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HomeMy WebLinkAbout1095DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.54 -2 -29 BOX 11 ILI rM 0 ML ;. r .,. 01095 Water Supplyt -Public $upOly, from Prlvate"Supply Drgled'By ; Building Type No. of Bedrooms Date Permit Issued Has Erosion C� � of tic Cmpletedt. I cat ty.tkist`tM eyitew(a) as,listed,seivinq the above premises were constructed.- essentially as shown on the plans of the completed work"( copies of which are attaghad), WA "6 acco ;dance with thelstandards, rules and regulations, in accordance with'the filed plan, and the permit.issued by the Putnam Q4!nCY oepsswa t • Of Health, Date Certified by P.E. R.A. Addriss LlCenSo No. Any person ocpupylrq promises served by' lea. above systems) shall promptly, take, such action as may be necessity to secure the correction of any unsanitary conditions resulting from such a>sape. Approval of the separate sewerage system shall become null and void as soon as a public sanitary lower becomes available and that apprgval of the. prlvste water supply shall become null and void when a pub ( —water supply becomes available. Such approvals are subject: to nwdHWtioil ,a►. CAarl�a wlan, ,in the )udament of the Coin nee of Health weh aevocat , modification or change Is necessary. A Date ' y�u _ BY _..Title n, ci o� WELL COMPLETION.. REPORT PUTNAM COUNTY DEPARTMENT OF,HEALTH 3/71- Division of Environmental Health Services COUNTY OFFICE BUILDING - CARMEL, NEW YORK This- report -is to be completed by well driller and submitted to County Healih Department together with laboratory report of analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION tJ OWNER AME ADDRESS McG1aBE;on Bpi 1'd X.B__�: Main_SLr_e Carn -A] NY ' -._... _..........-- .• (No. a Street) - - -- (TOw (Lot Number) OF WELL QuoQue Road,..Putnam Lake 1 ® BUSINESS 0 PROPOSED DOMESTIC ESTABLISHMENT FARM LJ TEST WELL USE OF WELL n OTHER SUPP Y INDUSTRIAL LJ CONDITIONING if ) DRILLING r 7 COMPRESSED n CABLE ❑ OTHER EQUIPMENT ROTARY I XJ AIR PERCUSSION L J PERCUSSION (Specify) CASING DETAILS LENGTH (feet) 2�' DIAMETERchoa) WEIGHT PER FOOT (' ASI (In U 6 9 L XI THREADED ❑ WELDED ` YES CJ NO YES NO YIELD a El (� HOURS G.P.M. YIELD fO.P,M J 8 TEST BAILED PUMPED L-A.COMPRESSED AIR 30 WATER MEASURE FROM LAND SURFACE —STATIC (Speclly feet) DURING YIELD TEST fleet) Depth of Completed Wsll LEVEL TOt81 in fest.below Land surface: ; 'MAKE LENGTH OI EN 110 AQUIFER (leaf) SCREEN . DETAILS $LOT'SIZE p1AMETER (Inches) IF GRAVEL Diameter of well including GRAVEL SIZE (Inches) FROM (feat) TO (lest) PACKED gravel pack (Inches): DE ►TN FROM LAND SURFACE FORMATION DESCRIPTION. '. _W Sketch exact location of well with distances, to at least two permanent landmarks. FEET to FEET . 0 8 overburden 8 255 0 dge E [� AP ' t r,•r1 F 4d6J � N J If yield was tested wr OF HU- 1 t'i o1 different depths during drilling, list below FEET GALLONS PER MINUTE ;. 30 200 TE WELL COMPLETED an. 4 183 DATE OF REPORT WELL DRILLER (Signature ) 1.5.83 e .e u Owner or Purchaser of Building Building Constructed by Location - Street Municipality Building Type Section -Block Lot Subdivision Name Subdv. Lot # GUARANTEE 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 system. The undersigned further agrees to-accept as conclusive the determin- ation of the Director of the Division of Environmental Health Services of the•Putnam County Department of Health as to whether or not the fail- ure 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 Signatur Title Corporatio ame if Corp. ddress - - - - - - - - - - - - !D - - - - - - - - - - - - - - - - - - - - - - - - ®� 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 n.y ae4o l�Of�JL . 