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HomeMy WebLinkAbout1094DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.54 -2 -28 BOX 11 1 rm Icy,. i - . f ,, * J j iL V , 01094 t, PUTNAM COUNTY DEPARTMENT OF HE_ ALTH Divn of En 6 Health' Services, Carme% N Y 1`0512 CT) Patterson ......:... CERTIfICAT :E.O.F'_CONSTR.UCTION. CQMP1lANCE fOR-.SEINAGE DISPOSAL SYSTEM ,.._,:.: •. • east aide of Fairville Rd. between Oakfield Tcwn or Village rLocated',:at G)nnrrti.P Lois: ':7021 .thrL] 7027 Pint.L�alieTax fVlap,� Blocks 6 OZ owner Mr. &` Mrs. Robert - Tnness = got 8' 1­2 lob ;. ; ; Separate`Sewe ►age System built by R-trharri� oristruct� on ` Address o h� abrl Court. Rt�,AL -_ 1 ' D t r ac New York 0541, Consisting of1_Gal. Septic Tank and W� f s nf_ Za�r+ f �^ Othei requirements per` r • Wit er Supply ., .'{ Public Supply From :, ,max Private SuPPIy Drille A o d BY�dT ►� »'Fcian jpj 1 i'O Route 2, Carmel, New York 10512 szn�le fa Address . 'Building Type , wily re8ldenGe oc of iBedrooms Date Permit Issued OVe Tr° r ap-. Has Eroalon.Control` Been Completed? `Yesg fine grading> �( s8edIng to be accomfq c 64 .5./77 . this: all I, certify that the. systems) as listed `serving the above,premisei ware constructed essentially as shown on `the plans of the completed work {copies of which are attached) and im:accordance with,:66 itandards, rules and'regulat�ons ;plans`filed,'An he p r it °'issu by, the -P,utnam`,Count Departnient.of Health. Date 3Sd st° 16, 1 l Cerhfi_ed by p-, R A ! Addr 0 9. License N ".LQ �Z52 ,. . 'Any ,person occupying premises served by`the above systam(s) shall. promptly'take suchsaction`'as maybe necessary to secure the correction ,of any unsanitary' g come null and void ai,soon as 'a public sanitpry sewer'becomas ,conditions resultin from. such' usage Approval of the separate sewerage system shall be availi&',jand the':approval-of the - private water supply ihali, become null'and_ v d .when a public'.witer su ` becomes available ' 'Such approvals tie iubjectAo� modification or change':when in the judgment of the Commies ne of ealth such revocat n,' dification or 'change is necessary �,� �� '' �� �� � , � (J,.,: ' ,p � ` c , t :;Title _��C? %�L' . ' • n Date BY j t BACTIrRIA PER ML (Agar plate count at -359:C)'. COLIFORM GROUP•(Most probable N6: /1:OOm1.) ARDNESS TOTAL ppm -- i� 9 DETERGENTS . Mg NITRATES (as:N) Atg L '`.. IRON, TOTAL . _1liC.j L.. .,F a M& MM^NTIQN 0.qPORT P COUNTY KPAPT Olviolpn of Elovirpomental Nesith Strilim COUNTY..QFFI.Q9..PUIk.PINQ- - CARIVIII.,.-N This ropgri 1# $9 49 r-orkiplet@4 by wall driller and stibmittaq to Co4nty Health Department t9ge.ther with jq0,Qr4;orV repo" of s.qm bacterial uct gg nq 11 104god ple indicating water Is of satisfactory ba erial qmality 4,09re certificate of cons.tr . ion mp 1p REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION Robert Inness. ADORE Friendly Rd* Mahopac EQCAVO N 999 KA Fairville Rd. Putnam Lake Von BUSINESS 09,9*9.611C EATAUIA"M?NT EhARA ❑ Tg§T W44 PUBLIC AIR OTHER LTI pur?" INDUSTRIAL ❑ CPNDITIPHINg DOL&ING ROUIPP4 COMPRESSED CABLE OTHER PY X0 ?IRCU55ION ❑ AIR PERCUSSION (I"Cify) C "I me POT41L$ 11 (1"0 jW 4IA*.9T1R(1hchq.;) 6 W91T P68 fQ 0" 