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HomeMy WebLinkAbout3265DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631 - 589 -8100 73. -1 -64 BOX 26 03265 J q� . I FT IN I No of 03265 Y V VT -N SOE ART � secti .2 to m Pdunty Put Irmat Tz�e�s Miner or Purchaser of ing N�uni.cipali.ty ZMV Kam Building Constructed By Section — 'Ward. GUARANT1 OF =CATE MLkGE 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 Westchester County Department of Health, and hereby guaranty to the owner., his successors, 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 completion 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 wilful or negligent act of the occupant of the building. utilizing the system® The undersigned further agrees to accept as. conclusive the:determination of the Director. of the Division of Environmental Sanitation of the Westchester County _Dppartme•nt4zf Hecif ,as tc whether -ox not, -the: ,failure :of, thy- .�j #em - cperte_. � "caused by the wilful or ne,gient act of the occupant of .'the building utilizi ng ' the system. Dated thi daLy of Signature . it a Z. Title c ? at c n u.5.... _ -,-Pla & State If corporation, give name and Q� adore ss ) FIVE (5) COPIES ARE REQUIRED WITH FIVE (5) COPIES OF FINAL PUNS BEFORE CERTIFICATE OF CUMPIETION WILL BE ISSUED.- G, UARANTOR IS REgIgRED TO ME rrOT2 OF DATE OF FIRST. USE O, SYSTEM, Division of Environmental Sanitation, Westchester County Department of Health m Form S.D. 50 Jan. 1, 1960 (1966) 900 GALLON SEPTIC TANK. _'�D� ,_.LF X 36 ABS. TRENCH O \' U r � 0 0 � U W/ar� � J9CE•,/T ' ,� T9a rJ7/�N °72 BLOC�N° 03 T�> LOTiV_ °O�f )o Z5 PS-lz AS CONSTRUCTED ' lc. Ng 915 SEPARATE SEWAGE DISPOSAL STSTEM 0 eir TQ PCJT</H�J ` "�f` ti _ PUTNF�M ALLEY G/N/ 7 • .'`�< " /YJETNOO /,3T C /,eC'UiT T.2LL5TEE5 ;FrIE/- �cTia,E?I�cES f'F�P •` °iaWs''•`5:,!,�" ° " "i�t'' .�'- iJEE.�.S•C /G G f�0 L C o y�/ ,eG�90 TOWN CF ,w;1 i,," ' "`• /�UTi�/fi /Y/ COUNT,! NEW.YORK ;y DATE 7 -10-70 1 SCALE As 3hbyv / JOB rtlO.•7/ — /S3 nn ° P SULLIVAN - THIEDE ' CONSULTING _ _ ENGINEERS' CLARK PLACE MAHL'PNC. NFIN YORK ' 4a sl D. 'S �t 1. L. JUivcT /On/ Sox , Ell I"1 f s �a o � 6. 90 a • r t „mac 4 "LI Pu df NEALIN DI 0, ®AP1YM �il/E J°q/✓1 /G y .�/O[/SE { 6EOe OOM,S 4NYIRBNM4NT �. S� W/ar� � J9CE•,/T ' ,� T9a rJ7/�N °72 BLOC�N° 03 T�> LOTiV_ °O�f )o Z5 PS-lz AS CONSTRUCTED ' lc. Ng 915 SEPARATE SEWAGE DISPOSAL STSTEM 0 eir TQ PCJT</H�J ` "�f` ti _ PUTNF�M ALLEY G/N/ 7 • .'`�< " /YJETNOO /,3T C /,eC'UiT T.2LL5TEE5 ;FrIE/- �cTia,E?I�cES f'F�P •` °iaWs''•`5:,!,�" ° " "i�t'' .�'- iJEE.�.S•C /G G f�0 L C o y�/ ,eG�90 TOWN CF ,w;1 i,," ' "`• /�UTi�/fi /Y/ COUNT,! NEW.YORK ;y DATE 7 -10-70 1 SCALE As 3hbyv / JOB rtlO.