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HomeMy WebLinkAbout2156DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30. -2 -50 BOX 19 02156 ixo 21 1 No ��■� Sol his � JMISS �,� - iii -t " T is 16 NA L - L' IS �� ' ` 1 ; r,; is ; I �� IS 02156 `-'~= ``= ----,--~n ' PUTNAM COUNTY DEPARITAENT OF En CATE: I OF-CONSTRUCTION COMfPUAN& F . OR SEWAGE ]DISPOSAL SYSTEM .-T'. ,Rutnam Val,16V. 265) Malung Address 154 -Noith Street zip 10960 Date Permit Issued 8/9.85 Peekskill. NY Separate Sewerage System,bflt 4� Greg Xac&lusol Address Mi I I t own -Road, H6 1�k! s , VY 12531 &,,Iitwg of 1000 Gallon Septic Tank and Water Supply: public Supply From Address . or: ------- j I L-.�.— I Priva . te::Supply Drilled by Boyd Arteplan' wallAddress Rte.. 52, Carmel, NY 10512 Number, of Bedrooms Thrpp Has Garbage Grinder Been Inistalled? n 0 I dertify -that' )6 An 'tlie system(s A lAtte '� Q ab, %WV0nb44M'bissntially as shown on the plans of the completed work ( copies of which are attached), and in I accordance I with the standards, rul!q and reg . *ations, in accordan�c . yith the filed plan, and the permit issued by the Putnam County Depirtmieht of Health.: -U :,Ap -,,I Certqljd by Address k1l 9-Fair St. -.0,Armel, NY 10512 License No.— 29206 Any person occupying promises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any ununitary 'ndit ons resulting from such usage. Approval of the 'Separate 50104411196'Wftin shall become null and void as open as 11 "� tne approval of the. private water suppi 'j-' ­ ' "' jl' d voidi "an a. 1j,ub-lic Vat i supply becomes available.* Such approvals are available an y hall become nu - an ff. subject to" modification 'or ihangi when, in the judgment of the Commissioner of ealth n, modification or change Is necesury. Date 7 qap- By, Title ----- '-' -------------------'-----------'----' --'---------------- -- ----- . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIROlZMAL HEALTH SERVICES Owner or Purchaser of-Building Building Constructed by Buil ing Type 7 Section Block Lot Subdivision Name Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 �ownr h is successors, heirs or assigns, to place in good operating conditi the system constructed by me which fails to operate for a period ears said following the date of approval of the "Certificate of Construon Compliance" for the sewage disposal system;, or any repairs made by me to such system, except where' th6-failure to operate properly is' caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services 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 - QnG19 '(� Signature Title Gener 1 Contractor Signature r'� -= t'` ^ \h Corporation Name (if Co o) V _ _ 4 anon (� c (if eft.) �\.�z-v.. �., � t rLS2.; Address K)A rev. 9/85 mk PUTNAM COUYEY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Gayle & William O'Donnell TM 5 1 7 Owner or Purchaser of Building Section Block Lot owners Building Constructed by Pudding Street Location - Street T. Putnam Vallpy Municipality Modulate Building Type 0 Subdivision Name Q 42265) ivision Lot #k .L. GUARANI'EE OF SUBSURFACE SEWAGE DISPOSAL 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 successors, heirs or assigns, to place in good operating condition any a t of said system constructed by me which fails to operate for a period of ears irmediately following the date of approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any ze - irs made me to such s stein except': where- `tti