Loading...
HomeMy WebLinkAbout3242DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1 -30 BOX 26 03242 17-- J � j' 1,1_ . , � T L ,T I` ,* ` 03242 I ­�Jl, .1- 4 .. . ­ � �j _ ._-�� �- �-- - , --- _i�,- -1 I, " � " " - 1. - r� �_F �.- , !..,, � - '. - ,-;., " . ,.e� �!. " ,� ,__ � . , ,. .,--,, , ,-- ",_� - , , _ _ -, - 'I 7- .. " -,;�-� " � - I .�I' IL . V_ , � I.. � , ­ , . , - , - � , �� - - . � :i'� i - ,,� '. .1 1 - - � ;; 7� - , � , - ­%._ "., -',.',-., '_ , � ­ ­11 , _7!..--� , , � , - � - .I'.,. I , - 7) : � I . . 11 - ,., - ,24 " I - . . I— , � I I.. `4 , _-T,1-11�� __ - - - � , - " . 1/1 � , -�. , - . ­� I . , 4 �� -,-f , , ., - < I - 7 ". 11 , _ - `-­-�,�,- , . , � - -� ,,, .; '. - � ., - � - - ,., '� , . ­ : j , 1� ! ., � " ... � , ,�� �, . , , , - - � . � � __ �� . .. / , - - "' " I - I � 7, '. ' 1'�',,'�_ �- "­ - �j �.,'t7 ­ , I" ,� - �- ", '��' '. � " -! z , ' � 1 0 ... , " ,. ,�-, .� - - . , , - ,�'� � , ­7" - � �4 ,.. . ��� �11 - - I ,­.­ ,I- - ; , ,_ '�-�",",.��'-..,,"�'..��,,�- - .I., ­ �--�' , 7, . - ,�I� ��,-:,�-,_', : , r ­, , " �11 . ­ � -:;�,,�.-�: ,�,,'�,_ _.,',",-w�,', "� �.'­.: -.* "- ", �','­� ":�5_ .. -, �, _0,­ ., , , " " " __ . - . "-�, I I - �: r F , HEALTH - " - .����-,�---:-,��,:.:-.�"�,',��,,�"",�'�;,��"-",i�-,..,��.. I I , . k,� �, , " -L '�,�,:,'�,,�',' � ; , 1� 4. � , , , ' - ��­ . , "',�''.,,:.. ��11 - " N ,,,OUN,-T,,Y,�--"-(,.Dt.-P,Ailt,',T-MtNI-T, 0 `�, Ti�fj,,i;, , , ­ PUT NAM L. ., '_, I , � 4 e"Ait, -,, 77, ­­­ - _ � I ", -,.,,,­, _­­N­' -�­ - - , -�,-_� _ 4"`_:_ " 7 , � I., W V t , _ - ' - �'11'1­11�'._ -o .il Services, ­ - a .. I- � Di vis'i 'on' - ­ - -,R661t, ..... . * �; � .. .. . � , 'i;4�0� �-1,4&Z-,i'�-'­ .F/�, _!", . I - - - . , , -, . . � � ------- f­­ - 11105 _: - -_ - - - - � - - DISPOSAL - ­ _, �_ Pil _� , , 7 - " �,t,� .1 - _ * , " - SEWAGE ; .. � , " Na -,L - - `6e.,.", X, - - , -1 ` , - - . - ' � - " - � - - � . �_ i " - --� - - i -., .3 � - - . 1� � , ­:z, -, - -� - - W_� m , _- - ,�� ' . - � Q RTI.FACAT ;_ ;- -60,,- J'L- ' - SYSTEM , bE ' E�i3OF MNSTR.UCTI0N_--.ZQMPLIANdE f, ,- - �Wt ' - ,­-, . , �,��, " . `­,_ L:, ,, " I ­­-A. - - - - 11 - . � I ,:�, . �­ - -:, �7�� , �, �-.� ��!­�,r,,�', �­ - �.. -.f � � . , " , . ��, , , " I . 1: , -� �,, -, ,_� ,...� � �� own�or shag -.­ -7�, 1 " - , .­., . " � , , ,�_. ,-,:"� - -,-�-,,,,,�-',�,- - �, _'� 1, I - ". ,,-- . *� ��. � " -1-1, I - -1 - I " �_ , - � �. ... . � -, - - - � . " , - , �;6 � .. . � -',- , -.., - , � . , �7 , , . - .. .. . '' - , � , , __ � � .. " b �­ . , � . - , , - - , , � _2& . I .1 . I I - Rl.i��. _� , , _ .- 7,_I� , " "11- "I �_I, -1 W ii : � , "', ","'I'll h1_7 ,._,;,�% 1-:1, L, � � , t I I � I . : tocatia at. � '��' I.W Izo-A (_ . , , * , T'4 17 " .- � -1 ,� � . - ' ­ � _ - � . 14�1­.. � � � I . - , i,.. Zr - _* - -, " , �, - - � z . .:� I . �/ .; , -, ', - �.