4�CP.. � > rya Qi11G46LKt` NAA CO ENVIR.ONME_NTAL S�ERVIGESII IN,CL 6611 .LENITY STREET AT ROUTE 376, P.O. BOX 10 HOPEWELL JUNCTION, NEW YORK'12533 - (914)221 -2485 , NAME: 1 ADDRESS i ., ` C��7 �dl' ¢ L SAMPLING POINT ! TREATMENT: CHLORINATE Q( PPM); SOFTENED ❑; OTHER ❑ SOURCE: DRINKING WATER 0 WASTEWATER. EFFLUENT ❑ OTHER" `s�'i; A.M, TIME COLLECTED 8Y:'�w. DATE .!k P. APARTMENT COMPLEX ❑ INSTITUTION E3 PRIVATE RESIDENCE ❑ SWIM POOL 0 BEACH 0 MUNICIPAL 0 RESTAURANT ❑ TEMPORARY RESIDENCE, : ❑ CAMP 0 NURSING HOME _ o.SCHOOt ❑ TRAILER PARK ❑ FARM LABOR CAMP ❑PRIVATE C O CI ❑ SEWAGE TREATMENT PLANT . OTHER LIP W _121 � . a TOTAL COLIFORM COUNT M,F.T. PER 100 M.L. ❑ TOTAL COLWORM COUNT M.P.N. PER 100 M.L. ❑ FECAL COLIFORM COUNT M.F.T, PER 100 M.L. 0 FECAL COLIFORM COUNT M.P.N. PER 100'M.L: 0 FROZEN DESSERT Pt ATt COUNT o AGAR PLATE 90UNT PER 1 M.L... LABORATORY TECHNICIAN - DATE REPORTED3s LABORATORY DIRECTOR b ' PUTN AM COUNTY DEPARTMENT OF HEA_ LT- Perit d� Division of Environmental Health' Servrcesy Carmel N. Y. 10512 #r✓' CONSTRUCT'ION-PERMIT FOR SEWAGE DISPOSAL SYSTEM ,• .:�._. _ _ _ Block-oW Town, or ' +'Located 'at f.�.� "� .. ax' IVla T p �; -z Subdivision t 14 C `rli%+��of9S")x7' Lot N Renewal Revision U 1J LC ❑ Owner/Addreas - U t L^ q��IV' -7y' 1 /. - \a 't7`r ` • Date Of Previous Approval It Z D — L pp -'1 i Building Type 'fi of Area `ice l l Only ❑ i ac o Number of Bedrooms _ Design Plow G /P /D �O P C. H D Notification' Required r �j t, Separate Sewerage System to consist of " ,�� Gal Septic Tank and r. '1 To De Constructed by IN �. 9� 1 �7af.� k^3i -t71�� Atldress • Water Supply: Public Supply From. ' �L: Pnvate' SuPPIY. to be Other Requirements I represent that I 'am' wholly'and completely responsible for the design acid location„ of'the proposed•'system(s); ".1) that the, separate sewage dis sal s stem above. described will be constructed as shown.on the approved amendment there to and in accordance with the standards, rules an regulations o e u naIn. County- 'OepartrTient, of 'Health, and_tAat on completion'the►eof a "Certificate of, Construction Compliance" satisfactory to the Commissioner of Health will be submitted, to -the Departmerit,,;and a written guarantee.will. be ' furnished thoi.owner his,succesaois, heirs,or assigns by the builder, that.,sald builder will place in "good operating condition any part o1 'said 58 wage.di`sposal'system dur•ing'the, period of two (2) years immediately following thedafe.o/ the issu- ance,of,.the appioval, of..the Certificate. of,. Construction Compliance of the original system,or. any repairs th Ar eto; 2) that the drilled well'described -above wi11:De located as shown on the approved piaA and.that said well willbe installed in;ac dance; wi the r s, rules and ,regu a— TiTons of the Putnam . County Department of Health.' Date ' Signed, . P.E:' R.A. Address License No. APPROVED .FOR CONSTRUCTION; " This a'ppro'val expires oriey_earfrom, the date'issued'unless construction 