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BOX 33
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04413
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PUTNAM C kM41- HE A
LTW, 6 ENGI VEER, .MUST
PROV)
D1
Cit' R --N. 'V, 105 1
Division of Ei,iv,iroiMentil.,.HesliW'S'O'mm;"� —2,
PERMIT
dERTIN' OF CONSTRUCTION COMPLIANCE. FOR 'SEWAGE DisposAL SYSTEM a ni
Town. or Allag6/_
_Srl
% Block
Located at Tax Map
y Tak Map Lot # Ubd Wt p.
owner _4�1 Formerly Z91
4
Separate sewerage System built by D J c_1 Add.ress
consisting of -Gal. Septic Tank and
Water Supp!Y: Public Supply From
Supply Drilled By
Address
. of Be dioomi& 3
Building Type N o.
Date Permit Iss
Has Erosion Control . Been Completed? Has garbage grinder been installed? A10
i certify that the sy6tem(s) as.listed serving the above premises were condtructed.essentially as shown on'the plans of the completed work copies
of which.are attached)L,, and in accordaince with. the standards" rules '�:and regulations, in icoor'a pliK,' and.,ths permit issued by the
Putnam'County-Department-Of Health.
C
P. E. R.A.
Date Certified
2 F7
Address anse No.
- 2 -
r mises served by the above sy'itern(i) shall promptly; take. such action /b�:
occupying pre* '0'
Any person, secu th o►rectibn of any unsanitary
conditions resulting from such usage. Approval of the separate sewerage system iihall'ba6 an blic sanitary sewer becomes
available and the approval of the private water supply shall become nul and •void when a pu ppl liable. Such approvals are
subject Ao modification or change When; "in.'the'judgmeht of the. missi.orioi . r of Health or change Is necessary.
Date By Title
Rev. 6/85
IE
t
m
In
E-1 IR,ev.*
Lab '.No. �,',W
_.
Tests Ircio ► S
'Address
If
A _Sourci,' dentificotionof.,
Samphng'Point wrt iWP'i
Chl6hpatdij? Yes, qNo
REsuLTs oF,Jb(AMNA
Coliform Gro-60",
Fftal (tolifor
m
eduw* OF WESTCHESTER.—-;
ITME14T OFlAbOAAT0_RIES -AND ,:RESEARCH
.---
--VALHALLA YORK -105.95'
A-MINA TION OF -DRINKING AND TREAT_ D WATERS,:
,
Bottle No N •n
V
A
mbrane,-`Foical Other
Agd!iqyColl'd-f*,
(first) �t�.
(L t) ,_
A:
(zip Cdij
41
p4ct
ena per nit 1444hr,l, —
od-, ml
-cfther,
e� was hot) of eport b ed, y: '"Date -
V
S,
:., 1_.m - - _lt�
WELL LOCATIO
WELL OWNER
WELL COMPLETION REPORT
DEPARTMENT OF HEALTH
• --D•$vist-p p - -Fs�- vironmental Health Services _
PUTNAM COUNTY DEPARTMENT OF HEALTH
Office Use
.'t . ^:.rr .w..C�v`,. :�: 'irj�7s .uia•: iei n va. ...5 .. r •
TAX GRID NUMBER- -
Al PRIVATE
J� p PUBLIC
USE OF WELL -RESIDENTIAL O PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANIIMNE6
1'- primary ❑ BUSINESS O FARM ❑ TEST /OBSERVATION ❑ OTHER (specify)
2 - secondary ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑
MOUNT OF USE YIELD SOUGHT S gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE J00 gal.
