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HomeMy WebLinkAbout3556DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74. -131 BOX 28 I I IL .. : :. ., 4. ..fir.&N mr 03556 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 S01933 CONSTRUC' ION 'PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Val 1 ey down or Village Boswe_l1 -Road-......._....-, - - _ _ _._._..,..,,., .......r....., .u:.r - .e = m.v81ii��: .,._....i~�ri�. •'.. subdivision Boswell Estates - Lot #44, Sec. "B" w t 1 . Job cS01933 Owner McGlasson Builders, Inc Address93 Gleneida Avenue Building Type Modular Lot Area 5.853 A. Carmel. NY 10512 ' Number of Bedrooms Three Design Flow 600 Gal. Total Habitable Space 1160 Square Feet Separate Sewerage System to consist of 1 000 Gal. Septic Tank and 500 L.F. x 24" Width Trench To be constructed by ? Address Water Supply: X Public Supply From ? Private Supply to be drilled by — Address Other Requirements Curtain Drain - 48" Deep x 1101± 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 an regulations 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 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 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 regulans oof the Putnam County Department of Health, o Date — 11 Sept. ' 81 Signed P.E. R.A. Address R. D. 9, Fair St. Ccvpil , NY 1051 t_icense 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 uuLgLered necessary by the Commiss Health. Any change or alteration of construction requires a new �/pyermit. �Appprroved for disposal of dome is rani ewa nd private on y. Date I c/ ~ ` es► —t_� � Permit #PV 39 -81 PUT DEPARTMENT •OF.. HEA3;I H S.0 . 1933 - _'Division of Environmental Health Services, Carmel, N. Y. 10512 I r CERTIFICATE OFt_CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM T. Putnam Valley fl, Town or Village Located at Boswel'T Road Tax Map 62 - Pl otI I Block 9 OwnerMcGlasson Builders. Inc. Tax Map Lot # 16 sum. 4 Sect. B Separate Sewerage System built by McGl arson Builders, Inc. Address 93 Gl enei da Ave., Carmel, N.Y. 10512 Consisting of 1000 Gal. Septic Tank and Four (4) -6 1112 Dia. x 9' Deep Seepage Pits w /12" Crushed Other requirements Stone surround & under Water Supply: Public Supply From X Private Supply rilled BDy Rte. 2, e Address Building Type Modular Frame No, of Bedrooms Three Date Permit Issued i n X23 /Ri Has Erosion Control Been Completed? Yes Well Drillers 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. .: 1 ss- ': Address P.E. X R.A. 140. 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 the missioner of Health, suc/h' /reyp�a/On, modification or change is necessary. + 'Z s r ! -t' rir ti �rrfJu -�l' 'OWN OF PUTNAM VALLEY WELL DRILLERS AND REPORT ! i<L- ....f:OMF3L-P_TI0N._REPOR­T­�r. :. ,,.: • .:: This repmrt. is to be completed by well driller.. and sub; M itted to �., .. Bldg. departmentq_ together with laboratory report. of analysis 'O �,-ater sample indicating water is of "satisfactory bacterial duality. , Well Location Bosvell Estates Tax Map Street - Sec. 81.; Lot E ` Well Owner. MaC31. on Builders Main St Car el Name: ..Mailing Address City .or Totin Tel.. 225 Well Driller ' .Boyd RD 5-Rte 52 Nam Mail Ong Address C� t r oar Town Name CASING DETA I J.S ` ,YIELD TEST • WATER ' LEVEL .. SCREEN D01A 1 L_ ae.eesw. Bailed - Measure .from and surface 3' 1 Length 20 Ft or i Pumped Hrs. Static: Ft. Makes` wr 1 .. ,. '.. Whe W Diameter: 6, inches Yields so dpm o iim "It I Length ,Ft6size r } Diameter. Tn. k -� ` TOTAL DEPTH WELL255 Feel. WELL LOG f Depth from , Give description tea. formations penetrated;' such. Ground Surface s 5asa peat, si1t,9.sand, gravel, clays hardpan, shale, sandstone, granite,: etc.