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23. -2 -58
BOX 7
11•
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J.BONDI
County Executive
[IT MORRIS, PE
Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road.. Brewster, New York 10509
ADDITION APPLICATION RESIDENTIAL ONLY
STREET �2. % ./�"s1�OWN TAX MAP # , °02'��
NAME Z�.PHONE Of PCHD# - p
MAILING / ,. �rG �
DESCRIPT
ADDITION
NUMBER OF EIISTING BEDROOMS — v41 PROPOSED i( OF BEDROOMS
(FROM CERT. OF OCCUPANCY OR CERTIFICATION IFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by
a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County
Sanitary Code.
Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd,
Brewster, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100:00:
2. Sketches of existing floor plan (drawn to scale, all. living area including basement, to be
shown and dimensioned and use of each room specified). (See Section 3.c of Bulletin
HA -1)
3, Two sets of proposed floor.plans (drawn to scale with name, street and tax map #).
*. Nori- professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
HA -1)
4.. Copy of survey, all well and septic locations on the subject property to the'best
of your knowledge. Include date of installation known. Contact this office with any
questions..
5. Copy of Certificate of Occupancy from the Town or Certification from the, Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS�
/
f l�C_ �i�l l jG: S T j , , �f tvg' Zvi
5
Environmental Health (845 278 =613) Fax ($45).278-7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278,6026 .
Nursing.Home Care Fax (845) 278 -6085 WIC (845) 27 &6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
SHERLITA AMLER, Mp, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
ROBERT J. BONDI
County Executive.
,ROBERT MORRIS, PE.
Director of Environmental Health .
DEPARTMENT OF HEALTH
I Geneva Road. Brewster, New York 10509
Town Legal Bedroom Count &.Proposed Addition Status.
Re: (Owner's Name)
Tax Map. #
Address: �� /G►y %! G�%
Y
Town:
Year Built:
According to records maintained by the.Town, the above noted dwelling,
is in. compliance with Town. Code.
Is not in compliance with Town Code,
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other:
The plans for the proposed. addition are considered:
New Construction
Addition to existin g Y house use-only
Teardown and /or re =build allowed„ under Town Regulations
zzz
Building _Date.
6.
Environmental Health (845)278-6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 .
Nursing Home Care Fax (845) 278 -6085 . WIC (845) 278 -6678
Early Intervention % Preschool (845) 2282847 Fax (845) 225=1580
1'
Sherlita Amler, MD, MS, FAAP
Commissioner of Health
Robert Morris, PE
Director of Environmental Health
Lynn Kirchner
567 Farm to Market Road
Brewster, NY 10509
Dear Ms. Kirchner:
Department of Health
1 Geneva Road, Brewster, NY 10509
April 30, 2010
Re: Addition- Approval — Kirchner
No Increase in Number of Bedrooms
567 Farm to Market Road
(T) Patterson, T.M. # 23. -2 -58
Robert J. Bondi
County Executive
I have received and reviewed the plans for the proposed addition to the above mentioned residence. The
proposal for the addition has been approved as per plans bearing the approval stamp from the Department
dated April 30, 2010. The addition is approved with the following conditions:
1. The total number of bedrooms in the main house must remain at four without prior approval by
this Department.
2. The total number of bedrooms in the apartment must remain at one without prior approval by this
Department.
3. The area of the existing sewage disposal systems, and their expansion areas, must be maintained.
4. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets,
restrictors for shower heads and faucets, etc.
5. The approval is for the proposed changes only. This approval does not validate any construction
shown as existing that has not obtained proper approvals.
Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the
Town of Patterson.
If you have any questions, please contact me at your convenience.
joseR ect fully,
ph S. Paravati, Jr., PE
Assistant Public Health Engineer
JSP:kly
cc: BI, (T) Patterson
Environmental Health .(845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845).225 -5418
Nursing Services (845) 278 -6558 Fax (845) 178 -6026
Nursing / Home Care Agency (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
4L
feet
-v,
46
PUTNAM COUNTY DEI'Alffl�IIENT 'F HEALTH
PLANS APPROVED FOR BEDROOM COUNT ONLY,
BEDRO-OMS
A c T BSEQUENT PAEVISION11ALTERATIONS TO THESE HOUSE
ILIT, s " 1, -'
PIANS 1lU5T-11E SUBMITTED TO THE PCDOH FOR APPROVAL
1'E TNAM COUNTY DEPARTMENT OF IiEALTIl
PLANS :APPROVED FOR BEDROOIM COUNT ONLY,
Rmf..!i\`1'O -THE USE
r'l,AXSN?fUST BE SUi3�°.tITTED TO THE PCDDH FOR, APPROVAL
.r"`�
®m
PUTNAM COUNTY DEPARTMENT OF HEALTH �
i# YUSE PL. NS APPROVED FOR BEDROOM COUNT ONLY,
BE BOOMS,
F; � . ;, j � i3SFQUENT IIEVI�\,L',lAT'T'F'R ATiC�N� Tn Tu�sr__x�[.�
I`u tiiwS IMUST BE SUBMITTED O 'A"HE PCDOH FOR APPROVAL
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Office of Building Inspector
TOWN OF PATTERSON
PUTNAM COUNTY, N. Y.
