSR I WRSR St#rmigltwh2c4bxpnwhrew on on an on2c4 stcwft dernedrrckdworl Gave a a ded9 I a a 818FROB CWWbbe5Wkerst 1-1, span (FRSR) Fled Fbor Lovel Open Deck rd VM wsy PT 2t4 atsldhp ed ddkg Ra6g Rebg to dy Presrae Feebd sotAern yebw pke bat a emistj molstntwftd mebrbl SaawadhPorch Pr as Plskxs/ T -111 Prsixis/ PTAx l WJW dwabrdoe6gbbewaWfomboad screen rwaan screen Yduslon and over heafto KMen Pergte hibe Has Was Pdbd IAhooghashwh deal ddd�plrat 31 S.R. bba eseKbfendebb BrsadtWNook Pergte Palled Palled - Shedodc Pai Vtbodbeatvotgtot/ Oak SR. SR. S.R. Mud Room NCT d Palled Pdbd Pekbd Pakft Pak tbd Fbor drain b aewl speco rsr rester boo I S.R. S.R. S.R. SR. SR. Dft Room meth PeHbd Pat Pak led T&Opbe Pd bd CatrbebmeChabtrg.Kn*pkeon 314°od S.R. S.R. S.R. S.R. Wad wdbbengcbd tam drm.Fhsh ,plaboaktalngtonalchnift UAW Roan Pebh 314• Path Pak ied Pehled Patlt T&O Pd bd Skier East wd Axe b abaswh rim 20 oA Tdf3 SR. SR. pke SR. wet add 8°kmAdcn.ReHdt kwft Edema Ftgsbns Pdlsd Pak Pak bd POW Pd Areabdwaenslbsadgbyrkworkby - SR. SR. SR, SR S.R. owner Frord Porch Fbpsbro - PT ral% T -111 T -111 T -111 111 bbe daked and 88014 war ITMn yvsk an abtbg deetig a row SemM Fba A Aft Aaepa over perape 06 mbre Arffi fir okxb 98' beck ddb of be is rebel deetod FRSR FRSR VYArC WSR 1/2'SR 11TSR 12°SR 112!'SR ShWasrdpobsea6ham �Cbwb PVwood I " 79 1. TWX,w ! Front Porch �� OP Dn' New Ccmemte slab an gmde eiaped — 16' -10' 6 ' — 6' 4° m firont for dmiaagc, 4x4 wwm, 4" 4° s� Entrance St-1 eta,, an 4 mil poly V33. ®4" pawl We -wood railing between 4x4 posh t�� 4w r -r F-- —c — �-- -e —I PUTNAM COUNTY DEPARTMENT OF HEALTH HOUSE PLANS APPROVED FOR A BEDROOM COUNT ONLY; BEDROOMS Stgnatu Date TRx. MAf-W c� 4-r, � n +� �r � � ttn � L1 � •r•� � L� � .+ ...« T ..� „..1 l D_ � �.. ... � L \ �® Monera Residence mucl 2.8 PT J.b� existing ftioting; =0 then backfill to Smile the entire wall 7 2x6 P" Joist water 16" on center Cut 2 now openings; in 8, treatment utility Storage block wall 41 pworm lCqqCiBt 16- L OFT) bridging retaining Won - Slope existing Ncw 9 1/2" deep Mitch plate Girder. T000 with concrctc shelftoalign dirt floor as existing 2xg joist and sister with W�e to be 131-2.6 flugh with gWa Litrotighout basement ceiling T-41 with new screed - shown and cam 3-2xl 2 Order at mid span L. 4mill Poly then New 4- disaider Lary colarnin with shoes to Prufab Sump pit receive existing and new flitch girders set in 1) in new oancmu: new 24x24xg Inch fboft flash with floor flow Bath New ottercto T-41 club w/ 4x4 G. Crawl Space Existing Garage 4' rotten at, 'd wan Bi-4 2x6 Joist with PT 2x4 and 1611 an cmter sidd am is door Bring existing --mm W:22m New Smage do= by Owner's Foyer 8"blockwall subcontractor. Coardinate, all nsc openings with maindlichinar it-2.5 A, SIA to sill elevad Bilco cap over stairs Concrete steps 32"xl6' Caller window (2) clad windmn fim owner to be installed to hmch drain for accass as we required 6'-6' G'-6' receive new microlam girder and coordirtz" WWI um�/" — punvxMnounr/ DEPARTMENT oFHEALTH � / ^ / HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY; ( BEDROONIS | °g"u."" Title ~ ~.~ 4 PT —� -king 4" C. (or equal) 8 PT Joist — " O.C. with tcap under ;king Klatch existing facia with return for future vinyl soffit Tyvck on 1/2" CDX plywood sheathing on 2x6 studs 16" O.C. with 6" fiberglass —,/ 4 bars set into " hole with ' on- shrink o 2" expanded ro ut (2 every `' • •: .