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HomeMy WebLinkAbout0288DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13.1 -19 BOX 4 Ti , �16 r 44 IL 00097 ,Rev. 3/ 6 CERTIFICA F COP PUTNAM.COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.Y. 10512 Eugltieer Must Proylde P61 =87 P.C.H.D: Permit k " tUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM PBtteTSOn Located at Manor load Owner /applicant Name —Homes ite Associates Formerly "Town,or. Village Tai Map slick 1 T 19 Subdivision Name FairV1ENr'bmSubdv. Lot # 24 Melling Address 10 Rockhagen Road zip 20594 Date Permit Issued Thornwood, New York Hekla Mahopab, New York Separate Sewerage System built by Address Consisting of 1.250 Gallon Septic Tank and 511 LE F i " _ 1 d Water Supply: - Public Supply From Address or: X Private Supply Dillled by TorliSh Address Armnnk., NPw Ynrk Building TyPe Single Family ' Has Erosion Control Been Completed? N /A Number of Bedrooms 4 Has Garbage Grinder Been Installed? NO Other Requirements I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work 1 copies of which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County Department Of Health. Date 4/11/88 csruil y lim Baron PE, for. Baldwin & Qmnelius,PQ P.E. X R.A. Address License No. 43791 Any person occupying premises served.by the above system(s) sh i promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage.' Approval of the separa sewerage'system "shall becot»e null -and void as soon as a pub": unitary sewer becomes available and the approval of, the private water supply shall bec me null and vokl when a public water supply, becomes available. such approvals are subject to modifi tion or change when, in the judgment of he Co_ mm) over of Health, such _ evocation, modification or change is necessary. Date ` 8y Title 1! sACr � T.TL'T T l+r1xAUT VTTlITT DL`D/lDT Y * vvlj JJ. vow 1 LJL WL\ L VL \1 DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only f —� — WELL LOCATION STREET ADDRESS: TOWN/ ILLACTIC117, TAX GRID NU BEd: vo/C fro jv� WELL OWNER ME. - ADDRESS I C 'e r ,,�,� PQIVATE ❑ PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY Col AIR /COND. /HEAT PUMP ❑ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE � YIELD SOUGHT gpm. 1N0. PEOPLE SERVED / EST. OF DAILY'USAGE gel. REASON FOR DRILLING L9.NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA ''� WELL DEPTH ft. STATIC WATER LEVEL 0� ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY' ��, COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. OPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH ft MATERIALS: )9 STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE ft- JOINTS: ❑ WELDED '&THREADED ❑ OTHER DETAILS DIAMETER in. SEAL: ❑ CEMENT GROUT ❑ BENTONITE - &OTHER WEIGHT PER FOOT - -lb./ft. I DRIVE SHOE: ❑ YES )&NO LINER: OYES ❑ NO SCREEN DIAMETER (in) 'SLOT SIZE -LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? DETAILS FIRST ❑ YES ❑ NO SECOND HOURS GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE: DIAMETER OF PACK in- TOP DEPTH ft. BOTTOM DEPTH It. WELL YIELD TEST ; If detailed pumping METHOD: ❑ PUMPED tests were done is in- COMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ; ❑ YES ❑ NO ELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. ..DEPTH FROM SURFACE Water Bear- in9 We11 Dia- In FORMATION DESCRIPTION coo¢. tt it WELL DEPTH It. DURATION hr, min. ORAWOOWN ft. YIELD gFm- Surface )t� 6 . WATEfi