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Home My WebLink About1832DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 35.06 -1 -9 BOX 16 I him, r r , ` r as 01832 PUTNAM COUNTY DEPARTMENT OF HEALTH Engineer to Provide Permit N Rev. 3186 Division o[ Environmental Permit Health Services, Carmel, N.Y. 10511 on CERTIFICATE OF COMPLIANCE *' ONST&UC MI I70N PERT FOR SEWAGE UISPO SY Permit N M c sAL sTE Patterson Located at Old Route 22 Town or village Apple Hill Development ock Loft Corporation Renewal— ❑ Revision Owner /Applicant Name ❑ Date of Previous Approval Mailing House Road , Brewster, NY Mang Address Town Zip single family resi n e , •-63,571 s ft. Building Type g y XOR �rea Q Fill Section Only Depth Volume Number of Bedrooms 3 Design Flow G /P /D 600 PCHD Notillcation Is Required When Fill Is completed Separate Sewerage System to consist of,-LQQ0- -Gallon Septic Tank and._300 LI n. FE, disposal e h Art Burdick Joes Hill Road rewster, NY To be constructed by Address Water Supply: Pdbllc Supply From Address ors s' Supply United by Henry Boyd _Address Route 52 Carmel, NY Other Requirements represen a am wholly and completely responsible for the design and location of the proposed sysl above described will be constructed as shown on the approved amendment there to and In accordance wi County Department of Health, and that on completion thereof a "Certificate of Construction Com be submitted to the Department, and a written guarantee will be furnished the owner, his succes S. plate In good operating condition any part of said sewage disposal system during the period of �as�. ante of the approval of the Certificate of Construction Compliance of the original system or a rb will be located as shown on the approved plan and that said well will be Install In cordance It "a County Department of Health. Date 4 -7 -87 signed 10 Galloway Heig arwi.c , APPROVED FOR CONSTRUCTION: This approval expires one year from the date Issued unless coda revocable for cause or may be amended or modified when considers neees ry by the/, Commissioner q requires %a bw permit. Appro ad for disposal of domestic rani ry se ge, and /o Iv la w tar u Date V By / I r �Ft -JeZWarate sewage disposal system egu a ions o ie u nom ttwac mmissioner of Health will or assigns yyt u or, that said builder will cars ediately o ing the date of the Issu- �re� 1� at t%*,. well described above f� . pd r u a ns of the Putnam �yl CC X7,0 1 W CC U.! /. P.E. X R.A. Ic' n t ilGl�fg� as been undertaken and Is I :� p1sr : stttj?+ a /r /a/alltteration of constr ction �J TIt�l�e 4s :? rJoll\'13 "`•°�"`' PUTNAM COUNTY_ DEPARTME-NT OF HEALTH DIVISION OF ENVTRONMENTAL BEALTI1 SERVICES COUNTY OFFICE BUILDING_ CMEJ N. Y. 10512 DESIGN DATA SHEET - SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner_ .1. UO MA5. c- A .!- Address ou—) Located at (Street SPrZIMC, LAalc� Se;c. �.,� I3:1ock Lot �1ndicate nearest cross s�icet� Municipality T>A- i-`r--,jZ- - Watershed, SOIL PERCOLEITTON TEST DATA REC)UIRrD TO BE SUBMITTED WITH APPLICATIONS ]col e - -- - - Number -CLOCK TIME PERCOLATION FERCOLATION Run -r Elapse Wpth to Water -- Water Level No. 'T':ime From Ground Surface in Inches Soil Fate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches O: 43 "T 3 1 c) : 5ca B �_s T�PS011- _ _fse -O• SA.L�� 1 .51�1__l�L�- i..+i�,_i]�1��916.� _._ 45_1-114-2 ---u-857- 10 21 _ 74 ToPSC�►a. �.l 3� 5 IJotes : 1.) Tests to be repeated @A. sau:: deptli until e, > >royimatel;;yy equal soil rates are obtained at each percolation test hole. Ay data to be submitted for review. 2) Depth measurements to be made from top of hole. 3� 5 IJotes : 1.) Tests to be repeated @A. sau:: deptli until e, > >royimatel;;yy equal soil rates are obtained at each percolation test hole. Ay data to be submitted for review. 