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PUTNAM COUNTY DEPARTMENT HEALTH Permit q
Division of Environmental Health .Services, Carmel, N. Y. -10512
CONSTRUC ON PERMIT. FOR SEWAGE DISPOSAL SYSTEM Putnam •Valley
Town or Village
Laacatea' at p'1Q7row-M` cia'd
Subdivision N/A__- Subd. Lot'N Renewal _� Revision'
Moonbe In ,- am a yes n
owner /Address '2 as of Previous Approval
Building Type ;�Buriks for ,
Lot Area '1 Fill Section Only
Number of Bedrooms 2 Design Flow G /P /D�t�ersonsOa3a��fa1;. P.C. N. D. Notification Required
1= T`f9*
Separate Sewerage System to consist of 20000 Gal. Septic Tank and 50OLF of Leaching Trenches
To be constructed by Donald Heady Address CanOp" R. H01 1 ow ' Road
Water Supply:
XX
Other Requirements
Public Supply From Putnam 'Valley,NY 10579
Private Supply to be drilled byNOrman Anderson, Barger St. Putnam Valley, NY 105 79
Address Existing wells,drilled in 1982,to be used
�i
1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s). 1) that the separate sewage; disposal system
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e u nam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" "satisfactory to the Commissioner of Healthwill
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 disposal system during the period of t 2) years immediately following thedate of the Issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any a irs thereto; 2) the ' the drilled well described above
will be located as shown on the approved plan and that said well will be installed ;
accordance with t e ta dards, rules d regu aTfTons of the Putnam
County Department of Health. n A
Date 11/184 Signed
AddressMuscoot North RFD #2 488
APPROVED FOR CONSTRUCTION: This approval expires o rfrom a da issued
revocable for cause or may be amended or modified n considers as ry. b the Co
requires a new p rmit. Ap roved for sposal of ddTnesti to a d /or
Date % �� — KVI' By
Rev. 9 -81
P.E. R.A. XX
opac,N•Y105411ce,se No. 11056
construction of the buildin has been undertaken and is
ier of Health. Any change or alteration of construction
r s
Title .
PUTNAM COUNTY DEPARTMENT OF HEALTH -
I1 . _ cues Carmel, N. Y. 10512 Permit e
` 1 Division of Environmental Hele/th Servi ,
CERT FICA E OF CONSTRUCTION COMPLIANCE FOR SEWAGE"t515'�6SAL `SY�iEM °� °�
own or Village
Tax Map 4 r Block v
Tax Map Lot q__ Subd. Lot Y
Separate Sewerage System built by Qt ANioT lJ6 FIST, Address
�2 a� 500 LE F' t �� 5 � M —VAL 4
Consisting of Gal. Septic Tank and
Other requirements
Water Supply: Public Supply From —
. � Private Supply Drilled By
Address
Building Type %,--
Has Erosion Control Been Completed?
No, of Bedrooms 6 Date Permit Issued � l L 21 I A4
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, in accords with the filed plan, and the permit issued by the
0,,*nAm ennnty Department Of Health. n / '
Date Certified by
Address cam (� Co
P.E. R,A.k
LIcense No. /
Any person occupying premises served by the above system($) shall promptly take such actaas may be necessary to secure the correction of any ununita►y
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public unitary 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 th m ssioner of Health, s revs ttion,�modification or change is necesury.