TRinity 8.6500
APPLICATION FOR BUILDING PERMIT
,fig :' • `.
f,.
Date —1-2- __, 19�`_ L
Building Permit No.
Application No.
Zone District
Variance.Case No.
Application is hereby made, to erect ( ) alter ( ) remove ( ) repair.( ) demolish ( ) addition
pursuant to the New York State Building Construction Code.
Location of Premises — Street or Road
Tax Map Number --Frontage I ` % -� Depth Rear = =
Y
E ;
DWNMER - -- t_: 'av-_ '`t�__� t— ADDRESIS RHONE No.e
Name of Contractor. A' -1 _ ; i ;.t. � iw — ADDRESS � :1r ? ; � � ��';' � <: 1 �'.? PHONE No.
Plumbing Contractor's Putnam County License No.
Electrical Contractor's Putnam County License No.
Use: EXISTING — r' - r =+ -_ -- PROPOSED
No bulding shall be occupied or used in whole or i'ii' part for any purpose whatever until an application is made for and
a Certificate of Occupancy shall have been ,granted by the Building Inspector.
PLOT DIAGRAM
DIMENSION OF BUILDING',
FNDTNS.
Stories
BASEMENT
Existing
Construction'
Proposed
INT91tIOR:
With- Add.
ADDITIONS
_
Stone
Part
,
Wood
Rooms
Rooms
Concrete
Full
Steel
Apts.
Porch
Blocks
Cement Floor
Brick
^�
No. Baths
Garage
Brick
Flnished
_i
Concrete
Bedrooms
I
Bath
Garage
Stone
PLOT DIAGRAM
DIMENSION OF BUILDING',
Width Depth
Stories
:. x. x
Existing
x x
Proposed
X x
With- Add.
Estimated Cost
........
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions from
property lines. Show street names and indicate whether interior or corner lot.
Application Fee -- < —
This application must be accompanied by two sets of complete plans and specifications and all information .required
by the Zoning Ordinance and such additional information as may be requested by the Building Inspector.
I,
`'.:..° rI- I `�. _L', i the applicant, do hereby certify that the above statements_ are true to ,my
knowledge and belief and the proposed construction does not violate any Zoning Ordinance Law or Regulation.
Total Fee $ — -- Signature of Applicants
(Ovmer, Lesee, tohtractar)
Receipt No.
Approved '' RAert,L Aram, Jr::
Disapproved Reason _ ^_ — ...,. ' %f Building Inspector
�9te.. coal. T'ttJt��
10.
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3.
4..
40:
45
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PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
PROPOSAL FOR SEWAGE DISPOSAL SYSTEM REPAIR
OFFICIAL USE ONLY
1 11-013
SITE LOCATION TM #3
OWNER'S NAME PHONE gLAI,
MAILING ADDRESS
PERSON INTERVIEWED L�A 0k-.-fA 1 PCHD Complaint #
e z e ationns ip ti.e., owner, tenant, etc.
DATE L-I !)L-
TYPE FACILITY
PROPOSED INSTALLER h�a \��. -,b�� ,«� 3,��PHONE—'9,-A:5 07 X - 0
ADDRESS REGISTRATION#
Proposal (include sketch locating all adjacent wells):
NOTE: Repair must be in same location and of same type as original sewage disposal system .Different location
may require submittal of proposal from licensed professional engineer or registered architect.
_ .! ,- •fi��. \ \_ __`� fie:.. c`e..�� \C`� .rte �c�� �e,��� c�� C`��c� �.:��e� =-
C:..J j �C9 r . i l� \%'C� G"� �� �`L C. `fx.� A ^i f \—i C •� 1!� V \ e'er �^'�
I, as owner, or reported agent of owner agree to the conditions stated on this form.