9' THACADED I NQ TP# ❑ H PURS . G .P4WILD El RAIWO PUMPPQ N C0MP 96590 AJ8' 2 12 12 WAM A —5TATj;($P@qiTj� feet) awl; FROM 4"p ?U". ;P .30 PURINQ Y14LD TEST (fag() total drawdown Depth of Completed Well 160 In foot h9law Land oyrfq;ai scum P;VAIFA MAP LEN4iTN QPIN TO 4000 ((fell ,41T99 (1441; PlAt IF GRAVEL PACI(Vi 919mater of well I"Ouding grovel pack (inches): PIFTN FROM LAND iiUMA6, Sketch exact location of wall with cristanc4a, to as 4qqq( two porm.6"q0t landmark,. PEOT to MET 0 5 overburden 5. 160 ledge if 004;rii lot at 4iliprent doptho during ,orilllni;, list bol, qVf F96T GALLONS PER MINUTE 8 6171*9004T VYFLL, Pii4ii� (51gnetWOV, 77 Mr Mrs Robert inness (T) Poterson Owner.or Purchaser of Building Municipality 06) Tax Idap 56 Building Constructed by Fairville Road 02 Location Street Block Single Family Residence 84* 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 constr.ucted.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 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 system. The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices­of -- 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 system. Dated this day f As Gen, al Contra .ors y 19 Signature Title C/O Mr., Arthur Ledogarw P­sUdbr Road If corpora ion, give name and address) Mahopac, New Yozdi 10541 t 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 Mr. & Mrs.. Robert Inness (T.)'�Pattersota ` Owner or Purchaser.of Bui ding Municipality CCU 14L k Tex Ma '56 Building Constructed by Fairville Road 02 Location - Street Block Single family Residence 8.1.2 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 made by me to such system, except where the failure to operate properly is caused by the willful or negligent act of the d.ccu -- 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- vitas 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 system. Dated this ( day of 19'j.% Signature Lot 6, Fnbri Court, Title ptp. liar (11, corporation, give name and address) PLshopa.c, New York 1 -0541 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 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�,:HEALT�H Division of Environmental Health Services, Carmel, N Y -10512- - CONSTRUCTION PERMIT FOR SEWAGE "; DISPOSAL SYSTEM` , r r Utria�l. jak,6 - Town,, of .ratte.r.sora east side of Fairville'Road - - M Locat@d 'at ,ww n TSX IVIaA SEAT a -2 own or, Villag SecLo ,,(� .Block ! °;Subdivision lOts `7021. t'hru 7027 a Lor j?�o ?i 8 Job iJ! s �� bwn @ ►v�_lc�pnoutj CnrTorstion 7n Address c/o Barnshake'; Realty Rtes. 6 1 famil :dwel3in 0.25 Acres & =22 Brew+`ster Nevi York 10509 ' Building Type 3 �jL•ot Ar@a 4 s {it T_�ro fY2) f - Canriot be xinc`reased a - ,Number` of., Bedrooms - Total Habitable .Space 1 008.' " t t`O ' f1 0 u re feet` ` - ,SeparateSewer'age System to consist of ?50 Gal aseptic Tarik 165 - lineal feet. "X 2 •5 width trench' T -To be constructed by t0 b6 determined f Address Water SuPPIY Public Supply From y Pnvate'" tQ': }Je determined 9 h ..Supply to be dulled by, ` --Addy @SSA y :Other Requirements` :a',S per plan & - ;health department regs & restr3cti6ns t'�1' represent that I ain wfiolly and completely responsible for,the design and locatwn