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HomeMy WebLinkAbout3554DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -1 -29 BOX 28 03554 Is as J ' `. �� ■ T 'ml ��' .1r 1 , , 1 L7 �' *kri 1,1 03554 N�, PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 _i CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley ' Town or illage Located -at Boswell Road Tax Map 62 Block 9 ... _d _l. -n ;'Bib, l- ZstitGs t 2 := : ,.. ;b �r .� { � ::- - 1•$:: �,�,b,..S91932 _ Subdivision - Owner McGlasson Buf1ders, Inc. Address 93 Gleneida Ave. Building Type Modular Lot Area 8.021 A. Carmel, NY 10512 Number of Bedrooms T reeDesign Flow 600 Gal • Total Habitable Space 1 1 60 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 Private Supply to be drilled by Address Other Requirements 10011" 51 Deep x-24" W, Curtain 4ratn 1 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 an regulation s o e Putnam 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 ards, rules and regulaFOns of the Putnam County Department of Healthrl Date — 26 May, 1 781 Si gned �' P.E. x R.A. Address R.D. 9 Fa tr S Cample 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 con d necessary by the Co misAir of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic nits sfwage, d/ pr• ate Date / By Titles PUTNAM COUNTY DEPARTMENT OF HEALTH °. Division of Environmental Health Services, Carmel, N. Y. 10512 Permit a �V20,• -8i S.Q. 19 • ERTIFIC -NU iDF;= CONrTR 9CTI.QN COMPLIANCE TOR.- SEWAGE - DISPOSAL SYSTEM piitnam Valley _ _Town oyt V111490- ocated ii; ' gosmi, ] I Road Tax Map���� 11 Block CI Wner / Formerly Tax Map Lot # 18 Subd. Lot 42 File #1238B eparate Sewerage System built by MrAl ass nn Bpi 1 ders , Inc- Address y93 Gl enei da Ave Carmel, N.Y- 10512 Consisting of 1000 440' x24" W. Laterals _ Gal. septic Tank and Other requirements 100' Curtain Drain x 5' Deep x 24" W Voter Supply: Public Supply From 9ullding Type X Private Supply Drilled By Address Rte. 52 Kent N.Y. 1051.2 Modular No. of Bedrooms Three Date Permit Issued /4�R1 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 2.7 May -1962 Address Certified by - Fair St -0 P,E.X_ R.A. License No. 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 unitary sewer becomes available and the approval of the private water supply shall become null and void when a public water soJy becomes available. Such approvals are subject to modification or change when, in the judgment of the Con'Imi 9f Health, such revoce fo , modification or change Is necessary. Date .J ""� BY A _ Title c -NANO ENVIRONIMjENTAL SERUICES;�IxN-C UNITY STREET AT ROUTE 376 P'O BOX 70 NO. HOPEWELL JUNCTION NEW -YORK 12533' (914)221 -2485 ate. 01 •CE".'IVED : st NAME qy/ py 5 L53 82 V ADDRESS �xall park t� SAMPLING, POINT% �o6t3W�ISi21e�:�z33+�2F11�E:y TREATMENT CHLORINATED O( PPM) SOFTENED ❑, OTHER.❑ SdURCE, DRINKING WATER . WASTEWATER jEFFLUENT ❑OTHER LOLL- ECTED.BY ; l cCalags.o APARTMENT COMPLEX ❑ `.INSTITUTION ❑PRIVATE RESIDENCE ❑ S1NhM POOL; o. BEACH - ° ❑' MUNICIPAL ❑ :RESTAURANT ❑TEMPORARY RESIDENCE O. DAMP O ,NURSING HOME' ❑ SCHOOLS; ❑ TRAILER PARK ❑'FARM LABOR CAMP ❑ :PRI�ATCOMPANY ❑ SEWAGE�TREATMENT PLANT ❑OTHER n TOTAL CQLIFORM COUNfiM F T. = PER•400Mt x ❑TOTAL COL(FORM COUNT M7P N - PER 100 M. L. ❑;._FECAL COLIFORM_ COUNT.M F T PER,100M L _ E G"A C COLfFORM COUM'P NT N PER 100 1 M L FROZEN DESSERT PLATECOUNTa ❑AGAR PLATE.COUNT :;fr PER 1 M L k�wra CABORATORYTECH .CIAN DATEAEPORTED- dAB RAT 98r; Alsous, fk 0 ft, THAT 'ME9T tA'i181 1f1 'f l M - � r 4 t ✓�Y Xt 3 I [COLLEM .. ERED TO N V . . RECE�3C8 U, N: of O - '�-0 - �... in9[Q`�C;1 Duo WELL C01ki - LETION REPORT 3/71 e . 