f by" Y p e ailure to operate. properly caused by the willful or negligent act of the occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental Health Services 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 4th day of June 19 86 Signature General Contractor (Owner) - Signature Gayle & William n'DnnnPl1 Corporation Name (if Corp.) 154 North Street, Peekskill, NY 10560 Address rev. 9/85 mk Title Installer Greg Macaluso Corporation Name (if Corp.) Milltown Road. 1 Addre Gayle & William O'Donnell Owner or urc aser of Building owners Pudding Street Location - Street T. Putnam Valley Municipality TM 5 Section 1 7 Lot Subdivision Name Modular (S-n. domq,) Building Type Subdvo 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 su ors, heirs or assigns, to place in good operating condition any par of said system constructed by me which fails to operate for a period f ��Y� 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 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.Dir-ector...of the Division of Environmental Health Services of the 'utriam - County - DepaYtment of Health' as to whethe� ' or ' riot -tine -.fail .. ure of the system to operate was caused by the willful or negligent act of the occupant of the building utilizing the sys Dated this 4th day of T „ne 1986 Signature Title Corporation Name (if Corp NY f101 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 WELL COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HEA: Division of Environno its Nealth Bfsrdon COUNTY OFFICE BUILDING • CARMEL, NEW Y( - This reports o_ _• c6mpleted by.weil r era nd s ub.mitted to County Health Oepartment,together with leboratoryroport of. anaiysils of water simple indlcstinp't+veter IS of iatisfecfory E ts'cterlif quality twfoie °cenificm of oonifructlon corllpliarlcili isiued. REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION NAME ADDRESS OWNnl Robert Falk R. D. 1 Box 129 Holmes, N.Y. 12531 LOCATION o. rat own ( Number) OF WELL Pudding Street Putnam Valley PtoFosEO ® DOMESTIC use OF WILL Q PUBLIC SUPPLY DRILLING 17 EQUIPMENT ❑ NARY AIR ERCUSSION ❑ PERCUSSION ❑ (Specify) CASINO LENGTH (Ieet) AM (Inch") WEIGHT PER F RIM 3"()13 , DETAILS 21 6 . 19 ®THREADED ❑WELDED YES NO TES trO TEST ❑ ❑ POURS O YIELD ME COMPlSSEYIELD 2 6 NAILED AIR MEASURE FROM LAND SURFACE— STATIC(apecityt"t) DURING YIELD TEST lhet) WLML '35 otal draVdown i °r ;, Lw w,�, 300 LENGTH OPEN TO Afi IP . . fie $CN N DETAILS IF GRAVEL Dlasnehr of we" indud(ns no Bet FACKEDs • grovel pack (Inchn): DEPTH FROM LAND SURFACE Sketch met loeatlon of well with dhtenoes, to of hgat FEET to FEET WRMATION fJlSCRIRION two permanent landmerb. 0 3• Overburden 3 300 ❑BUSINESS ESTABLISHMENT ❑ INDUSTRIAL ❑ FARM ❑AIR CONDITIONINO ❑ Test WELL awl Gneiss &"quart!9• It yield was tested of different depths daring drilling, RN below FEET GALLONS PER MINUTE ' -Boyd Artesian Well Co., Inc.. Rt. 52 Carmel, N.Y. 10512 DATE wee LVmraeleD DATE OF E RT WELL DRILLER (Signature) 12 -19 -85 2- 26 -�Eo / AV 25 -3196 o. y®rkt®wn Medical Laboratory, Ina 321 Kear Street Yorktown Heights, N. Y. 10598 Director: Albert N. 1'aefovano M. T (A3CP) y- """j], W jh'o� -1 L LAB pi,__ 306- 922 Collection Station Used: Carmel Peekskill .. Apt . K i o _ Z...:.,N.e 4i_ .0 i s-:yn. < .. Date Taken: 5 Id, Date Received: 3-31 Date Reported:, Collected By: .Referred By: Sample Source, LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA Standard Plate Count per 