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191e l `f PUTNAM COUNTY DEPARTMENT OF HEALTH PERMIT #Pyr32r81
Division of Environmental Health Services, Carmel, N. Y. 10512
$Q 1931
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
Road Town or Village
- 'Located at. Bowel I R :�; '� - --- <Tax ��rap: � , .Pj a FJloy�
Subdivision Boswell . '-.Estates, Lot #41, Sec. "B" N ^ Lot 1.9 Job 501931
Owner
Bu'flders, Inc.
Building Type Modular Lot Area 9,021 A,
Number of Bedrooms Three Design Flow 600 GPD
Separate Sewerage System to consist of 1000 Gel. Septic Tank
To be constructed by
Water Supply: y Public Supply From
A . Private Supply to be drilled by
Address
Address .93. G1'enei'da Ave.
Carmel , NY 10512
Total Habitable Space 1160 Square Feet
and 429 L.F. x 24" We Trenches
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 in accordance with the standard les and regu a ons of the Putnam
County Department of Health. Ortgtnal Permt't Issued 9/4181 V
Date 14 Sept. `81 Signed v P.E. X R.A.
Address R. D. 9 Fafr St. , Ca 10512 License No. 29206
APPROVED FOR CONSTRUCTION: This approval expires one year from t e 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 Commiss' r of Health. Any change or alteration of construction
requires ew perm i3._ Approved for disposal of domestic saner sewage, and /oin private Wr supply only..
Date — By Title
PUTNAM 0OIJNTY UEYARTIEI�1T�3(F HEAL'TIi� Past N r32�8� T
Division "of Environmental Health Services, Carmel, N. Y. 10512 $Q.191
CONSTRUCTION PERMIT FOR SEWAGE-, D19POSAL SYSTEM Putnam 'Valley,
Town ,or age
Located at Boswell Road Tax Map 62 -P1 at 111k ' 9 Ioi 19
Boswell Estates. Sec. "B" subd. t,ot # 41 _o _-.t�
Subdivision Renewal Revision b
Owner /Address E. Barrett, 3224 Lakeshore Dr., Mohegan Lake,k�'e of Previous Approval 9/1,6/81
Building Type
Frame Lot Area 9.021 A. 10P section only b (Name Change)
Number of Bedrooms Three Design Flow G /P /D 600 P.C. H. D. Notification Required'
Separate Sewerage System to consist of 1000 Gal. Septic Tank and 429 L.F. x 2`Fp" Wide Trenches
To be constructed by
Water Supply: Public Supply From
X Private Supply to be drilled by
Address
Address
Other Requirements None
I represent that 1 am wholly and completely responsible for the design and location of the proposed systern(i); 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 wkt. 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"dese►ibed above
will be located as shown on the approved plan and that said well will be Installed in accordance with the standards, rules and regu a ojiF -.of: 'the. Putnam
County Department of Health.
Date 26 October 1.981 Signed u+/ ' Paa. X. : R.A.
V"
Address R.D. 9 Fair Stre armel NY 1051 License No. 29206.
APPROVED FOR CONSTRUCTION: This approval expires one yea4rem, the date issued u e0 construction of the building has been undertaken and Is
revocable for cause or may be amended or modified when considered.Recessary by the Co issi er of Health. Anv chance or alteration of construction
.♦ � . ..
CQ N' COU TY .�ES\6TpGNIC,OF
!!pL ilr d�,a; ..n.ws...�•.wlr: rY. .' tT ..: O•.a vai• or.b:
�Eisl � nmental . Healt - 9brvices, Ca N. Y. 10512
Located at
Subtlivision'
34'PERMIT FOR SI
swell_Road
p11. F.ctatac_Sact- " R "_Fi uid Man 03RR'
Owner McGI`assonui lders Inc -
Building Type game Lot Area
Number of Bedrooms • Three Design Flow 600 LED
Separate Sewerage System to consist of nnn Gal. Septic Tank
To be constructed by Owner
Water Supply: Public Supply From
X Private Supply to be- drilled by B&A -Well _DPiiV1
' . , , Rte.:52, Ken,t''.
Address '
to 1.
T P A 1 /S3,101
U0
62 -_ Plat-II , n
Tax Map Blocks. , 7
Lot 19 Jobt1�
Address 93 Gleneida Avenue
Other Requirements 90 X 5 DE: 6urt'al in D,ral n
1 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.shoWh on the approved amendment thereao. and in accordance with the standards, rules an regulations o f the Putnam
County Department of Health, and that on completion thereof a'. "Certificate; of Construction Compliance" satisfactory to the Comm, issioner of Health will
be submitted to the Department, and a written guarantee will be furnished'thb,dwner, his successors, heirs or assigns by the builder, that said builder will,
place in` good operating condition any part 'of said sewage disposal' ' - during the period of two (2) ,years immediately following .thedate'of the, issu-
ance of the approval of the*, Certificate of Construction Compliances of,the.`o'iginal 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 lnstelied i :accordance. with the standards, rules and regulate. f 'the ..Putnam
•County. Department of. Health.
Date '131 August '1931, Signed P. E. n R.A.
