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HomeMy WebLinkAbout2755DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourclocs.com 631- 589 -8100 62. -1 -19 BOX 23 02755 1.6 ! Vi7 1 , T � ' 02755 �1� PUT1�dAM CQUNTY EPA` RTMEP1'H" OF R ,1� NG I NEE MUST' Divisron of Environmental Heft /tfi �Servaa, Germ% N Y' 1Ob12 ERM TE'# F I CERTIFICATE.)OF CONSTRUCTION COMPLIANCE FOR.;;SEWAGE "MISP.OSAL SYSTEM sun age Located 'a`t • ' yr ■ �� 4 /d`� Tax Map .� Block 7... owner asi. Formerly _ Tax,.Map Lot _s, _ 'Sn � SubdOLot Separate Sewerage.5ystem'buflt•by�' Address���% Quift�J1�/ O,�f_ c Consisting of /.Ad D 6—al. Septic Tank: and � y Z 4%G 'D�oa Other requirements Supply From ' Private Water Supply: Public S Supply •.Drilled BY s 0 Address G Building Type Has Erosion Control Been I certify that the system(s) of which are attached), and, Putnam County Department Of Date Any person occupying premises s conditions resulting from such u available and, the approval of the subject to modification or Chang Date Rev. 6/85 21 No..of Bedrooms :. Date Permit Issued at 'Z -Z= im— 'Has garbage grinder been installed ?_ the above premises were constructed esaentially•as shown on the`plan6 of the completed work ( copies the atandarday rules and regulations, in accordance wlth',;the filed plan, and the permit issued by the e P.E. " R.A. L License No. i a• maybe necessary to' secure the correotlon of any unsanitary jme' null'And void is soon as' a ' publlc, sanitary ewer becomes ublic` water ;.supply becomes available._ Such approvals are such revocation, modification or change Is necessary. llaryy Title A P 8 Yorktown )Medical Laboratory, Inc. LOCATIONS: ❑ 321 KEAR ST., YORKTOWN HEIGHTS, N.Y. 10598 245.3203 321 Kear Street. 01 BUTTONWOOD AVE., PEEKSKILL. N.Y. 10566 737 -8777 Yorktown Heights, N. Y. 10598. ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666 -3335 (914)245 -3203, ❑ STONELEIGH AVE. (PEAR HOSPITAL). CARMEL, N. Y. 10512 278.9330 Director: Al ert H. Padovani M. T. (ASCP) -- _ DATE TAKEN: DATE RECEIVED: GATE REPORTED: SAMPLE SOURCE: G Lab # REFERRED BY. L_ J Collect // [� / Q✓ LABORATORY- REPORT 6 mg /L 2 51- 067- i ❑ ACIDITY ........................... ............................... ❑ ALUMINUM ............................................ ., ❑ ALKALINITY i. . P= ........ ... A= ....................... ❑ ANTIMONY ................................ ............................... P�$ACTERIA, TOTAL /mL .......... .�� .. .......................... ❑ ARSENIC .................................... ............................... ❑ BOO, 5 DAY ............................ ............................... ❑ BARIUM ....................................... ............................... ❑ BROMIDE ............................. ............................... O BERYLLIUM ................................ ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ BISMUTH ...............................:.... ............................... ❑ CHLORIDE .............:.............: ............................... ❑ BORON ..................................... :................................. ❑ CHLORINE ............................ ............................... ❑ CADMIUM .................................... ............................... ❑ COD .