Title
Date Title
PUTNAM COUNTY b EPARTM Eli T GY HEALTH
h v ` Division of Environmental Health Services, Carmel, N. K. 10512
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Subdivision
Subd. Lot
Permit i
Putnam V 11av
own r illage
,:LWK TUp, 22-2-3- Bjlopk_ _ - -Lot-. -
Renewal _ [] Revision _ ❑
nbeam Inc.-CAM Hatikvah,, InC o Date Of Previous Approval
Building Type $ Q4;;4 J 43unks f-pYLot Area Fill Section Only
O a1111IR:.1
Number of Bedrooms ? Design Flow G /P /D 50 persons(@35 gal C. H. D. Notification Required
175DG�?D
Separate Sewerage System to consist of 2,900 Gal. Septic Tank and 50OLF of LeaChi ng Trenches
To be constructed by Donald Heady Address Canopus HollOW Road
Water Supply: Public Supply From Putnam Val 1 -V-, NY 10579
X Private Supply to be drilled by Norman Anderson, Barger St. Putnam Valley. NY
Address Existing wells, drilled in 1982, to be used
Other Requirements
1 represent that 1 am wholly and completely responsible for the design and location of the proposed system(s); 1) that the separate sewage disposal system
above described will be constructed as shown on the approved amendment there to and in accordance with the standards, rules and regulations of e Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Health will
be submitted to the Department, and a written guarantee will be furnished the owner, his successor , heirs or assigns by the builder, that said builder will
place in good operating condition any part of said sewage disposal s wring the period oft o (2) years immediately following the date of the issu-
ance of the approval of the Certificate of Construction Compliance f the on 'nal system or any r irs thereto; 2) th�t the drilled well described above
will be located as shmvn on the approved plan and that said wall will be in ailed in a cordance with standards, rules /Ad regulations of the Putnam
County Department of Health. J 1
Date 11/3-1/84 Signed f- P.E. R.A. _XX 14 -
AddressMuscoot North, RFD# , B� 488 , hopac, NY 10q I. Nom, 11056
APPROVED FOR CONSTRUCTION: This approval expires on the
revocable for cause or may be amended or modified onside► r
requires a new 'permit. Approved for disposal of est' anitar s ra
Date4,- ey
Rev. 9 -81
the
of the building has been undertaken and is
er of Health. A ange or alteration of construction
supply only.
Title
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental P�s�lth �rvioss, it�rrrfel, M. b 11Q592 Permit n
,:_: C1 PT11EQCAyK_®E C®MRUCTION COMPLIANCE FOR SEWAGE DISPOSA6, SYSTEW T _ . LL's
Town or Village F
�•�0A ^/� �yi� /� n X11
��rrL��ocated at J �/►° � I n n LV /��I ,,��)`` 01_�i _ Tax Map Block (r
C.rPY&C l f jt y�wyy #-A71I��fil41 Formerly (� Tax Map Lot li Subd. Lot e
Separate Sewerage System built by -�P-I b P�� `� �, Address (26u b TZ-D
Consisting of 6 Gal. Septic Tank and Q a E D 1 -P=-LD,5 " U -V`--`-r-L - -y r
Other requirements
Water Supply: Public Supply From
Private Supply Drilled By Q 7
Address n )
Building Type C&Mr- No. of Bedrooms 1 Date Pormit Issued Gl
Has Erosion Control Been Completed?
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work ( copies
of which are attached), and in accordance with the standards, rules and regulations, in accord ce with the filed plan, and the permit issued by the
Putnam County Department Of Health. --�yk
Date ` Certified by P.E. R.A.—)L
..AA U5 cp 61 Lleonse No.
Any person occupying premises served by the above system(s) shall promptly take such action as may be necesswry to secure the correction of any ummnitory
conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sssnitary e2wor 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 om ssioner of Health, evocation, modl4lcation or change is ecossBry,
�' c Tito
Date � I y By
CAMP H AT14VA44 22
Owner or Pu ..c aser o .Bui ding Section
Building Constructed by Block
Location'- Street / )
7775
W N O . c1Tf�l Q� ( U. e
Municipality
Building Type
Lot
N�14
Subdivision Name
t 1A
Subdv. Lot #
GUARANTEE 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 guarantee to the owner, his success-
ors, 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 determin-
at ion. :of- - the- bir- ect -o-r - o�- th6-- D1vksion--,of--Exivironmental- -Health- .'ge'rviees
of the Putnam County Department of Health as to whether or not the fail-
ure of the system to operate was caused by the willful or negligent act
of the occupant of the building utilizing the system.
Dated this �day of "JdLY 19 Signatu�ECv�r����- ,�,t_' -�
Title - f2_ZS,,
C 0 U5 Q, NST
Corporation Name if corp.