� � 0%��ner _. ­ . - . - . ., ,� � , .1 _1 I I -1 , u � (;.� � " � 1-c-ic" � I . i �,% . - I : .1 � i--� - . � . - _ " -1111�111 �, ,.,,. ­�_­J6�L--,�, � I � 6 -Ivi�_" ­ ­ - J�' ;III I .v , -, , :.1 � . I'A , A' , .11 �%. 21';­,� � " (9� �'. �� t: :��I, ­ . .­,::C�� � I , -, " -,- ­e -1 S , - ; , _�,. !� . _ __ �::I­',:.,,­. . :: . . : , 4ddres's I , - - , - - �, .'. � ., t&- ,'built ,-bV�L , " OP , �� , "I . - t.._ -_&��04 � 6 w �, i � _: ­ W W - . Oiratw.-S�e eragc� Sol , � . - ­ � ., ­ - - . I I . I A, .. � ,�:', I , - �7-5 . . . . .. , . - �, , - 3:.10 , - .. - - 7_60 . . , , I f , ' , , , .;� 1.4 .. " � �, , .,. -., . ", . , `1 Consisting o - i. - , Gla*1 -_'� . ; I- - _. I . � _.- �. . . . � ­: _ -:, �,- ,'- , '­-, I I . . 0 ' --- - ,; . . , , , , tic. Tank. and ,. - - . . � . � , , - � . r'..,'', ,,,.,.�'... ,,��,�j . ',,7 ' ,_,�', - -,::, t'4:. f, _,,.-,­-- �!. � � %-'­ `��: I � ­.,_ ,:., � � ;f.,:_ I �'. � �. i��_ - ". - � _,, _ _ _ '. . .t - .' -7 ­- 7 , . I 1�1'.�� __,�, __ -.1 I - � � :, - _ I _ __ _ ,tL , � , - -1, � , - ­ 11 . _ ,� , , .� �� , ,��, - , -, - -, . ­qie.qrqan,, ___. .""I , -, �` , I'll � � , , Other h �,� req :_ 14�,`, I .1 , - . % ,� " , 'I " 4�,,� � . - . . - - - � . I. � . ... !�,,4. ��r�A r�!t � � _;, �_, -_r,.: I_ ", �,, ,r,,,,' � 11 � 11, . , " " � - 11­1­1 11 1­11 ,,,,,-'..,,��j�"-','�',�."��,;Z;,'r�.,,�.,�]���l,'�,���,:', �,."i ;,r-'�",':�,�'�:���-"�-,"%:,-'�' ' ­.".. ." "I., �,�� �.,;,?� � I .1 �, . -, ,,!, , -- - , .'. _-", -'­'­ F. , . . , - .., , - 1, . �_, " , � �� �1, ­ I - ", - , , , .1, I . ',` ,�:"r:�:, " I , ' ." ,--.� � ,�. , .','�'. , �' , ` �..-' ­. ­ ­ � �"'� 9i'__ " , _. , , I - ' From ,:% ,'�,� , - : ­ - Puqii�',,'��Pply ,,- �Vati§r,su­ i ��o�o . RR, Y: � �: . � I . _. r: �. - ­ ' - � . , .: " ­ - � 11 � . .. -' "Uhl-lid 16y, :i-FIr_I.4C;�Wr­ . .'Private , p ,� " , "I ly: . ., - ­ " *t� ­ .- - I ,v:. , , . , - , . I J -, 1 �. ., , ., � ".. - , :� , - , _� . , . .,,P _� I.- 1, I_ � 1, _ I - .. ., .,_ � � '. , 'O ,�� �_ - r . A lL - _ _ , �, . li� ,4 ,,� �,,,�, - . �� , %*A �­�,..,, , ': ... �': . . , I , ­ I - I , I ir�gr' - , . , , � 'No. -1 * , , , . Date ,'OermitAisued"' , By i d i , , Type - I � . I -1 - � L of Bedrooms , � �& ­ _ I ­- , - . -- , r ' ­' , ' *_ ,� . . 1. . .1 . . _ � . _ ­7.' , % ,,.� I . -�; , :, _, , _ _, 1�:r � � .., . . r � :' I '- _' ' � ��,'__ _Control r %��. r , • %"- " n, " ­__ r ,r . , � ­ . ­1 � � I .:. - . , . , . r - . __ . _ _ Has k bijon ,ii r �_� " .. � - - �,�, "�,� I I H , � rr ,."n completed?' ' - ,�', &� a�, � " ,�,r"', _ " ;%je , . l;6,�­,r� ,­,'s_ � , * i �. I 'I# __`�_ ,"h I .1, tr­ completed , If .. . ... - . - T .. I I � - - , af'jhe,�j�$erl�i(S) I W �i ; ne, � P_I�RnTm; " - �- - _� -- - h .0_ ircertifS�,,40 , � �R,�q ,"r v� ., I. ,�j r, ­ plans `of ,.