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Home My WebLink About3550DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. vAmscanyourdocs.com 631 - 589 -8100 74. -1 -25 BOX 28 1a r ,I wo L L r to Ly I IL 03550 f_ AIUCTRIIf_TIr11u PFRaAIT CnI2 _ Located at n Subdivision PUTNAM COUNTY DEPARTMENT OF HEALTH I fQi�o a� Division of Environmental Health Services, Carmel, N. Y. 10512 U . SOI.928 SEWAGE DISPOSAL SYSTEM ' �S Putnam Valley M Town or Village 0 �•P- +r - -: 6 <- ,.- +..r.— •ev.•�+cc= .c.n =.' A�i.•ao a..�r.- '::v. -. .. r�— c;' ��` �S` �` .:'�pn_1,e..T.,__+.�.r- �'.. -.•o T " es , Sec. "B" , Lot #38 Lot 13 Job S01928 Address 93 G1 eneida Ave. Carmel , NY 10512 Owner McGl asson Butl dens . Inc. Building Type Modular Lot Area 1.142 A. Number of Bedrooms Three Design Flow .600 Gal. Separate Sewerage System to consist of 1000 Gal. Septic Tank To be constructed by Water Supply: p A Public Supply From Private Supply to be drilled by Address Other Requirements None 7 Total Habitable Space 1160 Square Feet and 429 L.F. x 24" Wide Trench Address 432 Shown 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 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 in accordance with the standards, rules and regulaTions of the Putnam County Department of Health. Date 16 March 1981 Signed P.E. X R.A. Address R. D. 9 Fair St. Cilel NY 10512 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 Commission f Health. Any change or alteration of construction requires a new permit. Approved for disposal of domesti sage, and or ivate w supply only. Date S� �i By Title Permit #PV -4 -81 S01928 �..; _ , -. _ P;UT_NAM CUNTY . D' PARTM�El'I' : O_F �I�RALTH.........:... • . - _:: _ .... _ _ ::: -- _��._ _...�._._......� �.....___ r' Division of Environmental Health ServicesCarmel, N. Y 1051'2 x CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located at Boswell Road Owner McGlasson Builders, Inc. 02--:15 5 Separate Sewerage System built by Owner Consisting of 1000 Gal. Septic Tank 420 Other requirements None Water Supply: Public Supply From Building Type XPrivate Supply Drilled By Address Modular Has Erosion Control Been Completed? Yes Tax Map 62 Block 10 Lot 13 Job S01928 Address 93 GIeneida Ave., Camel, NY 10512 " lineal Feet .X 24 width trench Artesian Well Drillers Rte. 52, Lake Carmel, NY 10512 No. of Bedrooms Three Date Permit Issued 3/23/81 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, plans fi , and the permit Issued the Putnam County Department of Health. Date 26 June Certified • P.E. X R.A. Address R.D. 9, Fair t Carmel , NY 1Al2 License No. 29206 Any person occupying premises served by the above system(s) shall promptly take such action as maybe 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 void when a public water supply becomes available. Such approvals are subject to modification or change when, in the Judgment of the(Minckiissioner of Health, suytr IMIcation, modification or change is necessary. ti NANO ENVIR.O,NMEN:TAL` SERVICES:; INC:; Q UNITY STREET AT ROUTE 376 P:O BOX<10 ;12533��" HOPEWELL'JUNCTI "QN NEW