- Include size_ of gravel ( di,amate ).:.and;,. sand '(fine , ivied urrt, coarse) color of material. structure, (LAose,_packed, �• cemented, soft, hard).. For exampled 0 ft.'.to. 27 ft. fine, packed, yellow sand, 27 ft. to _ 134 ' f t . graygranite y: Feet to Feet2 Formation Descri tinri 0 -150 clay overburden t t 150 190 brovin lirdestone NOV 12 1982 , E PUTNA1�1 COUi�TY 190 - 204 ! ,'.x limesrone G DEPI F, Date Well Completed 7 '. 9'� 32 Date of Repor. 7 ­14 _'s2 itr 1 , Well Driller / " %�� /-`', i a. ure BZS 1 -77 �. T_ Putnam Valley Owner or Purchaser of Building Municipality McGlasson Builders. ' 62 - Plnt TT Building Constructed by Section Boswell Road 9 Location - Street Block Modular Frame 16 Building Type Lot • GUARANTY 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 guaranty to the owner, his succes- sors, 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 :Wade 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 de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the syst Dated this 14 day of July 1982 Signat Titl Zr' corporation, give nam and address) (.Xc a ,e5 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, IE) �;QV 1 r 7982 PDT NAM COUNTY PEPL PF HEALTH Putnam County Department of Health THE OFFICERS SHOWN ON THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM COUNTY HEALTH DEPARTMENT HAVE NO BEEN CHANGED SINCE SUCH FILIN �i Gentlemen: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF .FN..V.IRONM ITAt-,'hLALT'H' SERVICES Date 29 October 1980 Re: . Property of McGlasson Builders, 'Inc. Located at Boswell Road, T. Putnam Valley.' Section 62 Plat II Block 9 Lot 16 Boswell Estates Subd., Sec. "B %-lot #44 This letter is to authorize Johi 1l: 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 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 construction of-.�said _..y� systems in coni'orm* ity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani- . tary Code. e4t A/1 untersignede k.E., R.A., # 29206 A 1F R. D. 9, Fair St. 180CA, Address Carme.4 , • NY 10512 c 914 7' 8 -G17i1 e ep one Very truly you s An Signed Owner of Prope ty 93 Gleneida Ave. Carmel,, NY 10512 SQ, 3 Q V9.81 . Address 914 -225 -7964 DEPT: Of HE�`'T k r�s. OFF Telephone s � THE OFFICERS SHOWON THE CORPORATE AFFIDAVIT ON FILE WITH THE PUTNAM C0UNTY HEALTH DEPARTMENT HAVE NOT -BEFN .CHANCED SI�Rq SUCH FILIKI. Nc. O'FTHE.5T Ait � I 2 DEP I - Notes: . 1). Tests to be re,'jx.,at(--.,d 'It same, •depUi iint! 1. -a Djvoyamately cqual soil rates are obtainod at cmach por,colat•ion tost, li)' C .11 data to be blibillitt'.0(i for 1-�oview. 2) rx)pth lire tile lit s to J)e t1lade from top of holo. PUTNAM COIJTTqY DR-TARTMENT or I IP!, At, TJ I 7 Pp'4. DTVISION OF ENVTR0t,.P0­JTAL ITEALT• SERVICE S COUNIY'OFFICE DESIGN DATA SIMET-SEPARATE SU- UAGE -DISPOSAL SYSTEM FILE NO. Owner .,McGlasson Builders, Inc. Address Boswell Rd. Located at. (Street )P Se c. 62. Block 9 Lot 16 indicate. nearest, cross s S street) ubd. Lot 44 — 5? - 1. 