%t�e,Por! r ,­ � I pl,q3� 9- _ , _ I. . . , 'r _ "I ­ . ,� _RMT,!q_ , _ _ _6� _ , _, are . accord I regulations - I " a��. !,�P, _ I - - u - Re L ., f_ i, , - � attached), And i ln a nce iW it h the, itajiclards',�Ir ". �11 It. e , utnam 'Countyr"'Department . H Ith. . . - - ' , . , - . , ­ t; . " , , , w,I .e , . It . - , . ". , . . � I L . . - - . - T� , , by . ': 1 , r r , I . 'r , � , , ; ,- , - - jj,,, , r '. 4 o ., I- . r ..... �, ,. .. � 1. 'Irl ­_.',�%,� . , r �fl - - � , ,, ... 111 11 �_" i I ;. 4, , , "r Oaj��. 'LL R N%,.(.I. 11, - I_ -*. �_ I ,;. 4, �rr "" � , �, , , �'t*,�P11'11t..,��'I. , : _ Lz,; - 1 7 ­.'r4tMi�W,im - "I ­ " ".­.L - �, �:C.i�� d _,', ,'���, . ', - ,!f*#�, � , : � . , , , " 11 i � -1 � , 1, � I � I I . � .1 % �� - ., I . . � .:I� _t � I- , I , � - " .:, � : - , r _., I ­ , -, I., I , . I , � � . . _ --- , ! - - , _ . , .. 1. ., , , -, .� �'I, -1 ` x��­.­, ,:.� " -�­ ,t,­ � �%, License � I I , - , ", . " " . . � -_ . , I I , . �, I . " , w� , : . � � -I", .. , ,.: , --.,, 7:1� _-_ " -,� � - . ��,.%-z-,- %r '­ " ' ':�r_.� '.. _', 1; . ­ . :, .. .. - - � j r : . �4, , _, , , , - � . , - - premises _ , " . _ :!�, !. , � .. • ... _ . r j, � --� _. r ­ .r I ., � person occupying . I I � �; , _ -8 � I iy,":iijecijssi it ' � systems) Any y' � - " ' ' �� `�� � ­ . . _ I �, - jj6"_,abcij4' ,, Sha I I iucl�a�cti a s m . . rr i _ � � of . any unsanitary,. , - � . - , , _ _ _ . - - .pr?mpt!y:tj!4,. i I 1-1 , - � _ . . - r I � I " - sewer - 6- or ,as s : : , - . ' ' - qpn0jtiq0�,,i _ - I L '...-I , , .% ­ 1, 1. . � ")r6�il,�6i3�.',t�6-6,:-'!i6�%- - separate - ' - . I ;�k;rri--shalil,,�6-6-� --rie. �­ "_­ ' 'X ... � � . i - � - ; , . '� p �Ouil:�rnd:,_4'�id� ' : I � _pFqT"_, � , available -.-- �' P I I�T�a,P,�,sp"WF_S, , ­­­ 11- ­ ld L�­7�, 1;,; " , ' �'. I a, ­ - . I - , .' ' It null .�and It r .. C ,� I ,�YPITR 9 "aP ­ _l­ at �a!! ,�! - , -�p4P!Ic,',% li � Ir h, approvals , . - , _qr, supply shall i, _ _,,. �l , ., Y! ,Pr!�!_ �a� eT­SqRp.Y-�',­ ­ : - , I . ,� ,,are . i *,,, ­ I ­ � h �: L ", ' i . � - .1-1`1Z. ­ � ­ I su ec "I 0 . . 'L I' a.' ludgrfient �o t - � . I h' -such . r � ev , p-dft -10 �: L ", ' i i I , 6j* "t't, " i " , *�9 A f., h.�: 1. " r e:-necessary 'r- , ' " ., � I � - �j­J!�_�,h Fj' " I _. . L . - � . , . _ %_. _ _ 11 . ea.!,, "� .�.Ur , 11 - , , , , .. $� " _ 1-1 - , . , ."_ . � _ � ".. � I , � I , � ! � � . � � , - J.� , � �� .-I ,r, L I , '. I , I ,,r .- - � : �.­_ � � . . I � � , '. , � . r- ­ I 1� I I -, - _-, -1.11 ` ­ - Title " ­ .I- ­� .- - _ I . �. 5-_- 7 I , . , � . , - : � �_ , 1, . . lt&w� , : Date" � ', I _­ __� I r, �� - � I I -�, ,rr , I- 1. .� r I , '11111_ , ".., .- - - � , � I , .r� - - . 1. . , _ � " -!� :;, ,�' 11 . ,;.'... I � - - , �,_,:_ " �__ , � I �_ _� I - �_ f-, ". , ! , 1, , , - , " ' .I � I " �o"7 . i ' F ?"