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ COLOR (units) ................. ............................... ❑ CHROMIUM (tot.) ............................ ............................... ❑ CYANIDE ............................ ............................... ❑ CHROMIUM (hezavalent) .................... ............................... ❑ DETERGENT, ANIONIC ............ ............................... ❑ COBALT .................................... ............................... a2, ❑ FLUORIDE ..:......................... ............................... ❑COPPER .................................... ............................... A p ❑ HARDNESS ............................ ............................... ❑ COLD .......................:................ ................................ �4 ❑ MPN COLIFORM COUNT/ 100 ml ❑ IRON ' ........................................ ............................... A^MFT COLIFORM COUNT/ 100 ml � ........................... ❑LEAD ........................................ ............................... ❑ CONFIRMATORY TEST ............ ............................... ❑ LITHIUM .................................... ............................... / ❑ NITROGEN, AMMONIA ........... ............................... ❑ MAGNESIUM ................................ ............................... • NITROGEN, KJELDAHL ................ ❑ MANGANESE ........................ • NITROGEN, NITRATE ............ ............................... ❑ MERCURY .................................... ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑ NICKEL ........................................ ............................... :............:.::........: a �aLLi�alt,lv�• ..= ....:.:: .. ................... C r.:.....:.... ❑ OIL & GREASE ........................ ..............:................ ❑ POTASSIUM ................................ ............................... ❑ PH (Units) ...................... ............................... ❑ RHODIUM .................................... ............................... ❑ PHENOL ............................................................... ❑ SELENIUM ........................ ............................... ........ ❑ PHOSPHATE (ortho) ..... O SILICON ......................... ........... ............................... ........... :......:....................... ❑ PHOSPHATE (condensed) ............ ............................... ❑ SILVER ........................................ ............................... ❑ PHOSPHATE (total) ................ ............................... ❑ SODIUM ........................................ ............................... ❑ SOLIDS. SETTLEABLE, ml /L .... ............................... ❑ TIN ............................................ ............................... ❑ SOLIDS, SUSPENDED ............. ............................... ❑ ZINC ............. ........................... ............................... ❑ SOLIDS. DISSOLVED ............................... ❑ .................................................... ............................... ❑ SOLIDS. TOTAL ..................... ............................... ❑ .................................................... ............................... ❑ SOLIDS. VOLATILE ................. ............................... ❑ REMARKS:............,...................... ............................... ❑ SPECIFIC CONDUCTANCE ( UhIDO S / cm ) ............... ❑ ....................................... ❑ SULFATE ............................. ............................... TNTC = Too Numerous To Count ❑ SULFIDE ............................. ............................... < = less than (below detectable limits) ❑ SULFITE ............................. ............................... RS _ Recommend Sterilization of Source ❑ SURFACTANTS ....................... :. ........... . ...... ......... FSBT = Filtered Sample Before Testing OTURBIDITY ( NTU) ............... .4............................. THESE RESULTS INDICATE THAT THE WATER WA OF A SA- TISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- I -AL Q?jFATER ITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, D NK STANDARDS (PART 72) FOR THE PARAMETERS TESTED LE WAS COLLEC,�ED; �j �c N/A = not applicable �l 4 Albert H. Padovani M.T. (ASCP), Director R W F 8 5 U7- AAM 6-L Owner or chaser o Building Section _ ... .. ,....W_ .. >:...,,_ ..,N.u...�...,... 3.1 Location - Street Lot PUZV 401 Municipality Building Type 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 - or's, 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- _ a-t-ion of the--fdrector- of the. Division of Environmental Health Services of the ~Putnam County Department of Health as` -io 'whether" or -no't" 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 ?v3 day of •.J 190 Signature Title 1'4�`24 &W Corporation Name if Corp. 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 DAVID'[). 8AUEN County Executive Mr. Bill Zieler,P.E. Concord Road Mahopac, New York 10541 Dear Mr. Zeiler: DEPARTMENT OF HEALTH Division Of Environmental Health Services February 18, 1986 Re: Englehardt SDS CC Rock Hill Road,PV, TM 37 -3 -3.1 Permit PV 17 -85 JOHN SIMMONS. M.D. Deputy Commissioner Per Mr.;.Clemen's request,2 am reiterating the requirements as set forth on the Submission Requirements dispatched to you on or about October 8, 1985. Specifically, the as -built plan must reflect the house location relative to the property line to accurately locate the SDS on the lot. Additionally, the location of the well, as it was installed, must be shown on the as -built plan. Upon receipt of revised plans, review will continue. If there are ,any questions, you can call me at 225-3838/3833. Very truly yours, s S. Hodgens Assistant Public Health Engineer JSH /jp TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 WELL'.COMPLEi10N -REPORT PUTNAM COUNTY DEPARTMENT OF :HEALTH 31711 , Dlvlsion "of . Einvlronrnental Health Services COUNTY, OFFICE Bt"LDING CARMEL, NEW YORK' this report is to be completed by well) -Ater and submitted'to County Health Department together with laboratory report of analysis of water sample indicati%water is of..satisfactory bacterial quality .before certificate of construction compliance is issued. REPORT MUST BE SUBMITTED WITHIN 30. DAYS 00 WEL4 &C)WL TIOid NA ADDRESS :OWNER i (N LOCATION o. rroet! _ (Town) Ylot NumAer) Of WELL BUSINESS PROPOSED ® DOMESTIC I r ESTABLISHMENT C� FARM. a TEST WELL USE OF' WELL SUPPLY INDUSTRIAL CONDITIONING �• (SpoEfy) DRILLING ® ROTARY C�:AIR; ERCUSSION D P RCUSSION (OSocify) CASING LENGTH(lesl) �' DIAMETER(IntAes) WEIGHT!ER,FOOT. i,. No ° Y[S.. No. DETAILS. ' -; • � THREADED , , D , , THRE WELDED YES �.. R oPM YIELD YIELD I t HOU S IfIE O.I•Y ) TEST - .