SIGNATURE I TITLE DATE L 1-71 L)
Proposal approve dwith the following conditions:
1. Procurement of any Town permit, if applicable.
2. Submission of as built repair sketch in duplicate showing:
a. Owner's name
b. Site Street Name, Town and Tax Map number.
C. Location of installed components tied to two fixed points (e.g.,house comers).
d. System description (e.g., 1250 gal. Concrete septic tank, three precast 6' diam. X 6' deep
e. Installers' name and number.
3. System repair to be performed in accordance with the above proposal and conditions.
Proposal approved_
Inspector's Signature & Title
COPIES: White (PCHD); Yellow (Town BI); Pink (applicant)
PC -RP 99NE
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DA
r• - MANHVLt GVV
s9o. ,• JUNCTION. BOX
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6 y� i t UI EV L
. C- "7*�d(10.
_ i S�1k('iAAY TEE
$Ew'TION e
kQa . �2�sme a i sEV�/c TYPICAL CONC.. ert cr�sT CaHc
e4 �� 1 EIIr c. .
. la►IK' TAN P B -t BIN
�u SEPTIC 1C
exonN
s- RD LEVEL
F ,
c ARTR
.. 0ACKPILL .- i004,T -.
5�.�.IQ �.�..
PAP
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OR - HAY 2
( _ °
PERFORATED e
jJOl "k S' I) A4.L La4ac Tet" Wl�Hlu 10' OF i o A. cIPE r� B
F, N $ sea{la AREA a at ¢e'�novEn. --11
E.x1Ii Id C� QOPIT:tII►I � 2� _ JUWC_-t10U Cio14T:`QO't1Nyf 25'�U1)i :a- -. - =.y CLEAN GRAVkL UR .
6 .. bEeo. -1 •CNUSHEG -STYINF
-1 ~ --
eos� 'uu6..
ao A95QRPTION TRENCH
a �
NOTES
SYS i FM TO BE CONS TRU} TEX3 IN ACtMDANCE WITH .THE RULES AND
FiQGULATI0 S OF THE �yUiNAIM COUNVY DEPARTNIHNT
U. FJ.61L 0. HEALTH.
SY`MM:;$HALL NOT 9E BAC 'Ft14E0 ,lkN7JL WSPECTED BY D €SGN
ExbjutG. \.'d EtaGtN££R AND THE LOCAL
ALTH bEPARTMENT 1f: REC01M
w�u. �(a Lx.P.9,N�10,>.l �� SYSTEM TO CDN_I-T OF {( "ISO "6ALlON SEPTIC -TANK'-
AND..�o FT F_ f,T• TRENCH WITH A.MA.)�IMUM
�XIt r.t.1G ��S k it'M PITCH' OF 1)iF4 PER FOOT.
o - - DISPOSAL SYSTEM IRA
O.ES FiEi.E- RENCED..TD FINI:.H£S3'FiR$T,
FLOUR ELEVATION ,UNLESS::- OTHERWISE NOTED.
S.S. D. SYSTEM Fury ` R SC
_{. tom_.._..___" ..
a ut�:?r REVlSIG-rrs IfOWlkRtd KELLY dFt,
° A$SOGIATES
f N.> 39:30 °� Mu PATE 9ti'
I CARMkL NEW Y H
t) K
1
TAX MAP W 72 aLK -NO. .
LOT NC 4
TOWN. Pt�T6RSow(/W�� / i _
i rara. G -AZ R 10 4pr: Mota001
s, 339
�r 3yo �•. _ _.. y - - _
LA }� N] � L Oi
PLO .111 C
k d- D 4 Ds Nrfn Hn
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pRovoSED
Poo,
15'
> GLB
rF
IEREON SIGNIFY THAT THIS SURVEY WAS
TH THE EXISTING CODE OF PRACTICE
IY THE NEW YORK STATE ASSOCIATION
-YORS. SAID CERTIFICATIONS SHALL RUN
IDM THE SURVEY IS PREPARED AND ON
COMPANY, GOVERNMENTAL AGENCY AND /OR
D HEREON, AND TO THE ASSIGNEES OF THE
I FI CATI ONS ARE NOT TRANSFERABL E TO
Z SUBSEQUENT OWNERS.
)F THIS SURVEY MAP NOT MARKEDWITH
JRVEYOR'S INKED OR HIS EMBOSSED
;ED TO BE A VALI D TRUE COPY.
R ADDITION TO A SURVEY MAP BEARING A
SEAL IS A VIOLATION OF SECTION
tHE NEW YORK STATE EDUCATION LAW.