CANbrtls 14OLLOW
Address PUi'N 4M UAuLy, %�•Y� /0���
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
CAMP maoNg5ej11V,- 14ATIKVA44 2�
Owner or Purchaser of Building Section
Building Constructed by Block
_Pr_-W NbTD %V W P—I>
Locations — Street
nww ® Z- APB V CA e
Municipality
Building Type
Lot
Subdivision Name
Subdvo ]Lot #
,9
GUARANTEE 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 accordahce with the standards, rules and regulations.of the Putnam
County Department of health, and hereby guarantee to the owner, his success-
ors, 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.systema
The under sigp@A...gurther_..agrees .to accept as conclusive _ the ..de:t.ermin.Tr .
at3on- of -the, i3g ctos� o kxe
-Div Ision --of- vi:r'oat'me'ht'aI - Heas;lt -h. _S6rV1_c1is _.:...._._ '.
of the Putnam County Department of Health as to whether or not the fail-
ure of the system to operate was caused by the willful or negligent act
of the occupant of the building .utilizing the system.
Dated this �� day of °�JeJ 19 Signat e
Title a S�
0 �J5 NS" i
Corporation Name if corp.)
CQNb?U— jjbLL64y 22
Add ress
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.
- - - - - - - - - - - --- - - - d - - - - - - - - - - - - - - - - - - - -
Division:of Environmental Health Services, Putnam County Department of Health
Date 9/28/84
Fat. Ptopert7 of Ca=n Mnaa gam Tnc. Camp Hatikvah Inc.
I:ocated at _ Dennvtown Road
T.M..
112Z -2= ock Lot
Gentlemen: - -
This letter is to authorize J,! ei *cre_�__enbe_rg
a duly licensed professional engineer- or registered architect,.
(Indicate
to apply for a. Construction Permit. for a separate sewage system; to
serve the above noted property lu accordance with . the -standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers an my behalf in:
UUSUIC : Llutl w 14.fI iiva )Ua a Ler and to. supervise ibe eonatiuc civa of sai&
system or systems in conformity with the. provisions of,' Article 145 or
147, Eduoation Law, the Public. Health Law, and the Putnam County Sani-
P.E., R.A., #/11056
R_ MaZ Rn-z488 >>.,;r- t- North
Address
Mahopac, New York 10541
914- 628 -6613
Telephone
Very fly y_Nrs,
Signed ' fMe=
'Own *of Property
Camp Moonbeam- -Camp Hatikvah
-:1305 Cone Island Ave.
dress
Brooklyn,Nexe
718- 338 -3534 11230
Telephone
a
" ff 0 FAT
DWISTON OF ENVIRONMENTAL HEALM SERVICES
Date 9/28/84
ift- ah
Dated at ponny&21M M SS
22 ®2 -3 Black
This letter. Is. to mthorize
a ckly Heeneed profe"Imml engineer w zvulatered arcUteet
(Iradicaste
to apply for a ConstnactIcn t for in separate sewage system; to
serve -the atom noted property, in accordance with the ttandarda, rule&
w regulations prom .lagated by the . Commissioner off the Ratnam OoMtY
Departmnt of Health, and to sign all nece4sary papeLn; my bebagf im
%:%4UA2:V LAU" w i L11 ULL-4 nos L Les• Mid to. bupervise taxes eonstguc clun of said
system or systems in conformity with the. provisions of Artfele 145 or
11997,, Education Law, the Public. Health. Lawn and the Fatnam County Sanl-
b
Ar..
Mahopac New York 10541
9 4- 628 -6613
Telephone
Very ly. . Y.Nre
Signed /
'Own&-of Property
Camp Moonbeam- -Camp atikvah
-1305 Cone -island Ave.
Adclreso 8xooklyn,N.Yo
® 718- 338 -3534 11230
0
e le-p- Yo ne B.
D7SCjJTKriO T OR SOILS CGli q FRED IN TE;S•i HOLES
DEPTH HOLE 1170. -1. HOLE 1\10. 2 HOLE. NO..' G'. L. Top Soil Top Soil
6" Sand, Small Rocks Sand,, Small Rocks
12" and Some Clay and Some Clay _
3011 u f a
3 6�� __.._
48" to
of
J - ,
6O" (
go., �„ n ..
. J .. ..':�• ...
11
it
G
73"
8411 �( (
INDICATE L:E1,LL AT I-MCH GROUND WATER IS ENCOUNTERED'- NoniE
- INDICATE LEVEL TO ItMCH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MALE .BY. - .Joel Greenberg Date (0 %24✓114_:.