YORK = (914)221 -2485 ��x Y' } { .IVAIV.E- ADDRESS �r "Yi ntrk *■.0 ry OINT 3oswrli Esffi��, =Idol #3 SAWIRLING 'POINT.'' _ TREATMENT CHLORFNATED`n( PPM) SOFTENEDn OTHER n ; DRI�N.KING.;WATER, 0 WASTEWATER EFFLUENT ❑OTHER k�SOURCE _ *AM COLLECTED BY _ A1c TIME " a. -_. P:M. DATE 0-APARTMENT COMPLEX : OL INSTITUTION ❑ FRIVATERESIDENCE ❑SWIM POOL ❑ BEACH O: MUNICIPAL ❑'RESTAURANT ❑TEMPORARY RESIDENCE . ❑ "CAMP : ; ❑ .NURSIN.G HOME � z ❑'`SCHOOLS Q TFfAILER PARK � y t � 9 ❑ FARM`LABOR' CAMP ❑,PRIVATE COMPANY dSEWAGE- TREATMENT PLANT ❑OTHER ?. - ❑ TOT.AL•COLIFORM COUNT M F T 'PER 100 M L; ❑ TOTAL.COLIFORM :COUNT M. N PER 100 M.L. 4 —� r D COUNT M F T PER 100 M L'. ❑ FECAL COLIFORMCOUNT MP N "PER 100 M.L. "FECAL-COLIFORM ❑ `FROZEN; DESSERT PLATE COUNT u ❑ AGAR EPLATE COUNT F r -'PER 1 M.L. LABORATORY.TECHNICIAN'' �c ; DATER PORT '' O T R I T '> R :►� 511`i>QtG ' 't i# 1d ,. R $A jv ?s ^may ` F k i. - e 3 °�UNIL DP�TI1II 0EA� ry�g`pL d FCULIN(�r H. ®EP% McGlasson Builders, Inc. -Putnam Valley_ It 1.0 *3 Wil Owner NollaTht c0atruotZd' by-: Boswell Road 1;0704 ,�64 Tax Map 62 Stiction 1.0 Modular 13 Boswell Estates, .Sec. "B", Lot #38 of GUARANTY OF SEPARATE 'SEWAGE- SYSTEM I-reprepont that .I am wholly and .completely responsible for, the ,oeatIon, workmanship, material, construction and drainage of the sewage disposal system serving the above described and nd that it has been yp constructed as shown on the approved plan or'approved amendment thereto, and in q,qqprdanpe with the standards, rules And regulations of the FutnaM County Department of,Health' -.and.hereby guar,,ur_ty to the owner, his succes- sora, heirs or.assigns, to place':in good operating condition any part of said system constructed by me w4ibh fAils to operate for a period of two years lxnmpdlately following the date of initial use of -the sewage dispoggl system, or any repairs e by me. to such,sy'stem, except where the failure P4 mad. to operate properly is oausadl by the willful or negligent act, of the occu.. p a nt of the bt;ilding uU ilizing the. system. r as conclusive the do The undersigned ' igned fu thQr agrees to a. termination of the Pireotor.of 'the: T)iviqi.on of Environmental Health 4.r- vicos of the Putnam County -Department Health as to whether.or _4pt0 . h , 3 wi-1:1 • 1 Ur act of ttiq qcq4p4nt of the building utilizing the syst.em. Pp,tgd this 26th day of June 19 81 signatlAr Title (If corporatIcinp g. vp Amo and address) 93 Gleneida Ave., Camel., NY 10512 - - - - - -- - - - - - THREE (3) CQPT43 ARE REQUIRED WITH THRE.E (3.) COPIES OF FINAL PLANS. PWIR E Q9RTT.FTQAT9 0,P COMPLETION WILL BE ISSUED. GUARANTOR IS REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE Or, SYSTEM. Division of Environmental Health Services, Putnam Qounty Departmpnt o-f Health NAM COUNTY DEPARTME'.1 V HE4LT4 COUNTY OFFICE BU,DING CARMEL, NEW YORK 10519 JUN 291081 a 0._ PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES v v�r.+w?i.�..�.:�^ '. •�,� _ec;}�.^".'�.^.7"'abt. � .h ^_i my •:7i: -+. a :t'.-r�e+.....•: a'w�._....ird K.:•�.�* ��i. O�.w ..e2jra.«. �..- �s�Q.— �+nc.