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PUTNAM COUNTY DEPARTMENT OF HEALTH
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Division -.of Enp/ronmenM1 Health Services, Carme% N Y 10512
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CERTIFICATE OF CONSTRUCTION _COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM Pdttel^50n
. T.own,or :Village
Mornings�:de, Drive_ �L.
Located at - Section Block
Alpine Acres, :Tnc: 38
Owner Lot Job
-SO '07
Separate Sewerage 'System buhlr:_cy Paul Lundel wS, J1% Address Patterson, ..New York
Consisting "of TOOT ° Gala Septic Tank 256 lineal Feet' X 36 nch width trench
Other requirements"' NOne .
X Al pne:Acres Water .Corp.
Water Supply: Public Supply From
Private Supply 'Drilled By,
Address
Building Type Frame ►jp,.af Bedrooms ,Tlhree pate Permit Lssuetl
Has Erosion Control Been Completed? I,e$
I certify that the systems) as listed serving the above premises were constructed essentially as shown on the plans of the complefdrk' (comes, of which are
attached), and in accordance with the standards, rules andr regulations plans filed,'and the permit ,issue y the- Putnam :County - Department of Health.'
11/7/72 Certified bti ' /' 3 x =' P E "' R.A.
Date ,�
j-o
i4'ddress R: D • 6,. BQX' 3 a _...e , '; a Or License No
29206
Any person occupying premises served by the.above.,sy- stem(s) shall- promptly take such action.as.may be;necessary,to secure the correction of. ..,a.n.y unsanitary
conditions resulting _from such usage. - Approval of -the separate sewerage system. shall "become "null and woid as soon a's ;a :public, sanitary sewer: becomes
available and the approval of the prigate water supply 'shall become, null and ,v id -when a
public wat ' " ,becomes available. Sueh approvals are ..
subject to modification. or change :when, in the judgment of the'Com o r of Health, such yocathon, odification.or, change is necessary.
. _.. - -
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Date r- By Title
i
v'
Owrfer or Purc ase' r of Building
0 ,Q"ge
Building Constructed by
tD�aa¢uas�a.•�P �`•nl�,
Locate - Str et
Building Type
Municipality
Section
Block
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 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 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 the willful or negligent act of the occu-
pant of the building utilizing 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 negligent
act of the occupant of the building utilizing the system.
9 (
Dated this �� day of 19�i� Signature _ L
Title
If corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
J �- W,- E L t £ T A L.�.
ovnmg ° y - -A•!f fill to-be ..t[cp •i" v .. P NNECT /ON --
A! raver Orl I { ~ - 4sabd'oro ,gebu0(pe _ 4 ;0 8 gravel. °
Z,ovrrnong
dordaxdi. /�, °concrale" T:YPJCAL- f/LL >:':SEC.TION- FO's SLOPING' G90U10. ;.p1. At Of`. FILL ' SECTION �
lowab/e sobsl,iu/es: Poored
7o/stdc.3:
,L A N_
n. • .. -. i r ..,:,, .--- �� ( .rte , ! .a cn7G '.
-51 'a ry -
,/e � 1 ( [ot• ?o!s o/ squab ' . C! ' A.fte:�te. �� ,; L`
'/a coo Jaurs r, -✓ .. .:h, -a;; K}..
c_o max: . "' - - r ..ru 't 4tp r-. A4 �¢•e rt" n !7> - .. • r
t�� uX
�,nJs70 oddiliaral /oATro /.roN
r� '9,1 J t`
6ea -, cheduleJ
C z` �gk r
.. $ GO;mox.;for.tola /. /engJh :aib'T'{V J�,..` <.i:` i. -. /,; i .� • .,k: R t r t•.'� : i C +*t °sl �r
} ,,reed(ste a
Ca
.........
9
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- Algnholos to be erfended fo.sty %ce
morder that f /ow moy be, adlusleJ
Jo dose o/l lofer, c/s agog /lei- r '` 7 F .
hed grade
(� r o {'
Of TILE f /ELn f :. _ �I•�i* ._ qS'(
.tip OtF�; f { {�4 j
ro S c 4 1 E -
tJ
Frn,sned grade
Bac4 f ll lB io 24
r -vAkh hG'ltf _ Y
brpbpercvps aver leve /3G m,h. _j - ` s
%4" hle.rpocrng of . t.; ..
As ,per Subdi_aisjon Map_(Rpp.Yoved"1y4/6F,-
rveranftrefrenc._:::. :..._..• . -., -.r ., .. - ,„ ,.,,r.' - �, P, -
.t
. r �, b• E - �, a d dada pcf: 4pfi 1;i'voth S
,reo 1f -,perf plpQ TNT'ede DC3isuTtit[q...Ehginee}°s
sECT1o.N -
33c Sian
ETAILE.O`SECTION NOTC' ihl,l CON STP.UCTI,ON TO C09100.M'TO A•,PPLICAf)L:E COCAL %, COUNTY% SfiATfIRD 'LE5 %RfGU4'A:T1.ONS%'0KDINONCES /LAWS. '
F[ P T[ 5T,' P,E 0.C; - 0 "
Ta S'CAEE JC N•6DU' -4.E r +CAL.0 UL A'T.I1 N0'LE .CTATA 'lIOLE -0'I_TA
1 ,n tree of Aqrir,lfunvl tde • _E551on
q D[PTU G.0. A D E— urLE
TANG INSlry6 LENGTN.:_l� N[ 5MROOMS' 3 x3^,TO_ __. oars\
;TANG iNBiOE WrDTM.'-"_q -.=__. GAL C>AY -Or:?. I T.RR°lu :DEPT y
sane/ -to /olero/ 'uoulr5 LEVEL .' "�•• _ ' •.. .. — st,o vt a / .. C
1 ( o
,SILE,.Of: .5lQT.IC �T•AN K. iF.
