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Home My WebLink About2195DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 30.18 -1 -64 BOX 19 02195 17 ' 1.6 r . I I Ir 02195 y ,yar" y _ r W3'r'" v PUTNAM COUNTY. DEPARTMENT .OF HEALTH;:;.. Permie r.pV 38 =; D /vision:: of 'Environ`mental 'Health Services '.Carmel 'N. } Y 10512 CONSTRUCTION .PERMIT..FOR` SE�E DISPOSAL SYSTEM = Putnam Valley :.._...,...._r_,. Tow- Located at' -Lake °S•hor e : -Ro ad ' Vie s t ,... : Tax ,Map :� -`: .Block' lot 16.: Subdivision Rnari.nq• Rr. ink T ka subd Lot N Renewal "}�_]� Revision owner/Address_ D t Alessandk6 A2BelM'ont Avenue .Yon 12/1.7/81 Building Type (1) Fa-m Res tot Area 22, 386 S Fill secticn.oniy'O Number of Bedrooms 3 t)esign flow G /P /D 600 P.C. H. D.• Notification- Required' Separate Sewerage System to, consist :of ,•000 . Gal. .septic Tank ' and (A 8 ft.. DialR x6 ft ' deep Le>rhi To be. constructed by Gordan Hirt, ,Jr'. Address E W e Basins al - Water Supply'. pl Public Supy From 1 Zs r NY 12590 XX Private Supply to be''drilled by Norman Anderson Address Barger Street, Putnam Valley, NY 10579 Other Requirements „l. represent that.l 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 Putnam County Department of 'Health, and that.ortcompletion thereof a "Certificate of Construction Compliance" satisfactory, to the Commissioner of Health will be submitted to the Department.. and a. written guarantee will be'.furnished the owner, his wccossors, heirs assigns by the builder, that said -builder will place' in good .operating condition any part .of' said' sewage .disposal system durIng'the'period oUtwo (2j_ years immediately following the date of the issu- an�e of the.'appioval of the Ceititiwte of Construction Compliance of the original, system or an 'repairs thereto; 2) that the drilled well described above will be located as shawn'on the approved pi nand that said well will be installed . accordance with he standards, rul 's and raga a ons of • the Putnam 1. County Department of Health., Date 10/10/84 Signed' P.E. R.A. XX Adtlress. MusCoot 'No': RFD# ox 488 Maho ac 1105,6 icense No. APPROVED FOR CONSTRUCTION This approval expires.' one, year fro the te. issued less construction of the bull ing has been undertaken and is revocable for cause or may be amended '& modified when cons�deretl n ce Yy y the, Co mis of Health. Any cha a or alteration of construction requires a new Permit •• Apppprov• ' for'disposal,of domestic sa aura and /or vale afar u only. Date �0 - >�"�C7 ., By' Rev. 9-81 Title �. PUTNAM COUNTY DEPARTMENT OF HEALTH A!vl f Euvlimnt l Hea lth alth Servcs, Carmel, N.Y. sion En& eer.Mvist roA 0 30, P.C.H.D. Permit q "rY 6,017 ' %n}�i� 111x'61 N CO PL ANCE FOR SEWAGE DISPOSAL SYSTEM CATE OF CONSTRUCTIO o r Village Tax Ma rock— Let — Locatea at Ro arming �ro 000 ray L aKe 372 Owner/applicant Name D' A l e s s andr o Formerly Subdivision Name Sabdv. Lot N Owner /app MaWng Address 42 Belmont Ave. Zlp_ Date Permit Issued 11 5 -84 Yonkers, NY _101 - Separate Sewerage System built by Owner Address Consisting of 1 000 Gallon Septic Tank and 1 n o n Water Supply: Public Supply From Address xxx P. F. Beal Adder Brewster NY or: Private Supply Drilled by Building Type One F am . Res. Has Erosion Control Been Completed? yes - Number of Bedrooms Has Garbage Grinder Been Installed? Other Requirements I certify that the systam(s) as listed serving the above premises were on s clad eeaen8 all ass how ttAplans led plan, and theppermitwissuedcbyithe of which are attached), and in accordance with the standards, rules and regal tions, tl Putnam County Department of Health. p.E R,A._a{.X Date 10/31/86 Certified by License N0._.i -�F{y