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HomeMy WebLinkAbout3546DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 74. -1 -21 BOX 28 03546 17-- him Jim 0 � 0 kK am :A r' %. ` s 1swir 6 IN 0 Am a NI is ■1 ■ 03546 McGl asso.n. Bvj I ders,_jnc. Putnam. Val 1pv-- IMWr p a Owner 7M.62 - Plat II A51121ing' Cdrotrucz-a t" �y S'dc 't-ion Boswell Road 10 1 46cation �" 3�pqe B- 6 k Modular 8 t Boswell Estates 8ubd., Sec. 1%.Lot No. 33 GTIARAXTY'OF SEPARATE SEWAGE- SYSTEM represent that .1 am wholly and completely reqppn4ibI e for the p 100010PR wprkmanphip., material, constructio a ad drainage of the sewage disposal pyptem, serving the above described property, and that it has been constructed as shown on.the approved plan or approved amendment thereto, and 14 Acqpr44nqe with the. standards, rules and regulations of the Futna County Department of Health,, 4nd-hereby guaranty to the owner, his succes- Sorg,.hpirs or assigns, to place in good operating.condition any part of said oyqtpm const . rueted by me which fa,ils to operate for a period of two yogra immediately following date. of initial use of the sewage dispopal 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 syster.. The undersigned further agrees to accept as conclusive the de-. termination of the Director of the. Divia-ion of Environmental Health h vices -or the Putnam County Department of Health ealth as to whether ther o.r. not ..the ­2. fall Wm. P 6R lg6nb Aqt of, the occupant of the building utilizing the s -t-8 .1 TA jii'�) Doted Is 2n,_ d day of July 1981 Signat Title (If corpora on,' STvp tiRa And address) 93 Gl,enelda Ave., Camel, NY 10512 TH94 .4 H -1 (3) COPIES ARE REQUIRED WITH "IMEE (3) COPIES 01" FINAL PL4NS, AMOB CERTIFICATE OF COMPLETION WILL BE ISSUED, GUARANTOR IS REQUTRED TO FILE NOTICF, OF DATE OF FIRST USE OF SYSTEM. DIvisipp or Environmental Health -Sery icesp Putnam County Department or lipg1th C PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date 29 October 1980 Re: Property of McGlasson Builders, Inc. Located at Boswell Road, T. Putnam Valley Section 62 Plat. II-Block. 10 Lot 8 Gentlemen Boswell Estates Subd. - Lot #33 , Sec. "B This letter is to authorize John H. Prentiss, P.E. a duly licensed professional engineer X or registered architect .(Indicate) to apply for a Construction Permit for a separate sewage system; to serve the above noted property in' 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 on my behalf in CV1l11CL LiU11 w.L i rl .L _LS ma is i ev an' to. supervise -Line curlsrruc riurl of said system or systems in conformity with the provisions of Article 14S or 147, Education Law, the Public Health Law, and the Putnam County :Sani- . _. �ofESSiowA1 /Vi_ - Very truly you o 6.Aougnteersigned P .E ., R.A ., # 29206 R.D. 9, Fair 'St. Address ,o Signed / hero Pr erty 3,Gleneida Avenue �r Carmel. NY 10512 Address Carmel, NY 10512 . 914- 878 -6170 Telephone 914 - 225 -7964 Telephone THE OFFICERS SHOWN ON THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM COUNTY HEALTH TMENT HAVE NOT BEEN CHAN S FILING. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL. HEALTH SERVICES N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE-DISPOSAL-SYSTEM FILE'NO. Owner McGlasson Builders, Inc. Address Boswell Road Located -at (Street Sec. 62 Block 10 Lot 8 6dicatelnearestcross street) Subd. Lot 33 Municipality. Putnam Valley Watershed_ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o e.. Number CLOCK TIME PERCOLATION PERCOLATION . apse p o Water Water ve No. Time From Ground Surface in Inches .Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1. cl�C( 2 5 pv 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. DEPARTMENT OF HEALTH Division of Environmental Health Services j 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 _ 'F_P= LICliTTON 70 C. ^N TFU A -: KATE X-. Wq. PCHD PERMIT # WELL LOCATION Street Address 8 gosw e CL A Town Village- Tax r Grid Number .e —O WELL OWNER Name Mailing p Address V �1a 4Z Wrivate O Public USE OF WELL primary 2 - secondary JKRESIDENTIAL 0PUBLIC SUPPLY ® BUSINESS O FARM ® INDUSTRIAL O INSTITUTIONAL QAIR /COND /HEAT PUMP O TEST /OBSERVATION O STAND -BY ®ABANDONED ® OTHER (specify AMOUNT OF USE YIELD SOUGHT gpm /# AY REPLACE EXISTING SUPPLY O NEW SUPPLY NEW DWELLING PEOPLE SERVED 0' OF DAILY USAGE_ gal O TEST /OBSERVATION 12-ADDITIONAL SUPPLY O DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING �' ,S'c• ! e. SO A 4Z WELL TYPE DRILLED O DRIVEN ODUG O GRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES V NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: &S4.-e'66 ,a•L' � Lot No. STATER WELL CONTRACTOR: Name /j/o r�„�� �i�U�Pi^�C[�„ Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES j% NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY _- ..DISTANCE TO PROPERTY FROM NEAREST WATER.MAIN: A,,f LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON SEPARATE SHEET �(date') (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt;• (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well dril g operations be contained on this property and in suc a manner as not to degrade or oth se cont ate surface or groundwater. Date of Issue: 19 g j- ate of Expiration 19 Permit Issuing Official mit is Non - Transferrable White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller 4 DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278-6130 FORMAT NEIGHBOR NOTIFICATION CONSTRUCTION PERALUT RE: Dear BRUCE R. FOLEY, R.S. Acting Public Health Director DATE 7 S,- V Department of Health Re,,iew of -- Proposed Sewage Disposal System and/or Well NAME: Awl 6;e, 4a /W , ADDRESS: 39 -gos-4,e6l Al TOWN: �, Aoft TAX Please be advised that an application for-a Construction Permit relative to the construction of a 9"mae we-11. proposed for -th-.,- aboye cap ti cite PUff County hepaitment of Health. Attached please find a, copy of the latest site plan: If you have any questions, concerns or information which may bear on the Health Department's re-view of this application, you may cal Mr. Hedges or Mr. Morris of the Health Department at -278-6130. Very truly yours, 2�4��- TITLE: RECEIVED BY: ADDRESS: DS dos tt.,e K/- 0&6/- TAX MAP: BRF/jp I DEPARTMENT OF HEALTH Division Of Environmental Health 5ervices 4 Geneva. Road, Brewster, New York 10509 (914) 278-6130 FOPU MAT N r - EIGHBOR'.-N-OTIFICATION CONSTRUCTION PEPAUT Dear A% feUq-Lee' BRUCE R. FOLEY, R.S. Acting Public Health Director DATE fe--irva,-y f, 1,9V RE: . Department of Health Re�,ie%v of Proposed Sewage Disposal System andlor Nell NAME: Cej4r,. , ADDRESS: 2ff &trte eZ A91 TOWN: TAX MAP: 7y- / - .2/ Please be advised that an application for a Construction Permit relative to the construction of a --W0-NM anze prepci 5- "' ' ' " - a�'b i duKc"ra the --Ntriam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call Mr. Hedges or Mr. Morris of the Health Department at 278-6130. Very truly yours, BY ,,,A' T=: 0,4 ear RECEIVED PA& TAX MAP: mm, . _...........,.c,: -...:r�':;.�:; BRUCE , R. FoIEY. R.S. • . . . Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health . Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 FORMAT ti'EIGHBOR NOTIFICATION CONSTRUCTION PERINUT Dear 1`?e S'4 �vv DATE ;2// /qV RE: Department of Health Re,•iew of Proposed Sewage. Disposal System andlor Well NAME: na r k 6S-6aro ADDRESS: 38 8asweCL 61 TOWN: Vk &ear q /Y v TAX MAP: 7y a/ Please be advised that an application for a Construction Permit relative to the. construction of a _ sir wei? pt ^p upsw psi*= �,:see. - -- °Puffiam`i✓ounty 17epariment of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may can Mr. Hedges or Mr. Morris of the Health Department at 278 -6130. Very truly yours, TITLE- RECEIVED BY: U ADDRESS: /' �osweCl dPoQO� TAXMAP: 03- 00S —©D01 03`f -4E -C> -- 0c:sOO BRF /jp 1-01 3 i C� DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, -Brewster, New York 10509 (914) 278-6130 FOR.kL'kT NEIGHBOR NOTIFICATION CONSTRUCTION PERNMIT Dear /' /-. JXsc, BRUCE R. FOLEY, R.S. Acting Public Health Director DATE Feir,., S,_ /997 RE,: Department of Health Re%icw of Proposed Sewage Disposal System anchor Well NAME: ^,A ADDRESS: 3,9 d?osueL1o(V TOWN: ? I/r, IZe TAX MAP -2/ Please be advised that an application for A Construction Permit relative to the construction of.a 'f sawaga-v --p Ye yskm,�.or well captluAe County Department of Health. Attached please find a copy of the latest site .plan. If you have any questions, concerns or information which may bear on the Health Departmcnt's review of this application, you may call Mr. Hedges or Mr. Morris of the. Health Department at 278-6130. RECEIVED B ADDRESS: TAX MAP: BRF/jp Very truly yours, I BY nctrh Ces i(/- q ,, a TITLE: Ocne& Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 January 10, 1997 Mr. Cestaro 38 Boswell Road Putnam Valley, NY 10579 Re: Proposed Well Dear Mr. Cestaro: Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: Enclosed please find the current guidelines relative to a well permit. Complete items 2 and 3 at this time. Furthermore, a fee of $100 certified check or money order made out to the Putnam County Health Department is to be submitted. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Robert Morris, P. E. Public Health Engineer RNVjp Eccl.. }� 4 . PUTNAM COUNTY DEPARTMENT OF HEALTH 1P •- �_ t Division of Environmental Health Services, Carmel, N. Y. 10512 -^ CO .NST.R.UCT,IfDN.:PERMIT:..EO.R F LVAGE. �ISP..OSAL,.SY.�TEM •M: �'.�r /.>w�..Y.w . w.... -r1 TIV¢Y +v.QTwR ..•.s- '.14.� r14n.- ..•...M. -0W^`.".w 'TPT . w ..•iM: P :'f u•P .�/ >ws..•.1 aM1d•.. t'•.M.n- ,ale;`- ^•M!F'^` `>tiV�Nb� M YIP `�g o'wn or it agl e Located at Boswell Road 33 Tax Map 62-Plat I I Block 10 SubdivisioiRosWe11 Est- SPCC "R °Filed Mar 12383 Lot Lot 8 Job S.0,1925 Owner McGlasson Builders, Inc. Address 93 rlanisi Avenue Building Type Frame Lot Area 1.206 A: Carmel , N.Y. 10512 Number of Bedrooms ree Design. Flow 600 GPD Total Habitable Space 1160t Square Feet Separate Sewerage_ System to consist of 1000 Gal. Septic Tank and 500 L.F. x24" wide trench To be constructed by Owner Address Water Supply: Public Supply From X Private Supply to be drilled by BOVd Well Drillers, Inc Address Rte. 52 Kent N.Y. 10512 None Other Requirements I represent that I 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 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 two (2) years immediately following thedate of the issu- ance of the approval of the Certificate of Construction Compliance of the original system or any repairs thereto; 2) that the drilled well described above will be located as shown on the approved plan and that said well will be installed in accordance with the standards, rules and regulations of the Putnam County Department of Health. Date 18 November 1980 Signed P.E, x R.A. Address R.D. 9 Fa"r Stre Carmel N.Y. M License No. 29206 APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissio of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sani w ge, and /or ivate w I op n . �— Date�T��! By d �' Title / b PERMIT #PV -29 -80 PUTNAM COUNTY ~ DEPARTMENT U -F A_:l tl °' ��w Division of Environmental Health Services, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located at Boswell Road Tax Map62 Plat 11 Block 10 Owner McGlasson Builders Inc. Tax Map Lot # 8 subd. # 33 Separate Sewerage System built by Owner Address 93 G1 enei da Avenue, Carmel , NY 10512 Consisting of 1000 Gal. Septic Tank and 480 L.F. x 24" Width Trench hlnnn Other requirements Water Supply: Public Supply From X Private Supply Drilled By Boyd. Artesian Well Drillers . Rte. 52. Carmel, NY 10512 Address Building Type Modular Yes Has Erosion Control Been Completed? Three zd Nov. -uU No. of Bedrooms Date Permit Issued 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 accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. ' A 2 July 1981 Certified by P.E.XX R.A. Date 29206 Address R. D. 9, 'Fair S armel , N 105 2 License No. Any person occupying premises served by the above system(S) 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 public sanitary sewer becomes available and the approval of the private water supply shall become null and v when a public water )3ply becomes available. Such approvals are ...K1e + r„ ,,,.,dinr,rinn nr ehanae when. in the Judgment of the Copr ssione f Healt!�, a rev tion, modlfieati ange is necessary. NANCO ENVIR,, NN1,5W UNITYSTREET AT;ROUTE 376, RO •130X,10 HOPEWELL JUNCTION NEW YORK 12533 ie (914)221 2485 z , NAME 11Itc62as�son BIM e, -is -ADDRESS:>fr'll`t� rt�n1F s SAMPLING POINT 7Q (� 3n�� TREATMENT CHLORINATED ❑(_ PPM),, SOF f SOURCE: DRINKING WATER"Q WASTEWATfA EFFLU COLLECTED.413Y MJ�Qla>$,0'i3Ff ❑',APARTMENT COMPLEX -' O" INSTITUTION . .[7 BEACH'' ❑ MUNICIPAL 0 CAMP O :NURSING HOME , ❑ FARM LABOR ,CAMP 13 PRIVATE COMPANY r. / O`.TOT AL- COLIFORM COUNT- M.F.T.` ❑FECAL'.COLIFORM COUNT ' - ❑ 'FROZEN DESSERT PLATE�COUNT - e , hhGppABORATOy],RY TECHNICIAN q ■yy� e - k �L sERViu -ES oNC 4 . SAMPR,E NO.' .Q:.. .icy a F *-, :4^ � � - t.,s i.:a a•a.i- aT���� �`���Y I:�r1..^��-�. ° -. - 7om�;�_ x: F Y •ENED`q OTHER`❑ - � _ =NT ❑ OTHER - ' AM TdME ..�a•;> , ,•�._ "•;'P_M �... DATE - p PRIVATE RESIDENCE ❑ SWIM POOL ❑ RESTAURANT ;' O TEMPORARY RESIDENCE ' ❑GSCHOOL � � - � ; � ❑TRAILER PARK �' .� ❑ ,SEWAGE7REATMENT,PLANT .O .OTHER PER, 100 M L:. ❑ TOfiAL COLIFORM COUNT M.P N. PER 100 M.L. PER 100 M L ❑FECAL COLIFORM COUNT - PER'100 M.L. 'R ❑% AGAR PLATE COUNT - P I.M.L. yq�����DATEREPORTEO, r`,. L■yB�OR ■y�TO. DIREC . ,.N G'Qi 'I _ t?ELiVRED TO FIANC4 HEALTH BUM' 1T " s t _ -Q � t - c � v' : v j• ° '�,:.i► h3:, aka t<' C n � •n . •�.' o� y 'N.. •� �' .M � +n 'm � O y .. �; ..': YID:, Pa: , �;. o , `�. � to s'b35(�; �•� Olt Li F�oor'7 ON � .... ��'.'.:". - w �! {� � .:�b:p•. �rt_ w '.rwt.+...� ' u.Ti .: A ^_ _ ,y... Y. 2 ..r. •�.+�..:.J.:rr - .41 u0 V- 4 Y) C irk I t6•'77' Well to -cored by'. Surveyors survey— _-_ LJ.-.— — __ — — /V Well -drillers rop6ri __ JD— — __ __ 4��M! mesuroments.14-- ___ — CVr,+"C(•0ri (OweA 3 Tor k, bog es, pitA, galleries a laterals In -toted by: Contractor: Enotneef, Heolthd2,pt: Field inspection by: Health deptZ dot o!_ _2z9, Eno I n616 r. ®; dot 1b NOTES: T.--Ll Lt_%, n. t il rVIt lan. V11t1l on thi A -'B A C -B C A D 8 D A E B E A F F 7/ gal A M 6 H J K 8 K :t)AI,41 I AM T Z) I &IVI L)r_=)IU.Im A:) DUIL-1 OVfRf-R: LO'CATION'StreqV. Tow n County: :?q+ wy. SUBDIVISION:e-aswP1\ Block, kc) N*_ _- Surveyor: -2�blt�__ Drown: ISC-91; Z) Job N.. JOHN H. PRENTISS PE, CONSULTING ENGINEER RD 9,Fk­;_;5"r--, CARIAEL NY 10612— (914'l 878 -5170.