'o th building has been undertaken and is revocalle'for cause or may be amended or, modified 'when;eonsideied necessary by.the:Commi ner of Health. Any change or alteration of construction ' requires':a ne permit. `Approved for giiposal of domestic y age, and/ r. pnva afar supply only. ` Date BY O, r. Title Rev. 9 -81 lU`�1 1 PUTNAM COUNTY DEPARTMENT, OF. HEALTH. Division;.of Environmental Health 'Seivices, Gagpd, N.Y.,-,'10512_-: / CONSTRUCTION PERMIT `'FOR 'SEWAGE ,"DISPOSAL SYSTEM ``-6 Town or ViIlage _ Located at Tax Map Block Subdivision P.' Q TW r� \.l l:d % Lot %� C�- Job. Owner Address 3 q — R "8uildih9 TYPe ; :Number of -Bedrooms " Deslgn FI604 n Total Habitable Space f7e) Square Feet Separate Sewerage System ,to consist of -_ - `Gal Septic'Tank and' �.`-- To be. constructed by6A G U - " A 7, , Address Water Suoply -. Public Supply ;From Pnvate'SuPpI .to%be drilled bY;, I `� \ \^1�•• Address° Other. Requirements- I represent that.l am wholly and completely. responsible for'the design and location :off the. proposed "_systern(s); I) that the separate sewage disposal System -above Aescribed will be constructed as shown on the,'approved amendment there to and. in accordance with the standards, rules and regulations o e u nam County Department of Health, "and that on completion thereof,a °.Certificate. of Const►ticfion Compliance "'satisfactory to the .Commissioner of Health will 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 dtspo'sal system during ,.the period of two"(2) years immedi y foilow�ng thedate'of the issu- ' • , once of: 'the approvif of .the' Certificate of.`Constructton..Gompliance of .the originalsystem or_any- repaimtghereto; hat the drill well described' above', will be- located as shown on the approved plan and that said well will be installed in accordance. with th standards es a regu ns of the Putnam 'County'- Department of 'Health � _ .. . ' Date Signed_ P V7 R,A. A Address ®f� License No. APPROVED FOR'CONSTRUCTION Tnis approJal ex`piresone year from,fhe date'; issued uriless constr ction Of 'the building has'been undertaken and Is revocable for cause or maY be a'mentled-or modified "when consideretl necessary by the Cominissio Of Health. Any change or alteration of construction requires a new p - 9 er Date _ permit Approved for des oral of�dBOmesftc a " pnvate Title 7. ^t PUTNAM; -. COUNTRY DEPARTMENT OF HEALTH Division of Environmental Healih Services 'Carmel N. Y...10512 .CONSTRUCTION PERMIT FOR .SEWAGE DISPOSAL SYSTEM Patterson,,- Putnam Lake nor S1 e .o izotle oa , eas i0�s Tc3X I.ap Town "or Village. — '�iT'3 T� =:' - `ZQect;on 56 - Block 2.. . Located ;:'at tl��: Subdivlsionr'1 hth Map of 'Pu.tnam Lake Lots 7015 7:O�ot p�o el�. � 8 yob Owner .E 1c'Dev.elopment ;Corporation Address Rte. 2.2, Bel -Aire Motel (c /o Cry "Desrrn 231 arna y rand 11'397.:5 sf Rre��r�i Pr Ne��'York 10509 Building Type _ Lot Area 9 , Three (3 R 1056. (WZo bapnt Number'. of Bedrooms T t 'I Habitable Sp ce quare)Feet & ` pr:ecas a1�s separate:Sewerage. System' <to coiisist of' Gal Septic Tank- = Xue l � To "be" constructed by: 111atn: BOtt e - Address gPeaceable I3711 Water supply Public supply From BrezA�saer .:Ne��'..`Lork ,10509 Private Supply to be drilled by T 111 Dr'1-111n�;, Inc Address Putnam Avenue , Brewster, Ne�ir` York _105091'_ Other Requirements as per. plan - note easement_ to be filed restive to .Well easement in conjunction. with ..parcel B. 