Address 1 rection of any un Any person occupying premises served by the above systems) shall pro pt1Y ke such a on as may be necessary to so re the corssnita►y I conditions resulting from such usage. Approval of the separate %aware system she become null and void as soon as a publ;- sanitary sewer becomes an q the ancroval of the private water supply shall become nu1IMaadnnw w Health, such revocation. modification orlchange Is necessary. approvals are es L PUTNAM COUNTY DEPARO T'MENT OF HEALTH e OA- Division of Environmental Health Services; Carmel, N. Y. 10512 COftISunuv.11vlm PERMIT FOR SEWAGE DISPOSAL SYSTEM Putnam Valley Town or illage j Located at 'Fake Shore Road West- Tax Map — Block Subdivision Rna j a r'3rQok- -Lake Lot . _ J o b _. ownerLLIMP -s Micel i i Address 81 Old R _rgPn Read Building Type farm ly r _ id -ncel-ot Area 19.077 S ,F,. Jersey c,ty,, New Jersey 07305 Number of Bedrooms 3— Design Flow 600 GPD Total Habitable Space 1,200 Square Feet Separate Sewerage System to consist of 1Tnnn Gal. Septic Tank and $8 LF of pre -cast concrete gall -. To be constructed by not selected Address les Water Supply: Public Supply From * Private Supply to be drilled by riot selected Address Other Requirements Licensed surveryor to stake out location of gallies prior to installa- tion 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 an regulations o 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 installed in accordance th the standard rules and regulat —ions . of the Putnam 1 County Department of Health, f" _ It :elate. 80 Signed Address License N•o. 11056 APPROVED FOR CONSTRUCTION: This approval expires one year fr he dat issued unless construction o the building has been undertaken and is revocable for cause or may be amended or modified when considered nece 'ry b the CgrnMissioner of Health. Any change or alteration of construction requires a new permit. Approved f isposal of domestic ewa a and or s,ysita5yrs, g d p(1vat91 water supply only. Date c Byyt -� �'j-�. Title PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel,. N Y. 10512 Ly CONSTRUCTION PERMIT, FOR SEWAGE DISPOSAL SYSTEM *PgTe•I 0M OW. mAL -age= • T , —f-4 s* L a kc— GooR r= 2,u. `"" iEs-r Tax Map ? ^ 3'— /4 Block r Owner — W w Building Type Q) PAM- L- — Lot Areallto 50'° G.P. Number of Bedrooms Design Flow 4� GPO Separate Sewerage System �tro . consist of 1000 Gal. Septic Tank ,/ To be constructed by I'OM 145 1B P—E141,114 Lot Job Address °'P l SML/WWT AVO° Total Habitable Space 145-6® Square Feet and MA U0 Water Supply: Public Supply From Private Supply to be drilled by N W � D� jEE��' %5�4`�W g � � Address Sr. :PLj � A AA n s� =¢ -� ��7 1.05 Other',equirements �A�, �O� , 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 an regu a ions o e rutnam 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 installed in accordance ith the standards, rules and regu a ons of the Putnam County Department of He alth. Date �Y Al Si ned P. E. R.A. . Address kicense No. APPROVED FOR CONSTRUCTION: This approval expires one year the date issued .unless construct on of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Con).ml,s sioner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sa wage, a d /or private Water supply one. Date 851 71ti. Rv ._ ENT-OF LT1 " ` FUTNAM COU NT ll Y D EPA Division of Fnvirormentaf ilea/ ft Services Cacr»e% N . Y 10512 6,N8TRUCTi'0 .PERMIT FOR SEWAGE, DISPOSAL SYSTEM Town or i Inge ocated at La_ -1�.S —ice_ - W -St Tax .Map, Block . } - �'tnr Road ,. �trtlivfsion Roaring ,Brook =Lake : Lot Jon caner JaI[leS • mide 1• Address A� Old , . ; , w OZ305Oding Type! f mi .y_ residelce Lot Area• 19F-077 .S.F. Jersey: . umber of