REASON FOR NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION
DRILLING O REPLACE EXISTING SUPPLY ❑.DEEPEN EXISTING WELL
DEPTH DATA WELD DEPTH ft. I STATIC WATER LEVEL ft.1 DATE MEASURED
DRILLING '- ROTARY .❑ COMPRESSED AIR PERCUSSION ❑ DUG
EQUIPMENT 1 ❑ WELL POINT O CABLE PERCUSSION O OTHER (specify):
WELL TYPE ❑ SCREENED ❑ OPEN END CASING. ,9LOPEN HOLE IN BEDROCK ❑ OTHER
TOTAL LENGTH /90 k MATERIALS: 9S* TEEL ❑ PLASTIC ❑ OTHER
CASING
DETAILS
SCREEN
AI S ...
LENGTH .BELOW GRADE
DIAMETER
WEIGHT PER FOOT
DIAMETER (in)
FIRST
JOINTS: ❑ WELDED 0 THREADED ❑ OTHER
4 in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE )aOTHER
+LZ_ Ib. /ft. DRIVE SHOE:;.YES ❑ NO I LINER: O YES V NO
'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (ft) DEVELOPED?
O YES- ONO
,_.. �_ :. � ........I .. _ .: ._. ... ... _" ......._ _ .._._.. _ ,.. •HOURS•::= ... _ . __
GRAVEL PACK
1 ❑ YES
I GRAVEL
❑ NO
SIZE
WELL YIELD TEST
; If detailed pumping
METHOD: O PUMPED
i tests were done is in-
9 COMPRESSED AIR
; formation attached?
O BAILED ❑ OTHER
; O YES ' O NO
WELL DEPTH
DURATION
DRAWOOWN
YIELD
It.
hr. min.
ft,
gpm.
WELL T Tga�LER NAME .� „ e— OAT
O(�3 /rY
ADOR SIGinMRE
v io d' //
1''U
WATER ❑ CLEAR TEMP.
QUALITY ❑ CLOUDY HARDNESS
O COLORED ANALYZED? ❑ YES ONO
ANALYSIS ATTACHED? ❑ YES O NO
PUMP INFORMATION S
TYPE 3 /y' CAPACITY
MAKER DEPTH / S2
MODEL / 6 VO L)
LTAGE HP �ik
[DIAMETER ITOP
OF PACK in. I DEPTH
It more detailed formation
WELL LOG
are available, please attach.
DEPTRFFAEM Water N1e1a
BOTTOM
_tL DEPTH It.
or sieve analyses
SU AC Bear- m FORMATION DESCRIPTION
it. ft. irig Inter
Land 0 0 / i/
Surface /G
Iv .2-,96
CODE
i
STORAGE TANK: TYPE o
CAPACITY GAL.
WELL T Tga�LER NAME .� „ e— OAT
O(�3 /rY
ADOR SIGinMRE
v io d' //
r,. w WITI M COIRT L Y DE:PUIME -NT OF F I.:AL` T1
x L7iV3;iuiV OP EJG.yIs CES
f'
Al
Owner or Purchaser of Building
Building Constructed by
,r" �// Agilulle"
Section Block Lot
Location - _=Street � ! � � � Subdivision Name
Muni i" Subdivision Lot #
Building Type
GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSMM
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 guarantee 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
... pcaerate fir .a- period of two-years immediately_ = follow - nq the ;date of approval• Hof the
6
"i_ert fic . ofd +Construction Compliance" for the sewage disposal system, or any
repairs made by me to such system, except where the failure to operate properly is
caused by. the willful 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 Health Services 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 negligent act of the occupant of the building utilizing
the system.
Dated this day o r•► 19�
General Contr for (Owner) - Signature
Corporation Name (if Corp.)
Address
rev. 9/85
Mk
Signature
Title
V . --- ('o � GO i
Corporation Name (if Corp.)
w
Address `
APDEMIDIX C
FiL SITE INSPECTION �t j U
r •Ir!_.pE:r�i b C7
• r,OC�TI .� L- �:,� -% , � -�I u � { ��' '� c� . (J l•OWTIER � _►� "��..� < -:..: � -
.. - _, n[ .� �rT • ff .. '�` /:•. �i- -i /�. .. r 77q,f ¢tt' �R SULLLVI►711.1V�' 2.I�J1 Qt ".�'' _, �•" •ELY :j >��•''l,. r e .. .4...
