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HomeMy WebLinkAbout2934DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.15 -1 -74 BOX 24 02934 IN i N F l,, jum me :W9 0. , - — 1. 02934 Division : of frivironmei►tal tlealifi. Services, Carmel, N. Y. 10512 • ., .. R�DTi4,�s -T"o ��yy CERTI;FIOATE -OF CONSTRUCTION COMPLIANCE FOAEWAGE 'DISPOSAL SYSTEM tITR%f�P'f I/�{� LAY' ' T ,. own 'or Village. Located at 'CAW J1Uq a -�. Section % Block Owner /" /G T %U Lot ` Job GHiR IS G t1K3HH� , Separate Sewerage System . built by IMTICK)S Address ,O.u7 �✓��7 Consisting of Gal. Septic Tank lineal Feet X width trench.-' Other requirements is PHIL l�I /.S A-S PE2 r/- 14,x%. Water Supply: Public':Supply.From LCJ�/ G/ DMA • Private Supply Drilled BY Address Building Type - 4CQ/l,t)4G�745O C07/TpC3� No, of Bedrooms Date Permit Issued Has 'Erosion Control `/ &s. Been ,Completed? I certify that the systems) as listed serving the above premises, were constructed essentially shown on the plans of the completed work (copies of which are attached), and in accordance_ with the standards, rules.and'iegulations, plans filed, a permit issued by the . Put m County Department of Health :- fr Date 1-7Z Certified by P,E. R`A Address � ii.►�10 /W �1LL' �(,� .� �. License No. 4 2RPO Any person occupying. premises served by the above system(s) 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- ewer becomes available and the approval of-the private water supply shall become null and void when a public water supply becomes available. .Such approvals are::' subject to odification or change when, in the Judgment of the C issioner' of Health, revocation, modification or change is necessary ', r fair:, ` �.► 1. Gentlemen PiTIT \T ?VT CtJTJ1jmV LtiARTi:^jT CHI LE�;pL:"'T-! DIVISIOij Or yjVIROi`jITAL HEALTH SERVICES Date 111717,1 Re: Property of G4&QA A e,1 Rl>6AJS Located at Section Block. Lot / This letter is to authorize G&oR6,6- A. AlAus 1w6K a duly licensed professional engineer _for registered architect (Indicate) to apply for a Construction Per_-it for a separate seweray system; to serve the above noted n_—o- oer't7 7 in ac'Ordance with the standards, rules or regular -ions as 1J��L..a_ „�t d by the, Con-nii SS =i.O LeL o_ the Putnam County Departm =:nt of Health, and to sign all necessary papers on ray behalf in connectiUa :i1�% l 'L!1'!'� lil t��l' .aT_;.l to suouvvi6e v!l' C Ufi l.'_ "ilUv1U11 U1 Jal ` systeri _ or syst°'. 71s in confor:?ity with, ;he :rovIsions of Article 11.!5 Or _ 14 7, Education Law, the Public Health Law, and the Putnarl County Sani- tary Code. Countersig P..E., > T (Seal) Address Telephone Very truly yours, -� S i gne d�{/' f C� 0,:��er oi' .oper�y Address . Telephone E . ro in . < , -ITS ,; 4v' T C, [ T '. E . ro in � eQ it Ili 0z' . 4v' T Xr V ............ HyG., 0i����' t f � ( \. �kr: � R ��„'� � �, 1 ' ji= �:.'p,a f•„� } N �' �"' t � a �, .�.a, �ll ti 5,,,.1�. r:x ,�r LQT 4 0 A� PE d\V F.el Y t Ai: ,f +u ' ' LE 439$ C�� Division O'. %i "O` - .�.ral ea 1 .� C2J ?Li :-w :i liOLit1' `i Le'� -� J7r VQ OP!" Le= Oi ���n Hun4 cip21_uJ Building Cons �- uC' a. t7 J' Sac V! 011 .. Location — Street Block Bui ldinz- Type Lot GUA , I repres _.� c T a ,,ill -; and V , n_ 1' - - .' `rl .rte-. v _ location, T.:ozr' -lairs'-_!n _ _ QZS_JOJ:.._ S Sri__ Sc:' - --- %� .�..�....= '_.._� _.,�- ,Je..,,-v a:" ___...J It", -.;J ..��•- con yr'�' :_:' 3 _ �__ '.:_ �° =s and i __. 0=' __ -.J Sa_a 5 _c__ d S% S Le.-) Or - awe C., �- ~_ ' ��. L;�._n�--= •' °-�. _ ^�' _ - -� - .,_���_ ='- :: � ._'___ •._ •J'� �- - .., -� - -� -�'i- �`%_ _ Jam...._ pant 3 V�veJ V'�_ .J__ J�- •�_n�. „_ O= _J�_1 _J �'1. 'v failure 0 S7 S Z;en v0 Ot O-' ,e aC u 0- OCR:. i0w:'_r o v ., Ou' d: „g 41 l u--- � S7 S _z pure Dated t:1_s 17 day o'_ ©✓: 19* S' -- rin a n f , .. .,. al - _ . l._.— 13 Jtl_ _.�J . _1� 3 VIJ_ 1 �J OF l�__1 k -' ?J_�.V J:J�V �J . 1T ^'l rZ,,-_'.� Ct `�K�.J C.EIRT I ~ J'_�� O1 �O -.?� J7. G:1 :�1t,L 17L VJ IZD GU= '- _.:_''_' 0R ' IS ''7J_DED TO ' ' -J- -,U `__�_ v� D:.__ 'vim "_ _ j--- .J Division O'. %i "O` - .�.ral ea 1 .� C2J ?Li :-w :i liOLit1' `i Le'� -� J7r I A(ild? and A. XdfQ , �n. crew ea - .: yU0 0� Enccjineen& - Rannen& - Canau.Qtanta HOWARD A. KELLY, JR., P.E. GEORGE A. HAUGHNEY, P.E. WILLIAM A. CONSTANTINO 34 GLENEIDA AVENUE CARMEL, NEW YORK 10512 914 - 225-8088 November 18D 1971 Mr. Robert J. Caddell,, PoE. Putnam County Dept® of Health Rem Glenmar Gardens m Lot 1 County Office Building Carmel,, New York 10512 Dear Mr® CaddellS This is to advise that we have checked the water supply serving the above -noted dwelling and found the water supply to.be operable,, thus establishing the fact that the pump and distribution system are able to supply an adequate quantity Very truly yours,, xv C, � GAHsheo Georg Ao Haughney,, E.