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 analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. -" - :.::";' �``•:;. 9bdF i -MLGS' T_ 'BE 'SUM 1iTTE11 4i117HIN�3 (l DAYSr��• W�LL"�bNi�`L'�1 �N3 OWNER NAME McGlasson ders Inc. ADDRESS Avenue Carmel, Avenu Carmel New York 10512 LOCATION OF WELL (No. & Street) (Town) (Lot Number) Boswell Road Putnam Valle # 42 PROPOSED USE OF WELL �j NESS liJ DOMESTIC ❑ ESTABL SHMENT ❑ FARM ❑TEST WELL 11 SUPPLY El INDUSTRIAL ❑ CONDITIONING ❑ ((Specify) EQU PLMENT COMPRESSED CABLE ® ROTARY El A R PERCUSSION ❑ PERCUSSION ❑ ((Specify) ER CASING DETAILS LENGTH (feet) 42 t DIAMETER(Inches) 6" WEIGHT PER FOOT 19 Lbs• EK THREADED ❑ WELDED SHOE YES ❑ NO CASING FX1 YES 1jaNO YIELD TEST HOURS G.P.M. ❑ BAILED WPUMPED ❑, COMPRESSED AIR 8 15 15 YIELD (G.P.M.) 15 WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) y, ;f, : DURING YIELD TEST (feet) 450 jpepth of Completed Well feet below Land surface: 400 s SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet) ' 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 Fast two permanent landmarks. FEET to FEET t r ' Ir C= JUN 2 '1982 n • ^.q gjtPT• OF �'►L 1; i 46 400 Sandstone -loam If yield was tested of different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED 10 -1 81 DATE OF REPORT 10-15-81 WELL DRILLER (Signat 62 Plnt 11 Owi . er or Purchaser of Building Section .�..:. MCA .. ,.X Building Constructs y Block pis " ",' Boswell Road Location - Street Carmel Municipality Modular Building Type 18 Lot 42 File # 12386) Baswe11 Estates Subdivision Name 42 ( File # 1238B) Subdv. Lot # GIIARANTEE 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 systems The undersigned further agrees to accept as conclusive the determin- :,�__e of the Putnam County Department of Health as to whether or not ure of the system to operate was caused by the willful o gligent act of the occupant of the building utilizing the system. Dated this 27 day. of May —19--m Signature' r Title / JUN Corporation Name if corp,)_ orp 4 PUTINMA COU nY 93 Gleneida Ave., Carmel, N.Y. 1051'2 DEPT. OF HEA i :': Address 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 PUTNAM COUNTY DEPARTMENT OF HEALTH N _ l - -_... ..;,r,T -:.,- _,� -:: r.- ��?I�I•I�T9?I: aFM%�i= iy`i�'�TT;A� -Ii2A.LTH SERVICES Date 29 October 1980 t Re: Property of McGlasson Builders, Inc. Located at Boswell Road, .T. Putnam Valley Section 62 Plat II Block 9 Lot 18 Boswell Estates Subd. , Sec.. "B ", Lot . #42 Gentlemen: This letter is to authorize John H. Prentiss, P.E. a duly licensed professional engineer X or registered architect (Indicate) to apply fo.r a Construction Permit fora separate sewerage system; to serve the above noted property in accordance with the standards, rules �Q or regulations as promulgated 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.