IF ANY, NOT SHOWN.
cif MUL_Lr�'-
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w+ `E
� 6
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40.3',
�n
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N
SURVEY OF PROPERTY
PREPARED FOR
i
SITUATE IN
TOWN OF COUNTY OF
STATE OF NEW YORK
SCALE I "=Or*'
o, 6r-" Xm f kl G GEGEi I(3i I��I`ji3
CERTIFIED TO
6AP-y _`r.�T T�FZxr1
TI✓ WTOA, 1 Cojoly NA4'fio.4AL F_AN_ of c,%zMEL,
• .�Ci.l�iTy TYSLE� 6J4cZta..)-y CoM�A, � �RGF' T�.O°/:��
;URVEYORS
NICHOL S G. CHAPIS, EW YORK E LICENSE N9049330
PUTNAM COUNTS
„ Division of.Env�ronmental
CERTIFICATE OF CONSTRUCTION+ COMPLIANCE FOR
Located .at
Owner
E Separate sewer*,,, ,,stem: bdilltC+b�y �'+ �S CL 'L
Consisting of Gal :Septic Tank
_ k Other requirements,
Water Supply zi Public Supply From
*,p� ' r. B l �Q1 S11 A7
f Private Supply. "DF�IIed iBy
`Address
Budding. Type
Has Erosion Control Been Completed
c rt�fy,'th'at the sy'stem(s) °as +listed serving -the above premises were con
attached), and m accordahce wrth the standards rulesgand regulat+on:
c
J �
No :..of Bed►oi
+
/¢ ?¢
Date ? CertRied by
4�
Address `} f
Any person occupym9 premises servediby the above?system,(s) shall pr
eonditiohs resulting from`_such rasage Approval of. the - 'separate se`v
a`yailatiie' and the ,approval of the prrvate.:water supply sRallbecome,n
subject to: modrficat�on or change °;when .'in the judgmerit of the 0
f
AT
( orn ( -
-
sg
S
ed�work (copes of._wh`ich are'
Sunty Departmentof•Health.
P4E :.'• R :A.
+_ o
c orrectionyof any+unsanitary
utihe, sanitary sewer-bei:OhMs'
table .” Such - approvals are
":change' is, necessary. - '
C -OF HEALTH
arine% N, aY 10512 5
a
SYST;EM `
4n'al"f"EtZSa'lJ _
�-
Town .orNllage`
•_YI'llG.1/
�
x 1 � +1 � N`IKA�
dress
K.4� i71 J
_
"al •Feet X ~ -
�
-- - width trench
7
_ _
r
<
II1HG�
.Date Permit
Issued
t
( orn ( -
-
sg
S
ed�work (copes of._wh`ich are'
Sunty Departmentof•Health.
P4E :.'• R :A.
+_ o
c orrectionyof any+unsanitary
utihe, sanitary sewer-bei:OhMs'
table .” Such - approvals are
":change' is, necessary. - '
ET
Owner or Purchaser of building
Building Constructed by
,�7AR -m -Tb V_ 0 -
Location,- Street
o o
Building Type
Municipality
Section
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 tl_A-standards,
rules and regulations of the .Putnam 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 ,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 occupant of the building utilizing
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. z?
Dated this day of )141- Signature
Title
if corporation, gife name
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
i
MAI
Boom
mommm
r
CONSTR UCThON
(L`o'cated aY ��
�SutidrvPSion,
� �BuildPng Type _
�Numbei of �Bedroorr
� �Weter Supply
t ll T 54
(; her RequPremenfs.
Date
_ e
K.
DiVis[on of�;Enwronme%
QR_ $EINAGE�lDISPOS'AL�S
t
y to.�be drilled by
This ;approva'P expir
d, or;modified:wfiert
-w
�r ,disposal , of?,tlomg.
EPARTMENT OF HEALTH
�alth: Services Carmel
r
Secfron =� --
-
x
� 'M Address
S"( J, ~t`
4
;a v a
a
1
n or y lage_-
Biock
al
°t width trench f
x
the separate sewage disposal system
ulio arid':regulatioris o ".Y. e U barn
, ?tg the.'Goinmiss over i3f IHealfhw 11
ydthe!tiuPlder` that said "buPlder•witf
Iiateiy0''llowPng the date'gf the issu-
hatAthe .druled well descr.;6ed above:'
-and regulations .-of the Put--(W6 r
Zl 1psp se,
�uudPngsha`s been; "undertaken and 'is
Phange�or'alterat -ion of construct,iorr
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. 1
Owner . (.� T °f SC_�� Address = 7AfL;n a AVICG- l t �
Located at ( Street )' jjQ.m 7a q�ej A, Sec . '")� Block 1 Lot g-
jindicate nearest cross, s reet j
Municipality. �-u€esgXl Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
Run apse
Depth to
Water
a er ve
No. Time
From Ground Surface
in Inches
Soil Rate
Start -Stop Min.