Bedrooms 3 6, o' � sign Flow 600- GPD' Total Habitable .Space 1 ,200',.. Square Feet aparate_Sewerage: System, to consist of 1TCl{ac1 Gal. Septic Tank and 'gg L of pre :Cast concrete ca , ll° 1 .ti o be constructed by'? Q��C'iC.,'�B d- - Address leS 1 i pater. Supply: Public Supply From V. - * Private - Supply to be Arilled by not selected f Address" { j ther.Reyuirements . } represent that i em wholly and completely iesponsibleforthe`designand location of,-the (proposed system(s); 1) that I t I h e separate: sewage disposal system )ove described will' be� constructed'as shown on the• approved'amendinenf there to and; in accordance with t ie,standards ,rules an regu a ions o e u nom i"ty..0epertment, of Health �antl that on ?complet,on� thereof a 'Certificate of Construction Compliance' sat�sfacfgry to the Commissioner of Heaitth III submitted to the Department, .and a, written :guarantee• m'r�ii be. furnished the owner, his successors, hays or assigns by the builder, that said builder will . - , ice in „'good- operating 'condition any 'part „of said sewage .disposal system tlunng, the period of two (2) years iminediately•following ' thedate of the issu ce of 'the 'approval . of. the Certificate;,of construct ion', Corn piiance of .ttie original system'; any reparcs thereto,.2) that the drilled - well.described above Il be located as shown on the approved plan and that sold well wilt be Installed In accordance` ith the standards, rule's and regu a ons of the Putnam unty department of Health e 9/25 79 ` Signed y P.E. R.A. Address: Ma ac N >. Y. .10 5 11056 License No. ROVED FOR CONSTRUCTION This.app ►oval expires one year ro the d t ,:issued unless construction o e',tiuilding has been undertaken and is j cable tor. "cause or may be amended or"modifled, when considered n nary b the Commiis�one ealth Any change or alteration of construction Tres a new permit: Approved for 'disposal of domestic sanifa� 1 °" •�� % By ,� ` 1 ...��c✓ ,�,vs sad Title v ....... .. •� :�'rto •:. v�t3rw" L.'+`_ �3�: �F': 1." i. tti•^ �w'% ittd�tMhi': o •�;4= a::ti�:4ri.;•v.6-ie�.J•.i: ��artvi�i :a ?�4dtd:+.'r..��.:.:.. .•.: ..r...'_t,:w 0r NU USE ur,ii'' WELL_ COMPLETION REPORT - I DEPARTMENT OF HEALTH Division Of Environmental Health Services — PUTNAM COUNTY DEPARTMENT OF.,.HEALTH -,._� , : �,•-- _.,.,•H,.r = - STREET ADDRESS: TOWN /VILLAGE /CItY TAX GRID NUM8ER: ►ELL LOCATION Lakeshore Drive, Putnam Valley, New York WELL OWNER NAME: ADDRESS: ® PBIVAT[ John D'Alessandro 42 Belmont Ave., Yonkers, NY ❑.PUBLIC USE OF WELL 129 RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED 1 - primary ❑ BUSINESS ❑ FARM ❑, TEST /OBSERVATION ❑ OTHER (specify) 2 -secondary ❑ 1NDUSTRIAL ❑ INSTITUTIONAL 0 STAND -BY ❑ AMOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR DRILLING ® NEW SUPPLY = �_ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY 'O DEEPEN EXISTING WELL DEPTH DATA'- WELL DEPTH 20 5 'ft. STATIC `,WATER LEVEL 1 ft. DATE MEASURED 5/10/85_ DRILLING EQUIPMENT 6 ROTARY ❑ COMPRESSED AIR PERCUSSION O DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. El OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 2 ft. MATERIALS: CR STEEL ❑ PLASTIC ❑OTHER LENGTH.BELOW GRADE 20 ft. JOINTS: ❑ WELDED O THREADED ❑ OTHER DIAMETER 6 in. SEAL: ® CEMENT GROUT O BENTONITE ❑OTHER WEIGHT PER FOOT 19 lb./ft. DRIVE SHOE ® YES ❑ NO LINER: ❑ YES ® NO SCREEN DETAILS _. DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED? FIRST :` OYES .0 ND .. , -HOURS SECOND...,_. _. _.. .... _ ... _.. .......