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Home My WebLink About3547DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -22 BOX 28 1 0 111 3 Il 1 IN _ ' ' ■ ii. . ' J,r , y ; ,, ;,1ti ,- -.�, , , �'I :Lee I . NO. No No j L JM No 41 03547 W PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 S01.926 CONSTRUCTION; PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley own or village _ _ T Boswell Road 62- P -at I I. .r '-% i�+. 7: �- �^-: n- rn- a—• a: �: rw: ��.® �...% r�= �:'. �r; �' �a. a' �e' ��i^ d7�:, �:::.' �._ w-.. w-..,.:. y.. v:. r- r,' J�k.•'...... �• �0�...:...� *�+.v- •w:- s:�,'y'�.: Subdivision Boswell Estates, Lot No. 35, Sect. V Lot 10 Job S01926 Owner McGlas.son But1ders, Inc. Address 93 Gleneida Ave. Building, Type Modular Lot Area 1.005 A. Carmel, NY 10512 Number of Bedrooms Three Design Flow 600 Gal. Total Habitable Space 1160 Square Feet Separate Sewerage System to consist of 1000 Gal. Septic Tank and 375 L. L� • x 24" Width Trench To be constructed by Owner Address Water Supply: X Public Supply From Private Supply to be drilled by 9 Address Other Requirements None I 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 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 the date 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 A accordance with the sta , rules and regu aTonsof the Putnam County Department of Health. 20 March 1981 X Date Signed P.E. R.A, Address R,D. 9 I-'r St. , a el ,NT 10512 License No. 29206 APPROVED FOR CONSTRUCTION: This approval expir a year from the date issued unles onstruction of the building has been undertaken and is revocable for cause or may be amended or modified when nside necessary by the Com ' sioner f Health. Any change roriteration of construction requires a new pe`m Approvetl for disposal of dourest c sa y sewagean privet w er I only. `� �- Date By =+� Title ) s. 7,lb -fir' PERMIT #PV -7 -81 C PUTNAM COUNTY DEPARTMENT OF HEALTH _._..., _.Division, of r . Environme_3al- Health" Sari,_ces,_.Prrj�al,, N. Y.iu512, .. S01926 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located at Boswell Road Tax Map 62 Plat 11 Block 10 Owner McGlasson Builders, Inc. Tax slap Lot # 10 Subd. # 35 Separate Sewerage System built by Owner Address 93 Gleneida •Ave. Consisting of 1000 Gal. Septic Tank and 385 L.F. x 24 Wide Trench Camel, NY 10512 Other requirements None Water Supply: Public Supply From LoAivate Supply Drilled By Boyd Artesian Well. Drillers Address Rte. 52, Lake Carmel , NY 10512 Building Type Modular No. of Bedrooms Three Date Permit Issued 4/13/81 Has Erosion Control Been Completed? Yes I certify that the system(s) as liated.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. Date 14 S @pt. 181 Cart P.E._L httery �roprtas R. D. 9 s Pai d Camel NY 512 be Address License NQy see ere Such approcsls Any person occupying premises served by the above system(s) shall prom 9tlys s soon a take shall become null and cold necessary secure a cw* ° is n °cessay. r conditions resulting from such usage. Approval of the separate sewerage em available and the approval of the private water supply shall become null and void when a public water s I becomes � subject to modification or change when, in the Judgment of the Commissio Health, such revoca odifi�cat� % Date - --- - Y NANCO E :NVIRO_NIVIENTAL S„ERVICES,- UNITY STRE6T'AT ROU-.TE 316„P;O BOX 1.0 x HOPEINELL JUNCTION NEW YORK,12533', !.E NO.