��_,_�; �;�r �'_ - I 6 :­ I , , � r �,�. � _.. - , I 11 � -t � t" � ', , .�, . m , ., � :, . _; , , " ­­ - � _ � ". � . I r , , :1-1 : , , - . � w . I . � ; 11 -, .r -(:.;��­, I '�f -1 '. _z ;; ­ . , . - . ' , 1: , " �,:�, �- _t - 1. . - . ,",I -, - - --,- ��, -­ - ._� I I.. , �', ._ 1, _�' _ . . . I r - , I ­ - , . ._ � _ __ . , - � I �1' , , r lr,��_� � � I,"11­.'_` . - :_ - - . . I _ , , . , - � �' _- 1. . ­_ . - , I - � . . qvit,on . ­ I , * ' - mi-eff, , e, I I - � : .1 , r_� , , % I " -- - , ' -4 _r ' - , , , - - -11 , - r ��.. - , 11 1� ., ., ., ., ., ., I; ., ' -- ' ' . CONSTRUCTI - -:�, . ;! -,OSA ` " , � , 11� , r. . - . _ , _ " _ I . - � . � . � . � ­ I- -_ - � - - NO --- . � ,.- . � � , � , - " , 5- - - - �' ' _-, �'C , ; ' - _�. � ' � ". I - - .� . - -,i --- --- ��-_, �-z Town . ­ - , � , < , - - ,.' �, - _� - , �,, ­_ -Z, ­� _ , . 1��;,, - _� .-.�,; - - , � - , L:� �:,�, � � ,;, , " - , , - _. L �. � ". I -.1 " L � zzz ' I " - - � � j�orr_!�' ' V i pag `� ' �'_­%� � ­� � , -- - - I . - - _ .1 , - - - , " - " Blocky - - ' . , t.kl . �, - _ .�4 .)+ ' -�*'­_",P__ -��.', -, Ir.q.-_ � t �__ - -� - C - rf � . � , � - - " i :- -4- 4��.-� _ _�_ _, - - - ,­,� . , �6 ' - -� ��, � ;� 'L,oSated;il, , . , - � _ '. I -, _,� , - - etinij. '_ -_ _'� , - L.' - __� L ,;;"' -1, L�. �'- - �V �_'.� ' " - - ` - '., - - , , � ­ ' L - - - - " r' . - � - � _.P m � r;f`:ii J, � -, .�-,_�L� �� r� �, L _ ­,,� , . - ., � " .� - ­ M _. - . �_ '. 'H_'. , , 4 ,,, , , L - -,- - --- r T -:�, " ': -:, - ��?:�.�Z'I­ ", '_', �4�;k:��tr. " �""�,ff, Job ci-*­!_f-� ' ' _" " " ' Subdivision - ,, - - . . ..., L_ - , -.J-, --- , .' :4_"M�C_ .51:,v __ _ -, ___ - ; .- - -. ,,�'L.%f: --�, ­ �' . , ," 'j��", , ,_Z,,,',,, "I ': 7'r;, -_ ,-- ,�,_, ;�� _ "I', __ - 1^ '. _ I- � ,1 , - I - ,IR4, - .,rl,l w";'� � " . ­­V �Isl,.-' lu,t;�J ­ . : -_ , �­ , � _ .mw, - �"7 ­ - owner I . � - � . .. , -- - I- i -�,� " I � - _ _ _ r " _.. 7; -4 - I � , �;-:2, L-;-,:. - --I, � _ - - ­ f' L_'�� f I , , ,,�, �. � - - - ' A�d6iess� , , - - ' � - . t,�L�. ­ I ', , -1., r ,.r. -, - ---- -- �__, - 104-74 � _ ­ ­ , , � I ­ - r - , , A � .- - -- -:�, -�­. - �r ,� ,- __ . � Acrd I - , '­ 1� I 1 , - -� , - - - L _ - , - , � u - , , ., , - ' - "t�f ,� , - - 1. I , I - - _--,, .;� � - � r � . , - - - I - - ' - - ­.- - ,, 1. I - - Building­ - ' .- �;; � " , - - - , '. j,�_ , Type Lot Area - - , , --�- - .- ­ - _ � _ !,-"�'j�, � . , 7r ,. ,- � "-, " � j '�_� ' , ��.:-, "-, �-L% -,--, " �" �.�L _.,�. � - , , - , ­� , -. �, , ,,--- �, -, � , I � , , �1% -I�r�,_._ �Ll , -, .I - V . ,­ ,. , �,�'42,.,_­,'­ - , " .".- ­� , ,F� , �_ � - _ , , _ - W� , , � _ - - ­t', ,,� " � _, _r - �, � , _­ _ , , - " ,,I �, ,r � - , , , - " ,--_',��. F74-. r'. , � i L�,;,-, �4, !1�?_-'.'.