R 9 Fair St., Ca `e1 NY 10512 2920.6.
Address License No.
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued ss construction of the building has been undertaken and is
revocable for cause or may be amended or modified.when considers essary by the " mrmssio r of Health. Any change or alteration of construction I
requires a new permit+` App►o gg for disposal of domestic star sew /or ,p 'vate wa supply only.
Title
Date • ... By ®. J
I I
'PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Re: Property of Elliot Barrett
Date 26 October 1981
Located at ..Boswel-1 Road
(T) Putnam Val-ley Section 62 Block 9' Lot 15
Subdivision of Boswell :Estates
Subdv. Lot # 41, Sect. "B" Filed Map # 1238B Date
Gentlemen:
This letter is to authorize John FiQ prntisse P.E.
a.duly licensed professional engineer XX 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
connection with this matter and to supervise the construction of said
_system- i7..sys;t.eim-s- -in,-co-r-f orm-.;-t.y -wi, t-h,--thc - provisions`.. of - Aftib-11 6' 145. or
m- A-
147, Education L
QN%l kk
C 10 PRE
tary Code.
jC ersi ned: FTHE5 0-
P.E. R.A. # 19206*
R.D. 9, Fair Street
Address
is Health Law, and the Putnam County Sani-
Very truly yours,
-
Signed C5�-114
Owner of Property
3224 Lakeshore Drive
Address
Mohegan Lake, NY '10547
Town
Camel, IN 10512 914-528-4890
0 C 1PW
C, E' UlWephone
914-878-6170 AN Lop
Telephone OCT 2 61981
PUTNAM COUNTY
DEPT.- Of HEALTH
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF .ENVIRONMENTAL. HEALTH- SERVICES
.
.. ..i lr. .�•' .� � �. .,i.- ....�...�r ��: -`t-i •!� „_fir +.:..•.._._r�_...._.._rt. .. _ .S.'ha �..�'�rrr ,- _ .:m:a. .`....,'�.�.- ..'.�:�-a -4--i . P -'.. :.�.°•'ry:: -. .is�L c::_i�. _a. ..
Date 29 October 1980
Re: Property of McGlasson Builders, Inc._
Located at Boswell Road, T. Putnam Valley
Section 62 Plat II Block 9 Lot 19
Gentlemen: Boswell' Estates Subd., Sec. "B ", Lot #41
This letter is to authorize JON H. PMt1.S5, P.E.
a duly f`icensed professional engineer X or registered architect
(Indicate)
to apply for a Construction Permit fora 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
i:v,u,cV Liu„ wl Lfl Lit-Lb ma c Lev a;lu to. supervise ine construe ciun of said
system or systems inconformity with the provisions of Article 145 or
147, Education Law, the Public Health Law, _ and the Putnam County Sani-
tary Code.
Very truly ��
Sign
OW 66r of Pr erty
93 Month Avenue
r.j
ear sign d: F HE C&ftvl 4 my 1,06112 JOIN Address
Pg,.E., R.A., � #
9. tp r '
Address
914-22-95-7964
Telephone
THE OFFICERS SHOWN ON THE CORPORATE
Camels NY 10,512 AFFIDAVIT O FILE WITH THE PUTNAM
COUNTY"HEALTH DEPARTMENT.HAVE NOT
1 Si 0 70 BEEN CH CE SUCH FILING;
Telephone
sEP 1981
PUTNAM COUNTY
DEFT. OF HEALTH
PUTNAM COUNTY DEPARTMENT OF HEALTH
-• O SERV
ICES. H_F ENVIRON ,HEALTISIJ� MENTA7 .
lid001 -rpw
>/.
;.COUNTY.. OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner McGlasson.Builders, Inc. Address Boswell Road
Located at (Street/ Q64 �S 62 Block 9 Lot 19
tInctica�te. nearest cross ree Subd.::Lot 41 - .zc. "19"
s swb�l:.
Putnam Valle
Muni.ci lit Y Watersheds s
P y_ �K ;
:.,SOIL PERCOLATION TEST DATA REQUIRED TO ,BE' SUBMITTED `WITH,APPLICATIONS .
Hole ;
Plumber'.,:.. ., CLOCK TIME PERCOLATION PERCOLATION
Run apse Depth to Water Water TFVP
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 a roximately 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.
IX
TEST PIT DATA REQUIRED TO-BE SUBMITTED WITH APPLICATION
Soil Rate Used °6= Min/1 "Drop S. D. Usable Area "Provided �o .
No of °Bedrooms _ Septic Tank Capacity OOp Gals:..: � 'Type S'o -
Absorption :Area ., Provided By 0,q. L. F.x24" 0.— 5b" trench.
1,0 Ar
Tfame igna o�
Addres�D.e:_.9aair "St:... .�'
THIS SPACE`FOR- USE BYHE
E- ALTH DEPARTPMT ONLY: z%
F4 NO
So -Rate- Approved Sq. Ft /Gal. Che aor
N
Q
1"Y
29'tC�•: ��,,
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Width
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Long}t+- �e�.�31kr S
jj yea P 470 "r ton
Got Gas/ tfCoY _
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