CLEAR TEMP, QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? ❑ YES ❑ NO ANALYSIS ATTACHED? &YES ❑ NO STORAGE TANK: TYPE (ANU- J 0 CAPACITY tld)( PUMP VRMATI TYPES CAPACITY MAKEA c °�%ii4�i%JI I DEPTH_�T MODEL VOLTAGF3 HP -GAL-44 WELL DRILLER NAME , D, - UAES1 1S rD `�- S�� sI r RE _for liown Medical Laboratory, Inc. 32.1 Kear Street Yorktown Heights, N. Y. 10598, (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) T_ TORLISH & SONS PO Box 271 Armonk, NY 10504 L J MK. 004469 LAB # Date Taken: 4a-I P? Time: 2�36 Date Rc'd: ji m I :':3t'`-' Date Reported: Collected By: D. Torlish Referred By: Sample Location: TO 1 Amy me _ ' L � o a '4 ."V't1Y2W n 1vior a cr'ia-)n Phone # Phone # Sample Type: Repeat Test ?, _ I(check one) LABORATORY REPORT ON THE BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA L_�Standard Plate Count (CFU /1:OmL) (Agar Plate.@ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) !/Total Coliform (CFU /100mL) Fecal Coliform (CFU /100mL) Fecal Streptococcus (CFU /100mL) , MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index (per 100mL) Fecal Coliform: MPN Index (per 100mL) OTHER ANALYSES REMARKS (For Laboratory Use) _ ✓Potable Non- potable _ STP INF _ STP EFF Other: Sample Status: (check each) Outgoing Na2S203 Incoming _ LE 4 °C 4 °C Other. KEY FOR TERMINOLOGY RDS Recommend Disinfec- tion of Source TNTC= Too Numerous To Count CON = Confluent ( =TNTC) LT = Less Than (C ) GT = Greater Than (> ) N/A = Not Applicable LE = Less than or eaual to THESE RESULTS INDICATE THAT THE WATER SAMPLE ((WAS (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO TH NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. For Lab Use Only: H/C to 5 ,12 /85(Rvsd7 /F.7)RWE I-LAB OFFICE HOURS (Main Lab): . 9AM -5PM, Mon. -i ri . 9AM -NOON, Sat. I�en:­eSiT 4.550CI vim S alC', , Owner or Purchaser of Building #014t5iT(O /755a�ci¢�rPS,�.vr Building Constructed by M14 Al D /'c... %Z c l. Location - Street !l /17T ele'.5 QA✓ Municipality Building Type Section Block l Lot Subdivision Name 2.f Subdv. Ldt # GUARANTEE 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 guarantee to the owner, his success- ors, 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 determin- ation of the Director of the Division of Environmental Health Services of the Putnam County Department of Health as to whether or not the fail- ure of the system to operate was caused by the willf I- )o r/r)egligent act of the occupant of the building utilizing the system ,/ Dated this day of 19 Signature�a_ Title i HEKLA CONSTRUCTION INC. Excavation • Trucking • Equipment Hauling • Septic Systems Specialist Top Soil • Fill • Gravel • Black Top Buckshollow Rd. RFD 9 Box 474 Mahopac, New York 10541 (914) 628 -5738 THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES 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 II. IV. V. Vi. t�rrr�wlx � FINAL SITE INSPECTION Date ON G y � Y" Inspec ed y /y /; %� OWNER , u C C. i' �J_.s / ��� ll I1T n�r�P1Te �Tn Tl�» n ® a �0 - � .v PUT $ n .....��.�,.� ����... �,..