-`� -:, � , _ . : . � ,�� _ , . �_�, - - " - - - - -11 I -1 . � ," , .,_�- �', , , 11 � ' , _,__;_ - ,�4, tN�-��t ��z�,e_- Z:� - I - -�!',�,� 't,-' �-,� C � - pap � ! ,"!;�_,,--__ .". - ,-, ..Freef -1 _ �� 't ­', � N' Number of IN)drb6Aj',-"-`-­ f' � 44� �, .-"-, - "'b - I � -'s - 1�, ,". _ I otal Habitable � 2 , ­�z �_,_ r,ii'M , - L - �. , ,7. - � I ., " 1,1--d 6�6 - , , - � r � - r � > " � - ­: ._'�'�� . ... .r_ . .I.S _­ ­ ' System . - - .. I 11 I -__ I , . 1 . , ) , .- - ­0 " �� , _._�.. f_'__`,__ -, , �_f ,-4:j�l .-S, - , line I feet. " ., eparate :Se e a96,', t6 consist .ot�:.��LL, - - - W .r '- L - � I I . � - -_'- ' - . -, I I @PU6�.Tani< ­,4r--. , 1:1 width'4trerich - �� -, - I '­--r- , _ �L '.� --�, , , � �*,-, .:,_­ . -, I - _ _ , , r . � r, - � � . I, , " � . ,"' 't; , ­ ' , - . ::: - , . SAN � . e lv­ � "­* -, -, � ! �% Tq.� -,cgq, . . -, ­ .. ", �� , rp 11 - - . I - , .1 ,� , �, 11,4 2.1�1 - , , _ -Pe. constructed" - - , � , , - 1� J - � . , � -, H " , , ,� ", , . ,.,.. , - , - �t I ". .cted- 6�: r '- � � . -�. i , � . _, ,`=.3r n. 7i - �-�N : " wdres�i ,' �� � .-' , , _ ,�� - S _'_ -,_ , 4 r : - - - . I - � I I., I � t'­ ­"g - I _­ � , " � , � I—- ­'. ­_ .. , - ,_,; - r_�.r-;�, I- Water � ��: � - , public b: I ie',-. Supply 0 0 ly. IFrom ­ !Lq - ',,' �, 7 ',',�,j �11.;- I A, - � ,; �, e �, , ­� - --,-, � -,� 11 - I i 1; I _ , i� I , R . �� I .., - ��_ - ­ � _ I .. `,��.. � " � � - --, ,"--z"t '7t.­V.�' I �-_- : " -, " !Private __ �U*P�J�_�jo_ L i I led a-dy * �K_ rli2L . - . d'r" - .. , " * &,�' . , - , 1 - - - - , - . . -, . I ;V� - - ,r� -,­ �_'S , , - � , - ­ ­ - �- ­ I � , 1 ,:,.7 , I - ; -? � - _., I '. � - - �, ,V-�­� - ­-- - - _ , ,Ad . ­ _ , . � �1, I ",_ ,_� I _ � I I � - _ -, � - - - ,i� , ��, '.�, " , ,,� '. '. - ­ , , , ,-, .�: - � _ ,.,- .. . Address � t. - * - , , 1­� _-, - r,4�:, * , J"r ', ' � �, , "'�,­­��- ' !, "� ,�', ' ­ _�,�� . -, , , � - , " -,�E,� ", ­_'� - - , '­ '- -I' ' - - - ;­� ­44 " - I _ ., . -1 " �� , � ,-" �, ? �, - - 1, ,�, 7� _', - ­�, ,$�.� - " ,� �' 'L'* 'I' I ' 1.7�� 1� , , - I _�rA ,,��, 7"� _ '�­ . - , I , � - , - : 1�1 - - -- ve� `�- - `,-� -I '. ,?-�. , 11 " " A . - ' , T��L.��- �, " Tai ' 71 - s� .� ,�, I - - V - -t -m-,.", , -1�� , rernen,!� _ , . - '. : �,, , Other R � . 19, � " . , , her eq U) . - � � - :_ � - . . -, � ­_ _. r � - .- I -, -.j. re,pr ll,sq`q't-�iihii f arn,wh011y apq,cornplpt .)fds06-n sibhK'for thwd* ­­- i - ' "' - - "i ' ' _- tPat.,t -system . _0jy . � .. e�siqri,ancl,!pcatiom o , the, proposed .-systern(i Ij the - - � ,-. , � - systems) , ,); � )�' hat. t_4 e, sewage A isposal!_ jq; �n with � ­ 1". - - " - ­- , �­ � - 1� - I I- - _ � ,­ I " � - - USWI�Ih,9-1� ,.,R-p�n & ,.thp;sl � , -ab 'j� - !j,PI ii�i�a�- � b,4rii6ndrnbhtAh6�r6j, " ta nd if d i **,,'r' U I egulati :,t he,: R , - ove disiribeci; wjll6j,:cciKsW e * I - ­1 � . ,utnarh - Cbitint!