�... C1/i
I;.
IV.
'/ .
VT.
.r
C., DISPOSAL AREA 1
a. SDS area located as per approved lans`r//
v
NO
b.
Fill section - Date of placeme.ht
2:1 barrier. LGTH w=- �AVG.DPTH
c..
Natural soil not stri=ed
d.
Stone, brash, etc., vre=t°rr tna-ri 15` f_cm SDS area.
._...
e.
100 ft. fran water coins we!-landsq.
S —Z M DISPCSA.T, SYSTHZIi,,°''`" _
a. Septic tan:{ size - 1,000 1,250
I �I
b.
Septic ta_ ^_'C inS' lle� 1 El
I
Ire
c.
10' minim- fr— lotion
(—
I
d.
No 907 bends, cleancut within 10 ft. of 45° bend
`
e.
DIS=- TjTICV BOX
1. A11 Cutlets at same elevati cn - 'pcta' testeCl' ,
I
`
v
I "
2. Prote--w below frost
3. MinLmm 2 ft. original soil be_we -_ bct and trenches
(
I.
Z.
JUNCTION BOX - prorerly se-
I
1. Le-n&Lh rE—c -aired -,--? , L`
2. Distance to watercourse measu f7.
3. Lnst ller according to plan
A. Distance center to C°nte -r ]
5. SlcTrc cr t_e. -ndi acceptable 1/16 - 1/32 " /LCGt.
6. 10 fee-- f =ar, rcrc--- vv line - 20 feet - rcur_ca bons
I '•'
7. Depth cf trench < 30 inches from sur f-ace
I V
;
8. Roan allcrried for epansion, 50%
9. Size of travel 3/4 - 1." diarr�e =_err
_
10. Depth c cravel in trench 12" miniman
I
.11
..P1Lse e-n ds c--rpea'
SYSTEMS -
1. Size of oL,-.L, chamber
I
3 Alaxr-i, visual /audio
I
I
I
4 Pmo =si1v accessible man'rele to c=_de
5. First bcx baffled
O . CVG e wit_T!e55 bV HF= =1h DEr G_r-LmT
I
I
estimate,4 flow per cycle I
I
_- ..cu -=z lcc -e cer aporcver plans. !
I'
�•
'Nell 1ccat =s ,r_. =_ a == :e plans
b.
5'�_'-_ Cepf=ar, EDS -__- T .. sure
C.
/D'•'•.?
4x5111,..1 18" Z_—C Cyz_ Ce
d.
Surface dra'_r =cam. ar L: well acC_r ta::_=
I I
C -MRALL WOR&ATC- I—ED
c. BcxeS rcce -!V CrCC-e�
I
b.
All pines
C.
All pat=es flush with inside of bcx
C.
F.ackfill material contains stones < 4" in dia-reter
I
e.
Cart=-in arain installed accordinc to V12-r!
-I—
r
�.
Carotin arai-.n cut:all protected & dir.to esist.watercours
-� I
g.
Footing drains disc: -gore awav from SDS art=_
h.
Surface water Drctecticn ademua.t-
G, �,. i(N
i.
Errosion cc_H_31 provided on slcce= c_eat`r than 15 %.
1
F
TUTNAM COUNTYDEPARThUM-OF-HEALTH
7
i-Re Di -`:E �eito]?iiivlde_Pe
siCeribe;,N. .4050
on CERTIFICATE OF (7
.Pernift
CONSTRUCTION PE FOR SE, &DISPOSALSYSTEM 001,
CON 0,0
'0
%
Sbd. IM Lot ,
SubdiVWOik Nellie
Renewer. ❑ Revisloji-0
Owner/Applicilint Name.-
Date of Previous oproVal
Mailing Address 13 Zip.
