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HomeMy WebLinkAbout1065DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.49 -1 -10 BOX 11 r :: II 4s—i km air �: �� 1. �� , 16 Or all 01065 k' PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES please print or type APPLICATION TO CONSTRUCT A WATER WELL P�CHDPermit��il.�'� rxe� �,• .a�'� Well Location Street Address: Town/Village: Tax Map # Ao Q!/f Map Block Lot(s) Well Owner: Name: Address: Phone #�� Use of Well: ,X Residential _Public Supply Air /cond /heat pump _Irrigation 1- Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought gpm # People Served Est. of Daily usage. gal. Replace Existing Supply, Test/Observation Additional Supply Reason for Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason 262 zz for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes _ No _X- Is well located in a realty subdivision? ........................................... ............................... Yes Nom_ Name of subdivision Lot No. Water Well Contractor: : Address: / Is Public Water Supply available o site? ....................................... ............................... Yes Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. p p p `?': Date: Applicant Signature: .. �5 --i V1 PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and 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 or their designated representative 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. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department: take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. �p Date of Issue /D6467 Permit Issuing Official: Date of Expiration 0 Title: Permit is Non -Trans rable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 Rev. 3/06 m WELL 3/71 COMPLETION REPORT PUTNAM COUNTY DEPARTMENT OF HE Division of Environmental Health Services 1 COUNTY OFFICE BUILDING - CARMEL, NEW Y This report is to be completed by well driller and submitted to County Health Department together with laboratory report of analysis_of.water sample_i.CLd't sating .water_is_.of.satisfactory bacterial.quality_ before certificate of. construction .compliance.is issued...._ REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF -WELL COMPLETION �. NAME ADDRESS WNER OWNER OF WELL (No. 6 Street) (Town) (Lot Number) PROPOSED USE OF WELL BUSINESS DOMESTIC ❑ ESTABLISHMENT FARM ❑ TEST WELL ❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING ❑ OTHER ) DRILLING EQUIPMENT ❑ COMPRESSED .• BLE ❑ OTHER ROTARY AIR PERCUSSION PERCUSSION (Specify) CASING D ETAILS LENGTH (feet) DIAMETER(Inches) WEIGHT PER FOOT / © /THREADED El WELDED O YES NO CA YES NO YIELD TEST [1 ''BAILED ❑ PUMPED ❑ COMPRESSED AIR HOURS G.P.M. YIELD (G.P�O WATER LEVEL MEASURE FROM LAND SURFACE —STATIC (Specify feet) ,C' DURING YIELD TEST (feet) �,J (•1 Depth of Completed Well in feet below land surface: % ~� SCREEN DETAILS MAKE LENGTH OPEN TO AQUIFER (feet) SLOT SIZE D AMETER (Inches), - IF GRAVEL PACKED: Pameter..of well including gravel pack (inches): GRAVEL SIZE Inches) FROM (feet) TO- (feet) DEPTH FROM LAND SURFACE FORMATION DESCRIPTION Sketch exact location of well with distances, to at least two permanent landmarks. 'FEET to FEET � _._... � / If yield was tested at different depths during drilling, list below FEET GALLONS PER MINUTE DATE WELL COMPLETED DATE OF REPOT WELL DRILLER (Signature), PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRO`I'AL HEALTH SERVICES U_� Lc4wsIe -r. Owner or Purchaser of Building Section Rcsl08 i CY4c,4: Building Constructed by rnc�n� arr FE;A Rd . Location - Street Municipality Building Type 4,2- ,z'.3—/ Block Lot Tax Map Number Subdivision Name So�,L �0 blot Subdivision Lot # GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL 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 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 approval of the "Certificate of Construction Compliance" for the sewage disposal system, or any repairs made by me -to such systei-m, except where tize failure to operate properly is caused by the willful or negligent act of the occupant of the building utilizing the system. 