2) Depth measurements to be made from top of hole. <1A Co.. CAM WELL GUMYLEILUN "rune DEPARTMENT OF HEALTH Division Of. Environment=al Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only - IWELL LOCATION BTREST ADDRESS: WNI I TAX GRID NUMBER.' A PO, REWSTE,'e, 407 - j WELL OWNER NAME. E % � ' , y C�oiI�S7- U w�� • S� AID, le,5aq PRIVATE O PUBLIC USE OF WELL 1- primary 2 - secondary )RESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ A8AN0 NED ❑ BUSINESS O FARM O TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPLE SERVED EST. OF DAILY USAGE gal. REASON FOR DRILLING KNEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH '3 O ft. STATIC WATER LEVEL 5 ft. I DATE MEASURED DRILLING EOUIPMENT O ROTARY 01COMPRESSED AIR PERCUSSION ❑ DUG O WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. ISOPEN HOLE IN BEDROCK 0 OTHER CASING DETAILS TOTAL LENGTH ��. ft MATERIALS: JB:STEEL O PLASTIC .O OTHER LENGTH.8ELOW GRADE ft. JOINTS: ❑ WELDED WHREADED O OTHER DIAMETER 40—In. SEAL: ZCEMENT GROUT O BENTONITE OOTHER WEIGHT PER FOOT Ib. /It, DRIVE SHOMYES ❑ NO LINER: AYES WO SCREEN DETAILS .. ___ _:_...._......_ _..._ - DIAMETER (In) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST OYES 0 NO .IiDURS -. _ ... - -- SECOND- - _ ._ .._ .:. _ _. - - _ _ - ..._.._. - = .... , .. __... -.._ ._._. __... _ :.,.�__._._ ..._ ,... GRAVEL PACK O YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH K - 807TOht DEPTH It. WELL YIELD TEST It detailed pumping t METHOD: O PUMPED i tests were done is in- COMPRESSED AIR , formation attached? O BAILED O OTHER 1P1ELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE W7ftr Sear- ;nq wen Du- meter FORMATION DESCRIPTION WaE It, WELL DEPTH It. DURATION hr, min, DRAWOOWN It. YIELD gpm. Surface - 113 dw a� z WATER O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES ONO ANALYSIS ATTACHED? O YES ONO STORAGE TAN : TYPE CAPACITY GAL. PUMP INFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HIP WELL DRILLER NAME (? OAf 77 ESS /�- �!�/�- c : SIOIXTURE .,Loft Corporation Owner or Purchaser of Building Loft Corporation Old Route 22 Location - Street Patterson Municipality 69 Section 4 6.4 Lot Apple Hill Development Subdivision Name Single Family Residence 4 Building Type 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.Directo.r o.f..the Division.of- Environmental Health. - __Services_ _ y P ' of* the Putnam " Count' - °De "`art- meii� " "�of."'Health as to _whether- or ure of the system to operate was caused by the willful or negligent ac of the occupant of the building utilizing the system. U. Dated this 5 day of August 19 87 Signature �G� _ � 1 Tit 1 o ft Corporation Corporation Name if corp.) Pump House Road, Brewster, NY 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 APPENDIX B PuTNAM COUNTY DEPARIiNr OF HEALTH - DIVISION OF ENVIR0aMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS - RE'VSEVv Sr EE,'T- CONS.T (MION-- PE.'�MIL _ 1 -t . DATE REVIEWED- BY: (Name of Cwner) �� (Street Location) DOCUMENT'S Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth l� s /sue SUBDIVISION Perc (3) Fill --. cd House Plans Plans - Tw sets Well pe_rtni PWS letter Variance R st GENERAL Legal Subdivision Subdivision Anoroval Checked -- Ex- approval SSDS A .Lots Checked Wetland (Tcwn /DEC Permit R & D) Data On DDS Plans & Permit Some REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trencn /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes - Des}..Data:._:pero..:arid . deep results _ ..._ :._:::. Two -Foot Contours Existing.& Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Punk Pit & D Box Shown & Detailed House - No. of Bedroans Wells & SSDS's Win 200 ft. of Proposed System Property M—etes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe . No Bends; Max. Bends 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, urge Trees,Top of fi 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expo. 15' to Drains - Curtain; Le--der, Footing 35'to catch basin,storirdrain,piped watercour. 101. to Water Line (pits -20') - 50' intermittent drainage course Septic Tanks 10' frc m Foundation; 50' to well .15' Well to PL Qi T.T]ST PIT DATA REQUIRED TO 13E l3M:IT'.PI;D i�17:TIi APPLICATION �3U DESCRIPTION OF SOILS PINCOIJHJ.'1 RED 114 TE JT HOLES DEPTH HOLE NO.. 4 HOLE NO_.. G.L. SOP1� 6" 12" 24 3011 361 4211 4811 5tt" _ 60" 66" 7211 WISLUT Li 7$" . 1et� yti►��L``' 81111 • INDICA'T'E LLVI L AT I- 111ICH GROUND WATER IS ENCOUNTERS.) INDICATE LEVEL TO 1JIIICII WATER LEVEL RISES AF'T'ER BEING EPJCOUIMIT -D _.:. `_1�L?