�' t^i�•.P^• 1•.iY�M1r -r �si�v .. Date 29 October 1980 Re: Property of McGlasson Builders, Inc. Located at Boswell Road, T. Putnam Valley Section 62 Plat II Block 10 Lot 13 Gentlemen: Boswell ' Estates Subd. , Sec. "B ", Lot #38 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 W11lCl 11U1! wt Ln i iii' Ilia [Lei, and to. supervise ine construe ciun of said system or systems in conformity with the provisions of Article 145 or 147, Eduoation Law, the Public Health Law, and the Putnam County Sani- . _. Very truly your _ - Signe ner of Pro ev,* 93 Gleneida Avenue Carmel NY 30532 Address P .E ., R.A ., # 29206 R.D. 9, Fair St. Address Carmel, NY 10512 914 =878 -6170 Telephone 914- 225 -7964 Telephone THE OFFICERS SHOWN ON TNF CORPORATE. AFFIDAVIT ON lE WIT14 THE PE.r'NAM COUPM, H DTCE ARTMENT HAVE NOT DEEM SUCH FILING.. p Permit #PV -4 -81 j _a� S01928 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CERTWICA,TE OF-CQNSTri4Q:TI0N C[1EL.".PI::NAAiCF FOR•$E ,f�E�_DlSPi'$ar SYST R1? - �:.it� ar rf••,l tr _ +•TTY- n =._ K-r >,..��..,_.� a,.. —:: - Town or Village Located at Boswell Road Tax Map 62 Block 10 Owner- McGI asson Bui 1 dens, Inc. 3 Lot 13 Job S01928 Separate, Sewerage System built by Owner Address 93 Gleneida Ave., Carmel , NY 10512 Consisting of 1000 Gal. Septic Tank 420 lineal Feet X 2411 width trench Other requirements None Water Supply: Public Supply From X Private Supply Drilled By Boyd Artesian Well Drillers Address Rte. 52, Lake Carmel, NY 10512 Building Type Mod Ular No, of Bedrooms Three Date Permit Issued 3/23/81 Has Erosion Control Been. Completed? Yes 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, plans fl , and the permit issued the Putnam County Department of Health. Date 26 June Certified -i- P.E. X R.A. R.D. 9, Fair t. Carm Address License No. el, NY 10412 29206 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 void when a public water supply becomes available. Such approvals are subject to modification or change when, in the Judgment of therCBRxnissioner of Health, suyKYav@ cation, modification or change is necessary. r r Pte, Date `� By �'�"'�'� Title pant' of the building utilizl.ng the system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environr=ental Health ilr- vi.�.es Cf -t e. p tnsln County De prt-te nt of _gealth_ as u-;a .ii= ethe_,.- _02`.. ncit-,.1;�x�3 :'.. f° ilurc� 02' tkm� System to operate" was Aeti cl y -he willful ful or "n ��Ai 7 acct of the occupant of the building utill4lng the system-;,. Dated this 26th day of June 19 81 Signaturs�` Title corporation,' g;. ate jia me and address) 93 Gleneida Ave., Carmel, NY 10512 THREE (3 ). COPIES ARE REQUIRED WITH (3) COPIES OF FINAL PLA DE] FO CERTIFICATE OF COMPLETION WILL BE ISSUED. GUARANTOR S REQUIRED TO FILE NQICF. OF DATE Of FIRST USE OF SYSTEM. .- - - - - -- - - - - - - - - - - Division of Fxivironmental Health Services, Putnarn County Department of k3oalth TNAM COUNTY UEPARTM� "'T ' HE L i o � �... COUNTY OFFICE BUI;_DING CARMEL, NEW YORK 10512 JUN 29 1981 +v i,.4s..e .r .t-r ..•.r .. _�,:,,,,,,::rR •,'� � _ • -.?s.. .r tn. .w....o. v...a n. �. O �t a ..ea. . .r. r.