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. Dated this _ day of 19 Signature Cq' Title 1�General Contractor (Owner) - Signature Corporation Name (if Corp.) Corporation Name (if Corp.) Address Address -- ( 01- ) rev. 9/85 mk Yorktown Medical Laboratory, Inc. LOCATIONS: - ❑ T Y TO TS N Y 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASCP) 'L'_k.1 Cue, e.C, 321 KEAR S ., ORK WN HEIGH .10598 245.3203 ❑ 201 BUTTONWOOD AVE., PEEKSKILL, N.Y. 10566737.8777 ❑ 495 MAIN ST., MT. KISCO. N.Y. 10549 666.3335 1(STONELEIGH AVE. (NEAR HOSPITAL), CARMEL. N. Y. 10512 278.9330 DATE RECEIVED: DATE REPORTED: SAMPLE SOURCE: j,.; ,307.9.8.1. , REFERRED BY. J Collector_11'j t��.i� c. LABORATORY REPORT(yt'. mg /L nACIDITY ................. ................................... :...... ❑ ALUMINUM ❑ ALKALINITY i — .• BACTERIA,TOTAPL /mL• .........� ........................ ❑ ANTIMONY ❑ ARSENIC ❑ BOD.5 DAY ..................... .....................:......... ....... ❑ BARIUM ., ❑ BROMIDE ................:........... ............................... ❑ CARBON DIOXIDE, FREE ........ ............................... ❑ CHLORIDE ...........................: ............................... ❑ CHLORINE ............................ ............................... ❑ COD .................................... ............................... ❑COLOR ( units) ............ : ............................ :...... ❑ CYANIDE ............................ ............................... ❑ DETERGENT, ANIONIC ....................... ❑ FLUORIDE ............................ ... ............................. ❑ HARDNESS ............................ ............................... ❑ MPN COLIFORM COUNT/ 100 ml ........� :.........:......... IFT COLIFORM COUNT/ 100 ml •......••••••••••••......•. ❑ CONFIRMATORY TEST ............ ............................... ❑ NITROGEN, AMMONIA ............ ............................... ❑ NITROGEN, KJELDAHL ............ ............................... ❑ NITROGEN, NITRATE ............ ............................... ❑ NITROGEN, ORGANIC ............ ............................... ❑ODOR lUriitS/ ❑ OIL &/ GREASE ....................................................... ❑ PH . ( u I1 i t S ) ...................... ............................... ❑ PHENOL ................................ ............................... ❑ PHOSPHATE (ortho) ................ ............................... ❑ PHOSPHATE (condensed) ............ ..............:................ ❑ PHOSPHATE (total) ............................................... ❑ SOLIDS, SETTLEABLE, ml /L .... ............................... ❑ SOLIDS, SUSPENDED ............ ............................... ❑ SOLIDS, DISSOLVED ............ ............................... ❑ SOLIDS, TOTAL .................................................... ❑ SOLIDS, VOLATILE ................ ............................... ❑ SPECIFIC CONDUCTANCE (uhmo S / Cm) .............. ❑ BERYLLIUM ..............................:. ............................... ❑ BISMUTH .................................... ............................... ❑ BORON ........................................ ............................... ❑ CADMIUM .................................... ............................... ❑ CALCIUM .................................... ............................... ❑ CHROMIUM (tot.) ............................... ❑ CHROMIUM (hexavalent) .................... ............................... ❑ COBALT .................................... ............................... ❑ COPPER ............................. ............................... ❑ GOLD ..........................:............. :....... ........................ ❑ IRON ... ............................... ❑ LEAD ........................................ ............................... ❑ LITHIUM .................................................. :................ ❑ MAGNESIUM ................................ ............................... ❑ MANGANESE ................................ ............................... ❑ MERCURY .................................... ............................... ❑ NICKEL ........................................ ............................... ❑ PALL'ADIUM ..:..:.:...::.::......:... ............................... ... ❑ POTASSIUM ................................ ............................... • RHODIUM .................................... ............................... • SELENIUM .................................................. ................. ❑ SILICON .................................... ............................... ❑ SILVER ........................................ ............................... ❑ SODIUM ....................:................... ............................... ❑ TIN ............................................ ............................... ❑ ZINC ............................................ .........................:..... ❑ .................................................... ............................... ❑ .................................................... ............................... ❑ REMARKS: .................................................................... ❑ .................................................... ............................... ❑ SULFATE .............................. ............................... TNTC ❑ SULFIDE ............................. ............................... ❑ SULFITE ............................. ..............................: RS ❑ SURFACTANTS .................................................... FSBT ❑ TURBIDITY ( NTU) ............... ............................... Too Numerous To Count less than (below detectable limits) = Recommend Sterilization of Source = Filtered Sample Before Testing THESE RESULTS INDICATE THAT THE WATER WAS U&) OF A SATISFACTORY SANITARY QUALITY WHEN THE SAMPLE WAS COLLECTED. THESE RESULTS INDICATE THAT THE WATER DID MEET THE SATISFACTORY CHEM- ICAL QUALITY OF THE NEW YORK STATE ADMINISTRATIVE RULES & REGULATIONS, DRINKING WATER STANDARDS (PART 72) FOR THE PARAMETERS TESTED WH41N THE SAMPLE WAS COLLECTED.. N/A = not applicable Albert H. Padovani M.T. (ASCPI, Director R WF.8 5 z 'r '0 9� � a � PUTNAM, COUNTY DEPARTMENT OF HEALTH: , . Permit q _ s : Orvisron of Enwrtinmenial Health Servrces Carmel N Y 10512 CONSTRU ION PERMIT FOR,,StWAGE.`;DISPOSAL .SYSTEM, Patterson � Town or ,_ tocated'at. CamdeYl & Deerfeld.:Roads Tax.`MaP 22 Bleak. 3 1At 1' :. "Subdivision PL.tnam= Lake Sube Wt a 3 03 2 3'.0 3�newal Revision S.o Moosnick,30 Cooper Sq ,rlY,NY •b - ;Owner /Address. -- - —• -- Date.•Of Previous Approval ti ❑ Bu Type ;'brie .Fam Res.' L_ot Area'12, -000 SC�. Ft Fa11 Section .Only ❑ G ,'Number' of Bedrogms 3 Design Flow'G /P /D`- 60.0 P C .N "D., Notification Required 1000 s. Separate'.Sewerage System to consist of _ Gal Sepfic Tank, and - To be constructed by John �Bertrum Address Fairfield'' Drive, Putnam' 'Lake,, N� r Water Supply Public Supply From St XXX ,private Supply to be dulled by P F Beal - Brewster Address. Ofher Requirements I'represerit that I 'am'whdily4antl completely; responsibleyfor ttie design, .1and location of .the prop t�rl( hat the separate. Sewage. Cisposal system above described'wilf be= constructed.as shown` on the approved amendment there' to and -:in acco'' tH - aid rules an regu a ions o e u nam County Department of Health and that on completion thereof a Certificate of Constru Gjia to the4Commissioner of Health will g be submitted ao'.the Department;,. ' d a written guarantee wilt De furnished the owner ors; heici'o,' y the,=.builder that said•biullder will 3 :place 'in.good _operat,ng "condition any ,part of said sewage disposal system' ^dunng th ' tw years. tely following the date of.the'issu- ' nee of :the approvai -,of the CeitAkcate of Constluct�on Compliance o ong�naCs a t -Bret )A t -the drillad'well described above m :will belocated as- shown'on the approved plan and.ttiat said well will be ins tied m accor nc i i► ss d r'egu ads ",:;ot the" 'Putnam, County Depa ent t.Flealth i Date /�' S 9ned P E.' R.A. XX Muscoot'No RFD,# B 48$ ac NY. 11056.6 r r Address l Li enSe No APPROVED FOR CONSTRUCTION This -appr -'aGi' pees one�year.;f om t "date '}sued . sS,C`c. 011 oi( burl ng has been undertaken and is - revocaD�le`;for rouse or may, be amended or' modified when considered n cessa ` b he PSf "Mt �'' ny,',chan e'or alteration of construction %egwre`s a new permit Approved, for disposal of f8ome a e` a `` *and /o private w to y 9ftly B Title m f PUTNAM COUNTY DEPART OF HEALTH - DIVISION OF FIELD INSPECTION REPORT (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NO Wetlands on /or proximate to property .............. Property lines or corners found ................... Can estimate house location ....................... Will driveway need cut ............................ Must trees be removed - note these......... ...:. Deep holes representative of entire SDS area...... Additional.deep holes needed.. .................... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................. D.H. 1 Lot Depth to G.W. Depth to rock 0 ft 3 ft 6 ft 9 ft 12 f Soil uescri D.H. 2 Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft: Soil Descri HEALTH SERVICES �• I 13 ' D.H. - Deep Hole G.W. - Groundwater D.H. 3 Lot Depth to G.W. Depth to rock 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Descr DATE: �-- FINAL SITE INSPECTION INSP.BY: YES NO COMMENTS House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench acceptable......... Room allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded.......... ................ l0 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally fran trench ................................ Boxes properly set.. . ... . ................... Could surface runoff frandriveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE........ ... JT 00 IC- � Oci tv CA �— PUTNAM COUNTY DEPARUUM OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS - �9 DATE: INSP. BY: _ (Name of Owner) (Street Location) INITIAL SITE INSPECTION YES NOI COMMENTS Wetlands on /or proximate to property .............. Property lines or corners found... .......... Can estimate house location. ... Will driveway need cut ............................ Must trees be removed - note these......... .... Deep holes representative of entire SDS area...... Additional deep holes needed.......... ........... Sufficient SDS area available considering driveway cut, house location, separation distances,etc... Adjacent wells/ septics ............................ D.H. - Deep Hole G.W.- Groundwater D.H. 1 Lot D.H. 2 Lot D.H. 3 Lot Depth to G.W. Depth to G.W. Depth to G.W. Depth to rock Depth to rock Depth to rock Soil Descriptior 0 ft. 3 ft. 6 ft. 9 ft. .12 .ft. Soil Descri 0 ft. 3 ft. 6 ft. 9 ft. _. . .... 12_. ft. .. .. 0 ft. 3 ft. 6 ft. 9 ft. 12 ft. Soil Descr DATE: FINAL SITE INSPECTION INSP.BY:1 YES NO CCMM ERM House SSDS located per approved plan ............. Length of trench measured Width of trench average Slope of tile line and trench .......... Roan allowed for expansion trenches .............. Over 100 ft. from watercourse .................... Natural soil not stripped or SDS area unnecessarly graded........... .............. 10 ft. maintained from property line and 20 ft. from house .............................. Distance well to SSDS (ft.) ...................... Number of bedrooms checks ........................ Stones, brush, stumps, rubble, etc., greater than 15 ft. from nearest trench ................ 15 ft. of peripheral soil horizontally from trench ..... ............................... Boxes properly set.. ...... ................... Could surface runoff from. driveway, roads, ground surface, etc., channel near SDS area.... Does lot drainage appear OK in area of SDS....... FINAL GRADNG OF SITE ACCEPTABLE.. ... .. Mr) , / ZL . P 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 1.40. Owner Sid Moosnick I Address CamdeYl Road & Deerfield Road Located at (Street Lake Drive Sec.22 Block 6dicate neares crosses ree 3 Lot 1 Municipality Patterson Watershed Croton SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole . 9:15 30 16 19.33 .Number CLOCK TIPS PERCOLATION PERCOLATION ` Run . apse. Depth to Water water Levei 'No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop 3.'33 Inches Inches Inches 9:53 PTH #118:45' . 