` tt poly styrene .I O: Alternate footing pinned to bedrock if required 25# shingle similar to existing on 15# felt on 1/2" CDX plyscord on 2x8 rafters 16" on center 9" fiberglass between 2x6 ceiling joist -- 16" on center ridge vent above Double 2x6 collar ties 64" on center tie across to rear wall Strip new floor into existing — Existing House 2" concrete on 2 layers 4 mil poly =� New 8" block and footing as req'd to reach depth Section thru Knee Wall Double headers arounf openings (typical) Prefab 42 Unit Flush slate hearth on concrete —1 r 2" poly styrene on 3/4" CDX IMI 25# shingle similar to existing on 15# felt on 1/2" CDX plyscord on 2x12 rafters 16" on center 9" insulation with 2 1/2" air space (Typ.) Match soffit for Vinyl Shelf unit to be built both sides of a wall in this area $" Block with durowall every ; other course 1/8" Me exterior side w/ foundation ' tar to grade 1 4" perferated pipe footing b ' drain wrapped in gravel & filter fabric TRx rnAf -4 23,11 -1- (Irn e c 4Z Ar%+; r%" A tTU,. ,. Morrem Residence Match existing mnf.qlnrm and windows with torch down New- roolling stripped into new roof WM.---' - 1, 2x4 false rafter with 1/2" VC unit and flashed to existing wan unit plywood ociHng dMI-out exterior parch W rafters 1611 on center with typical shingle roof system without insulation 2 -2x10 girder 2 risers Sister, joist Fill in block with 1/21' W' n t Window false nZ, Sister � with 4 7-1/2" with 2x4 wall to match plywood continuous Bill between 4x4 2-4 to Posts -Taper 7- concrete on existing, existing stab . F-P Section "C" and Further Sections Through Front Porch Ridge vent and W ridge board below 2x6 rafters 16" O.C. with 2x4 collar ties 48" O.C. exposed to interior Vinyl comer boards 2x6 mitered top rail with 2x4 backer; 2x4 toe brace and prefab vertical alas all pressure treated lumber Section "B" Through Screened in Porch and Deck C7- io— U" N I D=wn BY Scale: Date: Revision W-1— I DIM-M. W.-bw i i Bedroom 1 Existing Strip into F, S$g existing roof 12" and re -flash chimney 2x4 wall w/ 5/8" F.R.S.R. both - - -- __._.._ sides and 4" insulation 4x4 posts clad . _ with w/ 5/8" 2x8 rafters 16" F.R.S.R.48" on O.C. with BedrillS CI Set `tom - standard roof StTTora/�Tj��,ge detail, 5/8" FRSR interior ,— New 2x4 end wall both ends B -i - - -- - -• - - -- 18 "deep 2x6 floor joist — laminated beam . Existing 16" on center w/ flush at bottom stg 1 /2" CDX floor with joist clad { & 5/8" FRSR with 5/8 "FRSR ceiling below Existing Garage I � Section near Nest ]Edge standard roof detail Exaust Fan 2x4 studs 16" O.C. 1/2" CDX and tyvek cover 32x48 opening Storage New PT 2x8 sill Oft anchored into existing block Soffit to match existing P 2 18 "deep 2x6 floor joist laminated beam 16" on center w/ flush at bottom r 1/2 CDX floor With joist clad I & 5/8" FRSR with 5/8 "FRSR ceiling below EX1Sting Garage Section thru Dormer and Bedroom ITT® ®k New PT 2x8 sill anchored into existing block Soffit to match existing 'T'Rx maP -A 23.1I -I -y PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION Name of Project ->-V _(T)( TM# Year of Construction Size of Parcel SECTION $. TOPOGRAPHY (Please check all"appropriate boxes) 1. Of 6y ❑Rolling ( teep Slope Gentle Slope ❑Flat 2. LjEvidence of wetland ❑Low area subject to flooding ❑Bodies of water ODrainage ditches ❑Rock outcrop .. �'. YES 3. Property lines evident? ❑ -1� 4. Water courses exist on, or adjacent to parcel: U s' 5. Existing individual wells within 200 ft of the existing SSTS? lL O SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) . 