100 ml (Agar plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) Total Coliform per 100 ml Fecal Coliform per 100 ml Fecal Streptococcus per 100 ml MOST PROBABLE NUMBER TECHNIA.UF (MPN) j, Total Coliform: -VPN-Index ner 100 ml - Fecal Coliform: OTHER ANALYSES MPN. Index per 100 ml. THESE RESULTS INDICATE THAT THE WATER SAMPLE WAS (WAS NOT) (NOT. APPLICABLE) OF A SATISFACTORY SANITARY QUALITY ACCORDING T HE NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Albert H. Padovani. M.T. (ASCP), Director LEGEND RDS = Recommend Disinfect- ing Water Source < = less than TNTC = Too Numerous Too Count f All AM HEALTH Permit s `r,20-85 �OIUNTY��:DEPART_ MEN,' PV- PUT A�� ?�hh-Sivi -,"C''' F Divisibh'bf EfiW 68S RUC n T ,CONST ey T-5-win --- 6F-79.7iilage, -�7 5, �`,J�6 Pudding wStreet " Bloi�k;.:� jarce! :,�-T, .7� z 7 0- ',Subdivisi- ,'Sukid'. Lot I ew Revision on tz Cky.'-f-& Vi -!,D6hne1,1`-,,, I54 -Nd Approval 5,� &4nii/Addrei f T, r SeC94?n, PnIy ' Lot Aodiltat 0. `A6inberaof 1ped;rpkij �,-._Thr�e 1% 0, A Des ofifibatib Req�ui, •Bedrooms igniFlo�f'G/P/n I'A!� N �i P_ �q on ist_ Gal .-' T n a n s c- ge .Sewerage System C' s Oj a r ga To 6e . cdristrudbil' ti)i Address x Vllater u Public 1"' p, Ic Supply iorn L I ,ti ­q, -X i% w Ad res 'Ad res 71�._ d' "S `D'�'!' tei' Curtain . 6 ConditioriallX dihir_":;Aequi emen Deep n v e _Approve Drain_ M, �V !I represent t�haf�l a;n, wholly dn6 c'o'm�-pi-"e'teiy'�riSponiitil6 fdr,6 sad -1i e:,dq�jqq A,!�d !�cation`of that t he,� sdiiaiat6 sewage .disposal. system above: descnbed will be; constructed P9! C accordance with theVa and regulatlo"s _oT_711,�-u na�T as'ii`iov�n,61n itili ap;-��,�;vdd',Amdn*dment-�th6r"t�'�'i'o.an in ndiiis. iuiiil en Health .rand that o6 completion rf'iii6i� �:6f'C_ artnii i t to ihe torrirni.sioner of,HealthWill pun y,* ep ietibr thereot`a�k-`-,ite onstructign Cornj .' b submitted to the,Dsoartirrievit,' 'and .. a *riiienAilarintee .--.wjll pe y.q3,ish . I h-�`successor eirs or, aiiigns.y-,t6e�buil"r, that sild,�buijder-461 owner I S,; "I* io' 0 '0 -place good ti ' _.��diti6n-, 64 "d i - syiierij' oWing thedate'ofthe ssu-. An operating .4 saj -sewaje,'� . sppSa. during the two irij'�i�fiqdiatiiily� foli, Certificate ornpliancii%dUltie aLs ste or " an , lm x % d ki�thereto ;: tfiatlh�e drilled . well described abd4e .,-'an5e, of the.'a0proval'of the . er i of Construction 1_,;vIII',be-Ioeate'd as shown on the -7approved plan and tiiatliid i;;eII'-wiII'be:InstaII I with the ­itl and,,'re on$ 0 the utnam �g f z z �'Augu D X R.A., Date 98 NY' 105: 18 -29206"' RO. q aA'�- fi, t N .'Add No. e 7 T-1k,", APPROVED FOR CONSTRUCTION 'This approval f expires e.� -is: ,!res, n ,.,r romthe',Aatejs4,U�d�'4! been undikakew and may iier I ation o construction i T- . I ._x, " 0 bi cause m difi6d when 'necessary,­ by Co o io66-. Any� chi' "qe ar- a Zsai of domestic Ifai and or: ph atply only Date u ires. z!, new P4 Appro "Y. 7 . fr,,S-; B • A .......... . 1PU NAM COUNTY DEPARTMENT O1F HEALTH Permit a i, Division of Environmental Health Services, Carmel .IV. Y. 10512 To be constructed by ? Address Water Supply: Public Supply From X _ Private Supply to be drilled by ? Address Other Requirements Curtain Drain -W Deep x 2G0' -t' - and 12" R-o -B Over S.D. Area .