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Home My WebLink About3552DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -27 BOX 28 I I I ' V FU ' �' li me I g - r 9 L f n J4 I ■I 71,16 11 03552 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley ry Town or OrBloc Subdivision Boswell Estates...!, Lot 40 Lot 20 —Job S01930 Owner— McQlasson But1ders, Inc- . Address .93 Olenei-da Ave. Building Type 'Modular —Lot Area 6.*987 A. Carmel, NT 10512.'." Number 06 Bedrooms Three Design Flow' 600 Gal- Total Habitable Space 1160 Square Feet Separate Sewerage System to consist of 1000 Gal. Septic Tank and 429.L.F. x 24" Width Trench To be constructed by Owner Address as above Water Supply: — Public Supply From X 9 — Private Supply to be drilled by Address Other Requirements None, I represent that I am wholly and completely responsible for the design and location of the proposbd 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 _0T_7S_e_1ruTn_am County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of H.ealthwill 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 theclate 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 ards, rules and reg-703—nsOf the Putnam County Department of Health. 26 May 1*98 1 Date Signed • P.E. X — R.A. R*D,� 9, -fa 29206 Adiiress St 'Mel 'NJ 1062 License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unisss-eQqstruction of the building has been undertaken and Is revocable for cause or may be amended or modified when cqnjldered necessary by bf Health. Any change or alteration of construction the Comm' requires a new permit. Approved for, disposal of domestk sanitqy §ewage',';@nd/okVrivah*water-supply only. PERMIT #PV-21-81 YPUTNAM COUNTY DEPARTMENT OF HEALTH S01930 Division of E nvironmental Health.-Servi m,,.,4 e/, >rm..N. - Y.' --1,0512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village. Located at Boswell Road Tax 1.p 62 Block - 9 owner I McGlasson Builders, fnic. Tax Map Lot #20 Subd. *40 Separate Sewerage System built by Owner Address 93 Glenefda Avenue, Carmel, NY 10512 Consisting of 1000 Gal. Septic Tank and 460 L . x 2411 Wide TrAnnh Other requirements None Water Supply:' — Public Supply From X Private Supply Drilled BY Boyd Artesian Well Drillers Address Rte. 52, Carmel, NY 10512 Building TVDe Modular No. of Bedrooms Three Date Permit Issued 6/4/81 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, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date 23 February 1982 Certified b LY-1 P.E.1—RA.— �t�C"a r me Address R.D. 9,. Fair rme I, N)( 10512 License No. 29206 Any person occupying premises served by the above system($) 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 the Commissioner of *Health, such revocation, modification or change Is necessary. PUTNAM COUNTY DEPARTMENT OF HEALTH S01930 Division of Environmental Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley ry Town or OrBloc Subdivision Boswell Estates...!, Lot 40 Lot 20 —Job S01930 Owner— McQlasson But1ders, Inc- . Address .93 Olenei-da Ave. Building Type 'Modular —Lot Area 6.*987 A. Carmel, NT 10512.'." Number 06 Bedrooms Three Design Flow' 600 Gal- Total Habitable Space 1160 Square Feet Separate Sewerage System to consist of 1000 Gal. Septic Tank and 429.L.F. x 24" Width Trench To be constructed by Owner Address as above Water Supply: — Public Supply From X 9 — Private Supply to be drilled by Address Other Requirements None, I represent that I am wholly and completely responsible for the design and location of the proposbd 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 _0T_7S_e_1ruTn_am County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of H.ealthwill 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 theclate 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 ards, rules and reg-703—nsOf the Putnam County Department of Health. 26 May 1*98 1 Date Signed • P.E. X — R.A. R*D,� 9, -fa 29206 Adiiress St 'Mel 'NJ 1062 License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unisss-eQqstruction of the building has been undertaken and Is revocable for cause or may be amended or modified when cqnjldered necessary by bf Health. Any change or alteration of construction the Comm' requires a new permit. Approved for, disposal of domestk sanitqy §ewage',';@nd/okVrivah*water-supply only. PERMIT #PV-21-81 YPUTNAM COUNTY DEPARTMENT OF HEALTH S01930 Division of E nvironmental Health.