` 5#AA (91.4)221 -2485 " - 5—Z 7 - x v r, J' SAMPLING, POINT TREATMENT` CHLORINATED`❑( PPM); SOFTENED ❑ OTHER ❑ ;SOURCE: DRINKING,WATER OVA EFFLUENT ❑OTHER AM " COLLECT ED ,BY• TIME` P M DATE ❑`APARTMENT COMPLEX ❑= INSTITiUTION RIVATE;RESIDENCE x ❑ SN%iM POOL q BEACH,; �: MUNICIPAL fORESTAURANT ❑' TEMPORARY RESIDENCE CAMP b NURSING HOME' ❑ SyCHOOL ❑, TRAILER PARK `O'FARM LABOR'CAMP `b PRIVATE COMPANY' O'SEWAGE`TREATMENTPLANT ❑ OTHER TOTAL COLIFORM COUNT M F T PER 100 M l'` ❑TOTAL COLIFORM COUNT M:P N PERa00 M L. ❑ FECAL COLIFORM COUNT M F T;, ° " PER 100 M L ❑ FECAL COLIFORM COUNT M:P.N., s PER 100 M.L.,. q "FR02ENrtDESSERT PLATE COUNT' - O AGAR PLATE COUNT' PER I.M.L. Af lA'BORAT.ORY TECHNICIAN DATE; , P RTED LA ECT R r f 0 fees, A -THAI 1 APL fl 1 OUT- S� IS>�A r l ti �►Rl� Q. ' ' _..BEN LL A ` EUVERF -0-� fit? F VEt3 5,C% 7 x a} SEP 16 1981 NA OF. HEALTH . F� DEPT § 1 WELL COMP'UTION REPORT PUTNAM COUNTY DEPARTMENT OF HEALTH 3/71 Division of Environmental Health Services COUNTY OFFICE BUILDING • CARMEL, NEW YORK This report is to be completed by well driller and submitted 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. (TREPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION I L2 NAME ADDRESS OWNER McGlasson.Builderss,Inco 93 Gleneida AvenuegCarmel,New York 105: LOCATION (No. 6 Street) (Town) (Lot Number) OF WELL Boswell Road, Putnam Valley # 35 BUSINESS ❑ ❑ ❑ PROPOSED DOMESTIC ESTABLISHMENT FARM TEST WELL USE OF WELL ❑ ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER SUPPLY (Specify) PIU41N ❑ C COMPRESSED CABLE OTHER ❑PERCUSSION ❑ EQUIPMEM ROTARY AIR PERCUSSION (Specify) CASINO LENGTH (feet) DIAMETER (inches) WEIGHT PER FOOT THREADED [:]WE ILI YES NO g CASING YES TED? �NO DETAILS tt YIELD v HOURS G.P.M. ❑BAILED ❑ • ❑ YIELD (G.P.M.) TEST PUMPED COMPRESSED AIR 20 - WATER MEASURE FROM LAND SURFACE — STATIC (Specify feet) DURING YIELD TEST j feet) Depth of Completed Well LEfEl 42 total' drawdoWl2 in feet below land surface. 3001 MAKE LENGTH OPEN TO AQUIFER (feet) SCREEN 'DETAILS SLOT SIZE DIAMETER (Inches) IF GRAVEL Diameter of well Including GRAVEL SIZE (Inches) FROM (feet) TO (feet) ` PACKED: gravel pack (Inches): DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET 0 overburden 130 300 sandstone-loam l� a. 9 EP 16 1981; RN' G UNT;y.: DEPT F'._HEALtk . If yield was tested tit different depths during drilling, list below FEET GALLONS PER MINUTE ATE WELL COMPLETED DATE OF REPORT jWELLDR'ILER (Signature) " L2 McGlasson Builders, Inc. Putnam Valley Owner or Purchaser of Building Municipality Owner Tax Mare 62 Plat it Building Constructed by Section Boswell Road 10 Location - Street Block Modular 10 Building Type Lot Boswell Estates Subd., Lot #35 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 whether or not the failure of the system to operate was caused by _y• a.e .of4the- accupant of the bu?_ldi�ngr_- utilizing, t Dated this 14th day of Sept. 19 81 Signa Title 93 G1enetda Ave., Carmel, NY 10512 THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE CERTIFICATE OF COMP1,ETION 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 SEP 16 1991 PUTNAM COUNTY DEPT. OF HEALTH �• o LO� A C1 nb PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF-ENVIRONMENTAL HEALTH SERVICES .. z . .. - - ,' .. ". � - ...:= r- .:j:`^ n:..= :..r%.M. ...•-- .,.. =, .,:.r.a:..`� = "i 3•'.. r>. . .. .,. u•...rr� ", ... _� ; <: .... �..�3"n :: zn: �.,:%- .i•,in %:.N.,Cv.'"'".^.' ..COUNTY. OFFICE BUILDING, CARMEL, N. Y. 10512 17) DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner McGlasson Builders, Inc. Address Boswell Road Located at' (Street . _•. _ Sec. Block Loth ca a nearest e re� _ Subd. "Lot 35 Munici lit Putnam Valle Watershed' ....SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS hole Number CLOCK TIME PERCOLATION PERCOLATION 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 e. 2 5 .. 