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WESTCHESTER COUNTY DEPARTMENT OF HEALTH
William A. Holla, M. D., Commissioner
White Plains, N. Y. Issued -.arch -9. 1954
PERMIT FOR SEWERAGE SYSTEM
APPROVAL is hereby given pursuant to Article VII of the Sanitary Code of the Westchester County
Health District to ti. Costa Comww4, bux kjlir Wew 60e14el1e0 iticw Iarl
to construct or provide a sewage disposal
system consisting of an dw o4 _on ijAsu,►ry septic tack arAi 120 linear feet of jU iaeh-
wi� a absorption trench in a bank-mn gravel
to serve a 1-2 1"aruiiy dwelling ow,-.ed by ;:obert Le Kerts, 'UQ (.,beharQ :_.t-cticr, l�
_yucA i..ot ji, ',,aan or ow -ork
for an occupancy of 4 persons, provided that
I. No portion of the system shall be backfilled or covered until inspected.
Inspections are made during regular working hours only. Twenty-four hours' notice is required.
II. The system shall not be used until it has been constructed in an approved manner, inspected and back-
filled, and the written final approval thereof shall have been obtained from the Department of Health.
(See Item VIII).
III. Additional or more adequate facilities shall be provided whenever it is determined by the Commis-
sioner of Health that such facilities are necessary, for which an additional permit shall be obtained.
IV. This system shall be maintained and operated in complete conformity with rules and regulations for
the protection of public water supplies, all applicable laws, local ordinances, and the provisions of the
Sanitary Code, existing or hereafter enacted.
V. When sludge and scum shall so accumulate in any tank as to occupy a depth at any point of more than
one quarter of the liquid depth of the tank, they shall be removed and disposed of in accordance with
the requirements of the Sanitary Code, and so as to create no nuisance.
VI. A connection to a public sanitary sewer shall be made whenever such sewer shall become available.
VII. This permit remains the property of the Department of Health and is revocable at any time or subject
to modification or change whenever the Commissioner of Health shall deem necessary.
VIII. It shall be the responsibility of the person obtaining this permit to deliver a true copy thereof together
with a copy of the final approval to the owner of the premises served by this system before this system
is placed in use.
Utii Hd
aa:6e Be Hail.engmii, i lumbitig Insiector
Jams ,.silsen, building; InspectorC�K ✓
Comnaisi-dit r iO f akh _.._...
WESTCHESTER COUNTY DEPARTMENT OF HEALTH
William A. Holla, M. D., Commissioner
White Plains, N. Y. Issued ece -ber 22, 1954
PERMIT FOR SEWERAGE SYSTEM
APPROVAL is hereby given pursuant to Article VII of the Sanitary Code of the Westchester County
Health District to 4 i• Costa CoVgjWW, P-0-90x 474s Nmi }oQhelles New York
to construct or provide a sewage disposal
system consisting of an 00 S,U,an !.-nsonry septic tank aid 161 linear feet of 30 inah—
wide "':sun tion trmah In a 2Ugebt,
uare foot hanir—run ravel beds depth of 5 feet,
tls r t�or� tit 2.5sq a ft/c ea 7. 1=UV;Ativn for bank—run gravel to :e
r , nl,ert Mmrt29 imli.ng load boed, �ort?� comer
of (Ild Urchaxd aced, Section i, Block 5, Wt U., Tom of -yes New York
for an occupancy of It persons, provided that
I. No portion of the system shall be backfilled or covered until inspected.
Inspections are made during regular working hours only. Twenty-four hours' notice is required.
II. The system shall not be used until it has been constructed so as to conform with the standards
of this Department and the written final approval thereof shall have been obtained from the
Department of Health. Any alteration or addition to the system must be approved.
III. Additional or more adequate facilities shall be provided whenever it is determined by the Com-
missioner of Health that such facilities are necessary, for which an additional permit shall be
obtained.
IV. This permit remains the property of the Department of Health and is revocable at any time or
subject to modification or change whenever the Commissioner of Health shall deem necessary.
V. It shall be the responsibility of the person obtaining this permit to deliver a true copy thereof
together with a copy of the final approval and a sketch or plan showing the location of the sys-
tem to the owner of the premises served by this system.
INSTRUCTIONS TO OWNER:
VI. This system shall be maintained and operated in complete conformity with rules and regulations
for the protection of public water supplies, all applicable laws, local ordinances, and the provi-
sions of the Sanitary Code, existing or hereafter enacted.
VII. When sludge and scum shall so accumulate in any tank as to occupy a depth at any point of more
than one quarter of the liquid depth of the tank, they shall be removed and disposed of in accor-
dance with the requirements of the Sanitary Code, and so as to create no nuisance.
VIII. A connection to a public sanitary sewer shall be made whenever such sewer shall become avail-
able.
T7.i1 i�
Jes. As Neilsen --- . -- � - ------------------------
Combo son