`.!'5... r!11>DL; I3Y_ t _.� ' "E'. �' :%..A t A;¢ .. I te. 2 ► - ?,r4 - - . DL61ON Soil Rate urea �_rtin,/l "Drop: S.D. Usable Area Provided No. of Ij3drooms _ 3 Septic Tank Capacity I oc)o _Ga1��E"7'�t��r�• Absorption Area' Provided By —L.F . x2'E" Ira!11e.__�S3�L�l �� ►A,e j? Signature/--, r R. 1dlress c SEAL �345°�__� THIS SPACE FOR USE BY >Lf7LAL`T'TI DI;PAITPflI,iVT ONLY: Soil Rate Approved Sq. F't /Gal. Chocked by Date PUTNAb1 GOtTNIY DEPARTMIJIVI OF HIAL.LH DIVISION OF ENVIRONMENTAL BEALTIT SERVICES COUNTY_ OFFICE_. BUIIDUM . /A.rj)V DESIGN MTA SHEET- SEPARATE SWAGE DISPOSAL SYSTEM FILE NO. Owner .1. P,d.O1,1A . yA ., Address oLT- Located at (Street) SsQ ��,Ir. Le�,Kr Sec • I31ock Lot (1nn icate nearest cross -STr et,y Municipalit Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS �10le Number 4 -CLOCK `.DIME, PERCOLATION PERCO_IATION Run Elapse -Eti ;o a er Water ,eve No. '.Fame From Growid Surface in Inches Soil Rate btart -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches A--1.10' 10:43 -T 24 - -- 2 10-44 10-52E_ ?_�!• 2-i ?3 3 11:14 - 11:20 10__ 24 ?� a 45 lam- 1: �z tee •fit ,_ 24 3 2-g2,- 2 :z ►.�.�_ 24 ___ 15_V1 1 --T :.l o. • �7 v ~3L �Tu�" 3 _ 03AIJD3N Ilotes: 1.) Testis to be repcated at suu:; depth until a•p �roximatel::y equal soil rates are obtained at each percolation test hole. Aly data to be submitted for review. 2) Depth measurements -to be made from top of hole. lr3��• �.r�r -may:: {Name of Owner) REVIEW SHEET - CONSTRUCTION PERMIT L�/ DATE REVIEWED: / j BY: _ /C. (Street Location) DOCUMENTS ( Permit P.o lication l/CJ Corporate Resol' ution ° °- Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3) Fill Perc Hole Depth cd° House Plans - Two sets Well permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump'pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes .Design Data: perc and deep results Tao -Foot Contours Existing & Proposed Driveway & Slopes Cut f Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of .primary and expansion Expansion' A'r'ea; shown; gravit :�16W, suff ,_ size_ If Plumped Pit & D Box Shown & Detailed f House - No. of Bedrooms Wells &.SSDS's w /in 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4" /ft. 4 "0; Type pipe t No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L.,, Driveway, Large Trees,Top of fil' 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake Unc. expan 15' to Drains-Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercours' 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 9 E1 P I ' DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION-.TO.CONSTRUCT A.WATER WELL PCHD PERMIT # WELL LOCATION Old Sfioufe dress Town/Village/City Tax Grid Number Patterson, NY 69 WELL OWNER Name Address Loft Corp. Pump House Road Brewster, NY Private O Public USE OF WELL 1 - primary 2 - secondary KKRESIDENTIAL ❑ O BUSINESS O ❑ INDUSTRIAL CIINSTITUTIONAL PUBLIC SUPPLY O AIR /COND /HEAT PUMP FARM O TEST /OBSERVATION O STAND -BY ❑ ABANDONED ❑ OTHER (specify O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED 5 /EST. OF DAILY USAGE 600 gal REASON FOR DRILLING NEW SUPPLY O REPLACE EXISTING ❑ PROVIDE ADDITIONAL SUPPLY SUPPLY ❑ DEEPEN EXISTING WELL O TEST/ OBSERVATION DETAILED REASON FOR DRILLING New Single ami y esi ence WELL TYPE WDRILLED DRIVEN E]DUG O GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Apple Hill Development Lot No. WATER -WELL CONTRACTOR: Name Henry Boyd Address.jtoute 529 Carmel,NY 10512 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES X NO NAME OF PUBLIC WATER SUPPLY: N/A TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST .WATER MAIN: N/A LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED 3 -23 -87 ❑ ON REAR OF THIS APPLICATION N SEA TE SHEET - � 4� . "� k. (date) (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form pro ided by the Putn m C'unty Health De artment. Date of Issue: 19 Date of Expiration: 19 er i' Issuing fficial Permit is Non - Transferrable 8/86 T.T. ], 8 T PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF' SOILS 171-NCOUN'VERED IN TEST HOLES DEPTH HOLE NO. 4 HOLE, NO. HOLI NO. G.L. 611 If 