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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'
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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
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to
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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
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