'd . represent that - l am wholly and completely responsitile.for• the design and location of. the ,proposedd';system(s),; 1) that =the; separate sewage disposal system "above�.described will be: constructed asshown•on the approved amenifinent there to 'and'imaccorilancewith theatSncJacds, rules an regu a ions o e u nam County Department of Health, and athat .on ; completion thereof a "Certificate of,, Con struction Compliance" satisfactory to. the Commissioner of Healthwill tie. submitted ;to• the Department; and. a:`rvritten guarantee will be "'furnished the owner,,'h s 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- -. ante: of the approval 'of the Certificate of Constructio`n`Compliance of: the original'system or 'any repairs thereto; 2j'that the drilled well described above w.ilL be located as shown on the ap, proved plan and that Said' well will, installed' ' act ante'. with the standards; rules egula ions of the Putnam County Department of Health. ' :'.Date 12- 12-73.,= ". Signed _ P.E.,�_ R.A. Adarewmiiltoiin _.Road; . FD #5; Bret�rs_ - r 1 50.9. ��ense +`No. 43952 ^PPROVED '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 whenicon dad' necessary by the Co missioner' of 'Health: Any "change or alteration of construction regwres' a ' ew per d Approved for disposal of 'domest' nitairy sewa' an water - supply only. W ARTHUR P. MC,LAUGHLIN OROFES '10 ' :.:ENGIN.EER MILLTOWN :*OX' D, R. D. 5 BREWSTER Y .105.0 9, Eighth Map of Putnam Lak'e "Qu6&6 R'6.;id (ndtth .;f deb -of IT FIELD U L.'Cr'- 1,)-J- Llate. 12-12-73 Lots 7015 thru 7020 —1.nsp.by- TNTTLAI S!"J"'TE' 1NS'PDrTI0'1N Property lines or (.,orn(-,;Ps Can estimate.' house locatior . . . . . . . Will driveway. need clot . . . . . . . . . . . . Mist trees be re;tiloved-rote these . . . . . . . Are%.x deep of ent'i-rs, L'-Dk2� e a Addit-ional dtl�'--'p liol--s Su f f i 'C JL e -nt SLX-3 al-mila avaj---!-abJ-e driveway qut,, h ' Ouse. loca't,-d.on, separation distances.': etc,. .11 . . . . . . . ... . . . . . DEEP HOLE rVa"A - per desi,-n data sheet Depth: Water elevat-ion: Rock elevation; So.4-0-1s descr�pL.I.,oYrL._ `FIT ML SITE T3'.rr1ECT-rC"N- Haun, located where shown on approved plan S.DS jo! Pted '-he-re lzijt�'�h uf �'-ut-'-uuU ffltvtLz:$ Lult:u Width of trench a',%.re-rage. Slope o-f t--1 'Ie line-, ran,-2 -trencin a�Od n ex.ransiLc)-n -'nenChe o -over rO ft., from syamp, wate-c-mir, se Natural soil. not* stripped o 3 M-- area tunnecessarily "graded . . . . . . . . . . 10 Ft. maintained frorm prop..-lilne-: and 20 ft-. from. hou-se Separat-ion of trench -'E'ro-m, ho--J.se, wel l etc. follows -'olatn . . . . . . . . . . . . Number of bedroorl's cheolk's Stones brush 'St-uzr,13�s, —u�bble etc. g.reater .9 Y J tba--n. 15 ft. f'rcm, nealre-st, trench . . . . . . 15 Ft. of peri-i-pheral soil hori zoial.- ally from trench. . . . . . . . . . . . . . . . . . Junction boxes properly set Could sLlrface run. off from. drive-,ia- roa. ls, ground surff-',ace., et - c crianne�l near 8t.0 area Does lot dral-na`-,-,cv am-.�ea.r O.K. d..'n n.-ea of SDI 311E CEPT LOF ,1 A,CWS ;A' n Yes lNo C orqne,Ut S -'-ra-EE s e -F76-n—Yr-o-Ft-- corners of lot on lolff side in X pe no es X ARTHUROP. MC LAUGHLIN PROFESSIONAL ENGINEER W MII�TON� ROAb.1. 