"00
Building. Type Lot A, Fill Se,Iiii6n Onr
Y Depth Volume
PCHD No tilmis Required n FM'ls completed,
Nuipber of Bedrooms Design flow G/P/D
, je_.�6
Separate Sewerage System to consist of _Z0 Gallon Septic Tank "IL
Address
water S1100131:
Supply; from
or: 1,0�0,, Pelvlite Supply; Drilled by
Other Reilkilmme.nu
1"r6preseht'thA'1 in W �biiy and compla,ely! ,
ca ton that the "separate . sewaw.disposalsystem
jtio rqi..r6les and regulations of -the
abdve.6escribedv4ill'belcohstri�ctedas'sh6wnont�e-ipproved:amendMehttner6.t�'a in s Putnam
that tisfAct6Yy'to the Commissioner of Health will
County Department of Hea'lth ci
-_be,sU6Mjttedto the D'iii�rtmei`it; and -,�a 4ni by;IK; builde�.,��hit.
�t n i s, rs,� will
place in,, gopd. operating con i, top _r 66�oiiinq th4date of the issu-
-g-ni.par, :;?.��sai sewage 1�tfim ng �&(2):jy Irs i7me`�iiiely io
an I�s Pre
issu-
ance- of the approval of tpe,.Ciiqi!icatii: of Constr,uctiqn Cornpi�!�nce inal 6'r Q2) that the'driii6d weWdii ' scribed above
'Mu a=o n s—o h Putnam
will 6a' located as shown on-,the approved �j' �p"9'1'anand ':that �iiaid-%�eil, will be installed jp a ce, —i hi A nd rd r%, d requ a ons of �t u
ij�p L as, an 199
f. Health.
rtment o
County
X
'lid E. R . A.
i4ner
Date Si
License No
APPROVED F CONS ;ir s one, Y n'6f
APP -0 iTR6CT.l6*N- -TX.'.p"'r,oV, ex a �a, f ro �te iss r the building has, been undertaken and is
in
revocable for when -9 .
or mijy DA arriapd�eddpi rr4difi4 conS!ojreG.L JeCIS, y by -t 0 mi. IS, f h. Any change or alteration of cons ruction
requires a new dr' for disposal doirribitIF saniiai�• , s IV'
DA-1 pippy e� e�,an. o ri e. at
Date
?)if.' . BY j I Title
_
7�
93
DEPARTMENT OF HEALTH
Division of Environmental Health Services
TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641
•-h.. .... . r.n. . i.?•• + ..�r�..: .._....— . - -' ^Ap i C i�F' lr •�i �` -IdUN �:4 v �i1:::7li.Wt11�1�R'�.WE _ ....� :.: -..., i.: .: ;.:. '.;a•:
L'1 PCHD +PERMITI #�`
,1
WELL LOCATION
Street Address
Town/Village/City Tax
�
�1
Grid Number
V Vz- f9 L ' //
,G
��' 5
WELL OWNER
Name -�✓
Address /��! OPrivate
�•� �W Af; ire O Public
B� r'f c� ..L�'Jt a�
7 aX /1� rat �';
USE OF WELL
SIDENTIAL
O PUBLIC SUPPLY O AIR /COND /HEAT PUMP
O ABANDONED
1 - primary
BUSINESS
O FARM O TEST /OBSERVATION
O OTHER (specify
2- secondary
❑ INDUSTRIAL
O INSTITUTIONAL O STAND-BY
13
AMOUNT OF USE
YIELD SOUGHT gpm /# PEOPLE SERVED b /EST. OF
l
DAILY USAGE 4�� gal
REASON FOR
EW SUPPLY
O PROVIDE ADDITIONAL SUPPLY
O TEST /OBSERVATION
DRILLING
O REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL
DETAILED
REASON FOR
DRILLING
WELL TYPE
DRILLED
DRIVEN
E]DUG
GRAVEL
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES P" NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: ee_:'
Lot No.