� u o O YF-c Na CO'^ME�i rS SPtivp,GE DISPOSAL AREA a. SDS area located as per approved plans .. b. Fill section - Date of placement 2:1 barrier. LGTH WIDTH AVG.DPTH c. Natural soil not stripped d. Stone, brush, etc., greater than 15' from SDS area. e. 100 ft. fran water course /wetlands. a! SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,000 - ,25a" b. Septic tank installed level - c. 10' minimum fran foundation d. No 90" bends, cleanout within 10 ft. of 450 bead e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested l '9 2. Protected below frost 3. Minimum 2 ft. original soil between box and trenches f. JUNCTION BOX - proper1 y set g. TRENCHES 1. Length required - ,,.7/ Le-rigth installed 2. Distance to watercourse measured, ft. 3. Installed according to plan 4. Distance center to center 5. Slope of trench acce table 1/16 - 1/32 " /foot. IX 6. 10 feet from property line - 20 feet - foundations B �' 7. Depth of trench < 30 inches fran surface 8. Roan allowed for sion, 50% 9. Size of gravel 3/4 - 11" diameter �✓ 10. Depth of ravel in trench 12" min=tun 11. Pi' ends cap X h. PUMP OR DOSE SYSTEMS 1. Size of puTp chamber �/ 2. Overflow tank 3. Alarm, visual /audio rw 4. Pum p easily accessible manhole to grade 5. First box baffled 6. Cycle witnessed by Health Departuent estimated flow per cycle HOUSE a. House located per approved plans. b. N _mm_ of bedrooms WELL a. Well located as per approved plans b. Distance from SDS area measured c. Casing 18" above grade. d. Surface drainage around well acceptable. OVERALL WORIMSHIP a. Boxes properly grouted yd b. All pipes partially backfilled c. All pipes flush with inside of box d. Backf ill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist.watercours ' Yom. g. Footing drains discharge away from SDS area y h. Surface water protection adequate LT� i. Errosion controi provided on slopes greater than 15 %. PUTNAM COUNTY DEPARTMENT OF:BEALTH I Dlvlsioo of Environmental 13ealtti Services.'Cormel, M.N. 1051? Engineer to Provitie;PermltN on CERTIFICATE OF COMP - Permit . Nj� �P CONSTtLTCTION PE FOR SEWAGE DISPOSAL SYSTEM PA=-SON Loc'ateti ae Mooney Hill Road .. Town or . VIDago '.. e Fairview .Manor 24 - 1 1 19: �Sabawaloii Name Sabd. Lot # Tax Map' _ Block Lot Owner /Applicant Name AlIliwcci.Development Renewal Revision - ❑ Date of.Previons,Approval Mailing Address 10 . Rockhagen Road Town n ornwood; NY p 10594 T S lnple famly. ot Area 3.71 ac., [F11 Section Ody. Depth Volume Number of Bedrooms 4 ' Design Flow G P D 8O0 PCED Noti6eatlon Is Required When FIB Is completed Separate Sewerage System.to consist of 1ZkLGll.. Septle Tank and 571 .LF 'of 24tt trench To be conetracted.,by to. be determined Address . Water Supply: Pdblic Supply From Address OP X Pdvtite Sd i Driued•by t6-,be :; Cdete.rmine4ddresia • PP Y .. Other Rennlremente 1 represent that.l am wholly and completely responsible for the design and location of the. proposed system(d); 1l .that the separate sewage disposal system above described ill.be.Eoristiucted as shown on the approved amendment there to and in accordance with the standards, rules an regulations o e - w,, u nam County Department of Health, angUiat on completiori thereof a "Certificate 'of Construction Compliance" satisfactory to the Commissioner of. Health will be• submitted .to the Department, and aYwntten guarantee-_will : be furnished the' owner, his successors, heirs or assigns; by the builder, that said buiider'Will .place in good operating condition any part -of -said sewage disposal, system during the period of two (2) years immediately following the date of the• isw- ance of the approval of the Certif icate of - Construction Compliance of the original system or any repairs thereto; 2) that the drilled well,described above will.be located as shown on the approved plan and that said well will lnst etl -in accordance with the standards, rules and regu a ions of the Putnam County' pyartment of Health. L,,L/ Oats Signed t / 3 7 P.E. - R.A. Adores 'and hn & 13Qri eliu 4 PC„ Rte _22, .8t6a ter, Lei License No APPROVED FOR CONSTRUCTION: This approval expires two years,from. the -date issued unless construction of the building has been undertaken and is revocable:for•cause ri may be.