-Servi m,,.,4 e/, >rm..N. - Y.' --1,0512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village. Located at Boswell Road Tax 1.p 62 Block - 9 owner I McGlasson Builders, fnic. Tax Map Lot #20 Subd. *40 Separate Sewerage System built by Owner Address 93 Glenefda Avenue, Carmel, NY 10512 Consisting of 1000 Gal. Septic Tank and 460 L . x 2411 Wide TrAnnh Other requirements None Water Supply:' — Public Supply From X Private Supply Drilled BY Boyd Artesian Well Drillers Address Rte. 52, Carmel, NY 10512 Building TVDe Modular No. of Bedrooms Three Date Permit Issued 6/4/81 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, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date 23 February 1982 Certified b LY-1 P.E.1—RA.— �t�C"a r me Address R.D. 9,. Fair rme I, N)( 10512 License No. 29206 Any person occupying premises served by the above system($) 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 the Commissioner of *Health, such revocation, modification or change Is necessary. 'TO Howard Oragert X295 Oscawana Rd. PU TNAM COUNTY HEALTH DEPARTMENT Putnam Valley, NV 10579 DIVISION OF ENVIRONMENTAL HEALTH SEMCES ' 1 PROP05AL FOR SEWAGE DISPO6AL SYSTEM REPAIR - �- a .7 � � % OWNER'S NAME AC 4iFrap �-+�r?,[,E jWC PHONE SZS- ?l % k SITE LOCATION ?� QS* "V E",L i'-d To, MAILING ADDRESS 1-t V °4-c S-EY %`. tc9 so? 5 , DATE PCHD Camplaint # Name &Relationship (i.e, owner,tenant, etc.) -q% TYPE FACILITY �I S' PHONE 2 2 SF S r REGISTRATION # tj t' Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. e, �i�ci� K�Src teG r roll.. Coo S 4 cue 40 c,-7`e0,V Proposal approved i %' Proposal Disapproved Inspector's Signature & Title Dane with the tions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch in duplicate showing: a. Owner's name. b. Site Street Name, Town and Tax Map number. c. vocation of installed canponents tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diam. x 6' deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be perfonned in accordance with the above proposal and conditions. 1, as owner, o reported agent of owner agree to the above conditions. SIGNATURE (�.W TITLE ok(o e&- DATE ') A MP16: ftte (PCiD); YeUcw (jai HI); Pink (P - 3i�oent) , McGlasson Builders, Fhc. Tax Map.62 Owner or Purchaser of Building Section Owner V 9.. _ 'B" Boswell Road Location - Street Putnam Valley Municipality Modular Building Type 20 Lot Boswell Estates - Subd. Lot No. 40 Subdivision Name 40 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- _. .can., of the Dirre,c-tor-.._of .thP - Diva ;sign -,of -- Environmen.ta -1: - Hea.lth.:=Se rvices .,....�_ . _ of`° tYie 1'utriam :County Department 6f Health "toy weas tfior `ri6t 'the- I'6 i1 ure of the system to operate was caused by the willful or ne 1*gent act of the occupant of the building utilizing the system. Dated this,�� day of �>C� 19 Signatu/ G Title C' , RECEIVELD Corporat n Name if corp.) MAR 2 198? .1'i IV A Address PUTNAM COUP -4 T Y Carmel, NY- 10512 - - -- - DPLGF- HEALI't - - - - - - - - - - - - - - - - - - - - - - - - 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 WELL COMPLETION REPORT 3/71 PUTNAM COUNTY DEPARTMENT OF HEALTH 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 • °• = • °••; •° �•_: aria��E.' uf: water�sasn •�ndt:�i.r�:alaateK�s�i sati�fact�ir; rbacteriLSl' quaT" fy' tiefiil�e�c��Eii` icai�rof� 'constiti�tiarrcoteipfianco�ir "issued: " °•' �� REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION OWNER NAME s, ADDRESS Main Sto Carmel NY LOCATION OF WELL (No. 6 Street) (Town) (Lot Number) Boswell Place. Putnam Valley 40 PROPOSED USE OF WELL BUSINESS -1 ® DOMESTIC D E TABLISHMENT D FARM F TEST WELL SUPPLY C D INDUSTRIAL a O El (Specify)* CONDITIONING (Specify) DRILLING EQUIPMENT COMPRESSED CABLE OTHER ROTARY AIR PERCUSSION PERCUSSION (Specify) CASING DETAILS . LENGTH (feet) 17O DIAMETER (inches) 6 WEIGHT PER FOOT T9 Q THREADED a WELDED X YES Il NO X f' tT G YES GROUTED? 