WATER WELL CONTRACTOR: Name afr"470 j� d /�,'os'a Address
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY:
TOWN /VIL /CITY
DISTANCE TO' PROPERTY FROM 'NEARE'ST "WATER-MA I : - " /'✓f �=:'t :" .: :'. _. �r.. ::, ` ` "-
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
.�
[]ON REAR OF THIS APPLICATION EON SEPARATE SHEET
( ate 1 gna
PERMIT
TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above is granted under the
provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and
provided that within thirty (30) days of the completion of water well construction,
the applicant shall:
1. Pump the well until the water is clear.
2. Disinfect the well in accordance with the
County Health Department attached to this
3. Submit a Wel Completion Report on a form
Health Depa tmy t-.
Date of Issue: 19
Date of Expiration: 19
Permit is Non - Transferrable
R /RF
requirements of the Putnam
permit.
p o ide by a Pu n m unty
rmit Issuing Offic �al
APPENDIX B " "-
HEALTH -
DIVISION F
PUI'NAM COUNTY DEPARTMENT OF HEAL ON 0 HEALTH SERVICES � J�
INDIVIDLML 6ii = SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS `'(J
BY:.
(Name of Owner) (Street Location)
CONS YES NO I DOCU ARM
ermit Application
C4rporate Resolution
(sT s r ans - Three sets s/s
V ik
Engineers Authorization
Design Data Sheet (DDS) SUBDIVISION
Deep Hole Log Perc �-
Consistent Perc Results (3) Fill
Perc Hole Depth cd
Property Metes & Bounds
House Setback Necessary (Tight lot)
House Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 45° w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, large Trees,Top of fi
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits /
100' to Stream, Watercourse, Take (inc. exix'
15' to Drains- CUrtai_n, Treader, Footing �
35'to catch basin,stormdrain,pi.ped waterca
101 . to Water Line (pits -20')
50' intermittent drainage course
Septic Tanks
10' from Foundation; 50' to well
15' Well to PL
Well F'��E,.i� APB= 1ic11Tlc�,.�
House P1 s - Two sets
Well V permit; PWS letter
Variance Request
GENERAL
Legal Subdivision
Subdivision Approval Checked -
Ex- approval SSDS Adj. Lots Checked
= Wetland (Town /DEC Permit R & D)
Data On DDS Plans & Permit Same
RBQUIRED DETAILS ON PLANS
Sewage System Plan - (north arrow)
Sewage- System Hydraulic Profile - Gravity Flow
Profile & Dimensions - Volume
D or J Box;Trench /Gallery; Pump pit details
Septic Tank - Size, Detail
Well Detail, Service Line if over
Construction Notes
.-•g
Des n ba _ - _%e results - __
Two-Foot Contours Existing.& Proposed - -Y
Driveway & Slopes Cut
Footing /Gutter,Curtain Drains (discharge OK)
Perc & Deep Holes Located
Representative of primary and expansion
Expansion Area;shown;gravity flow,suff. size
If Pumped Pit & D Box Shown & Detailed
House - No. of Bedrooms
Wells & SSDS's w /in 200 ft. of Proposed System
1/''
IF trench provided Y
required
60 ft. max.
Parellel to contours
s
.._
-
.t,
A 0
1 VT`
Property Metes & Bounds
House Setback Necessary (Tight lot)
House Sewer - 1 /4 " /ft. 4 "0; Type pipe
No Bends; Max. Bends 45° w /cleanout
SEPARATION DISTANCES SPECIFIED ON PLAN
Fields
10' to P.L., Driveway, large Trees,Top of fi
20' to Foundation Walls
100' to Well; 200' in D.L.O.D, 150' pits /
100' to Stream, Watercourse, Take (inc. exix'
15' to Drains- CUrtai_n, Treader, Footing �
35'to catch basin,stormdrain,pi.ped waterca
101 . to Water Line (pits -20')
50' intermittent drainage course
Septic Tanks
10' from Foundation; 50' to well
15' Well to PL
Well F'��E,.i� APB= 1ic11Tlc�,.�
P nmm gXJRN DEPARMMU OF HEALTH
DIVISION OF ENVIRCNMERML HEALTH SERVICES
r
g - .,s§'r- .S<.JBSCrFP,c,S. sII!vA S DzSPC)SAL..: Fr =NO
4-MTA :_ _...