•7/ — /S3 nn ° P SULLIVAN - THIEDE ' CONSULTING _ _ ENGINEERS' CLARK PLACE MAHL'PNC. NFIN YORK ' 4a Ga-hi—I Y,-10.1 ervic IUCTIPOICi! ,g A �;b!uDqiv st 0 Ar wner z Building -T ypa - FAM 2 -AM ' - , Acw G r4u,l 'M' tie F, of Bedrooms -Toti �- -� Separa t Sewerage" e v ira *-ge"S.j�iiiirii-,-,-i6 cbiisit constructed . N A, Water �J Supply Public Supply 'JI -0 Address ti above described will be constructed as shown_on the approved .amendment , -pre:. to and in accon wCounty Qepartment of Health, and that on completion 0 be submitted to -1p'ep`aqrnqn 10 K place )h -"--§ood:,,opeWing any part of said sewage disposal sy r Vw ante of o the Certificate -oV:Construction ' f. dd�nOliance,..-_c tjw,Qp� Whiz that °said well will be and . will be,:Iocate,ci as- shown rVA,-.-iKe approved plan County Department of Health ��t_i\ �� '1;bA,!I— �777- 1 l I've—Signed, 7t- M .1I APPROVED C "k 6 �,ip prL'a 'Ut)xpires` . ne year fr A s ul; ' cause or amended modified when ";-*'co, n considered I'EII squires i new p4rnt- isposal of.d0TeAl S S Uo UPI ti PE E4:k v: :m Square F et . width trench �M- 4:j the- separate '1;bwa§ej disposal system ` y to the pCi"er'of,_"pa m will irately following atwp the .. issu- h 1114;a an r lation s of the PutnA;n R -A bdhiiiii,766i*.66Kundertaken 'ah-d Ns', change or alter truction - tle D I 'T -D-"l'TTSTC'," OF Date R;:-,: Prope-'t-y c--l' .-T R.%3 -S-T ts M!ZS Located at ecer,,s. K 1.4- L- 44 p%- -,c> w -7 Bl o c ic Ti:1s 1 e tee=' =J t -o a no= --* Z �z a duly (Tra-i a a cc- C 3 3-C C -7� 7-, M. cow-. -, 2 r in._... - In 7"-! -7 0- 0� 7i 0 Law, c -ealltI Lc%%7, a-I vl_ - '-n-- tary Code. Very t-luly yours Signed -f-'D A %-id.- e s s .n U. p �F-' AIM3 7 Z4eY=-1S '%%� SULLIVAN • THIEDE It ni An, CLAR111% I Lnu;[---- . 4b of Nf�/ e o� A dress Q 1101" P. - O. BOX 308 6 0 cli ILHDPAC -0—YJM K 105 c� 4 0 0 0 �'4�c 0 2489 T e 1 e,,� X, 000000000 % OFESSI -T e 1 --- ph-c n e Notes: l) Tests to-be re0eated at Sa -e depth unt-i1 approx-J 7stely equal. s0 -1 r'�teS are OtJ- tained at eac`z perC0lation test hole.: all data -o be submitted for revie:•1. 2 ) Depth. �T:easL'.i— mi..ents to be -made from :o7 of hole. t PU.T \?tI COGN TY DE ?A? T OF - E =.LTK' : DIVISION Or E \'s ?0`i`2 ''?ar tH LT ?IrCES. F DESIGN DA TA S iEET. -: SEPARATE SES:aGE DIS?CSAL SYSTE:•: FILE NO • � -3 tsi qA e0T (Xnert `c rNOocsT c��cc9�� �. use Address Lle ; !J Eta Z'M A� T Located at (St- 2-L. ��KrKILL NOS -CO�+� KbAy OW. -7a Block C7� Lot _ bt (Indicate ne crops Municipality' 'Tor �u �F Py —, paJA y.a��Ey' atershed t=om KE K i; t1C mow . Co SOIL PERCOL �TIO` TEST DST? P.FOLIRED TO BE SU ;S"T*, ED t:IT,1 APPLICATION Hole . tiur23er CLOCK TI`IE PE °.COL•aTIO` P P,COL =tT -G\ Rtn Elapse Lep _ �o t','azer �sater Let-el No. Time Fro.:. ^round S::r=ace i Inc :es Soil -Rat-2 Star Stop Min. Star= Stop prop in Iin/i�. drop :. ,.:.. _. _.. inch_ �;,c 2 10:33 i o :S1 t g. 2C) 3 t©`LsI o9 tg Zn 23 3 4 S _ :. 