� BAILED +L�'PUTr1PtD." n ED "A WATER(, MEASURE FROM lANO SIIRPACE ST�TI6(SpeclfyJse!►DUR NGYIEID�TEST,flse!). DepM� of CoinpletodWell t� .r rLEVEL foot below;:P11d,UliFalg� r? +� MAKE ; IENOTM•OPtN TOi'AOUIFER'(liiti SCREEN DETAILS SLOT .SIZE ; i.: ' DIAMETER (Inc hea) ' GRAVEL Bill ( • reel) To. - , ►ACKEOi i 0►aveP pock (!1chos); DE ►TN PROM LAND SURFACE "' _SMetcA ixAct Iowtlon of yell wlM dlatMGet 't0 at Nal FEET to fEET FORMATION DESCRIPTION two Or ivehont IiinOma►ka ' " If yield wat felled of different depths during drilling, list below . FEET GALLONS PER MINUTE . DATE Ell OMFLETEO DATE OF REPORT` WELL ORI R'(S ure) NSi Jrr 772'1 Zocat�L Yiocated ed FSubdivisibn 42, ly6i/Addrebs Nurn6ei -of Bedio6i tia arit4:Seweroge System-,t6: cod 7 77" -T Water ,Supply _Public Address 7 b , thW,.-'Requirements represent above _lQbq constructed �.County:;0epartment of Health �i ­ ,wi b.ik submitted to: the Oepbrtment, place !n,.goqq . operating -.conditibi approval 6 _._ance, f _the I . 'b ' located - .- , 5nqhi 4 . Pp Y�!M; @: %,��-V_00�1!! j �.'CoVneV, Qvpart rnept�of�Hva iih date —C n con rritei rt.- of Con n and Z'. I HEA c TIr S # Renewal 0 Revision DateOf Previous Approval { P 'C H '.',D;: Notift n �Requi �� Gal Septic Tanks and @C 'tf �U ;Raw F, f! by A, t 5 '37 :6r ,t ie design a 4-116dit i df bf th­_'­­ th'U,the�lsepAra a sewag- e 'disposal sys am ivied amendment there to and'in accordance;w;ith the standards rules _gulat ions -of .-4 the Putnam ed rteejwill be furnished missigner6f.Realthiill - -too, o" ! ., i thereof a . Certificate of Construction Compliance satisfacLOry to '4� V y � i d'er that hat'sa'id-py' lider-,wil wage disposal system bu W�.idlioWi ng th6catelcf thqIssu jeCpypliancpAo�t h ri i system any re firs re that tped filled well deici'64d above- . d accordance . les a , togs- f­_the Putnam- , io K, U cense.>.. o one -- �r-f, r­ A, h issGed_' ­ unless ' itr J'1 ng as+ n undertaken !-considered Fe necessary thi-.Co stoner, of c an , terajlb6df co rstructio"n /or_ a� Title. . . . . . . . . . . . . . PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL L HEALTH: SERVICES _._.;_C.0`UNT-Y- OFFIODE-z DESIGN DATA SHEET-SEPARATE SEWAGE *DISPOSAL SYSTEM TILE NO. C. 0i g i C.,L) 6a gj&-r Addre s s z )0v7-WM ­V 6 'Lbdat'ed at (Stroet�indica _flocl<A'16c -Sec-. Block Lot 3. t e nearest cross s ree Municipality POAj4m 11,4ccgx' Watershed.. SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS., Hole - , Number CLOCK TIME PERCOLATION PERCOLATION. Eiapse Depth to Water, ' water Le-v-Ul No. Time From Ground Surface in Inches Soil Rate stdrt=Stop Min. Start Stop , Drop in Min./in drop Inches Inches Inches OD /0 Z7 3.3 2 /Z.00 !Z: 16 /,C zY 17 11:16 /2:34 A? z .3 41z_jY 12.-�l /7 zy 27 1 /0:01 /Zj.j /Z_ ? z Z49 3 /21� 22 4Z /-Y 7 Z' 0 .3- 5: 2 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. r . TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTi 1 HnL NO. G.L. 6" 12" 18" , 2411 . 30rr . 