of the proposed; `system(s)l 1) thaf' the separate sewage disposal. System: o 'above described . will be,construc6ii as shown on the;approved amendment there to;arid in accordance'w tH th'b- standards,'rule3'an regu a wnro' e. u. nam ( County peparfinent of 'Health, ;and that ,on completion thereof a !'Certificate of Construction ComWl nc @',wsat�sfactory to the Commissioner of... Health'will. be submitted to -the De"partment;; an :.a( written guarantee will b,e' furnished tWownbr, his successors heirsor assigns by the builder.,';ahat -said builde`r',will ' r place p good o eratin I._ p g. condition any ;part ot_said sewage disposal system during the period of two (2) years immediately following thedate of the ;issu- '.:ance of `the, approval of `a he=Certificate;°of Conssf►uction "Complianc @Lot, the or`,iginal system'or any. "repairs ,thereto; 2j that I a drilled'well'described' above W161 be located as shownfon the approved plan and that said well will tie install° in': `cordaince- ith the standard � r les and ? egu a fons,.,of the Putnam GountY Department of .Health a Date September 19, 1974 e Signed r x P:E RA Address T>2illt, own Road RD 5 •� ew 10509 Lic @;,S@ No = 43952 APPROVED FOR: CONSTRUCTION This approval expires: one year from th`e date ;issued unless construction of the.: building has been uhdertaken "and is ievocable,'for' cause o► may be amended: or° mod�tied :wherrconsidered'necessaGy by t he CommissioneFaof Health ;Any change :or :alteration t of - con "struction E requires a new ermit Approved for disposal of domestl nitaryys agb and /or pn 'ter supply only g L fi 4 Dete t o "/ x��Y 7 x c S 5 gy Title } , kz V152 w s M . ; ; ax u r w o- r'.' w •w . r =, .. r .,a." Epic.Development Corporation - rarcel IIVI IELD T,T.-'T eutnani Laike` Subdi7ision F Lots :N2.1•-thr-u 7027 on BL 2 p/o Lot # 8 Date. SeDtember nsp."by & INITIAL SIM INSPECTION `,e-, Property lines or corners found can be easily L certai Can est-irml."e house lo[I-atici). Will driveway need cut . and fill z :L,e., xegradl_g Nast trees be removed-note th-ese Is deep hole representlative of entir �, ISM r e a x Additional deep holes needed. Sufficient SDS area available consider -InL", X driveway cl-ut,,house locat-ion, se-Daration distances, etc. . . . . .... . . . . . . DEEP HOLE DATA Depth: 11 - Water elevation., Rock elevation., Soils 'FIML SITE 2MSPE1(."$TI0N- H shown on ar-oroved plan ouge. located wher. ST)S joi��qt-ed i-hlre e-ppro-,!-e' Width of t-rexwh average S-.ope. of t-d.le dine and, epy, Roonm allcwed fcir c�:!xranslon. tyenl--*,has . . . . . ft. fio' M swamp$ uat VC0 llatura,l, soil not stripped or SM area winecessarily graded . . . . . . 10 14-t . maintained frora pro. .1J i-le anal 20 ft, from house . . . . . . . . . Separation of t7oench from house, well etc. fol low s Plan.. . . . . . . . . . ... . Nuffber of bedroomis checks . . . . . . . . . . . Stones, brlish, stumps, rubble, etc. greater than 15 ft. -1L"-.,-om nearest tre-rich . . . .. . . 