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