— � �. �. ..�� • w.. ..� -.. `'ti sry ../R'i4 �.. �• -..? • ...� ^-..T..Drs' 1.x"•/'6 w vV.4� t� "1` -.J ell e Lv r!s OD IV P G rEx. wnSi0 n w /'I'r1z 9 y N�% �- too`.. • 3 _ / � °Q �;Y•, a't'e t 0 Qd war Ron f 14. - -A V futram County Depart-M0311t of Health V4 rC)r,,,j.01 Hea1th NOTES: Diviz;icll of En with. Aploro-,7C-P f or oonf ctna2_9 - regulations ac') i ns of the 4 A- 0 Department... Ld Signature Ti le Date D I M E N S I O N A A C A D A E A H A K DEPuTM ENT of HE UP COUNTY OFFR-3E BUILDING CARMEL, NEW YORK 1.0512,11, ~; ANITARY SYSTEM CJES =I_Q:N_ S ILT, OWNER: 'LOCATION Street- To w n V �A,_c ounty.:,::? S U 9 D I V I S, i 0 N Mo P : TZx> toy — Block LOT We 13 S U r v 0 y o r 77 c I e, ob N:S JI)f own 'Date: -Z ),A^e iqiP c J 0 H N H RR E N T I S ' 1' {:F.t Rol . GC4 1•� g PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES '.. :COUNTY..OFFICE BUILDING, CARMEL,N. Y. 10512 S b 9 Z2 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM " FILE NO. Owner McGlasson'Builders, Inc. Address Boswell Rd. Located at (Street Sec.62 Block,10 Lot 13 :( ca a nearest cross street) SubC L:ot .38 File* 11 8 .. Municipality,: .'O:u"toam Val ley Watershed ....SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH,APPLICATIONS oe Number CLOCK TIME PERCOLATION PERCOLATION RE apse 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 Notes 1) Tests to. be repeated at same depth until approximately equal soil rates are obtained .at each percolation test hole. All data to bye submitted for review.. ' 2) Depth measurements to be made from top of hole. IT, ' . — THIS SPACE" FOR '.USE 'MrHEALTH DEPARUMT ON Soil, --Rate, Approved'' —Sq., Ft/Gal. .is i�'E r' . "AS BUILT_" QATA .: R Structure located from survey by surveyor' noted .b ►owVl! Well located by:' Sutveyors survey -_ g' � Weil Grillers report -_ A - __' !!• _ _ Qosw � �-- -�-•- -mss mesuremants.�._ _ _. —..r._ _ Tank, boxes, pats, pa0anes I� ioteraie located . b.yr ontroctor: i /, Lcr , r!s 1' tiasallhu¢3ii. t Field inspection b Healtn dept date: Z 1. 8 P Y � P � .� .ury,s` `�.._I. 41141 / / °� i Enpinear dote :�S JrLnc t�ef't / v Putnam Cownty Department oP IIoa]th.,j . c / N a ' NOTES: i' .. f I)ivicien of Is:iviror�+ontal 2Iea7.th Servlcsa FkUG 'Ex a ri I . ,4p •i ao en t7 Approved as 'rcte:l °c , ^on ^nmarce with apnlicab.o ^;'-ruulations . of the i ;am Department Co:ty c _�a ... Signature Date Ti le k� D I MEN SIGN i Bow -s ✓,e•) �s� r,,c A - 8 - __24'_ - - A - G o I i A - F -_ I1y_' - --8 - F - - - - e- A - M — ____ -- Sa { / •1 A - K _ — - 8 - K =_ �z y +— Tent .4f, 3 - PUTNAM- COUNTY DER; RTMENT OF HE RTH . I - >77 s6'ao -w e /• R's7s:oa• COUNTY O L FF; E BUILDING °7s.2a• Ft. - CARMEL, NEW YORK 10512 s xx4? SANITARY_ S.__�YST.. DE C "AS ) i' OWNER: _ }` V LOCATION Street: \ems Town: - - - • v &af&851001141 f Block.. \ O ! -, _ _ LOT. N Q_ \3 .- y,i se ry Surveyor:•. \ ttT_� - _ —_ -- -- - p o Drov+n; -R it Date 2r A, 1981 Scale: g :. /rQ. Job i e5.0• \52 it Dvr gam. t JOHN H PR E N T I S S PE I I ' nom° 291�4ot CONSULTING ENGINEER a f i - • i l