'municipality Putnam Valli Watershed ...:SOIL PERCOLATION TEST DATA REQUIRED TO BE SDr-)1•111TTED WITH APPLICATIO TIC Number.. CLOCK TIME PERCOLATION ..,,PERCOLATION !Fun Eiapse Depth to Water U�a_ t e. r Level No. Time From Ground Surface in Inches, Soil Rate Min. Start Stop Drop in Min./in drop .•Start-Stop Inches Inches Inches uzy 13 2 ZZ 37 12 s. /137 0,03 4 5 2 DEP I - Notes: . 1). Tests to be re,'jx.,at(--.,d 'It same, •depUi iint! 1. -a Djvoyamately cqual soil rates are obtainod at cmach por,colat•ion tost, li)' C .11 data to be blibillitt'.0(i for 1-�oview. 2) rx)pth lire tile lit s to J)e t1lade from top of holo. TEST YI`3' D/1`I'/t R3 ?�1.1IR1�,D TO 331a stmr!]'T`.l'rD 1dTTIi API'L'I:C/1'I'ION IN `.i'i?`;`f' 3{OLf�;S - DEI'TII . DOLE NO.— BOLL NO 6" 4' 12" 18" • 24 4211 48 f `v 5.411 , P -A 7 66.. 78" 84,E INDICATE LEVEL AT 1-HTCH GR01111D WATER IS .ENG0UT1TER7',D II1'DICATE LMIr_;L `I'0 VIIICH 1•IATER _LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY /�e�ee �f�L1.,� /���m Date . D SIGN Sail Rate Used �Min/1 "Drop: 5.D.: UsaUle Area Provided �a N.o: of E2droems_ �Septi.c Tank Capacity�o Gals. Type o hbsorption Area Provided By L.F. x24 "° width trench. n / /O' _ Other - IN' a -7e John s. MAY051, P. E.- 7 �I l . e Address Raft. 9,- fair Ste �, RY 0512 0 . TIiIS. SPACE FOR USE BY 11 1;-PH DEPAR'I'iriENT OI!L . t THE922 'Rat pproed Sc. /1. Date ;i ►t o' j j sot 1 N - v D 1 A o i A- U 2j--- g i3 A P _ Z7'_ 6 E � d - 7+ _ 34' _ -• sic cati,� A - H - I'utriam County Department Of Health Division of �. Environmental Health Services L d a, 11 _ l CO_'Lfo n -r+ r !M ' }, . _r lr �, rmanc.: with /� R' p (� [� ` r iJl., ty 1r<3 ^� SAN 1 1 i A rl 1f J { � i E � + J PN' u'i p_i C unt g. lations of the r x JE ? 1 Y 1rtment. r J iIOCAriONi Street.— Bonk Slgnatur� x it e — — - D to jTown:_P_uEr,v.nl(ctlCe� _C�anfy• .;Pssigi9.w?w_ �1 �so DIVISION , a Fi(cj ft/p-1 . o.. S tt a p .,_CTQX) At ° /f'o o" /s o�o ; 131 oc1<. - 9. _ l LIT Ns E- ` �Buiider: I rsl�is5ar_Q �s.rT�L•_ _ _�fd i . Sure or: iu Iz r 1, CSI r Y r� �9oswe /1 /eaac,' D to 1e: �+ SA Drown; N ° 27_OcE 11 :,a_ 9 -- J 0--H N` H_ ..p R E N'T•I S 5 E. .. i, I' =-r- AS BUi1..i A�TA _Deiom fructuro .loiuted,from Burry by .survtya,r -. ngppt --e�� IcCnted b • SutvFy�rs 9urv9y . � i + • - 'Contra tior'S . 4 Turk, LOX 0-, prf,,, golleria5 lolarois iceo.t�o Dy;Corirq-fbr . - Past /q /ah 3 Er. @:_re -r: ". '- r' ' '- tae aIthcfQp.t� . :. L ld3a h Field Inapectl.ort b.y: ai�ufth oepi fNind En4,inaer jo.tY f - ` ��� Noses: Q )Part P.len oF: Lot b) sit ;� rMK -food Gwl:Ga -Mtn c + /� ys�pJ -X Q' D eeP K t)-{s ';e3, °I! ►t o' j j sot 1 N - v D 1 A o i A- U 2j--- g i3 A P _ Z7'_ 6 E � d - 7+ _ 34' _ -• sic cati,� A - H - I'utriam County Department Of Health Division of �. Environmental Health Services L d a, 11 _ l CO_'Lfo n -r+ r !M ' }, . _r lr �, rmanc.: with /� R' p (� [� ` r iJl., ty 1r<3 ^� SAN 1 1 i A rl 1f J { � i E � + J PN' u'i p_i C unt g. lations of the r x JE ? 1 Y 1rtment. r J iIOCAriONi Street.— Bonk Slgnatur� x it e — — - D to jTown:_P_uEr,v.nl(ctlCe� _C�anfy• .;Pssigi9.w?w_ �1 �so DIVISION , a Fi(cj ft/p-1 . o.. S tt a p .,_CTQX) At ° /f'o o" /s o�o ; 131 oc1<. - 9. _ l LIT Ns E- ` �Buiider: I rsl�is5ar_Q �s.rT�L•_ _ _�fd i . Sure or: iu Iz r 1, CSI r Y r� �9oswe /1 /eaac,' D to 1e: �+ SA Drown; N ° 27_OcE 11 :,a_ 9 -- J 0--H N` H_ ..p R E N'T•I S 5 E. .. i, I'