(Conditionally Approved 12 August 1�7E) 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 ana regulations of 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 the date 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 regulations of the Putnam Coun Date APPF revoc req u i Date Rev. CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or Village Located at~uGClrig Street Tax Map Block 'l Lot Parcel 7 Subdivision Subd. Lot q Renewal _� Revision _�� (]y ;2( owner /Address Kent & Ylarilyn Negersmith RD 2, Pudding Streellate Of Previous Approval „ i Carriel, Building Type l:Odtl.atr IVY 10512 Lot Area 1.012 A. Fill section only ❑ lhree Number of Bedrooms Design Flow G /P /D yV� P.C. H. D. Notification Required 1000 Separate Sewerage System to consist of Gal. Septic Tank and To be constructed by ? Address Water Supply: Public Supply From X _ Private Supply to be drilled by ? Address Other Requirements Curtain Drain -W Deep x 2G0' -t' - and 12" R-o -B Over S.D. Area .(Conditionally Approved 12 August 1�7E) 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 ana regulations of 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 the date 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 regulations of the Putnam Coun Date APPF revoc req u i Date Rev. PUTNAM COUNTY DEPARTMENT OF HEALTH b HEALTH SERVICES DIVISION OF ENVIRON��IkAi; E Date July 29, 1985 Re: Property of Gayle & William O'Donnell Located at Pudding Street Putnam Section TM 5 Block I Lot 7 Subdivision of V 1. Sub4v.* 'Lot # Filed Map # Date This letter is to authorize John H. Prentiss a duly licensed professional eng'inqpr x or registered architect (indicate T—. to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards,' rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign"611-necessary papers on my behalf in connection with this matter and to supervise the construction of said i4 System. in-cgn.f ormity--.w-Lth.,t,li-,e--proyisions�.9f�-Ar:ki.cll.ik - 5-9r. 147, Education Law, tary Code. the Public Health Law, and the Putnam County Sani- 4K 60 �n kte �rs i g n. e �i C A . A h Very tr yy s-, Signed Owner of Property Address JOHN H. PRENTISS, P.E. RD9 FAIR ST 914-878-6170 CARMEL. NEW YORK 10612 Telephone 154.Njorth Street Address Peekskill, NY 10566 Town 914-73775876 .Telephone 0 PUTNAM COUNTY DEPARMW OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE' DISPOSAL SYSTEMS - - DATE: SP. BY. - DA t (Name of Owner) (Stree tion) INITIAL SITE INSPECTION YES. NO COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut .............................. Must trees be removed - note these.. .............. Deep holes representative of entire SDS area...... Additional deep holes needed..... ........:..... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells /septics............................ D.H. 1 Lot Depth to G.W. Depth to rock Soil DescriDtic 0 ft. 3 ft. 6 ft. 9 ft. D.H. 2 Lot Depth to G.W. Depth to rock Soil Descriptia 0 ft. 3 ft. 6 ft. 9 ft. D.H. - Deep Hole G.W. - Groundwater D.H. 3 Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. Soil DATE: -r - FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan............ Length of trench measured U i Width of trench average '2 Slope of tile line and trench acceptable......... Roan allowed for expansion trenches .............. i/ Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded ............................ 