-"it i.d��, 4 � . " , -I.... j�,&� -, oll� of and , , .1-� - 'W'C6rhpil ' I LC � � I ,�� , I r of Health Will ',of;. H thereof _, Certificate„ ii'6t6!"-�iafiiRicti5ry;�ii5,,,tne" L qmrnissippe ar ment. - _`­.� _rg rt,4,r N' 1-1 ,6�0�'rl ea iffi`�'4nd that " '�"j _�' _.-_tl he�ea: - pppiq - .., � � , jcate C f ,-;?i . - ��_, _ _ t, - . _ ', L ; ­ ­ _'! - Construction _._.� '. "A,i� &�, ­ ­ I a .' � " �A'6' �thi�lbiilpar: ayiq al..� tt -guarantee ee, _,i , ,?u 6 -or ilij �,b� �, �13ullcler, that said: b44df6r will I �� b , - , 9�� . _. ib- sub tea rq�n - ' ' - - � j, ,ri , en _. .J.11,b9 urnishe _ owner qljs� successors eir5 , - . I 1. f _ , , . disposal � , L ­­- .1 - , - I , place in _good R '�.V"_q �.sajpj.,:-.-."ag ,;system _ 1�1 during ; - I I - - J� ' - ' ll O'P4.afting -ccinait 9p,,aqy pa, - - � . _ � t. - . ` . lOq of two (2).�yeari-'�i��ft4di�ii'l'��ic�1'16,A�in§ , fhe date of the issu7: - , I ' � . - r ,a - Ry .. ,q I I � ­ j h - _�):thit 'hi - ante of appr6�6i`of -the, deftiffcaitli *�6i,,',C-I Construction , - A �- , , _f" �� . - ­ L ' t'br, J` _4ril - , Onsyuct r ,,G � ....- I _tq�r � I 1. led, well :above ctiql! �� L" I � ! �,,G F ....- , epa Irs erel , � - ' ' A�yill,bq)&aied as shown oh;_,thjq,appK?,v_qI i.andlhit-_�aiid,w - `ifn ba,�costa � . . lip,` _tn­e,_�_t if - ,'iiif.-��iiiis,�i-e�di..�e�� f ,'the -,�, q.. ��p`4 ai , � . , , - " well I e _gq at q4-,��q , " ,, "�, - .r �n " - I � - tit na nol: "I_ _ '�� .`,;� ,-"7,-, -----,-- ,,,, r," ,` 7,� . _�,4, 7 - ,, - W , ­ :,I­V,7I,.`!,P­ , trj�a, .� Z �-­,- I ­ I, County - � - -, - - �rt �t �'6 i �,,A, Health t fi,��, ,,�,":",� , . _�� - -_ 1;�,� r. �, , , . m, ��,Ii� ��, ­ ­ - ­ ,�s,, - , p­,,'.. ppp L�*. �"(�,,�!, , _ :�.��.�_ ,� " " � , ­� - , _ ,., __ , " , - I ` � 0 A , � c � � 9 , I` I- f em I � . - .- - - - - -I I I, , , - � f. w e _ I om i w _ _- -, " - " �, �,, , _ _ - -, ­-, , --,,"I-0, _, ,-, � _� � ;','-,�Z:�:.: ei ', ,­_�� ,', ", , , L I �",�P, , , 1�41_� , �, , ",-.Z�.'�,�ll��.,,',-�&_;,,�.,w,�,",�,��"-,,t _' L I 1; 11; . �4, �, . � I I' 1� ­­1111_ '. 4 �t��6-�- , - %�,,'�,?�-�4�, � ,,, �,A,,�, 'I- � _� r'. � , - - I . __ I � :, �-_ I , - - -, , .." 4 . I � - I I �`, I * , �, I " _� _� ,.',"�� �i � - � , - , " . - I � � � -1 " - '. ._:i� %. 1,�: �� - � I - I � ,. � I - -, - � , . , I�I;e . . . .- .- I - � z �Sianpil+ I ------ : � � - - � - -_ , -,jo, * - ; - -D ­ , - . , 4 _. �-_ 7 - - - - - _ v. ­ , �. - r � , � � � . . . . � , I . E. ­R A - aip , - I - '. , - , __ �� __ � _I;_ � - . . - - . '.. I - � - ­11 -,.