HomeMy WebLinkAbout0229DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
4.19 -1 -7
BOX 3
r
' ,
�� ZL lu p I k
,r.
F WNSTR
Located at V= Section —. Block f7c-f gzia
Owner -` �,t 1K Q ,� L� 5V\ `� .: Lot �' r Job' �ii� rl /Y /sfD�f
Separate Sewerage System built. by sus —dam! Address QRN�al� /T —'!
Consisting of Gal. Septic Tank lineal Feet. X width trench +`
Other requirements•,
Water Supply: v Public Supply From
Private Supply Drilled BY
.Address
Building Type R No. of Bedrooms Date Permit Issued �8
<. .. .s
Has Erosion Control' Been 'Completed?
1 certify that the system(s), as listed serving the; above premises were Constructed essentially as. shown on the -plans of the completed work - (copies of 'which are
attached), and in accordance with the' standards; •rules and regulations plans filed, and:th'e permit_ issued by the 'Putnam County Department 'of Health."
Date E� /� Certifietl b t P E r R A
Address. v . .' License No �_ , -.:.
,
Any: person, oceupying'premises served by,the above systerh(s), shall'. promptly take such,actiori as maybe 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 becomes '
available and the approval: of •the'.priyat6..watir; upply shall6ecom6,nuil and .void when a 'public water supply becomes' available. Such 'approvals
Subject to modification'or change when,• in the judgment of the:Cohimissioner of Heal th,.such.revocation, modification or change'.is'necessary.
Date /// • ��y By Title -r�
OF
yr
J�
B 2% C J__j j -
Bl*C,-
J
C. _ D _ - __ ZZ -
10 C
ID
♦ -- Of �/• - _ _.._ ��_. yr __ -
at e - j
Co-
V71 Vl./__-I .J
0n 0 _
oll insroa
SEE SC4MULE)
con: re
vos,t,fules: Poured
37 —17
I lar'erols of rqua
lenih e parallel
14 coate.s
Go' mot.
To
—(Soe schedule)
rocinor- for Yotol tengtr)
reqwed(se. Schedule)
Opfional
Afonboles to be eviended io surface
inorder i,)ot flow may be ad
to cose oil 1clerals equally
ILE f I E I /D
,Iin,shed grade
JL
910
-f-pipe is used
71.0 Af 6 8
6 stcrloN
(CE F
e-mO�e
",5", ground
p1l f a bej
s D.0 grove: Rock
TYPICAL FILL SECTION FOR SLOPING GROVA10 'PkAN OF FILL SEC110H
r
. to Z$"
TYPICAL itr Pump
x. depth
TYPICAL st1aA,,jA-s18L f
Ich IG"Itt.
c-ps over
-
ou.dwater
level JIG,mm-
pac'ny a/
J
1
L
d Hte or
: fref
.
-f-pipe is used
71.0 Af 6 8
6 stcrloN
(CE F
e-mO�e
",5", ground
p1l f a bej
s D.0 grove: Rock
TYPICAL FILL SECTION FOR SLOPING GROVA10 'PkAN OF FILL SEC110H
r
TYPICAL itr Pump
C- 0NNEGTIOA t
TYPICAL st1aA,,jA-s18L f
PUMP CONNECTION
w E L L TA I LS
Aro 7 11 S C A L E
V
r �� ( r ! �'j-,c fi,�� 'f � �'3' � � � � _ r�� �--„ � rn RIB- �T`� -�
,A
0 T E A L L CON ST KUCTIO 4 TO CONFORM To
A P? L I C 1 I I
L O'C A L C OU:NI.V STALE PQL'ESJk(GVLAT1ON5I 00.61mANCES L A WS:
eGUCn I I t �-,Al rill ATIhUC 9!!? p 0..,O. INW9
I T,
J
1
0
0
>
4-
34' 99'x''-
--------------
T79
,A
0 T E A L L CON ST KUCTIO 4 TO CONFORM To
A P? L I C 1 I I
L O'C A L C OU:NI.V STALE PQL'ESJk(GVLAT1ON5I 00.61mANCES L A WS:
eGUCn I I t �-,Al rill ATIhUC 9!!? p 0..,O. INW9
m
#yh"[kk
0 ri1 row
(,5ta scliedvleJ
QN
j,
Ov he erfendO 0 SLMjj7,r:i.
Yof:?Iow moy,'b�,,
/Civrols 'agivVY:
Z,
f�i q
J,
W. . . . . . . . . . . . . . . . .
4
j,
79
:t
ads :,.
--,4,rq
A fh
ep
J
A edt4V
Qrov
tz'
Z
A —I..
51
;ea
IT I
0 m 51"
',I- El W.