__.._..... - �. GRAVEL PACK Cl YES O NO GRAVEL SIZE: DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST It detailed pumping METHOD: O PUMPED ; tests were done is in- Ct COMPRESSED AIR , formation.attached? O BAILED O OTHER i O YES 0 NO WELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM ��SURFACE it It, Water Bear= ing Well Dia- Ineter FORMATION DESCRIPTION CODE WELL DEPTH ft. DURATION hr. min. ' DRA4VOOWN ft. YIELD gpm. surface 10 crallana bloumersurden dirt a 101, 6hrs 18 r 10 10 21 WATER a CLEAR TEMP. 520 QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? O YES O NO ANALYSIS ATTACHED? O YES O NO STORAGE . TANK : :TYPE Well Xtrel_..WX250, PUMP INFORMATION CAPACITY 44 k-al: GAL. TYPE submersible CAPACITY _ 7 gym WELL DRILLER NAME P . F BEAL & SONS , . INC . DAT� /2 i 86 MAKER Gould DEPTH 180 1 ADDRESS PO Box 'B. SIGir1fTU E EHO5412 30 z / MODEL? VOLTAG� HP Brewster, NY lo5o.g ((( t � PUTNAM COUNTY DEPARTKM T OF HEALTH :x.: =f. _ ,:. �I.< rTSOi :.,C?F..i�drl33t3iVi��Ei1'r �:tiEILTH SERVICES Date August 6, 1979 Rea Property of -IamPs Mi rel l i Located at Lake Shore Road'. West Tax Map q ICYM' 15-1-16- Block Lot Gentlemen: ' This letter is to authorize Joel Greenberg a duly licensed professional.engineer or registered architect (Indicate) to apply fo.r a Construction Permit fora separate sewerage system;.to serve the.above noted property in accordance with the standards, rules or regulations as promulgated by the Commissioner of the.P -utnam County Department of Health, and to sign all necessary papers on my behalf in' connection with this matter and to supervise the construction of said system or systems in conformity with the provisions of Article 145 or 147, Education Law, the Public Health Law, and the Putnam County Sani tary Code. , NDCEgR g 0 �.t��E ov �� Very truly yours, a 6, Signed s Owner of Property y ^� 1 Old Bergen Rgad Counte s fined. �E Ad re$s Jersey City, New Jersey, 07305 P.E., A., # 201- 333 -6972 Telephone RR 48 Mi.' (Seal) Adareess Nidhopac. New York 10541 914- 628 -6613 Telephone ` PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of 4OI-(N D' Located at L Ak.F S40g_g RD.' .' LOZEST (T) 8" 3-- /(. Section Block Lo t Subdivision of TWIU MhP DE P—OAUMC 1�1Z1)ja k'. L fRKL Subdv. Lot # l -2- Filed Map # �30 8 & Date Sip -r'. 9/10/4(0 Gentlemen: This letter is to authorize Jo1Lj. 4 i2 FNRgp"!gi a duly licensed professional engineer or registered architect (Indicate 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 all necessary papers on my behalf in connection,with this matter and to supervise the construction of said - - . *t stem -ar.-s ste;,rs-•iii:.cozrfornlii 3,._ wit-h the p rovisions of-Articie.'14 5_ or - ._..._......._.__. 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned: P.E. , R.A. , # 1.056 k ,.. Joel Greenberg - Architect Musc of North !:. '.RFD f2, Box 488 I ESF Mahopac, NY 10541' (vL8-6613P t� Telephone Very truly yours, r Signed G caner of Property Address Town Telephone RECEIVE D. DEC 2 81981 r, !TN AM Comry--: DEPT. OF HEALTH DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. > 40 BELAA -P&M 4VE Owner joN. Address YOM 4j , . 14-Y. / 0 20 0) ITM 8 - :3 Located at (Street �q ® R.(�s Sec. Block Lot M ica•e nearest cross street) Municipality JOcDN OF KgtygM LL._`l Watershed U(jp SCE N 'VIVr=rL SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS oe Number CLOCK TIME PERCOLATION PERCOLATION Run apse No. Time Start -Stop Mina Depth to Vater From Ground Start Inches Surface Stop Inches a er ve in Inches Drop in Inches' Soil Rate Min. /in drop Pry ?�/ 3 +Ya l 3 14 -9: 3 5 2-1 7 4 PT9 "1'3 1 g. 3 5% R. 5- Z 21 - /6 . 3 �/3 .1 5 " 1 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) Depth measurements to be made from top of hole. DEPTH G-L; 6" 12" 18" 24" 30" 36" 4211 4$" 5411 60'r' 66" 7211 TEST PIT DATA REQUIRED TO BE- SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES HOLE NO.