„,;r. - T.r . r ""rr{�' w •.v : "1 _ .-a .., w. ... • - P :+Rim^ /:•,}'�i- �PtimR- Yao•=•_
Owner ,�a Yj � �' G r . Address .•1fV -1
Located at (Street)/ lJ�,11 V01- aL . Sec. Block Lot
(indicate nearest cross street)
Municipality /" �� �%� Watershed
SOIL PERCOLATION TEST DATA PzDL ED TO BE smmi m WITH APPLICATIONS
Date of Pre - Soaking Date of Percolation Test
HOLE
KFIM CL= TIME
PERCOLATION
PERCOLATION
Run Elapse
Depth to Water Frcm
Water Level
No. Time
Ground Surface
In Inches Soil Rate
Start -Stop Min.
Start Stop
Drop In Min /In Drop
-
Inches Inches
Inches
2%5��?�
3
4
de/ -1.4e .
3 a0 -1-5�r
3
4
5
NOTES: 1. Tests to be repeated
are obtained at each
for review.
2. Depth measurements tc
rev. 9/85
at same depth until approximately equal soil rates
percolation test hole. All data to' be submitted
be made from top of hole.
TEST PIT DATA REQUIRED TO BE SU13MI ID WITS APPLICATION
DESCRIPTION OF SOUS ENCOUNTERED IN TEST HOLES
FIE NO..
.: G.L.
1°
3'
40
5'
6°
7'
8°
9'
10'
11°
12'
13'
14° ,..
INDICATE LEVEL AT WHICH GROUNDWATER IS F,NC OUNTEREM �ii ra f
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING MMUNTERED {
DEEP .HOLE OBSERVATIONS MADE BY: fs�
��r% DATE:
DESIGN
Soil Rate Used _� Min /1" Drop: S.D. Usable Area Provided "5 r0
Noe of Bedroams _ '� Septic Tank Capacity gals. Type 0,6/
Absorption Area Provided By 6d L.F. x 24'° ,width trench
Other
$q� .0
ms
NcilTle e- e7i natt3l@
THIS
SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved sgeft /gal. Checked by Date
PUTNAM COUNTY DEPARTMENT OF HEALTH
'ALTIH:'
Date
^7
Re: Property Of 'Z?e5�
Located at jqx aal'.
(T) Section Z! Block J. -Lot 2&
Subdivision of Cl
Subdv.-Lot # Filed Map # Date
Gentlemen:
This letter is to authorize 03 e.&2'b
a duly licensed professional engineer W..-9,or registered architect
(Indicate T_
to apply for a Construction Permit for a separate sewage system, to
serve the above noted property in accordance with the standards, rules
or regulations as promulagated by the Commissioner of the Putnam County
Department of Health, and to sign all necessary papers on my behalf in
.to,.',supe.rv,-.se.-*-th.e,--constiikiotidn�'6'f---.sai-O--'
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health Law, and the Putnam County Sani-
tary Code.
C Co un4j�
P.E. ,
Zl
Addres
9,
Telephone
Very truly yours,
S igne' , a
Owner of'Property
16 1
�ox3U� 1ALVisce �Dn,
Address
Town
,S-.2 � -.33 -7
Telephone
11
at
is
ea
A
V.
4'!
- Putnam eaunty Dapar'tfaefit ui RO&AiL Yt
Av1sion of Environmental Health Servlce',
4pproved as noted for conformance with
tpplicable Yules and Regulations of the
Put County Health Departmen
Ft
11
at
is
ea
A
V.
4'!
- Putnam eaunty Dapar'tfaefit ui RO&AiL Yt
Av1sion of Environmental Health Servlce',
4pproved as noted for conformance with
tpplicable Yules and Regulations of the
Put County Health Departmen