Soil'Rate Used 6 7 Min/1 "Drop: S.D..Usable Are'a-Provided 5,000`•SF
50 persons @35.gal= 1750GPD
No. of Bedrooms ... Septic. Tank Capacity _2,000 Gals, re =cast - concret
Absorption Area Provided By..Soo L- F.x24" *""� g h.
Ay
to
.Hme Joel Greenberg igna ure • o
Address RFD #2,_•Bx 488, Muscoot North SEA -
Mahopac , � NY -10541
ti r
THIS SPACE I'CR USE BYALTH DEFART,' :! T ONLY: If N.E`N
,,:oil Pate Approved sq. Ft /Cal. Checked by Ll:te
4
'0 . . L
_PTJTNAM COUNTY DEPfi m:E VT OF HIRALTH
_..__. _.::........ DIVISI ®N .OF -E?�TVI
...,.�.. �- .-- ...- ,.Y._w "..._ ....:..T _ R. C?I�i�t ±'�NT��.- F�.SL�'�,.,SERV�ES.;
COUNTY OFFICE BUILDING, CAR1,SL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SaAGE DISPOSAL SYSTEM FILE N0:
Camp Moonbeam,, Inc, -
Owner Camp Hatikvah7 Inc. Address1305 Coney I _ s • l and A y g n 11 2��0
Located at (Street Denn town Road 22-2- 3Block Lot-
�Incllcate nearest cross s ree
Municipality Town of Putnam. Valley Watershed Hudson River
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number' CLOCK TIME PERCOLATION PERCOLATION
Elapse - p o a er a er Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop ..Min. Start..- Stop Drop in Min. /in drop
Inches Inches Inches
TH #1 1
8:58 - 904..
6
15�
16�
1
6/1 =6 t
2
9:05-'9-:11 ..
..: 6
15�
6/1=6
s
3
9;12 -9 :18' "
6
16;5
1
6/1 =6
4
9:19 -9:25
6.
151
164
1
6/1 =6
TH#2 1
9.00 -9:07
7.
16
_.
_ 7
2
9:08 -9:15
~ .7
_. 16
17
1 _ _•
...._...- '7/1 =7
3
9:16 -9:23
..7
16 .,
" 17
4
9:24 -9:31 . ..:
`7
_..16
17..
1
7/1 =7 S..
2
..
3..
.
Notes: 1) Tests to be repeated at same depth until approximately equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) Depth measurements to be made from top of hole.
K
FnP.LkM COT'lly COT' : DEPARTMENT OF PZUTH
- :- Dl VISION _OF! Ei L,. 1v' 7,N2N -Tl� ; `HtktTH" StRVICES
COUNTY O'R'FCE BUILDING, .CARNiEL, N. Y. 10512
DESIGN DATA SIMET- SEPARATE SEWAGE DISPOSU SYSTEM FILE 1100
Camp Moonbeam ' Inc . =
Owner Camp Hatikyah, Inc. Address 1305 Coney. Island Aver Bklvn —Yi 1230
T Ai .....
Located at .(Street - t - Block Lot �Tidicate neares
cross street)
Municipality Town of Putnam Valley Watershed Hudson River
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WIMAPPLICATIONS
0e
IOumber CLOCK TINE 'PERCOLATION PERCOLATION
an . a P se Deptb to Water Water ve
No...,. Time From Ground.Surface in Inches.:.. ail Rate
Start -Stop ....Min. Start Stop Drop in Min. in drop
.Inches Inches Inches
39 TH411 10 :18- .10:25 7 15 16 _ 1 7/1 =7
2
10:26 -10:33
7. 0
15
16
1 .,. :.
7/1
=7
3
10:34- 10:41
7-
15
16
1.
7/1
=7
%
10:42- 10:.49
-7•e
15 .:
16
1 ::
7/1=7,*-
l�
1
'6
6/T
= _ _.._. _.._.
2
10:29-10:35 "
6 '
15 .,
16
1
_ 6/.1
=6
:3
10:39 - 1.0:45
6
15
16
:1
6/1
=6. _
!�
10:46 - 10':52
....
6
15
16
1
6/1
=6
CUP
5 ,
Notes: 1) Tests to be repeated at same depth until a proximately equal soil
rates are obtained at each percolation test hole. All data to be submitted
for review.
2) ]Depth measurements to be made from top of hole.
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