1 2 Notes: l) 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. THIS SPACE ' FOR USE BY -HEALTH DEPARTMT ONL e Soil ..RaLE Approved-, ., .. Sq Ft /Cale Ch 9 i �.� Date ---- _. e' i S T :4 �i P� of" �l yl i� a� i� 'ff M ri� pf i iy t • \� V goo Gvt c' B. R Ed/,' -7. 1 *// A� H ¢•¢ sal ;d � �' tom. To,r•\. o 11 �l Bo' s 4-0 -14' 00" W -1 G 7,, 00' Its roon, 0r L= r L Tq Ca S w,r^ L t_ t i\ N3�=35L1to £. goo Gvt c' B. R Ed/,' -7. 1 *// A� H ¢•¢ sal ;d � �' tom. To,r•\. o 11 �l Bo' s 4-0 -14' 00" W -1 G 7,, 00' Its roon, 0r L= r L Tq Ca S w,r^ L t_ '�o. • ZN2ub . ��aa Nell located by: Surveyors survey.- _ 0-- Weil Weil drillers repcirf amgpoaaCm :- ;asurern'ents.� -- - a„\ id eA T Tank, bones; pits, galleries S lotera +s roceted by: Contra tor: {&. :fd=,, Engineer: Health lap' //: Field inspection by: Health depip -3 d t s: _ - 5,1,8 j _- En9tneer NOTES: a) -r-61, Lq {Yfltifjh Cd'turty iepartment /-" of H %2tti Division of Environmental Health Services Approved as noted nor conformance with applicable FulCs d Regulations of the u n County ea h Department. - 3' + -? _ Date A F -B - F - --�'- - - - A Q - A - K =__Z? _ _B - x IZE(I SANITARY.__SY_STEM_yDE� SIGN AS OWNER:M LOCATION StreetJ��_YC \,_oa Tow n:�_ _- ,, \ , \ \-1 _ Caunty: tote - -- SVBDIVISION S we \ \ESw¢ S Jk; tiS�1eaC1.ti�t�2'.$3Ld Map:iT Block,, \O _ _ _ _ _ LOT NQ \0 8u0 der:_Mc_C�t.a ,.�c2tL \c�ets� s .c• _ _- _� _ Draw��zbs»NR.' /t.F Date ��ts18t 1Ssale:_` Spl_oD N= �,Dwg JOHN H, PRENTISS PE._ CONSULTING ENGINEER RD % �• <r,ti_5 r_, tARtACL NY 10511 - -(4141 878 -61'0. t k } n }t f 1' F, '�o. • ZN2ub . ��aa Nell located by: Surveyors survey.- _ 0-- Weil Weil drillers repcirf amgpoaaCm :- ;asurern'ents.� -- - a„\ id eA T Tank, bones; pits, galleries S lotera +s roceted by: Contra tor: {&. :fd=,, Engineer: Health lap' //: Field inspection by: Health depip -3 d t s: _ - 5,1,8 j _- En9tneer NOTES: a) -r-61, Lq {Yfltifjh Cd'turty iepartment /-" of H %2tti Division of Environmental Health Services Approved as noted nor conformance with applicable FulCs d Regulations of the u n County ea h Department. - 3' + -? _ Date A F -B - F - --�'- - - - A Q - A - K =__Z? _ _B - x IZE(I SANITARY.__SY_STEM_yDE� SIGN AS OWNER:M LOCATION StreetJ��_YC \,_oa Tow n:�_ _- ,, \ , \ \-1 _ Caunty: tote - -- SVBDIVISION S we \ \ESw¢ S Jk; tiS�1eaC1.ti�t�2'.$3Ld Map:iT Block,, \O _ _ _ _ _ LOT NQ \0 8u0 der:_Mc_C�t.a ,.�c2tL \c�ets� s .c• _ _- _� _ Draw��zbs»NR.' /t.F Date ��ts18t 1Ssale:_` Spl_oD N= �,Dwg JOHN H, PRENTISS PE._ CONSULTING ENGINEER RD % �• <r,ti_5 r_, tARtACL NY 10511 - -(4141 878 -61'0. ' PUTNAM COUNTY DEPARTMENT OF HEALTH lyP _ 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 10 Gentlemen: Boswell' Estates Subd., Sec. "B ", Lot #35 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 L V1111C1' 1.1.U11 w1 Ln Liii5 nod L LCr ailLi to. supervise Ole coIlstrue ciuI! of Said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- _ > .. . tary Code. �-- U Qs do tersigned P.E., R.A., # 29206 R.D. 9, Fair St. Address Carmel, NY 10512 914- 878 -6170 Telephone if L—fury41 F;r N• FREh Gi lisp tiF�� Very truly Signed ao � 93 G Camel., NY 10512 Address 914 -225 -7964 Telephone THE OFFICERS-SHOWN ON THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM COUNTY HEALTH�GPART.ENT HAVE NOT BEEN CHAN - qj�C UCH'FILING. dt