-J._ HOLE N0. HOLE NO. P ' t57) r- Cln V 015�AkAx CAD V 78�� 84" 9G " INDICATE LEVEL AT WHICH GROUND WATER IS NCOUNTERED - /,/ON 8 INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED TESTS MADE BY ,J pg� �N�3 Date Soil Rate Used 7 Min/l "Drop: S.D. Usable Area-Provided 57000 No. of Bedrooms Septic Tank Capacity /000 Gals . Type pV,F_ C ST C ONO , Absorption Area Prov ded By L:F.x24 " 5b" width trenc her (4) S D1 PK x a DEEr ACAS -r wNO-. L,=,gCa1,Wa 8,tsiN ® I ,Z r, OF t Name - - - -- -- - - - - -- J Greenberg- Architect. 1$Tla Ure EN ti ;. `. Musc of North "YAddress r RFD �2, Box 488 SEA w ;W Mohopoc, NY 10541 O THIS SPACE FOR,,,USE BY IMALTH DEPARTMENT ONLY: s� V ? .:. a �T 01 t Oyu OQ Zbil Tate Approved Sq. Ft /Gal. Checked by F 0 to 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 110. Owner TamP.S Mjrpt,] i Address R1 018 RPrgc -n Inair3. ,TPr.GAV c; tv_ _N Located at (Street) ` RX 15- 1- 1&lock Lot —`_... _st r ...(. ,. ca e_: nearer —cross street),.. ., . Municipality m vai.1 Wat.ershed P_ _ ......:. ,.SOIL "PERCOLATION' TEST. DATA .REQUIRED TO BE SUBMITTED. WITH ,APPLICATIONS Hole. Number-::__. CLOCK_TIME :. PERCOLATION.. ':PERCOLATION dun buapse o Water Vater ve Tdo.. :..:::.......,.;.._.._;,;..;:;, . Time .. -.. 'Depth From Ground Surface, in •. Inches• • :.• • Soil. Rate Start -Stop` Min. Start Stop Drop'in 'Min. /in drop Inches Inches Inches. #1......1 00-8:21-- 21 16 19 3'. .211, 28..1..2.2.- 8;1:.43,.. 21 16 19 .� 3 . :..21./3. _ 7 3.8. 449,:..0,5.. :21 6 19. 3 .. 21/3 _ 7 # 1.8 O.5' -g 26 21 ..., : .. 16 19 3 : 213 7 L_ 3. 21 f 3 = 7 .. . 3a:42 -g.:10 21 6 ..19 3 21/3 7 4' Notes:- :1) Te ts. to'. be repeated at same depth-`unt l approximately equal soil rates are obtained a,t each percolation test hoYJ' ? All data to be.submitted for, review.:-:. 2)^ Depth measurements to be made from top of hole. ;� I TEST PIT DATA REQUIRED TO-BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. a HOLE NO.___2 HOLE NO. G.L. Top • Soil Top S2i 1 Ton Rni 1 lies �A name ad, - j ...._ fir... AddressR _ R#�8 �; _NitiscQOt North �„a, Mahonac. New York 10541 r THIS SPACE' FOR -'USE BY" °HEALTH DEPARTMENT ON CAF o NEB Soil Rate, Approved Sq.- Ft /Cal: Checked by Late' 1' *1 1 hi V !..arq,rp 7Z � i I I � � sdsttL` J afS Z 3 I A3 �I 7' i rr � a �4l Pa 6 1' *1 1 hi V D15TAWCES !e7 Cc (io 9- CC Uj co V v. U) ■. -Z/ O l z �U z Uj W z *40'_. I r w e� D15TAWCES !e7 Cc (io 9- CC Uj co V v. U) ■. -Z/ O l z �U z Uj W z LL B cse. W � e� z� w cc W < ZE d � .., wo O IL 00 ®� �x �< as THIS IS TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS CON- STRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED B) ME BEFORE IT'WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE WITH ALL STANDARD RULES AND REGU- LATIONS OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. Putnam County Department of 9eaits Division of Environmental Health Serviceo ipprovod as noted for conformance with applicable Rules and Regulations of the ?utnam County Health Department,., +tenature a Title, Det All n f,/— to �J J � Q A b m � Io �U THIS IS TO CERTIFY THAT THE SEWAGE DISPOSAL SYSTEM WAS CON- STRUCTED AS INDICATED ON THIS PLAN AND THAT THE SYSTEM WAS INSPECTED B) ME BEFORE IT'WAS COVERED OVER. THE SYSTEM WAS CONSTRUCTED IN ACCORDANCE WITH ALL STANDARD RULES AND REGU- LATIONS OF THE PUTNAM COUNTY DEPARTMENT OF HEALTH AND THE NEW YORK STATE DEPARTMENT OF HEALTH. Putnam County Department of 9eaits Division of Environmental Health Serviceo ipprovod as noted for conformance with applicable Rules and Regulations of the ?utnam County Health Department,., +tenature a Title, Det All n f,/— to �J J � Q A b