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HomeMy WebLinkAbout2932DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.15 -1 -72 BOX 24 02932 MINI lv'l J.9 211 I-} IN 02932 CONSTRUCTION PERMIT F Subdivision �1_ U Owner . A^ `e4 t {�`�� Q Building Type e Nov P, Number of Bedrooms PUTNAM COUNTY - DEPARTMENT OF HEALTH Division of Environmental.Health Services, Carmel, N. Y. 10512 y µ%irk ..l%ALLCy Town or Village . SKt? u�iv� Lot Job Sic (0 Address =� ' { � � A f.A/ L 4 - -e V Lot Area T Q ki�) J Total Habitable Space t).f'd � ± Square Feet R SEWAGE DISPOSAL SYSTEM Separate Sewerage System to consist of �x(S' tAl _Ar2111_ Septic Tank lineal feet X width trench To be constructed by Address Water Supply: 11" Public.Supply From �t-EN +42 - 1�E>JS PJ116 4 Vk ALS_Cy Private Supply to be drilled by Address Other Requirements 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 and regulations of the 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, ru and regu ations of the Putnam County Department of Health. Date 'I P �Si ned P. E. R.A. Address �� a r me,( License No. APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction f the building has been undertaken and is revocable for .cause or may be amended .or modified when considered nec sary by the Com oner of Health. Any change or alteration of construction requires a new permit. Approved for disposal of domestic sa_pjtacy, s�nrage. and /qr Rriv a wa er supply only. _ 0 � Date By �� �7 ���� Title PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM k)'("N &LA I Town or Village s Located at DC �� \l� i` Ei� i '� i — Section Block, _� V f_ Lot Job. _,�) ( rte, Owner N��y �� S� Addresc ( C y� iN IMP i - Separate Sewerage System built by Consisting of Gal. Septic Tank lineal Feet X width trench _3 � ,� y' 11) LED 51 Other requirements - �� Water Supply: Supply From r Private Supply Drilled By Address Building Type 'Q E--K� 0 V A T 10 k� 6 No. of Bedrooms Date Permit Issued Has Erosion Control Been Completed? 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 regulations, plans filed, nrd the permit issued by the Putnam Coun y Department of Health. Date i C1 �-- Certified by – P.I_. R.A. t Address L� -�' t i �� License No. Any person occupying premises served by the above systems) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewerage system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water sup ecomes available. Such approvals are subject to modification orj change when, in the judgment of the Commissio o Health, such revocati , dio; cation or change is necessary. �� y �TrL N OT,rna_ ?u^- �se�. o_ �_ di- ,qur__ci „_ -- JJ Cam. - GL � �'t7.E_ T -S Bui `t ai n, Cor_s tr uc _—; ji SAC ti 0; Location - Str e Bloc: B ilClin= 1Ji-p e, Lot and co lOCat -O �'� �_ J__ -^� .. Jr/ ~_ :,I'_ v.�I J J�'a'JV_ `-4� -_ J " a ^ .a i �.� ::I I—Z _ SS i_._� 'J �' =.__ J. ... �. r� _:� •JV vow .�._ .) .,._ J .. __�_ __� _ __A_ 6 \1 V r J _ Da'_`, .:/_r t O':..1�.? ___Z e S- Stee": T.ti_:a� nnv .'J VJ J_ _r �1.+J__ +__ /VIA J` Jv ^��JMVn - .V _mow_J J ', ._ __ _ ^„ J J _ .J /I�'iy Jy s;,-e to c- pe=''.'. e ._. J . . a.., a.~.. a V J o J. o v V ­o an- �= V � r build _ V 4 I , __ J � J T� ^ J J V__• Da Jed . t1_s d_�; iT:�� -- - -_ �- a = - . C Ej RT T --1 7 71 0 C0 'L L�1 u_, :�1LL 3J ISSJ / GUp. aa•n _gU!P_D TO Eli E _0 ^_C_ J" D1 E v� ='i� -, --�- iOR S 7y 1 J'_ li J=. 'J Division o'' Env i- ,O nn= ; - -al H aZtC'_ S= .z'..,C e 3 ?utna_": Cb -a' -r %O m' m FN ii �i 3' Sal' �2' G7f P3� �i