3611 4211 4811 54 ri 60" 66" 1211 .l8 n 8411 V INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE_ LEVEL TO. W T C,Ti . WATER FL., RI_ SES : AFTER. - BEIN TESTS ..MADZ Fii DESIGN Soil Rate Used 7 .Min/1 "Drop: S.D. Usable /0atj e—� G ENCOUNTERED Area Provided ,5`0 0 f- Ste' No. of Bedrooms .3 Septic Tank Capacity l 900 Gals. Absorption Area Provided By 3 G 6 L. F. x24 —� b`"— 0), Z , Address 0- 3. �i�� /.-O a// Z!�k, ZI/v Mu SEAL 'w cove, trench. THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Raise Approved Sq. Ft /Cal. Checked by _,_`_� Date d , . V... IV♦\ U4 Ii J /J1 Mcets Std. L') I C_ Roma rks• . 01 es ho (_- DOCLM711TS d­ plans' U . x. Design data sheet Peres presoaked? ./ 1 i.? n.� 30" perc test depth / Const. results for 3 runs I ,r D. Hole lot; O.K. Corporate Affidavit for other than individual ! . Authorization for engineer I Letter from •later . Supply if applicable J If variance requested -such noted on plans &apps. DETAILS _ _ Sif change-is proposed', Existing contours shown ishow new contours) V/ Slopes for driveway cuts, etc. shown lZater service line location Footing drain, etc. location ! :,% I °«• Top slope, bottom slope of fill FS, .percolation.tests and deep test pit location Seotic tank size and conformance to std. i 3 B.R. housa min l r;um House setback shown Distribution box ftg. below frost N� ! All water within 50 ft. of. PL shown , �C M Plan and profile SW All other wells and SDS closer 200' shown or- reference madz ropery'"b'ouridares metes and bounds - clearly s own ; XlS -I F& pPPe0v4L REAzTY SuQDI�ISICIJ �,J Ws✓TC.kNt� � DEC PAM � -rs 1 .- - - - - -- --- • -...._ __- - - � - -- -. ........ ............_.. ISEPARATION DISTANCES SPECIFIED ON PLM !10' to P.L. 201� to Foundation valls TOO to Nearest well ICYl'to stream, march, lake, etc. Incl. expansion 5' to Curtain drain 0' to water line (pits -20 5' to storm drain � 0' ' to lar`,e trees 0' from l'0 lllld.1t toll •to soptic t:alll: 5' to pipe from leader drain & .1'ooLinj:, klilaiti. � Z5 To . "TC.4 S 11J iJi's►�L' 12, 4. . k PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES ': : ,v < w '..`a. h..�:.. .r.b --.._ -••c -..t ...R.. -. .. .�.... ;r. w. .'n.. a•�. -�� - .:. .,. ,.�.+.•. - . -..v • .s:a. �-.b' 'Date Re: Property Located at X'0C1 <1�Fl (-L /c (T) Section Block Lot 3a Subdivision of 8L. � t �L A�oS �',oa•/r�dd'A ���auJoo� .S�a1o�c.S Subdv• Lot # r8 po�rid,J Filed Map # 2.7 -Sr' Date r Gentlemen: This letter is to authorize lG G — G 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 �._. ... -gy-s `.!2�;!z .'C.i _ w..�*^ s�'.i1u i a`i t U iiv ii.ii y' N7'1 i1 --the —AT' 1C1'eY,14i5�OY i 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code- GGjjjj r Countersigned;�•/!� 3��k P. E. A., # 7�4FX% 2�1 // A/ z�v Address Telephone Very truly yours, S i gn e d- J'e'z� &Z� Owner of PMperty Address Town --5* J�6zoO,7� Telephone l R1ET.,T) CI�tT.rl: L'CST. . Dato r- L t ICU I. I DI rTIAL SITE TDISPrCTIO ?I � Yes No Comments ,Property lines or coriiers found .. .. _ Gan cstima.te house location . . . . . . . . Wi:11'. driveway need cut -- Mmst trees be removed -note these Is deep hole . representative of entire SAS dreg -Addit:i.onal deep holes needed. . " _ -- ✓ _ -- Sufficient; SDS area available consi.der:ino driveway cut, house. location, separation .... ; 'di stance s, etc.' ._ -- to-o , —Tye DEEP HOLE EATS Dapth:. hater elevation.: POP C Rock elevation: Soil descr_i�ot•i on : Date: FINAL SITIE DISHEICTION, Insp. by, House located where on approved plan SDS located where approved . . . . . . . . . . : T ong i;h of t;rcnch mea su��ed ;C,," W id tit of trench avera Se Slope of the line and trench. acceptable Room allow C* d for extension trenches - Over. 50- .