- , , _ �:. '� �c _f : ­ I- 7-1_Z�'. - �'�I' , , 1- . �.I _ - - L I - - - � .,,'­­­�­ , Address - , - - ,_ : -, - L �, - .. I . _.1 _�, I � License . fU'� � * - � � . - , - I � 1. _11 . . . � _� - I - - ­ " ' '�­_­, , *�C L , " j7!:r "" _ - , � ,_ _ - , 7 ' � � , , -,`�,,_V',-',', , - ��, �; , -�, - �, -,1f." " ­!,te,�- '-, ,.,, � _ ,��. . . ': - � ,, , ", ­­ , , ' � � " APPROVED ' ' � � cihj�t0e__0j,L ,, _ : " 'ih�, � - ,undertaken ,,a nd is' ' ­ -,, �_, ­,cqn. ction,�of� b'tidi h� zbdiri , ' r,� r -it, , A­; _ � '. �. Id .. , � ' ' -q�_ . _' _ f H, _ .71-- f _ rev.o blw-for,causq,� _'i�ni�. b4,at��naeq'. - modified -v`"' .'con - red ' 6ssar�,­bj �the, ivis"i, , - .a h., �'I, Any cha r alteration �ci construction 11, . - ,�� , 1, � _or ' m_ � . ytT�p� IWAL n e .. .... � __ _ .er'.9 .1 � -,z -,4., .. - I '. �"- - -,' - �' '... _. . . I permit - _­ _ ,.�;,��L ,�, ­ ,�, _ � _r - _WS - . ; � '! - `only _ _ _ �, , , .1 I ._ - ,a new permi . _ poj� � . � 4 - t - Approved ­ 1 --osal -of- domest ic , 6, � ,Or W a-.' " � �0 t - � � , F(DR,Cq_N�kTl�(VCT 6N -.'.",Th'jk�-4p0,r6_ I � -'� ' ' ` � 9�r from �i 6 ,issued' 'Fz , y,1,1 . , , .. ,. ,, ya,'.�expires,,.qrle,'.�y _�� � ,-, - c. - 0 9 � � Co 6O � ei -, - - - " � I - ,, quire!v � pproye I . _ - .. � - I I . L I - - � ­1 L ,;W , , R5 t. rr!, ri>,�� TZ i � - I a� __.;�/, L � -i I . . I . - . BACTPERIA' ER ML. (Agar plate count at 35 C). COLIFORM GROUP :(Most probable No. /looml.) ,: TOTAL - ppm. , DETERGENTS.- ppin NITRATES'(as N) - ppm 1RON, TOTAL - ppm FLOURIDE (F) - mg./I. These results indicate that the water was of a satisfactory sanitary quality when tte sample was collected. 1 A. H. PADOVANI, M. T. (ASCP) OwneA or Purcha ser of Bu'1 ding - Municipality Building Constructed by Section Location - Street. Block Building. Type Lot GUARANTY 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 guaranty to the owner, his succes- sors, heirs or a_ssigns,'to place in good operating condition any part of ,said system constructed by me which fails to operate for a period of two -years irlmediately 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 th.e willful or negligent act of the occu- g pant. of .the bt�il,dingr util} z�� the system - - - The undersigned further agrees to accept as conclusive the de- termination of the Director of the Division of Environmental Health Ser- vices of the Putnam County Department of Health as to whether or not the failure of the system to operate was caused by the willful or negl' ent act of the occupant of the building utilizing the Dated this day of QQIC Signature Title If corporation, give name and address) THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE I CERTIFICATE OF COMP.7,ETION WILL BE ISSUED. i GUARANTOR IS REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM. - - - - - - - - - - - - - - - - - - - - - - --- - - - - - { Division of Environmental Health Services, Putnam County Department of. Health V PUTNAM COUNTY DEPARTMENT OF HEALTH' DIVISION OF ENVIRONMENTAL HEALTH SERVICES COUNTY "OFFICE_ --.8W DING" ; CARMEZ V'. DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner�W4QG% 44Ar" Address 'Cua t%N%N k V%%A. !"' 