15 Ft - of peripheral so-J.1 hori z ontu- ally from. urench . . . . . . . . . . . . . Junction bcxes prc-,perly set f Could suzface Y-un off froin Jriveway roads 'i'51 C�. * .9 grgki.nd surface., etc. channel n;-:--a 31)S' area. . . . . . . . . . . . . . . . . . . Does lot draLi2a ..O.K. in -area of SDS FIRAL GRADING OF ST' 117 kCCEPTART.E ARTHUR P - NIZ LAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, R. D. 5 BREWSTER, N.Y. 10509 Comments Ueep a Pere loca-Glo in rutnam Lake almost all deep alez--in-ar-ea—the, --. sa ust sufficient area vailable for 2 bed- see design data sht gr — Epic'Dev6lopment Corporation rarcel I'D" -eutnam Lake Subdivision ,Lots*7021 thru 7027 on Fairvi-lle Road; 'TM.56 BL 2 p/o LOT #8 5 10 1 Isee attached datral per previous agreement-Yi.th-.H.ealt. . I . ­ I - 1. . IciA of "The Kathar. 'x lot Dep4rtrhent.."buildifig..on this lot / Hale" 241 421 by to a-2 bedrod'm . dwell ing_._j_.,X_Z ___iC_on:tinentaa__Home,% De also attached gn see to t 0 Peres prezcaked? x 4.1 141n 1Y Pere t c. s t depth x Cons ..results for 3 X D. .1101e log-O.K. x C o r r, o 2? a t e A f f i d c�n f TE- 'or indiVidlial... u 0 Y on f il AuthoriZation for efi!�Yineer x L,ut-ber fro r,) Water Sc up :L1 a -npi a Idr:1116d well If variance i-equested-sach noted on plans.& app. x 12 bedroom limitati large trees 9PTPATI-0 - ground relatively flat existing conto by s shorn elevations chaTiqc its i)roposed;�) ropos4d sh wn (xx.x) spot 1 Existing co a o i,, r s s1 3. Shoi-.i new contoilrs) to Slopes for driveway. cuts, etc. sho:.;-n ---ho -naa WAter servi-e line location x Footing - dl n, etc. x Top slope, bot"or.r. sl.,ope of f..ill_ minor. regrddIM s �IejeXatip s liven 0 — t -p JG �Vrl_ M Percolation tes", test: an,,J. deep test 2.0catiol'i X I ^i Septic tank Size an:?. r*1on'_1'orr,.ar1-_e to std x 1.(for 2 bedroom) 3 B. hou.-1,- i-tjinirf,,-,1m,, - previously as agreed to rouse setback shown -these are __-r6-j:H1Eu-iF x see note-V x A-11 Waudl' W-,1UL!_L1i _)Q 1U. U1 eT_)N _C 7 T17-r- '0_r klAn shown, . prof il Plan and wofile. S)'' 10 1 to P. I'l. x Add other wells a_nd 11 —O.—S111-1 shawn or refereince X 1001 arcs shown. x 1-001 50' to t 0 _n r- "a Pr ,k rt Y boundaries and boi—in�1s­ 1 ea 4-r-1-y ,-Plan 101 ima oof same furni s' -irtain i,784,ter JJL.-e propose expanilion _-,shallow to sto !x 10, t6 large trees !X ,LO t frora foiLqdatior? sentic ta, Jx_- )1 eT_)N _C 7 T17-r- '0_r 10 1 to P. I'l. x 203 Ao x 1-001 50' to t 0 L Nearest ,iel] X emc.c- 1,cle-1 eY,­­.,nsd.oT see S - t r e, 8, 1 M, 3. r, a. x 1 "Q ter 'D opined not required drainl ,-Plan 101 to -irtain i,784,ter JJL.-e propose expanilion _-,shallow to sto !x 10, t6 large trees !X ,LO t frora foiLqdatior? sentic ta, Jx_- )1 to pJp,­ -'-(o:i' lead�­r & ARTHUR P. KLAUGHLIN PROFESSIONAL ENGINEER MILLTOWN ROAD, R. D. 5 BREWSTER,.N. Y. 10509 rarcel I'D" PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF,ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 ..... DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM ILE.NO.. c/o Barnshake Realty; Routes 6 & 222 Owner Epic Development Corp. Address Brewster. New Yorke 10509 Fairville Rd. East side of Located at ( Street) btwn Auoglue & Sec. Tftg 5B . Bl,ock; ,t• 2 ; , ,,Lot p/o A, q Qti ng # S Oakf field n lcate nearest cross s ree �" ,0verla.nd ,r•, eventually finding ng rutnam Lake its way..t:o , the east branch of th Municipality Town 