1. Physical character of existing SSTS area. A. ` ❑Level 1 Gentle Slope ❑Steep slope B. ❑Well drained ❑Moderately well drained msom,ewhat poorly drained OPoorly drained C. Area available for SSTS. (Primary, & Reserve) ❑Extremely limited Somewhat limited ❑Adequate ft x ft D. INSPECTION Date Inspector No evidence of failure (Evidence of failure vidence of seasonal failure. ---------- =°--= -------------------------------------------------- ---------------=------- - - - - -. (Indicate North) h E Housr A ---------------------------- --.! ------------- ------------------------- ----------- -- I (1) Indicate location of SSTS A. Size and type of septic tank gallons M'Metal floncrete OPlastid B. Type of absorption area . 1. Fields ft. 1 Pits 3. Gallies ft. (2) Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams /wetlands) SECTION E. EXISTING WATER SUPPLY []PWS ❑Shared well Individual well Dulled 0Dug M<Casing above ground COM&ENTS : REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: Owner or Purchaser o Building F rr ' fiW 131e 1 + Bui ding Constructe y Mott N�Vlow Rdodl Location - Street Frame Building Type t Muni cipa ity Section C Block Lot GUARANTY OF SEPARATE SEWAGE SYSTEM I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage disposal system serving the above described property, and that it has been constructed as shown on the approved plan or approved amendment thereto, and in accordance with the standards, rules and regulations of the Putnam County Department of Health; and hereby guaranty to the owner, his succes- sors, heirs or assigns, to place in good operating condition any part of said system constructed by me which fails to operate for a period of two years immediately following the date of initial use of the sewage disposal system, or any repairs made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the occu- pant of the building utilizing the.system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to wheth6r or not the failure of the system..to operate was caused by'the will ul or negligent act of the occupant of the building utilizing the syst /.� Dated this day of { ♦ 1971 Signature Title � ii' corporation, give name and address) - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - THREE (3) COPIES ARE REQUIRED.WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM. Division of Environmental Health Services, Putnam County Department of Health n: 1 WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK 7 �- This report is to be completed by well driller and subrpitted to County Health Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME _ ADDRESS LOCATION OF WELL (No. & Street) (Town) (Lot Number) AwNbAdY ph,110,goly 0 PROPOSED USE OF WELL WELL ' tDOMESTIC ., � BUSINESS ❑ E] ESTABLISHMENT ❑FARM TEST WELL ' 6'- ❑ SUPPLY ❑ INDUSTRIAL ❑ AIR ❑ OTHER CONDITIONING (Specify) DRILLING EQUIPMENT OMPRESSED CABLE OTHER 11 ROTARY AIR PERCUSSION ❑PERCUSSION 1:1 (Specify) CASING DETAILS LENGTH (feet) DIAMETER (inches) / !r WEIGHT PER FOOT ?J E" THREADED ❑ WELDED DR1.S O L_J YES ❑ NO G YES �j D? LJ NO YIELD TEST HOURS G.P.M. ❑ BAILED ❑ PUMPED ZCOMPRESSED AIR YIELD.(G.P.M.) WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Speclfy feet) IS- DURING YIELD TEST feet) l TStAl a4v ,v Depth of Completed Well / in feet below land surface: SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (fset) 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 cl Q� P4 BOYD, ARTESIAN JELL 0 RFD 3 If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE ELL COMPLETED ALL21 DATE OF R PORT , IWELLDFRILLER (Sig ature) ROUTE 52 CARI1IEL, N.Y. /7 / 3, Jan. c BREWSTER , LABORATORIES Box 224 - BREWSTER, N. Y. WATER. ANALYSIS REPORT SAMPLE NO. 2649 SOURCE: Forrester Builders, Inc. - faucet Lot . 