•ame.nded or modified when .considered -A eees y.by the CO missioner of Health. ny change. or alteration of, construction wires a•' new pe mit. 'Ap ov for, disposal of ,domestic•sanit 'se e, antl /or pr' a wet r` pp ly Rev. Title .1/87 1/87 ate Y PUTNAM C O0J,4T'Y DEPAFI]MENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS (Name of Owner) LF trench provided required 60 ft. max. Parellel to REVIEW SHEET - CONSTRUCTION PERMIT . - ..► ..:. - rim■ DATE EwE, } �J BY: �/2/- DOCUMENTS 2 Permit Application Corporate Resolution`._._. Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISI N Deep Hole Log Perc Z Consistent Perc Results (3) Fill --- Perc Hole Depth cd -- ouse P s - Two sets Well r" permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Tcwn/DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS - Swage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - VoluTie D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes ( grinder notes) Design Data: perc and deep results Two-Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Ferc & Deep Holes Located Representative of primary and expansion Expansion Area; shown; gravity flow, suff. size If Pimped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed Systems 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 fill 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains - Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' fran Foundation; 50' to well 15' Well to PL 0 VUU111'x U11,1+1lt;l 1lU1LU111U, UAIIIduji, II. Y. 1U_i12_ + , ' . ' ; ' ' , It I)EU1011 Wl' U1 "1' -U,L 11th' n UL1mIg •Lltll'U3Ab UXH'nl.l I11LU IIU. Uuuuf;_, naaAeuu 1,U1LAud UL. (06vub �liiillisii�t�`iieui�iiui Uuu Bluol4 — tub u1'uuu etGi�eel;• j • iltutic;lJ�lll;y ilul;uA'ultea �- _ Lull, I'LIIUULA'1'lUll '1L U1' LNITA IttrVI ED '1'U IJL UU131-111.1' ' 111'111 AI'111VAT1UIIJ FAIRVIEW MANOR � liil ii , 11Uiulrt►l• VLUt,'A ' I'L11,UU11UI1 Ilii _ Lii Ninait 1r1Let ;V51 11u. 'I'llou I'•t'uut 11t'vwta• 13111'lwue 1.0 1.t 11►eu UU11 Witt) Ubut•; -tAup I.11ll. UL•nl -l; I'.al:u t Vol! iu I tli. /ltt dt•u1, luc;lwu 1>;tc�teu lncl►uu . 24A 1 303 - 335 30 21 23.25 2.25 13.3 339 - 409 30' 21 21 2 13 412 - 442• 30 21 2� - 2 13 2413 1 •306 - 336 30 '2 T , X3.25 2.25 13.3 2 340 - 410 30 21 22.5 1.5 20 — 413 '- 443 30 21 22.5 1 .5,• ' 20 I CIE Ilul.r_'t 1� '1t►t►t:a (;►t 1,R► Arl�r -ul:ed til lit ion lleplAt ut►1;11 tj`' u'► (11taLe,1 r ut1►t�.1 + +.1� • t cIluu t►t•u ubLu�.tied uh euull puruylpLauu e a Iwle. All u u Le, .bu uu inluu .'1'VP ATV )U11. V UmpUi Wouum-emettlat .tu be upado. _ I'vot Up vl' Rule. t`.'_.. E NE w o rot , .� CO R NF �I,,, MA uAI•d .tip. rairview Manor tscaLes TEST NIT DATA P,QUIPED TO PE 51111'ih',( "1'1,U 1•;1'171 APPLTCAT1011 D "G111I "1' � ON OT' SOJ:L3 Bl' "OJ1!'1'�'RED 11.1 '1'E.')'1' Ildi,t1 3 L)EP1111 HOLE 140: 243 . ROLE 110. 247. BOLE 140. 