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Home My WebLink About3655DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.14 -1 -12 BOX 29 03655 P6 L �,. a all 6 .11 I I .. I ■ . M. ■ 03655 V PUTNAM COUNTY DEPARTMENT OF HEALTH 'Division of Environmental. Health Services, Carmel, N. Y. 10512 'CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM ale Sr &y !/ALLY Subdivision Owner �d (� y✓^� Town or village Flock Lot Job r Address y a� Building Type d /�7t�iL!j jai` Lot Area li � !✓ � �JIr 4�ji F 046NIZ e 4F � Number of Bedrooms Total Habitable Space 'i!%�' ��' W Square Feet Separate Sewerage System to consist of / Gal. Septic Tank zz lineal feet X� width trench To be constructed by �c A J� �r%'?E �`" es Address i Water Supply; Public Sinn "' F'nn' Private S Address Other Requirements 1 represent that 1 am wholly and completely responsible for th above described will be constructed as shown on the approve _ ". County Department of Health, and that on completion t be submitted to the Departmeht, and a written guaran place in good operating condition any part of said se ante of the approval of the Certificate of Cons tructi pli+ will be located as shown on the approved plan and that sa we will 'County Department of Health. Date I fl the proposed system(s); 1) that the separate sewage disposal system accordance with the standards, rules and regulations of the Putnam uction Compliance" satisfactory to the Commissioner of Health will �g his successors, heirs or assigns by the builder, that said builder will fie+ eriod of two (2) years immediately following the date of the issu- fm m or any repairs hereto; 2) that the drilled well described above 0& with the staddards. rules and regu a ions of the Putnam P.E. R.A. WV iL/ d Sa/ �Z2 2/ Address O e urui r License No. 1- APPROVED FOR CONSTRUCTION: This approval expires on fro i ued unless construction of the building has been undertaken and is revocable for .cause or may be amended or modified when considers the Com ner of .Health. Any change or alteration of construction requires a new permit. Appr ed for dis osal of domestic ag r riv a upply only. ,late • BY Title s PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Seryiges Carmel, ;N:- Y, 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM 7oisti)k% Located at =l Owner Town or village ac• -f�1�( r" i Tax Map Block Lot Job Separate Sewerage System built by %1.J0 5 S'p ff 11"I I Consisting of 1 1 Gal. Septic Tank and Other requirements Water Supply: Public Supply From Private Supply Drily Address Pc j 1 Address Building Type�R.f Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above attached), and in accordance with the standards, ru Date Address a � Any person occupying premises served by the above s frsh: conditions resulting from such usage. Approval of $tl available and the approval of the private water supply' subject to modification or change when, in the judgme 1 Date s✓ / ^' BY No. of Bedrooms Date Permit Issued shown on the plans of the ompleted work (copies of which are permit issued Aty the _ nam County Department of Health. i./- �, P.E. R *A License No. 321 7 24 loch action as may be necessary to secure the correction of any unsanitary Fshall become null and void as soon as a public sanitary sewer becomes when a public water supply becomes available. Such approvals are Health, such revocation, modification or change is necessary, L �� Tit le Property Details - Image Mate Online Image Mate Online Navigation ORPS Links Assessment Info I Residential I Property Info Owner/Sales Inventory Improvements Tax Info Report Comparables; Municipality of Putnam Valley, ToWM of SWIS: 1 372800 ITax ID: 1 74.14-1-12 Tax Map ID / Property Data Status: Active IRoll Section: I Taxable Address: 35 Shamrock Dr Property Glasses 215- 1 F MR6s'-, K 3Mass %Apt Site Rropeft w r7y 1. 215- 1 m Res wtApt Site: Res 1 In Ag. District: No Zoning Code: R3 - Bldg. Style: Raised ranch Neigh borifoUd:'28140, Sch ' 0 ' ot ' District: **' - Ma -hoVac Legal Property Description: 06800000060050000000 001950000000000000314 68-6-5 Total Acreage/Size: 3.14 Equalization Rate: 2012 - 100.00% Land Assessment: 2012- $113,500 Total Assessment: 2012 - $420,400 Full Market Value: 2012 - $429,000 Deed Book: 1859 Deed Page: 69 Grid East: 1681500 Grid North: 1923198 Special Districts for 2012 Description Units Percent Type Value Fire district 10 0 0 Page I of 2 ra No Photo Available http://Putnain.sdgnys.comlpropdetail.aspx?swis--372800&printkey=07401400010120O00000 3/25/2013 .... ... ..... s.. ._ ... `;. .,: .[ •.os.. ;. ....mss yr -- :. .. sss: - -.. .... r_ . e -. . -• �. .. °.- .::.. ..r -- s+ %�.:. .. ..a- ._. .. •+.u:.. . .. ._. _ I/Z�1 i.�drllJ[.1=f Owner or Purchaser oV Building Municipality N �l.5��'if`�%iL fir• — �a Building Constructed by Location - Street Block 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.,..Div_ision.,of .Env- ronmenLal.. Health . -Ser- - vi -cos of -Depart-me- t-'the Putnam County failure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the sy, tem. Dated this day of -' 1976 Signatu• e6 Title If corporation, give name and 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 DESIGN DATA-SHEET-SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner �,s,6.2d AL 6s Address Located at ( Street A Svc ,:� . ��_ ixe 2CE. 6s Block _Lot -5- Indicate neares cross street) Municipality � r Watershed �� aLC�� .��4 SOIL PERCOLATION TEST.'DATA REQUIRED TO BE�SUBMITTED WITH APPLICATIONS. H016 5 Number CLOCK TI14E PERCOLATION PERCOLATION Run apse Depth do a er water ve No, Time From Ground Surface in Inches Soil Rate Start -Stop Mina Start. Stop Drop.in Min. /in drop Inches Inches Inches 2 5 zz 4 5 2 T, 1' , , 3 4 5 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. 4 4211 a 48" p . 54 'le .6011 �y , v. 7211 N 84'r rD �i { INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE lk'TEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY S -i�j�/r�uL - Date . zj( - Soil Rate Used Min/1 "Drops DESIGN S.D. Usable Area . Provided, No. of Bedrooms Septic Tank Capacity Gals Type -Ar Absorption Area Provided By Z7 L.F.x24" "36" 7 width trench. her Name, I e , KX 267 �� Address ��® �� L THIS SPACE FOR -USE BY HEALTH Soil Rate Approved . Sq. by Date TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION . DESCRIPTION OP SOILS AkNCCJN`I` R' ED IN' TEST HOLES D,PTH MOLE N0. Z HOLE NO.. Y HOLE NO.-' 6„ 1211 4�zlv.' 18" �I �' � • 24" A h 3011 ai Yi 36" — y 4211 a 48" p . 54 'le .6011 �y , v. 7211 N 84'r rD �i { INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE lk'TEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY S -i�j�/r�uL - Date . zj( - Soil Rate Used Min/1 "Drops DESIGN S.D. Usable Area . Provided, No. of Bedrooms Septic Tank Capacity Gals Type -Ar Absorption Area Provided By Z7 L.F.x24" "36" 7 width trench. her Name, I e , KX 267 �� Address ��® �� L THIS SPACE FOR -USE BY HEALTH Soil Rate Approved . Sq. by Date - r h the t#ift.. fit ii! witrute . was UYEi et t?t i l�' R15:S'sLtyG�. '•:�Q�Y�'. - r h the t#ift.. fit ii! witrute . was UYEi et t?t i