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NAME: PI ITNOM rni INTV n;:POPTMPNT nP P
10/28/01 SUN 15:16 FAX 914 5267239 Christopher Lombardi
Oct P-0 01 0Z:4tp-&:- Louis Leonardi:: S14-739-o0-trI
19001
R ZPI dFoMs 1 -800 257 -93541
PRODUCT 1Aa
Page No. of Pages
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LEONARDt & SON CONS TRUCTMv INC.
s CAROWN DRIVE • CORTLANOT MAWR NY 10567
(4.14) 736-9WO
LIC. # WC-3112-H90 o'LIC. # PC-560
PROP AL SUBIAITTED TO
DATE
STREET
J013 NAAdE
_ STATE and ZIP COO e
c4TY
JOB LOCATION
Z
ARCHITECT DATE OF FtLA149
JOB Pt4a4t
Vie hereby submit specificatiom and o9finiates for
............ ........... ..... .. ....... . ................ .. ... ... .. . .. .. . .............. ..... ........
: .. ......... ....... ...
. ............. 1. 71 .... ...... ... .. ...... .... . ............
..... ... ...... ........ .. ... ... ...... . .. . ...... . ...... .. .... ..... ........... .. . ....._.....Sy._ _.. _...._.......... .... . ........ ..... ... ...
..... ... ......... ............ ...... .......
.. . ....................... ....... . . ............... . ............ ....... .... .......... I .............. ... .... ......... .. ..... .. . .......... ...... I .. .............. .... .... ..... .........
..... .... .... . . . . ....... .. ................. . . . ...... ... ... ......
........ .... ........ . .... ..... ........ . . .. . ............... . ... ..... ..... . . ... . . .......... ............ . .. ... .............. .. . ... .. . ................... .... ............. .. . . . ...... .................... ..
..... . .... ..
7
... ...... . . .... ......... .......... ... .. ... .
.. . . ...... . ....
.... .. ... .. .... .. .......... ................... ....... ....... ........ .. ............. ...... . ......... .. ...... ................ ....... . ... ... .................. .. ...............
. . . . .......... ......... ................. .. .... . .....
... ................. .. . ... .. .... . .. .... ... .. .... ............... . . .. .......... ........... ..
'NO LANDSCAPING RESTORATION, OTHER THAN GRADING DISTURBED
AREAS, IS INCLUDED UNLESS SECIFICALLY STATED'
Wepropagg hereby to furnish material and labor —complete in accordance with above specifications, for the sum of:
Payment to be made as tollows: daVars t$
A FINANCE CHARGE OF I'/,% PER MONTH WILL BE ADDED TO ALL UNPAID BALANCES
All trialer..al is gi:aranteed to be as specified. A4 woth to be cernplated in a wartmartrike
manner according to standard practices. Arty after3tion of deWafion tram above specifications
involving extra costs wilt be executed onty upon written orders, and writ become an eklm
charge over and ebuve the astirnate. Alt agreements conthw4wit upon strikes, accidents
or delays beyond our contrat. Diner to carry ", tornado and other necessary irmtrance.
Our workers are IA- covered by Workman's Compensation InSUFS11CO.
Arreptance of 1hapasal—The above prices. specifications
and conditions are satisfactory and are hereby accepted. You zwe authorized
to do the work as speciqed. Payment will be made as outlined abare.
Date of Acceptance:
ALL DISPUTES ARE TO BE SETTLED THROUGH BINDING ARBITRATION
Authorized
Signature -
Note: This proposal maybe
withdrawn by us it not accepted within
St' griature
OCT-28-2001 SUN 15:25 TEL:845-278-7921 NAME:PUTNAM COUNTY nFPARTMPNT nF P_ 1
days.
10/28/01 SUN 15:17 FAX 914 5267239 Christopher Lombardi 9 002
Oct 2)3 01 02:41p Louis Leonar-di • 914- 736 -9010 p.2
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...Signature & Tatiis at ®: o
OCT -28 -2001 SUN 15:26 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 2
DEPARTMENT OF HEALTH
1 Geneva Road
Brewster, New York 10509
facs�rnfle trammittal
To: Fax: %✓ �G 2
From: � S Date:
Re: Pages:
CC:
❑ For Review ❑ Please Comment ❑ Please Reply ❑ Please - Recycle
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OWM'S NAME C. W18TOPIVe LQr 13AaQt PHONE : g • Z$• igib'
SITE UMTION 63 C206} JZ0" , Podr,am ftey NJ TO 62. 63 - + - 7-G 3�
M1TT•M ADMESS Same
PE 20CN W13M Cl�t?�STDPµc:'l2 ) OMRAQ 1 -- o tc^ P= CwCaaint #
Name & Relationship (Le, .awr=Itenant, etc.)
DATE TYPE FAlcIr,ITY ��n�le �ri.ilan vr�
PROPOSED DWAIJM LCOY1 a.reZ 4- Scn PH= g,4. 7� 6 7-
REGISTRATION # (include sketch locati64 all adjacent wells):::: ,..
NOM: Repair must be in same location and of :same type as original sewage. - disposal system.
Different location may require subnittal of proposal firan licensed professional engineer or
registered architect.