241 G.L. _ silty clay __gravelly loam & shale aravellY loam & shale 12" ' 21111 J Cd 11211 r�1 aypg sa y 1 nam 511„ 6U" 5' to rock cr 5' to rock 66" 72" 7811 E34" 7' to rock I11DICATE LEVEL AT '11111C11 GROUIID 1•IATER IS ENCOUNTERED I1IUICAU'S LEVEL TO WILICH WATER LEVEL RISES AFTER BEII4G ENCOUNTERED TESTS 1•I1WE BY Date O Soil Rate Used balvi "Drop: S.D. Usable Area Provided Ila. of Bedrooms Septic Tarik Capacity Gals. 'l )rpe Absorptioti At-ea— r�ovi By. L.F.x24" Width ErrencFi. Other lame bignature Address SEAL 11'1113 SPACE roll USE 13Y IMALITH DEPARTMENT ONLY: Soil Rate Approved Sq. F't /Cal. Checkod by Date Baldwin & Corneli u5, P.C. c� r E� 0wn,e4; �'.Ch1k1;s "�► to Assoc. , Inc. RD 6 Route 22 ;�PtiE ro�P,I �� . Brewster, NY 10509 reaR�- oca.tion_:., M ©.Q.n.�;Hill Rd. Patterson • APPENDIX M 3 _... • PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES AFFIDAVIT- CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMIT= TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Camti.ssioner of . Health In the matter of application for: Am l �o t Ct' -e -1jam e:v nn I, '.J ✓lMre / %U )'C,(,4 C4 represent that I am an officer or eiiployee of the corporation and am authorized to act for {1wtiCci` �eUe���rdi�n�i, ��2�a BETTY L. ESPOSITO \ Notary Public, Siate of. Kew York No. 4526303 r Qualified in. Putnam Countl ` Commission Expi :es P.p:il 30; 13..- DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address Mooney Hill Road Town/Village/City Tax Grid Number Patterson 1 -1 -19 WELL OWNER Name Amicucci Dev., 10 Mailing Address Rockhagen Road, Thornwood, NY 10594 ®Private O Public USE OF WELL 1 - primary 2 - secondary 19 RESIDENTIAL 0 BUSINESS ® INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP O FARM O TEST /OBSERVATION b INSTITUTIONAL O STAND -BY O ABANDONED ❑ OTHER (specify AMOUNT OF USE YIELD SOUGHT 5+, gpm /# PEOPLE SERVED 4 -5 /EST. OF DAILY USAGE 800 gal REASON FOR DRILLING ONEW SUPPLY OPROVIDE ADDITIONAL SUPPLY OREPLACE EXISTING SUPPLY ❑DEEPEN EXISTING WELL OTEST /OBSERVATION DETAILED REASON FOR DRILLING NEW RESIDENCE WELL TYPE XIDRILLED DRIVEN ODUG ®GRAVEL 0OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Fairview Manor Lot No. 24 WATER WELL CONTRACTOR: Name (to be determined) Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: NAME OF PUBLIC WATER SUPPLY: DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: Over 1,000' YES X NO TOWN /VIL /CITY LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION ® 0 EP ET (see SSDS plan) 5/5/87 , �V�...�,�.� `ASS: (date) (signature) 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 requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well.Completion Report on a form pro ide by a Putnam Coun Health Departhent. ` Date of Issue: 19� Date of Expiration: 19 emit Issuing fficia Permit is Non - Transferrable White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner 2j87 Orange copy: Well Driller THE E-SEWAGE` STRUCTED qND THAT THE )ER MY ;s ' COVERED_ ).NST Blu , g EA • ?ORA LIUS, P.CI-4. La ICI 44.5 95, -1 0 QL C. 4 41.0� Putnam County of Health Division of Health Service- lp,proved ao noted for conformanoe with gNplicall ­ c Fulas and Regulations Of the eutnqm County I apartment.. FOPC WTI i LCCA-Mfftatare AA'Itle • VEE PILOT FIC•4N LOCATION. PLAN 6;C,A1_E III-zo, - ac-1- _ LOT 24 FAIRVIEW AANO 'A F_ DnTE 9_,S.D.S.".AS BUILT" TOWN, OF ?A TT64W) iearQ NO. � DATE REVISIONS 7 59 B-s' 48 �C-E 29 D-E 68 C-F 51. D-F 40 C=C 125 D-G 135.5. C-H 1132 D-H 125..5 C-1 75.5 D--1 95 C-2 76 D-2 91 77 D-3 87 C-4 78.5 D-4 83.5 C-5 80.5 D-5 80 .C-6 83 D-6 76-.5 C-DB: .74.5 D-DB11-00.51 REVISIONS 7