6? ratters -on Watershed Cvn n�=�o„ SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED "WITH APPLIQATIONS Holes saturated before testing i Hole Number CLOCK TIME PERCOLATION PERCOLATION Run apse No. Time Depth to Water From Ground Water, . „ve_, Surface in Inches Soil Rate Start -Stop Min. Start St 01, ' ";Drop in, .Min. /in drop Trnhoa Tnn'kmo Tnches 8 of narc al P11 thA deep holes— wepe llffiltea 't of I 5 feet where~' ledge was Annouritared _ uanpa, the ,ice of deep see -page 1 ' pits was irripossible., and the design based upon conventional tale 2 'fields with a _hallnw 131 t jarorosed for expansion 3 In each case, eten%' fter having been saturated« and run many tLnea,V 4 the rate came consistently under five minutes per inch. This rate 5 was`'als.o apparent for the most part on tests in the' othAr. _jarci.a. 1 Noweypr- an a factor ar snfaty, and because, of the unendorsed,. 2 but nonetheless possible, use of the future d*elling by morA than ins and for ,aaa ge - tit is also to be noted that the parcel cannot be ned for 3 bedrooms, even under the 0 -5 minute rate, because of ficient expansion available, and deep pits cannot be used).- Notes: 1) Tests to be repeated at same depth until approximately equal soil rates are ,obtained at each percolation test hole. All data to be submitted for review. 2) f Depth measurements to be made from top of hole. n J _j TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ' DEPTH HOLE NO. 7'-YE-EP HOLE NO. HOLE NO. G.L: ® t�C=A, to l c - Po©i_ 18" LOA v 2411 ��'.�►�� ���� LOAM (W/ 69AV L) 3011 �i an �tZO y.S 3611 V30 0, ir�ZQS .- 42" 48" 60" L� WG14 rL�' s�S� 7211 ip 0 L--r> E- R.S RocK N r<r 7811 84 ell INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED — Wr Emco o T> Q, - INDICATE LEVEL TO WHICH WATER LEVEL,RISES AFTER BEING ENCOUNTERED TESTS MADE BY '3> P R 6 Lc'S °° K A. 6 :E Date •S G E L Lia W L 0 tai NmcS .. i. -La ie Y. O' ' is � . Z7 7� DE IGN....__ . _.. _. "Drop: Soil Rat,e�j Used Min/l -S . D. Usable Area Provided R u r_ F is 6 & w, i' -i-�o. of BedroomsTW6(z) Septic Tank Capacity ls. Type AP -maur-l> G m , Absorption Area Provided By 6 ie 5 L. F. x width trench. � �If�dJ�oQ� 6a PLAO g�P ePtFICKM p Other ,Name 0_ M(; LAUtiHMM Address PROFEF,r1JONA�- ENUINM� - MiiLTOWN - ROAD, R. D. 5 eREWSTER, N. c �$ THIS SPACE FOR USE BY HEALTH DEPARTMENT, \N � � A 4:;952 �. ROFESSIUN4~� Soil Rate Approved Sq. Ft/Cal.­ Checked"' Date e ARTHUR P. MCLAUGHLIN PROFESSIONAL ENGINEER - LA.ND.SURVEYOR. __,_. _,_- ._ - ....... ..._6. _ MILLTOWN ROAD. RD NO. S`,� BREWSTER. NEW YORK 10809 (814) 279-8888 �i2}►a \►,iAGE �MPu�t ATION A►.,AI-`es�s �NE ET po.P- PAQCE L � _ PV`rw AM LAS . Q RAr.E CA, L- CI,.,i- A-r.otis �, - 1 ©"'1a $?ATt use APPLICAr o N V p!k-rE of f. 7 GAL- Z BR x Z PeR x ►50 GaL��eas�,,�vnr _ (,OO GAL 8 @ T?E'RSoy p 600. 6AL _ 1 -'7 GAL 352,94- sF NEE, + 176. 4. . ExV 7PE StG►,> fOQ S Z9, 4 SF of USABL.t I�R001 S +TE 1 L A' W i IS ►�jOST S U IT A B LE Tp US E 7j' a -C Pa o �-oS E It.� s-r A l.Lt►.7G 16 5 F Rio w --- ---�►- 4-► 2.5 S F 5 2', 9 4 •_ o K R'E''►^AINDEQ ZeQu1QE71> F©k cx :%miStoQ 5 2c�. 4'1 SF PP-0 nit p` A ►.) x 3 w ID E 66 S. T_ SSE Cs�+AP�j R�Mq�ti1NG IP I- --S AQ� a Q GA LLeYS "�• I LE I-= t..