2411 3011 3611 4211 4811 UT 51111 6011 6611 7211 A, 781• INDICATE J1i,VEL AT W11101I GROUND WATER IS TmCOUNTERFM INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED 1S;T TESTS 14[=' BY J-0Q1,64, • DE-61GN Soil Rate Used__A� Min/1"Drop: S. D. Usable Area Provided- Gale, 1 0 No. of Bedrooms z Septic Tank Capacit Gal Absorption Arca'Provided By_,3 --) L.F.xC2_W' t 3 z _tCl , _' W,q me JSL Ley-w&&j. n Bignature EA Address ' L (P THIS SPACE FOR USE BY HEAL 'II DE PARTME-11T 014LY: Soil Rate Approved —Sq. Ft/Gal. Checked by 9 Date 9 "f OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Located at Viu AUUL.0 GG /, ,� �—✓ rr ^.o..� Owner /applicant Name Loft Corporation Formedy AppleHill MalungAddress Pump House Road, Brewster, NY Zip 10509 .._ —,. Patterson Town or Village Tax Map 69 Block 4 Lot 6�A Subdivision Name Apple HillSabdv. Lot # 4 Date Permit Issued Separate Sewerage System built by Art Burdick Address Joes Hill Rd Brewster, NY Consisting of 1000 Gallon Septic Tank and 300 ft. Lin. Disposal Trench Water Supply: _Public Supply From Address or: X private supply Drilled by Henry Boyd Address Route 52, Carmel, NY Building Type Single Family ResidenCAM Erosion Control Been Completed? Partially Number of Bedrooms 3 Has Garbage Grinder Been Installed? - no Other Requirements 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 regulati ns, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date 8/5/87 certified by — P.E. R.A. Address 10 Galloway Height e,' Warwick, NY 10990 Licence No 056653 Any person occupying premises served by the above system(s) shall promptly take such action as may be noceswry to cocu ►o tho corroction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a pub!': sanitary sewer becomes available and the approval of the private water supply shall become null and void when a, public water supply bocomos ovallablo. Such approvals are subject to modification or change when, in the judgment of the Commisslorwr of Health, ® revocation, modification or chongo Is nocosm►y, Date r PUTNAM COUNTY DEPARTMENT OF HEALTH v. 3186 Division of Environmental Health Services. Carmel, N.Y. 10512 Engineer to Provide Permit A on CERTIFICATILOF COJQL1ANM CO TRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Permit q_ Patterson Locatedat Old Route 22 Town or Vlllage Subdivision Name_ AW 1 e_ Hill Sabd. Lot # 4 Tax Map 69 Block 4 Lot 6.4 Owner /Applicant Name or p Loft Corporation Renewal__ Revislon � O Date of Previous Approval MaWng Address Pump House Road Brewster, Ny Zip Building Typ. Single Family Res. Lot Area 63,571 600 Fm Section only Depth th Vohmte Number of Bedrooms 3 Design Flow G /P /D PCHD Notification is Repaired When Fill is completed Separate 1000 300 lin. ft. trench p rage System to consist of Gallon Septic Tank and To be constructed by Address Water SnPP13': Pdbllc Supply From Address or: X Private Supply Drilled by P. F. Beal & SQ &.. 4 Putnam Ave, Brewster, NY. Other Requirements represen the "f 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 and regulations of e u nam 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 install in cordance the standards, rules and regu a'—ialTons of the Putnam County Department of Health. Date 2-27 -87 Si netl P.E. X R.A. 10 Galloway gHei. s , arwick, NY IU99V 056653 Address License No APPROVED FOR CONSTRUCTION: This approval expires one y r fr the dat issued unless .construct on of the building has been undertaken and is revocable for cause or may be amended or modified when consider n ssary by Commissioner f H lth. Any change or alteration of construction requires a new permit, proved for disposal of tlomestic Sa }�ar swage, a .Or ro e a pp only. Date4 gy Title 1 5'E'PT1G I..OGA�tOU � 1SC�- I��UL� . FROM To JUNCTION it5oX CyRN49 :AA C;KNR E35 2 3 32• 5 40' Co 43' . ,IA. , '18• 124' `; 2A is 122' g A : 83� (oA r s'tttriam l:ounty llepartment oS liea.iLL' revision of Environmental Health Service, ipproved as noted for conformanoe with . Applicable Kules and Regulations of the _ Putnam.County Health Department.' �ten*tur Ti tt''7 O G� TO > F.l PF_ S } i P z 3 0 0 �o m N Z 'aa o ZED � o i P z 3 0 0 �o m N Z 'aa o