4 Located at (Street '� 04 Sec. Block Lot 1. n lca.`e nearest cross s ree Muni cipality4U.TP3k0k Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Role Number CLOCK TIME PERCOLATION PERCOLATION Run apse Depth to a er a er ve No. Time From Ground Surface in Inches Soil Rate .G Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 Vat 3•. �.1 Z.A 11. 13 L 2 3'.x.1 3 : Z7. "tap Z'L L 3. 3 3'.Zl 3 `.S'o 3 Z'L 2.'S I 3 4 3 : ;o i '. 33 a& (o 1 3•• Z� 3'•31 5 3 : SM S : Sb (o za 'tZ. Z "Wr I 1 2 3 V. Sq 3•.1 13 L Zs� 4+ 5 3 A-Z 3•.34 1'L Z.Z. Z-4 Z. (o 1 3•• Z� 3'•31 7 z4- "Wr I 7 2 3:31 gr3 2-1. Z to 3 '•4 ��..411 5 Notes: 1) Tests to be repeated at same depth until approximatelyy 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. TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION' DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. k HOLE NO. HOLE NO. 611 12" 1811 9-OU 2411 301f 36" 6 4211 4811 5411 6011 6611 7211 78" 8411 INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES'AFTER BEING ENCOUNTERED (a&l TESTS MADE BY Date ... . ... .. -:71 DESI Soil ­Rat* e * Used i7f Drop: S.D. Usable -AF6-a No. of Bedrooms _Septic Tank Capacity 17.&Q Gals. Type Absorption Area Provided By- 36" pof" Lftd L.F.x2411 width trench. ure Address SEAL THIS SPACE FOR USE BY HEALTH DEPART14ENT ONLY: Soil Rate Approved Sq. Ft/Cal. Checked by Date, M — -,-, .1 V jot"�q V4 Jew 1-p MAW 0 -SYK no 0 M own 4 J Noy A' ulr M — -,-, .1 APPR IUD 9y . ........... 7 , RT son W"" AM AW it, I T, -4. IMP AgNU M S; A d z. gout f ad M S w SO Was -U T D'TART�H-,�, too j T N bPb��ffd,'�O 'A k0pon! :As-"aul iI A INN V 'v;. NL 20- 7,7 . . . . . . . . . . . . . . . V jot"�q V4 1-p MAW 0 -SYK no 0 M own 4 APPR IUD 9y . ........... 7 , RT son W"" AM AW it, I T, -4. IMP AgNU M S; A d z. gout f ad M S w SO Was -U T D'TART�H-,�, too j T N bPb��ffd,'�O 'A k0pon! :As-"aul iI A INN V 'v;. NL 20- 7,7 . . . . . . . . . . . . . . . k f�.� � tt i •/ r t• 3 I •' T +' t: S �ti r 7 JSR J+ 1 iA y y Y S Y � �.,� •Ere�gg, r t y 1 k x UL4,1 TO 4k ,y T � ... ! � -'�'"' .ter' � +a ; � F '+y Y•yk_`F At 0541 M0 Q lDk:ppM DWL! if, >; E ,'� `g- c ? {+ " JIM 0 C WAY,% a . c 2307 OD } Two '° �.. `�-� .•ti wit r r4� y : � �, .,i,. ul put 56=0 +' •fi tis 5. y�li r. r Jj u Lj �- t r 15 x SEC;TIQ 4 A f� = j07. �` r s cur sop 07, PP PA SM YORE a '...ti~ DIN 6+irp0 , p ; t• ' y� t «. y + .* .} ,; : '.'3 3W SEWERAGE p�€ I Yt _ a \ \"4, NO. A2� + \P�i„t i\���i1A a :._ PROFESS \0 - STRf E 7 Nf I 4 1 ones" y c't�rdTR G7'tlf2.'�a��"•,x,. p drutca5 rt ' >• r ' � F -�r�" t . . gas �urt'.:7 . e�arv;. ' a � aka a Y re a� t � •� 1 r ! Jf lN 1. I t4J f5 4"A j�•. 1 { '1 � k "Act T r t 6 yy < € pas a r G Y E- - a ; V0 4 - � [ F j EST