- .constructio- _- .;af'- ;said syste or'sgstems "in conformity with the provisions of Article 145 or 147, Education Law, blic Health Law, and the Putnam County Sani- tart' Code. �: 8 MAY 2 71981 DY truly u�, � PUTNAM. COUNTY Signed nEPT OF HEALTH Owner of Property 93 Gleneida Ave. Carmel, NY 10512 n �� Addre ss .E..6 R . A e , # 29206 QROFESSIOIyq� F�`G R.D. 9, .Fair St. Ad ress Carmel ,' NY 10512 o 914- 878 -6170 ''y No• 2g2o�4���� e ephone OR N1 S1 914 - 225 -7964 Telephone THE OFFICERS SHOWN ON THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM COUNTY HEALTH DEPARTMENT HAVE NOT BEEN.CHANGED SINCE SUCH FILING. r f!. PUTNAM COUNTY DEPARTMENT OF PEALTH s DIVISION OF ENVIRONMENTAL HEALTH SERVICES _.._._.... L:... �, COUNTY.QF�+, I�TJ:IZ;T�TP?G �. T - }:- DESIGN DATA SI-aET- SEPARATE SEWAGE•DISPOSAL SYSTEM FILE NO. Owner McGlasson Builders, Inc. Address Boswell Rd. Located at (Street Sec. 62 Block 9",;. Lot 18 6dicate-neare.st cross street) Sub -7 *— t 42 Municipality Putnam Valley Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBM,IITTED WITH APPLICATIONS Hole Number. CLOCK TIME PERCOLATION PERCOLATION Run Elapse Dep. to a er Water Level, No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Win. /in drop Inches Inches Inches 1 . 3 �J 46y2T .4 Notes: . 1) Tests to be repeated at same ,depth until a roximately equal. soil .rates a,re obtained -it each percolation test hole. A11 data to be submitted for review. 2) Depth measurements to be made from top of hole. DEPTH TEST PIT DATA PJ, ?QUIRED TO BE SUBMITTT.ED WITli APPLICA'T'ION DESCRIPTION OT' SOI'.L`) i?NCOU7\'V1?RiED IN TEST HOLES HO12 NO. ,% HOLE NO. 12" iJ 18" 24.11 30" .3' 6 `h2" 4$n 54 it 6011 66" 72" 781 8411 INDICATE LEVTs'L AT WITCH GROUND WATER ' IS EP ?COUNTERED 1V°ne INDICATE LEVEL TO HICH WATER LEVEL RISES AFTER BEING ENCOUNTERED ? TESTS MADE BY °'9 �� �3y�ly A�s°c • 1973 ,Pei (�: T. / Date _21-® ,y...,.c ...,i.... . .....� ..... ..._. .. . .mss.: --. .» ... -... ,... .1.'3�IJ1\T3L''... -.• -- .y.v.. _...e ...a...w- .. .. .«. a. .� ... -.. - � _. a... ...� ,.�._ -«.. .a. .. SoilY Rate Used (6- 10Min/l "Drop:y 'S.D.-Usable Area Provided- No. of Bedrooms ✓' Septic Tank Capacity 6-60 Gals. Type M415ohV .Absorption :Area rov ded By L.F.x2411 55b - width trench. 1061f 5z_ 41~ X n(,lj. �c( ih ` RpFESSION4Z el Other vv:.��� •�o rlGii4l ��y re Go r lr l�Address THIS SPACE FOR USE BY P 4U.VH DEPARTMENT Soil Rate Approved 4 Sq . Ft /Gal . Date -7, ■ 'kl j Loft - ;r ; �4e Putnam Mepartment 4 , �f HealU Divlii®n of Zni,.,:mienta1 jresi_th Services -.,---AppjcvVed-ws -fidt-liff-fa r cojafarjw nce with a e 'ul Putnam yd reguIRtl6hs of tb,- p 0 unty eal h Department., le -7 1§=xYwF=wq= IT; e 5 U f t me P t 6 Tnr.i(, bcxes, pile, gpffdric� b lola.-ais fo•c-oted cy:c-nFIttac1,nI: Enq;neer.- Fielid Inspection bV7 HCWTh d1ot 1 do I e: NOTES: d) >4 "D.. Te, x- - I o a 0 C- C) Dr-;Vewv Not 56— S.D.S.. 0'r c A C C 5 L 4,: SANITARSYSTEM DESIGN "AS [Lau - OWNER LOCATION Strpct*-j3,,,,,-,,.1,1- Town:__ f(yCo,inly. S a te: SU B DWI Cc I ON: Boswell Mao* -x) 81 ork L01 N still der:-aE fi`:j-*s,j., surveyor. _Jos�c , -1-job N! - 5 J, Date, r.0 I e: SIB 82 JOHN _N PR ENTIS S FEE. CONSULTING H N G I N E E R 87-k3-6170. 7;, 1-- A R M E L N'y F -3Y C c . C' H 7f a H L -1k 8 L �M Ili SANITARSYSTEM DESIGN "AS [Lau - OWNER LOCATION Strpct*-j3,,,,,-,,.1,1- Town:__ f(yCo,inly. S a te: SU B DWI Cc I ON: Boswell Mao* -x) 81 ork L01 N still der:-aE fi`:j-*s,j., surveyor. _Jos�c , -1-job N! - 5 J, Date, r.0 I e: SIB 82 JOHN _N PR ENTIS S FEE. CONSULTING H N G I N E E R 87-k3-6170. 7;, 1-- A R M E L N'y