7 -8 -9 Mountain View Road Patterson, N. Y. COLLECTED: Jan. 7, 1972 BY: 6Yi Z l iam .Bush BACTERIOLOGICAL EXAMINATION Coliform Count, MF Method This result indicates the source of the sample was of satisfactory sanitary quality when the sample was collected. 0 per 100 ml. a' written -g of the-diri0iiiate-oi -Construction 'Compliance: be'loc6ted as sih-biwn,on the'IIPp4ioid.-_plan and t hai 41:"Said wall �&i), `County Department of Health aDate '', 0 S ig ri p, d"_ /7, Address ;APPROVED FOR CONSTRUCTION ?tThis approva li expires one revocable for c i ' i ' " eons id or may be amended or� r�6d ifie6 vvhen.eonsld i i "i'domestic " requires a new �perrnit..' Appr 0 Date By roof a',',Gartif Will, be Nth! to -of '.C6n'itruciion"iC6-ehpiiand6i-'saii"Siac't:or . y to . th6C' m OmISiiO;ner of HealthWill id by the builder, I the t - "sa id builder , . 'will M duri!ig:.trie '.pe.riod'o-i.t.,w.,.o,(2l') years lmmediatelY,!, 69wing the date of'the`lSSu-,,j ,igihaj, system i :o-'2):thii pd lied Well ide . scribed above hiori any �repa rs- hereto e r, ed iA. accordance with 'the 'jIta)jdoiii6i," rules and r660571`onsof ''the Putnam* P.E.1— R.A. L I cerise No;/ he date ;.Issued; unibcsPonstruction of the b6'iidin6'-has een'undertaken�::iiiod: is '• ry e-4y 'thre!,;,**6ner of,'Health. Any change or ,alteration of construction` to Water supply only., Title 0U7NAM c6uNTY " PA'tTERQON NtW' YORK OFFICE OF _ ° 1 L 1 I • ' ( r . 06NALD W SWT � SUPERVISOR . li661" L; kc vi1liam. Bash. ' �1dlm d '/en7'G & �L#� i 7 }{.b•'S y ` tY4 Patterson, York 12563 The Highwa Department of the Town of Patterson 1:ara ts` pern ss 6h. to Forrester Bui lders, Inc. t-o insUl'1 -inch gorra6ated Metal -'pipe across Nit. View Roach, too. carry water f lot 6 section ,C to rese rued. area betiuee i `lot `7- ,and S section D, Work must he cane °uZi iF?r sup e 3 Sidi] Of the ' Highway Supers. ltenden.t .± - Respectfully .yours, David Snraq.ue Nn3y SiipeAr L . D: jar 3 Ad If A&LI 4 5 3 /oi4L ®a Notes. 1) Pests to� be. repeated at' ,same depth until approx1r is I- v equal soil rates are ob- tained at' ':each •percola.tion test hole. 'All data :o be submitted for review. 2.) Depth measurements to be -made from top of hole_. PUTNAM COUNTY DEPARTMENT'OF HEALTH DhVISION OF ENVIRONNME' , HEr LTH SERVICES DESIGN.-DATA SHEET . - SEPARATE SE.�TAGE. DISPOSAL SYSTEM FILE NO. Owne Addressd..rd►�H�i�Orel eQ, Located at . (Street).: ec . lock .: ,, Lot h (:Indicate nearest cross street) ; Munici' alit �►gj Watershed �e P Y. 4'r.► F�'=J ilin tr� S h ._SOIL PERCOLATION TEST .DATA' REOUIRED 70 BE SUBMITTED WITH APPLIC!ATI;ON Hole ' " Number CLOCK TIME . PERCOL_4TIOT:. . PERCOLATION Run:.: Elapse Depth to :;rater.:. Water.. Level Y .:`• No . :. Time From Ground Sur: ac e in ':Inches .. , = Soil' ` .-Rate Start Stop Min. Start Stop Drop .in .. Min/in. drop Inches Inches Inches. 2 /O *J tip 19 3 Ad If A&LI 4 5 3 /oi4L ®a Notes. 1) Pests to� be. repeated at' ,same depth until approx1r is I- v equal soil rates are ob- tained at' ':each •percola.tion test hole. 'All data :o be submitted for review. 2.) Depth measurements to be -made from top of hole_. PUTNAM COUNTY .DEPART�MNT. OF HEALTH L AQ Soil Rate Approved Sq. Ft: /Gal . Checked b�: F�� ' 2g2�6 F�'�`� Date i. 'T v -Pil41 if Ew, W 7' i A i�� ifJh, F"N xk IV AIR -ram -Lry r) '6w, ep, r7 171 C, FA