11 NO YIELD TEST HOURS G.P.M. BAILED PUMPED COMPRESSED AIR 8 10 YIELD (G.P.M.) to WATER LEVEL MEASURE FROM LAND SURFACE — STATIC (Specify feet) 501 DURING YIELD TEST jfeetJ drfawdown Depth of Completed Well in feet below land surface; 257 SCREEN MAKE LENGTH OPEN TO AQUIFER (leaf) DETAILS 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 0 110 clay overburden. ECI MAR 2198? Y RU ! NAM COUNTY DEPT. OF HEALTH 10 30 gravel 30 130 clay 130 257 limestone If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED I Its DATE OF REPORT WELL DRILLER (Signature) ' d PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF�ENVIRONMENTAL HEALTH SERVICES!_ Date 29 October 1980 Re: Property of McGl asson Builders, Inc. Located at Boswell Road, T. Putnam Valley Section 62 Plat II Block 9 Lot 20 Gentlemen: Boswell' Estates Subd., Sec. "B ", Lot. #40 This letter is to authorize John NA Pmritiss o. .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 uu.,i,t�V LiVtl wl Lfl LIUS ma c Uei• a;ld to. supervise ine construction of said system or systems in conformity with the provisions of Article 145 or 147 - Eduction T.aw,....the Public_.klea.lth Law,,. _and__the. Putnam- _County .San tary Code. R. D. 9, Pei r Si. Address Camels MY 1105M 914 -878 -6178 Telephone Very truly Sign Cam]. . MY 10912 Address 914- 225.7964 Telephone THE OFFICERS SHOWN AID THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM V HEALTH DEPARTMENT HAVE NOT - mt', HAMr _Et;9_iNCE SUCH FILING. COU`'� PUTNAM COUNTY DEPARTMENT OF HEALTH " r;11S t QF. EIVIRONMlT1�I::HEALT�i t.. ,__ s ',..,.,::�., -. _,;: -'; :__.::we -. �.,.a:.V::. .: .u: Via;. >- •v- t,�;L';:,:,= ..COUNTY..OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner McGl ass on Builders, Inca Address Boswell Rd. Located at (Street Sec. 62 Block 9 Lot 20 Indicate nearest cross street Subd. Lot 40 Municipality_ - Putnam Val 11 Watershed Pees �i11 SOIL PERCOLATION TEST DATA RELUIRED TO BE SUBMITTED W:ITH,APPLICATIONS oe Number.:.. .:CLOCK TIME PERCOLATION PERCOLATION Elapse Depth to Water Water ve :No...:..... Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop.in Min. /in drop II Inches Inches Inches 2. �.h 2 f z i:: Li 5,.. 1 2 3 Notes: 1) Tests to be repeated at same depth until ap roximately equal soil rates are obts,ined at each percolation test hole. All data to be „submitted for review.. '2) Depth measurements. to be made from top of hole. INDICATE LEVEL ATWHICH GROUND WATER IS ENCOUNTERED LEVEL TO-:W1JIC1i WATER INDICATE LEVEL RISES AFTER BEING gNCOUNTEREP TESTS MADE BY O"„'f' 7,.J,.,Da-t.e.. .///7A1,i Y.- D MN Soil S.D.. Usable. Area "provided oQ 46 No Septic Tank Capacity :jo-.o'o Gals- -Type so Absorption`,Area ovlded By L.F-x24" width trench. je. 361, Other am e S, t ssio THIS SPACE-FOR,-USE -BY'REALTH DEPARTMM T ONLY. _P /VO. 29'ZO".. Soil- Rate- Approved', 'Sq. Ft/Gal. Chee Date 2 PUTNAM. COLJ11'ITY DEP-TdOF, H.EALTH ... _', � ., ... 11 le P. it J, ; r. O BL aye .4, IV f'4 ' j W' 019 "K - 27/.5'$' S W A- 4 x �044 t–d Putnam County Department of.. Division of Environmental llealt-A.I M a p " -L,–"j td-t- la — Block-._ LOT N2—&Q 8 u d e'r s % a k l su rs C. I n —If q X- - Surveyor: 2405-w 16-6. AaLWIRCroy'd Drawn: A•H.,C]DOte: 2,/20182 JScole: j,,, 5-61 lJob Nsj -4proved-ag-n-f-a —x,—r.-anformanocl with JOHN H, PRENTISS RE. 'applicable Rules and Regulationi,of the CONSULTING ENGINEER Cc5unty , He,��artmenti., %N - - I , RD 9, F-1 .. r-j CAR MEL NY 10512 — (9141878 -6i70. n b, -�r � I T, —,�) —1 77 - . . VkN n�, ;J Well Well drillers report mesurerriont.50— I Tar k,obxefi, plis,gollories 9 laterals lo •coted by: Contractor: Eng#neer: He a Ith dapt: yj Field ins pection by- Health dept do t e:— t8- Engineer 1G7. dote NOTES: 4) P.,+ P(A- Pla" 0 f D I ME N SION S A B A C --B C E A F IF Pu A H J -B, j K K SANITARY SYSTEM DESIGN "AS BU11=1 OWNER:_ LOCATION Street: E?P .l.g, State Town: C..nly: _P�. SUB DIY IS I ON!]&,Saj Putnam County Department of.. Division of Environmental llealt-A.I M a p " -L,–"j td-t- la — Block-._ LOT N2—&Q 8 u d e'r s % a k l su rs C. I n —If q X- - Surveyor: 2405-w 16-6. AaLWIRCroy'd Drawn: A•H.,C]DOte: 2,/20182 JScole: j,,, 5-61 lJob Nsj -4proved-ag-n-f-a —x,—r.-anformanocl with JOHN H, PRENTISS RE. 'applicable Rules and Regulationi,of the CONSULTING ENGINEER Cc5unty , He,��artmenti., %N - - I , RD 9, F-1 .. r-j CAR MEL NY 10512 — (9141878 -6i70. n b, -�r � I T, —,�) —1 77 - . . VkN n�,