9:15 30 16 19.33 .3.33 30/3.33 =9 2 9•:15 9:49 30 16 19.33 3.'33 30/3.33 =9 -7, 9:53 10:23 30 16 19.33 3.33 30/3.33 =9 PTH #21 8:50 9:20 30 16 19 3.00 30/3 =10 2 9 :21 9:51 30 16 19 3.00 30/3 =10 3 9 :5 2 10 22 30 16 19 3.00 30/3 =10 4 5 . 2 3 4 5 Notes: 1) Tests to be repeated at . same depth until approximatelyy equal soil rates are obtained at each percolation test hole. All data to be submitted " for review. 2) Depth measurements to be made from top of hole. TEST.PITVDATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. DTH #1;, HOLE NO. HOLE NO. G.L. - - - - -- Top - -So i 1 '6" Sandy -Loam 12" 28" 2411-- 3011 Clay"-.Loam 36" Some Glacial till 42" _4811 601' , 78,,.. . 84" INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED NONE INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED N.A. TESTS MADE BY Joel L. Greenberg Date 11/20/84 Soil Rate Used8°.10 Min/1 "Drop: S.D. Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity 1000 Gals. Type Precast. Conc Absorption Area Frovided By_: ---- L. F. x24" - - -�` )tD"- -----W th trench. �-� Other yr Name Joel L_ Greenberg 1gna ure Address Muscoot No. , RFD#2, Box 488 S L V��N-e RF� ti's. a op ac Y 10541 4� (91TT—'628-6613 ° _ y THIS .SPACE FOR USE BY HEALTH DEPARTP E1 T ONLY: Soil Rate Approved Sq. Ft /Gal.. Checked by ^'o. OP' NS* "Fifth Map of Putnam Lake" Filed fitbp N° 149 -D N.Y. N A C7. Certified To William A. & Jean M. Blaisdell The Dime Savings Bank of N.Y. , F.S.B. Land Researchers Ltd. _ for_ policy_ N' LRC -6126 SURVEY PREPARED FOR WILLIAM A. 8& JEAN M. BLAISDELL SITUATE IN TOWN OF PAT TERSON COUNTY OF PUTNAM STATE OF NEW YORK SCALE I" as S0' DECEMBER 24, 1985 FEBRUARY 10,1986 JAMES K. DEVINE LAND SURVEYOR 4 CHAS. COLMAN BLVD. PAWL/NG, NEW YORK 12564 85193 GF �elR'd 7?w9.^J Cr" :rig arsil:w'"Z': Cocks cfC:h6: -, "Guarantees or Certifications Indicated hereon signify that this survey was prepared In accardance with the existing Ccde of Practice for Land Surveys adopted by the New York State Association of Pratesslonal Land Surveyor& Said guarantees or certifications shall run only to the person for whom the survey is prepared, and on his behalf to ti:e title company, govemmental agancy and lending institution listed hereon, and to the assignees of the Itr z Guarantees or .a:eons ere not - nsti• y c N/F 'o c N/F C) p✓I c CHRE/N o LA/RABEE �d 16 304E y 3058 N04 - 44 -OOE �. q�120.00' ell's (AREA O e�t =0.2 55 acr N/ F I p ►�5 /tt ' tl e I WW RESTIVO � 00 �IE'3 Of �wlo�I if d OW � to t ` c a to I � p O. O i 3 co �f 2 2 13033 13034 3035 3036 3037 h F� "poPrn �.. se SO4 44 OOW 120.00 iron pin set _ ... u . ..�,�r,..,a.� ,».•�,., fir,,, • N.Y. N A C7. Certified To William A. & Jean M. Blaisdell The Dime Savings Bank of N.Y. , F.S.B. Land Researchers Ltd. _ for_ policy_ N' LRC -6126 SURVEY PREPARED FOR WILLIAM A. 8& JEAN M. BLAISDELL SITUATE IN TOWN OF PAT TERSON COUNTY OF PUTNAM STATE OF NEW YORK SCALE I" as S0' DECEMBER 24, 1985 FEBRUARY 10,1986 JAMES K. DEVINE LAND SURVEYOR 4 CHAS. COLMAN BLVD. PAWL/NG, NEW YORK 12564 85193 GF �elR'd 7?w9.^J Cr" :rig arsil:w'"Z': Cocks cfC:h6: -, "Guarantees or Certifications Indicated hereon signify that this survey was prepared In accardance with the existing Ccde of Practice for Land Surveys adopted by the New York State Association of Pratesslonal Land Surveyor& Said guarantees or certifications shall run only to the person for whom the survey is prepared, and on his behalf to ti:e title company, govemmental agancy and lending institution listed hereon, and to the assignees of the Itr z Guarantees or .a:eons ere not - nsti• :JLV �• i,GNi�t Iry� u 53° 34' 30� E moo.. I2o•o� j �- -- ail T? i •l� LA PA bet) r Q 1r �TT Cl. ,z 3. i v ail T? i •l� LA PA bet) r Q 1r 34' 30. >b FT T2o o' A J _ - --_ -- - - _ ► Y5 t f RP Wx L,L. b1 KAr C' �VMAM i:'AI4E >. hil j<W. MAC., to, j!) 21 •- PACE 21 . TAX A ' `PST,W.Gi,Ep4eS C qFrE 7 drawl n O T {lie : ..ff V DF� r S �T�l f N �TT 5: G8 7� �AwY 34' 30. >b FT T2o o' A J _ - --_ -- - - _ ► Y5 t f RP Wx L,L. b1 KAr C' �VMAM i:'AI4E >. hil j<W. MAC., to, j!) 21 •- PACE 21 . TAX A ' `PST,W.Gi,Ep4eS C qFrE 7 drawl n O T {lie : ..ff V DF� r S �T�l f N