'D. 5 BgEW/STU N..'Y �i %fiUM16 TO f Putt xr Lal-te Iota 7015 titbft 7,020 Mudge R©a' d .(nb �h:` �i66 6fj�. 11- 1 Uti,e plans' 0 K. - catalog cut- design # 231 Design data sheet Peres presoaked? min. 30" pert test depth -- - -- Conft. results for 3 nu.ls D. Hole log' 0. K. Corporate Affidavit for other t imn indiridu Autborizat16n for engineer �_ LEt•t,er .from "Water Supp:l.y is aM7a .pp 1e - n, If va.ri.ance requested -• such noted on plans & 1in �. f iii 4,. ti•1 a / lip :��:iC.�. IJJ 3 befff-oom ranch - 2 car garage under - - - .-rrght-gable end X (National Homes.) X �X i X. i X til X i X a we «pUs, x DETAILS (if change is proposed, ) Existing contours shown (show new contours) Slopes for driveway cuts, etc. shown - n/a Water service line location Footing- d.ra in, etc. "I , Top slope, bottom c,l of fill - n a en situ no Percolation tests end deep test .pit location Septic tank size an, cor.11 oYmance to stet.. _____ 3 B. R -. house minimUni House setback shown I X. X I X 1 li17 u1 -e 1_I_ X i- & in :deelo - holes ous y F116d w lvl.t • easement for B per previous cor- respondence on wel no major regrading planned for lot r vewaV In low s note x , -none witFiiri' S0' Wd 6ur WJ.U1LL11 :,)-0' i t. vi r.i: 5iuw:al X Profile in accord- � Plan and prof ile .SLS �...x.. �. .-ante with' none . _ All other wells and ��)� clos: r 200' � - !! per integrated pla showrn. or reference _ride i X rev�iousl su lie _ ..._ Property (,n -tes ar_d bps- c1_early shown) {i_�er c of attack x ed ^Survey SEPARATION DISTA-1,10K SI'rC TFILE PJ -LV - as 60vere4 by not ,e plan or as - detailed do the plot plan 10' to: P.L. _ I X __ 20' to Foundation ,gall s X I i i 00' �50' _ to Nearest well � -- t;o strea>�, rrarrr�, lace, etc . incl . �;z: =lion). ' X i - ; x - - - -`n� 15' to Curtain dra.i,l x 3.0' to water .line (pit's -c0' X ---- -- 15' to storm drain __..__— X _ - .--- 10' -__ to 'large trees �0' from foundation -o septic tarn - ! x -- .15' to piP� fro -m. •Leader drain & fcar7r`,--Tr--,TT _ X PUTNAM COUNTY DEPARTMENT OF. HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN .DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE, NO .,Bel-Aire Motel .. c/o C . Owner Epic Development .Corp. ..Address Route 22 Brewster New York 10509 . uo�ue oa -:.(N si e. Located at ( Street Ondicate - of Fairville - Sec . M _ 56 Block . -,,2 Lot . P/o existing; # 8 neares ''cross s ree OverT —and- = even ua y ending Putnam Lake - its way to :.the.; e`a'st. branch of Municipality Town of Patterson Watershed the Croton River Map 8 -: Lots 7LO15 thr' u 7020. -SOIL PERCOLATION TEST DATA REQUIRED "TO BE SUBMITTED WITH APPLICATIONS 7o le Number CLOCK TIME. PERCOLATION PERCOLATION Run Elapse Depth a er ve `No. Time, From Ground'Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in. Min./in drop Inches Inches Inches .30 Jr . _1 O ..3.' SEE Pt 2 - 10 1 a.� 2 Q�u.. 3 3.33 3 0- 10 !O 2 5 27.5 5 cA�ca.v5�o ►.a o. ° 4 +� P0B �'C,.. Frara X.1 t.3 �Ha 3 0. 9,. S ..�l1.- 1 no perc 'hole tested .in_ .,ths- ;.bottom of seven foot .hole,.(s) :because . oz" PGRC X12 the presence' of �nurlerous .boulders. ®� 7' �+ Note: Holes still open (12 -73) for inspection and'perc rate verification if .desir.ed Notes: 1) Tuts to be repeated at same depth until approximatelyy 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. tote - ail,hojes dug on t'wentyn:ine (29) lots total y1elded same approxi =a i TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION exce pt f or 1 ..: DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES ' DEPTH HOLE NO. typical HOLE NO. HOLE NO. G.L.