`DS .- -ASS v f-4 E CO *a us 10 y use o F v t GE C.v N vElaTlp PA L- 50. t = U sA, ate 7-954 S >15 V*r.4 t>A ps; 10 tj SA-r is FAcTo e `:- t ;This applicationis ntended-1 to su.persed0 - parrn3t origirially.'dated 9%19/74. pproved 9/30174 sam�Uq�gspUyrp�rI�FP�IUIENT CORPORATLNi� /. DMii n of Environmental Health ,Service l Q :Carme% N Y '10512 w Renswa of CT.ION PERMIT FOR SEWAGEDISPOSALy SYSTEM (T) Patter. s on j east ,side �'airvlla Rd.zbetween OakfieldT it la _ section p,' orBlock9 'Located> at, Town e, ax Ma 6: '2- T of s :021j thru 7027 Putnam Lake4 Lot �. .? y yob I Sbbdivision ,, ;owner &'rarilr & T�'rAl1f'PR Pattia i ` Address Oakfeld DrlVa Putnam Lake G Building Type 1. faml]�r dwelling °Lot Area D ?5 arras { Ptt�erAri, -Ne�v Ynrk 1 ? -Fi3' Numbei of Bedrooms - CANN01' ba -~ increased 'Total Habitable Space �.00eg °(tiop '1oCrqupre "sFeet rSeparate Sewerage System to consist ofr 7GJ0 Gal Septic Tank -ZE?J lineal feeta�X 2 5t width ,trench f { k To be constructed by C -A C� -Water Supply Public Supply From Y { , Private'Supply to be drilled bye t`oi A 8 AY'n1i11BC� if ( .r . Address - r Other Requirements x Q y of arinal approval,. rr 1 represent that :I_ am wholly and 'c plefely resp sable for the design and location of thexpropr (�) �,_p7�, parate'sewage. disposal: System :above descr�Qed' will be "constructed as shown on fhe approved amendment tfi'ere to and ih accor ce, tp, th ar q I s regu a ionsko he -- u nam <, County :Departriment of - Heaifh,'and that on completion thereof a,- Certificate of. Constructs to ian- - act, to Commissioner .of 'Health will be lsubmitted to the Department and a wntten guarantee will be furnished the owner -his cce rs it n uilder;•that'sald baiider will. .y ;place:.ih good ;operating:.,condit�on any ypart of said sewage�disposaI system during the;pe R?o o e y Ilow,i'ng the date of the issu- ance oi' the .approval 'of,= the Certiticate::of Construi -Ai6h mpiiance of.4 he�orig nai syste_ �i y.. re 2) t{0 tlrilled well described -above will be .located as Shown-on the,approved plan and #hat Said: well will be installed 6n accor ance the. lets: u ions sof' the Putnarrf 3 ^County ?Department of Health. }Date 1 y 24 1977 Signed f E R A. :. -, Address •„ License No, n4'iS9 RF'T.0 -.;. APPROVED FOR CONSTRUCTI'ON� This approval expires on Fea from the date' issuedi�uhl+jss constr`uc the building has- `tieen. undertaken :revocable for cause or may be amendedbo? modified when co idere neces`sa - th ner of Health Any chars or alteration of construction tr :requires?a n peTd ;Approved for disposal of dome ary�sew e, 1 dj;r iva ter supply ;only 1 t ,..... ,._ .�....._.. yA ..._n,. .r.+ i _. -_ u . s. ^.:e'i -fir—• . h: �..i }.>ei••M r = S:.AK• - -.. 'wS'` -. %= NY;+y- •s'.S^. S - .1 Ii it 7 • to- 'U�Mi-11W - ' - r S eD, t ic'system lnstai'' . ,A. -11F Go.,, ig'Construction: M Z OM OWN % IV U-1 awl, A 3 V 0, 7940 "77 'k- "it let tof 4i J, Af it • to- 'U�Mi-11W - ' - r S eD, t ic'system lnstai'' . ,A. -11F Go.,, ig'Construction: M Z OM OWN % IV U-1 • to- 'U�Mi-11W - ' - r S eD, t ic'system lnstai'' . ,A. -11F Go.,, ig'Construction: �t 6,1` b' .,Couft' Fa, ft *i. 6j Gdlidm- "Cati-i*dtor, Otmei 44 -