Proposal a pprove Proposal' Disapproved
Inspector's Signature & Title G
Proposal approved with the following conditions
1. Procurement of any Town pennit, if applicable:
2. Submission of as built repair sketch in duplicate :showing;
a. Owner's name.
b. Site Street Name, Town and Tax Map number -,..-
C. Location of installed oamponents tied to two fixed points (e.g.,hoase corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with-the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
d G �f
SIGNATi7RE TI'rL,E : GATE 4. 1.
3MS: WAte (IUD); Yellow m,3,n Sr); Pink Lag2jrant)
PC -RP 97
OCT -28 -2001 SUN 15:27 TEL:845- 278 -7921
NAME:PUTNAM COUNTY DEPARTMENT OF
P. 3
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OWM'S NAME C. W18TOPIVe LQr 13AaQt PHONE : g • Z$• igib'
SITE UMTION 63 C206} JZ0" , Podr,am ftey NJ TO 62. 63 - + - 7-G 3�
M1TT•M ADMESS Same
PE 20CN W13M Cl�t?�STDPµc:'l2 ) OMRAQ 1 -- o tc^ P= CwCaaint #
Name & Relationship (Le, .awr=Itenant, etc.)
DATE TYPE FAlcIr,ITY ��n�le �ri.ilan vr�
PROPOSED DWAIJM LCOY1 a.reZ 4- Scn PH= g,4. 7� 6 7-
REGISTRATION # (include sketch locati64 all adjacent wells):::: ,..
NOM: Repair must be in same location and of :same type as original sewage. - disposal system.
Different location may require subnittal of proposal firan licensed professional engineer or
registered architect.
Proposal a pprove Proposal' Disapproved
Inspector's Signature & Title G
Proposal approved with the following conditions
1. Procurement of any Town pennit, if applicable:
2. Submission of as built repair sketch in duplicate :showing;
a. Owner's name.
b. Site Street Name, Town and Tax Map number -,..-
C. Location of installed oamponents tied to two fixed points (e.g.,hoase corners).
d. System description (e.g., 1250 gal. concrete septic tank, three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel).
e. Installer's name and number.
3. System repair to be performed in accordance with-the above proposal and conditions.
I, as owner, or reported agent of owner agree to the above conditions.
d G �f
SIGNATi7RE TI'rL,E : GATE 4. 1.
3MS: WAte (IUD); Yellow m,3,n Sr); Pink Lag2jrant)
PC -RP 97
OCT -28 -2001 SUN 15:27 TEL:845- 278 -7921
NAME:PUTNAM COUNTY DEPARTMENT OF
P. 3
10/28/01 SUN 15:19 FAX 914 5267239 Christopher Lombardi
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OCT -28 -2001 SUN 15:28 TEL:845 -278 -7921
NAME:PUTNAM COUNTY DEPARTMENT OF P. 4
DEPARTMENT OF HEALTH
1 Geneva Road
3
Z G Brewster, New York 10509
-_ Ei��exee�st _ 3eulth_.rg�cl?7g� 5130_. F�l( `21 -1 9'l-
facsimile transmittal
To: Fax: / �G Z
From: ��5 p f Date:
Re: Pages: /
CC:
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..........................o.
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Re: Pages: /
CC:
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15:
St
0003
ms's HM t; 12! S ; o 9 Phi= ��5 • �?�• � .09
ME ICQTION L olqu &/� Q0" , Pod7arn Vallzy Ny 62.63 -
HAUJNG ADMEsS same
pF _C! t 1s DPI4 t2 U2NR i — G U Oe—or PCHID Co int
Nam & Relationship (iee,.owner,tenant, etc.)
D= TYPE F'A.�CIILITY
POSW nW L_e0yja r'Cj1 �- SC►'l " hC_truC r I nC. PHONE ..ql • 7 6 P g a1 a
REGISTRATION
Proposal ( include sketch locating= all adjacent wells ): s ::.
: Repair must be in same location and of :same type as original sewage- disposall system.
Different location may mire submittal of proposal !from licensed professional engineer or
registered architect.
Inspector's Signature &
Proposa.1 approved with the following conditions:
1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate 'showing:
a. Owner's name.
b. Site Stmt Name, Town and Tax Map number,
c. Location of installed cagxments tied to too fixed points'. (ea 0. house corners.).
d. System description (e.g., 1250 gale concrete septic tank,, -three precast 6' diem. x 6' deep
drywells surrounded by one foot + gravel)..
e. Installer's name and number.
3. System repair to be perfomed in accordance with the above proposal and conditions.
1a as owner, or reported agent of owner agree to the above conditions.
sa G� %�'
G�zvRE TITLE ou .. mm _4- l• uOt
2PM.* U►t to (P D) i Yelicw (`fin ffi) o Fink Lkpliag t)
PC-RP 97
OCT -28 -2001 SUN 15:27 TEL:845- 278 -7921 NAME:PUTNAM COUNTY DEPARTMENT OF P. 3
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OCT-28-2001 SUN 15:26 . TEL:845-278-7921
NAME:PUTNAM COUNTY DEPARTMENT OF P. 2
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5oio
OCT-28-2001 SUN 15:26 . TEL:845-278-7921
NAME:PUTNAM COUNTY DEPARTMENT OF P. 2