10 ft. maintained from property line.and 20 ft. from house .............. :.......... .... Distance well to SSDS (ft.) ............... .... .... ✓" Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxesproperly set.......... ................... ✓ LI Could surface runoff from.driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS..... ,, -._�1 -- FINAL GRADNG OF SITE ACCEPTABLE.. ... .. /I17mA...n Ial., n / -11 6,6 (5c-t,( T-74 A A 3 7 43 lu" cv� /y MAI M-W it 4 .2 a6 0 . PU_TNAM COUNUY_DEPARTMI,, T OF HEALTH 1 DIVISION OF EgVTr?0Wf4E1',1TAL 11D- LTH SERVICES .: 10. "M Oi�'FICE" BU tLDTPIG;' GA�EJ;_; N -: _y : Q512 DESIGN DATA- SHEET- SEPARATE.SEWAGE DISPOSAL SYSTEM. FILE NO. Owner /�►f� /t9ar. -� /Jn s.►,:Z_Address e .57�• _ TaXPlarp . Located at ( Street �e i c e . to:TS-ss / Block _Lot a e II r cr-reet p/. of Tn. L.nt Municipality Pirt�e�a, �l���eii Watershed "L� ' SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o1.e .. Number CLOCK TIf,7-, . PERCOLATION PERCOLATION Run Elapse.. - Depth later Water LeveT No. Time From Ground Surface in-Inches Soil Fate Start -Stop Mina Start Stop Drop in Min. /in drop Inches Inches Inches Dec . oit� s' LR 2 ;; o ', ti's'• �c.:�`.: � • ,\` .�. ' ,�, 1,:a:, ;' l � c-., • { �._ �� tr � r_ :::, ::'.`.• '' Cdr �;IIf,�. fir" ;`` Notes: . 1 Tests tore' e .ted.4a '+same depth until a r0xilk'p tee,y "jp ual , soil rates are obtained at-"--'e4-­6,h . eri .Kation test hole. All data to,Rbe,,Pubmitted for review. 2.) Depth measurements 'to be made from top of hole. TEST PIT DATA .I I JIIIisD TO BE SULK -11 I`1 "1EM l•JITTI APPLIC/1`.E'ION DESCRIPTION OF' �0]:LS iIICC ?J:rI`i'4?P,EU !',I TEST MOLES DEPTH P`OLF,I .: VO...:: HQLL, N0. HOLD' N0. G.L. -_ 12_" 1811 F9 �`D��• .241' 3611�/�� , 4211 4811- �✓ 5411 v .6011 66" - 7211 !�_JE, rac& 8411 INTDICATE LEVEL AT Va --ICH GROUND WATER IS ENCOUNTERED �� �6p¢ ___ZNnICAT)rJ.L�J I�..T21r�LT '11 WATE.R.:J.�k1i r .RTSES AFTEh .B.EING_E COUNTER. / " k 0.,O�r• TESTS MADE BY ,� Date &AI-X12K DESIGN Soil Rate Used/ 4-)o Mirvi "Drop: S.D. Usable Area Provided ',0 No.. of Bedrooms 77 ®p( Septic Tank Capacity /000 Gals. Type ®�v��_. Absorption Area Provided By�_L.F.x2411 �' ��"` width trench. Other. � #1 ,�y'�ri of -- 0 . ♦ � o w IB to .. � .� _ r. .A C o J dame - s Address R 9 -- t� 5 Carmel, f 1 i ('.r I ' THIS SPACE FOR USE BY EE, ALTH DEPARTI' �,1 T .ON Soil Rate Approved Sq. Ft /Gala G c MA Date . e I "AS _QATA. Structure located trorn survey by surveyor not 6,d betowVS- Weil located by: Surveyors survey- -Well drillers report J11- Engineers- rnepufie Merl Tanis, Doses, pith, galleries a lotefolls located l),y.CAorifroclnr-- Engineer" Heallhdqpt: Fidid inspeCt;on by: -Hecilh dept 1 Engineer a. f NOTES: A- f, n -Zee)' Li�ci WC4 t eAf):;�,O V -1 �j PEED 11 D I M E_N SION S Putnam County Department Of Health Division of Environmental Health Services A B roe I q�) - 13 0 lur- -A C _q If Cori .;applicable Rules and Re JA4 a C 3-3-7-e 'Approved as noted for conformance with A 0 D Regulations of the Putnam tounV Health Department. A D ujzr4l). E F A F _(0_.4 a F .dr, A G Z-== - 6 G 4A flsQ nature 4 9r. If A H �, Date j _B j A K K This is to certify that the sewage '1 1disposal system was constructed as I z4-j0,1 0,-V16_-Z7 A6 A!,10 P.C-,4a, i.fndicated on this ,plan :and that: the --41 syiiti�i wag inspected:by.'ine�'.befori. 9 Iwas.covered over. ��stem 'DESIGN ".AS BUILT with a -A IT- -R`­K--_S-'� A-S BU I LT ordance "constructed in geld SX:N A' E Istandard rules and regulations - P.C.H.D. & the N. Y"S.D.H. LOCATION S treat H VA U ei C 0 u n I y 7 d SUBDI.V1 S ION: M 0 P FQ 4x LOT Nt Block: -Z 4 Builder. 7)965 = A at ve or Sur -22EO y Drawn: X--;o,L 2 2 QN ftn- J 0 H N H P FIT N T I S S WE