Start
Stop
Drop in
Min. /in drop
Inches
Inches
Inches
5;N:�
v
2
3 to'. 4o i o '. 4-1
Rio , it1 tO`.5� 'a
CD 1
5 to'•sS
3
4
Notes: 1)
rates are
,for review
2
Tests to be repeated at same depth until approximately equal soil
obtained at each percolation test hole. All data to be submitted
Depth measurements to be made from top of hole.
DEPTH
G.L.
6"
12"
18"
24"
301!
36"
4211
48"
54"
60"
66"
7211
78►►
►►
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRI'fTION OF SOILS ENCOUNTERED IN TEST HOLES
. HOLE NO.
84 A
INDICATE L AT WHICH GROUND WATER IS ENCOUNTERED
INDICATE'LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED
TESTS MADE BY �„ Q : j- ---� C c{� Date I - L*� - 2 4'
DESIGN
Soil Rate Used_j_a_Min/l "Drop: S.D. Usable Area Provided S a
No. of Bedrooms j Septic Tank Capacity , S Gela Type ?�
Absorption Area Provided By 9� L. F. x24" oE`�� tth trench.
ry< Sher
Address
Ali
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: e 0� ►E %^
Soil Rate Approved Sq. Ft /Gal. Checked by
Date
PLAN
MANHOLE COVER
N 3R4,' rV,.Di•
3U
s _ ��JCT10N
St3X _ tN.1 12 iti' � ..
. ,�O ti, 4 }•MI51 t. •^ ~.i' 4�MIil.
t3 MIN. .i CAST IRON -I ,
SE(.7l(irii 4B'
SANITARY
Y T t a
l �t2eslrel)tf; TYPICA` CONC. 1 1'
� ?R- -cast CONC.
u 1auK . t>uc-fld,S SEPTIC TANK v RE IN F. a "c c. e/w 1.
'+
W - a.tc,� SUQ FACE - ..
'Exo�stq
df t. ORO. LEVEL
'•. '. r _
3 � _
i- .- i .r' - .. - - s-.- cARTH
. P - ...... .........
��'F. ti••�1�... BACK FILL ..-Z JOtNF
B 6G. PAPER Cl -.VER'
L
OR HAY o
/ L �r:• fir„ `H' jjOj3e'4:. 1) AL LAKG6 e6cl v'TTBIU ,0' OF . E ,
�Q L
,.'. -- c i
.. .. lIf` tit ..1 SELiG A2Cs'l To tbC 2£/•t.QV C: t�• � �' CLEAN GRAVEL OR
i b, A PRQPP :g� 2 2 °edih. Ia,e._..:._. --"i r
JvHC..�to>,a`450%. Fooll oG c SE'j 6E�t�•^? CROSttEC, STCME
qh �,•'` bi`r *—(tfMi �. _3o FegS� uia5.: v A9v,C1RRTVOFJ- TRENCH
NOTES
$YSTFM TO- BE CONSTRUCTED IN ACCORDANCE WITH THE RULES AND
ILYIU i��� - r tt.'rn1 RE6ULATifjNS' OF THE PU —TNAM— COUNTY DEPARTMENT
w&1t7s OF HEAL -TH.
_ SYSTEM SHALL NOT BE SACKFILI.10 UNTIL INSPECTED 8Y UaSIGN
ENG[NEFR AND THE'tOCAL HEALTff DEPARTP,?F_NT IF k 4UIP.f_U.:
T'w ltd? �XI F�.�?iJ� .. �� - SYSTEM TOCONSIST OF' A _5�?_GALLGN SEPTIC LANK
AND, ao _FT EqF 3 FT, T'RE'NCH WITH A MAX4ffUM
3` `G� twxlsTlti� �`a� °t✓� R.ITCH OF 1/16 PER FOO-r.
a DISPOSAL•SY {IEM GRA tS REFER[:NCEO '10 FINISHzo FIRST
FLOOR EEI- V A T lO?4 .UNLESS &HERWISE NL'TL'p.
MPPROVIED SYSTEM' Fop
w _
REVtslcNfi HOWA:fiD A. KELLY, Js'
:.
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