- ft,.,- _;fr._om. swamp j- .,atercours - I:ja'Luo- �ib%— s't�ippsd dr -SDS` area ' imecessarily graded ... .. _.. 10 T't. maintained from prop.line and 20 ft. from house Sep.nra.tion of trench from house, well -- etc. —follows -- Tumber of bedrooms checks Stone, brush, stur,:ps, rubble, etc*. greater -' than 15 ft . from nearest trench �- 15 I't . of peripheral soil horizontally from trench Junction boxes properly set r Could surface run off from driveway, roads, ground surface, etc. channel near SDS aroa Doc.,--; lot dra.Lna .e apr-C ar 0. K. :i.n area of SDS ✓' ;f' 1 L�; �- {(�;,� FINAL GraDING Or SI%2E ACCEPTABLE .,aLj�z �ajuo_-._ _l. �1 SOA 'or 4 Sf - L.EC.END ' O SePrmT rr 40Fo/ /6' . .. o Tuveriavdar . � • Pcfc�<Aria.✓TesTy�E II — I o VACANT A/o orAF? WC[LS O7-NE2 TiVAN —,tvA� r =.l /ST ^✓�rYtW 200' OF SDOQ ,fae Izl- .PiAO Putnam County Department of health Division of Environmental health Services ow"' Approved as noted for conformance with 04,9W applicable Pule; and - Regulations of the Putnam'Coun'tyI Health Department. reRCE:��`SO' ANC 3-4-6A `Slghature &Litlq� Date 4 "D /ve1r..P. 0 - 2'Rc?9 F.c /--FO e Y e,we - C-Prle 704W P�POF /LSE � 5�`�ti /VOT.ES: 0 /. SEwACF OisPOSA< �rsrcrFToBFLusrA «EV Ta Co vro P.y To SPEOiri�Arioncs Lf{ � A9S.FT�.tTNBYTN.F%�lT/✓A%1 COUNrYiI .EA <r.S'Q�EP//.4r/7.ENr. SkfA° 2. ,P, Ear, EA <.cT.E,es'Wnvi,� /D'DvS.S.D..9. 3. Te/ 9veASDFUry EAreofoAS�wAdeOrsPVsA <F.e<osE�xPAti_iov.9eEA7; � BEDAysics�<. cY/ 1I r9, P, r, EOdvTFG,< ouvoE' H.FvrrA�riyCD.PL :'+:usr,�ucrrov Q ,FcwiPr�,vrlsTaB,E.9 <.�ow.EOI T, ES. r-. 9, Q ,EAS.Fxe.EPr,9s.F,'EOUi.Q.EO�.P �0� Covsreucr /o�/ DsT.E.SrsTE�v s I'ACA.VT 4. ('prVTRACT0.4To,i7VSTA «S.EPT /C 7e Ft0/✓BY4.WY /Ty. n; 5 AvvA�oFrio vDrlpr6S'yow.vlv�`- ocriP" Or/'/AP OvB�ocys iy/`T 'S "I.vt <. A.vv,9�.PrDs %it%�i�w000 A�n/O,C.CS. `/.c.EO /iS /%9P #�Z %SON OCTpB.ER �B, /943. j (O. Wctc G'�SgUG 7u EXTE.tlD /�" �f30 ✓E F /N /s//EG 'GQADdt AS -Bu /LT Q /MANS /oN5 S.EPT /C D.ES /GN ,4 N rX g PrPEPA.PED fii4 t — 2. /6.0" h/•f.Ci'1UT .ENG�E�Lf/.9ROT z c� a' Zy O' S /TUAT•EJ�Y7.Y.E 3 �0.'/' �•6' I TOIYNOfPVTN�9M �49.C. C. EY- Pll TN.9P/Cd!/•i/Tl'-iY.EIVl'O.P.(' `/ -�•8 Zz3' S y7.2' zs6' SC,9.C.E: f%9SHOW/✓ D.sr.F.•.9P,ei <29, /9B.S L y0.7' U.S, REV MAy 2 /� / 9PS ' P.PEP.9PFOBY ,qs-3U /LT /L -S-BS 3y.S 3G.o' of nEIV i✓ /[ C/.9/7 F..c.E 11-ER4S /301'r k><Y ' PR4�. ES3' iaN/ D. c. FNC/. uE .EPE.L9N09U.F+.EXZP-kEi/3- /-B6 ,�J%' � k�, CONCO.PDiPDAO -/7A,yOPAC-/Y.F IY I iiCETITMT THE SEWAGE DISPOSAL SYSTh rIV L 9/4 628-4764 WAS CW?STrUCT�D f.° T"�`^i: ^FD 03 T'rIIS PL.aN AND THAT THE SYST . _ ) f _ .. ^. F. ,'C?" IT I94 COVER- ED OVc . S CONST U'KJTED IN ACCORDANCE ___. .. . _ CP/ 0426A1 WITH ALL THE '.U' " -' -D REGULATIONS OF THE PUTIVAM ffo EDV� P$0FE5{OMpX COUdTY DL°u T 07 z3PLTH.