• 6" aR.GAq IC 1211 . TESTS Ru u Q %OkF#,Ct 1811 iN 3 Hto L E ® MOT M 2�+" �RJ►NGE . 5�4t,►�Y o 1Z ��' !sP too Lit 30�� 1.oAM tiprtl •; 36 9oM� Q ©�r2S Note: Since installing system for parcel- A., _r. o ge a er ed the prime-contractor on this 4211 lots Epic Development.Corporation� that there ar 8„ numerous 'large boulders about; making the instal ttonal .'.very 5„ difficult. .Therefor, the attached design, -�at 51 ng--�� ga l le a s 60" GRAY being more amenable to site conditions. 6611 SA'►aJ:> See attacLed s eet entitled T'E TINEERING DESIGN 72 ATTALYSISt! for details relative to• Bottge pit drywell galley. 78.1 84 'UsuA1.Ly No 1;vIxK-&%3C= 09 LEMGE om doT c%. INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED — I40T E'NCO O1.1'0'CIZ,Ep> - X � INDICATE LEVEL TO'WBICH WATER LEVEL RISES AFTER. BEING ENCOUNTERED .— N /,k TESTS MADE BY DL w SOLE -S - W M j 6-r- (SE I Date 7-27-7--3. -• PERCoL.A�o:1J 'Tt`STS M . _. G�' �RIEN - CAM�R,o .- DESIGN :. Soil. Rate :Used 0- S Min/1 "Drop: S.D. Usable Area Provided. 375 9F +. EXPAmSioi No. of Bedrooms 3 Septic Tank Lapacity'... °JOO"� Gals. Type Pr CO, . Absorption Area Prodded By. xxI`� - si?r Bern; 'r1.M E _ rARTIA% -. ExfOther 9 SEEPAGrz p,TS 2 x ' 41 J 4- sr = 49 6.8 9F "o vi + Z P ITS 'r ►JC "1-t a XN`A, 1aS.t 13 Name 1 ARTHUR-P.. Address PR.OF.ESSIONAL ENGINEER of N o —7 MILLrowij BRE .10509 * O THIS.SPACE FOR USE BY. HEALTH Soil Rate Approved Sq. Ft/Cal. °F h`c`y Date NO, 43952 SlEe FACTOR SNE�1" A-rrA,C�h IF> , aG'PuAt BLSIGM 1P Ito$1I3> E'S FAGTDR O;r GAFET\e irm-'a Mle�' PEQG (Zl�t,' w Hr N 80 TTO N AM A 1MPO u 10 D zA J � G�Ll�E;YS Z 33 36.5 63' 41,' 6¢' y' 3 hBY f1G TANK O THIS IS TQCERTIFY THAT THE SEWAGE DISPOSAL SYSTEM W CONTRUCTED AS 0� INDICATED ON THIS PLAN AND THAT " ' SYSTEM.WAS INSPECTED BY ME BEFORE IT WAS COVERED O� 'SYSTEM THE . WAS CONSTRUCTED IN ACCORDANa WITH `n T H I ( THE . RULES AND REGULATIONS. OF THE PUTNAM Co Z 5� . tA. 4 DiyARTMENT -OF HEALTH. w o . RECEIVE s • APR 2 IN3 COUAlry z 5 a4 °o4' So' w Wit: Of Lj OG tj a - � - QlSOGL1F. ROf� ^L�' iu��rntnam County Department of Health Division of Environmental Hoalth'Services // p.! � ✓� A as rioted for conformanoe With applicab a Rules Regulations Of.. the 6r�! �s Put ounty H lth Department.. '^�/3 L� srltioicaK Y. 1 Sj p NJ m F o m v H F rJ 84 °-04' so °E Eo•oo_ F=c. Lo r'E Awn. 7078 PIPE r '1► �y /� p �� .N a► cn'_soE°�' m p o r g °r S .r ' o _ ' MA.� a �3 0' � � LOTS - o 704 73 7008, %0 J � h3 r�IAP- � �YiAN1 23.0 t �F JLFD MA'p 149G,� i ra iMbll 7021 0; .� R— AT. ' . N_ - TpWJ of F.�,TrEttSOfJ - ptYriJAM Gout' C ` ...� 4 pEGEM6E� 31 t9S2 2 , N _ - SCALE 1 � 30• - ,. ;;u o4'-So,E 87.24• �Cra �. 10 - 't i N/ in p I r 7 ntztu. S 84 °- oti'- 5o•'�J .. �1 92:S9i IeAnJ zii� . Hot€.i?_npi. , J U O GJ ue 20Ai% so'. I • /� � ' sg� _ 1 F IM ce, 4 f j � 464 . -{�f S' ' -,tams nn07 +' '3S«'. {• j �nctoachr»enis �- easerr+eni�c LYIe.J ` - �vam en ze�•,,,z1 s.xva.� o� .�• P,•°F com lei' od on TJ�c -cm ba- .30;1982 -• fn� sc adef f�'`an.�, 'rto`F shows hereon n �a•Iderc,Snc %.2-TT T1 Lr ctVFn �� Nts �iviwa..d�«aofes�lher' . j