2 6S ?. 3 7 I 21 3. F� 1 �E is \ s M h`j>= C'-� CLARK PLACE U. BOX NO 2 Iz --7 t AHQPAC, fflq YORK 10541 3 � - t l HA_• .st.. fJ.YIiCtiN � �L ;w.P•.` �'w1� - = J .au P..:yiiul?..A 4`.LSa".. - i.'1'J• - vy"'f^ ".m:.i... _ r � - tv4. w.`-.` ..r. v A !. .:L. . e -.... ..� �ti�E i]Ptv... - .-. "- -��J. — . Notes: l) Tests to-be re0eated at Sa -e depth unt-i1 approx-J 7stely equal. s0 -1 r'�teS are OtJ- tained at eac`z perC0lation test hole.: all data -o be submitted for revie:•1. 2 ) Depth. �T:easL'.i— mi..ents to be -made from :o7 of hole. 3 6'' C` 4-S:. S 4'1 6 0 " 66" i C:. , 84' ItiDICsTE L='� L AT•j,"HICH GIROUND W TER IS ENCOUNTEZE-j �© Gvov.��..�- '.��E`� INDI.CaTE Lit %c.L TO ;i'l'ICH �%,.A LEVEL RISSS AFTER BEING EtiCOUNTF^uD TESTS MLA B Y 5 vl l \v E G Date —7 �.. Soil R:a- "se man /1'. Drop S.D. :'s��Ic . � �, P. o-. _ -ei 00o t �... ¢ Tank P'��G1avT" N"o. of, �c::� OC SeQ tic lank Cad =�it� 1� 2dG G: Is :. T�lp • LkAzaa� 2y Ahsorption ;Area Prov ided. By �4c 1:.F:x2`: 36 "_zc:i�1t1 tre:icin. Otl zer Name �� ©S��E F;. ��i��vA�, P, E. Sim amore Address SULLIVAN - THIEDE � e . a CLAD PLACE:.. = a o a o e 4°°:. ..+s.a...�..a_aa.,e�c_w.- -te .s a eL».sa� aay. _v�.�- ...•.c.:rs: v a.".:� •�__ °.�... { —�,oC. :a.:w.: ..fit .+ si ¢a�:xi_ea- :.._.. ^tse..•�..c >: •w ... � n-. �..,.:. ° HOPAC, PdEW �DU� 10541 469 • PUTNAM COUNTY DEPaR TL, G'NT OF HEALTH A ° °0000 °° _ °O�s��FESSIONP • eaaaedscea ► ►► Soil Pate :`?��Yo� e� Sq. Ft. /Gal. Chec':ed b-' Date |»^�-1-- - --- --�--_ | /w- --- _ - ,z- - -V-- - ' - - _ ESTABLISH ELEVATION OF HOUSE WIDE DRAINAGF-4;'OF LOWEST FIXTURE TO SEPTIC TANK AND FIELDS ...... ... EA RESERVED FC-R SEWAGE DISPOSAL SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION Tqj!CONFORM f6`-STATE AND LOCAL STANDARDS AND REGULATIONS ......... . ��------ r . . .. | r-'°-"=~°-^°=~^ ===^ U y ZZ PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF DATE CONSULTING ENGINE S CLARK PLACE PIOPAC. NEW YORK PERCOLATION RATE ...... ....... !�F.MIN/IN SEPTIC TANk [DOIL J�jl'�--GALLON EEP TEST ^ i ^� ESTABLISH ELEVATION OF HOUSE WIDE DRAINAGF-4;'OF LOWEST FIXTURE TO SEPTIC TANK AND FIELDS ...... ... EA RESERVED FC-R SEWAGE DISPOSAL SYSTEM TO REMAIN UNDISTURBED.ALL CONSTRUCTION Tqj!CONFORM f6`-STATE AND LOCAL STANDARDS AND REGULATIONS ......... . ��------ r . . .. | r-'°-"=~°-^°=~^ ===^ U y ` k ZZ PROPOSED SEPARATE SEWAGE DISPOSAL SYSTEM TOWN OF DATE CONSULTING ENGINE S CLARK PLACE PIOPAC. NEW YORK ` k