'777
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COUNTY
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DEPARTMENT ', i'-
Division of Environ en taV Hbalth Se
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CONSTRUCTION PERMIT FOR SEWAGE D I SPOSA L SYSTEM. I
!
i�1 ,ig'ns
i!' h � sb__
uo
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n
Town or Viiial d
g
e
Located t Morni ngsi & Drive sectib n Block
Subdivision ATpjhe*:Acfds. Lot Job
Alf Acres, Inc,.
O"n6r p Adbs0 ;i Pres.
;Frame ' A
Building Type' Lot A i6a -R U t b66 -Nra'_
l T , h
sa
id N y�u 11d '
e0
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5
7-,h'
Numbb r of Be drooms Total Habitable Space Square
,
,
Separate Sewerage System to consist of 1 200 Gal septic Tank X 3 1 ndh
n er To, be constructed by Address Same
' Yerc
Water Supply: X P;6iic - S u 'ply From AT pine sl Nato. Corp
r jva t e:S ypp 'I Y to be Yj
Address
OtAer. kequireme nts None
I r6present that 1. am wholly-and cqTp!e!!lX res pq 0 sib le for-the design and location thep ro j) jhat :the, separate sewage disposal system
above described will 'biconstructed a ss h6 w 9 on the approve , amen d ment itere -to and WiihIfbstan arcs; rule an x gul !ons -of* the utnam
I , p Cip�satis4actory.to _t he g m mi ssi 0 ner oi:Health will Cou rty Depirtm6nt of Healthand:that on'conlkionth eredf a "Certificate of Const uctiqpqnl
belfidb mitted.to.I �j D ep jrjj6jt:• aqaa wri en g6arantee4411 be,46rriited-t he-oWnerhi;-iucc6sorS"heirs:
place in 'good operating condition, Any part of said rwage l disposal, sy m durrg the period of, two (.2 Yearslmme d At6ye i6iweni g ithe dae '
t he isu-, .
ancq 0 0 e 6eitii6iie:.of,t6nitrU6tidi--Ccrrioliance of- the original iyiiern oi any r 6pawsihereto;2) that the driiied'!Well'6escibddabjve
will be located as ihown on the approved pla i a n that be�installe . I or ance ..with'the st an ar d s, rui4ianc regUJa uon f' the Putnam
County Department of Health
Date P 5/71 Signed X R.A.
'Address _.�L License No
_PKI" r
'353 1 e� 0-
'6 B
' �, of
Al, V,
,PROED, FOR -CONSTRUCTION .:'. This approval expires drie' year irbrii the �date '-'issued ' urildss�_ construction ihe:P6ildIn§ has been uri'dertiken 'and is
revocable ,fjo, rL' ..c_ au' ie 6r.'hay .be-ahended-_ br -�,
odified
whev, n,.c. on dired ,!. nFC_ na ry ry-by,'tfie"-Com er of.'Heaith An ' ' �
r eq U S Ia 'new perml . Approved for disposal of domestic
w or pri
D ate f By
Tit
0
a') 4 solid vmqcb.,y ppe
a be 7,74rm
TYPICAL FILL Sfcriom FoR sLopiAIG GR0u.411j
PLAN Of FlIt SECTION
Typ 4 CONNECT /ON 111 - jWeRST E G 0 M M . E C TI 0 M
/ 4�i
P 41M W f[ L Di TA I L S
RV T T I S C A L E
z 0'CZ, of rqv.,
leoqih It paroflel c. e,
4 /a coo/ours Go, max,
To dd&#,vl)akro1,ow
C= =A- --(See Sche du le)
-T,8
Omar. /or tolol lengt?)
A l.
_71
i,w
Opflonol v
Afanboles lobe emended io Yutlace
In order 'Mal. flow may be odjvsh'd 9hs
io dose bli /qfivro /s epully
P_
ILE f 14 Ll 0, arks t ta.4
>
Vt-
X .
woyet
ys", grrovnd Ini6
SG,
(Approved, 1�/
ire
W per `Sv, div, sl_ovi' Map _ 4�
an a,t a pen Su I I kran
ip Is used
ers
LoT
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S EC TIM N 0 T E A L L CONSTRUCTION TO COMFO&M TO APPLICABLE L OCAL-/ C OLINTY ST411E KU L E'S E G U. L. A T 10 N 5 -0 R D I IhI A C E 5 L A W.S
Tce DEEP T E 5 T PE&C 0 L A T 1 0 N
SC: M E D UL E CA LC UL A t 1 0 14 5 14 0 L E 0 A T A vole , 0 AT A 'N &,t4
0 49riculfural tile
H-* BEDROOMS -3 2,, DFPT,; G R. A D E DATA
LENGTH lAWK. INSIDE L' X
TANK INSIDE W16TN GAL. 0 A Y Goo 1 r - __EPT .In NN TIC_ `I o0let to lateral
ILIOUID LEVEL