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HomeMy WebLinkAbout1451DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34. -2 -39 BOX 13 i,yti f - . ; ; . IL T l � ■� I L �r f } 1 9 9, 01451 -c�T _ nT�u�':;cur� °rxut:rtur cuit�riaa>: vc�r'u�s�wau�.lii,rusai,xsY�rrm . ^ , ::/ H`7 /�S O/7 '_' ° . ij / J Ta= Map Co TBlocicr v�_ t iln Iicanf;Name ;" . r Formerly ` Subdivision Name �Pp S v Lof M �J MaWng Address Date Permk Iesned �� } 7 System id by Address S Separate.Sewets16e _ Consisting of : , Gabon. septic Tank and -- i.�,... Wates Supply: - PA l Snpplyr Fa om '- Address -. ... ,✓ or: Private Sapply;DriDed;b ` y ' Address fa CS'��so�'I , Balldbtg'Type� Has Erosion Control Been CompletedY ; ... Nambek of Bedrooms ` Has Garbage Grinder Boon InstalledY 77 77 '`Atber Regolremonts ' I certify that th'e syatem(s) as dieted serving tfie above. promises were constructed essentially ^as �howntoii e a of the completed work ( copies ;. of which are attached) and in accordance" with the standards rules and requlatlo in ccordan with a plan and the permit issued by the Putnam Co y pa Of De rtment Health Certified Y Oats _ Address a lung No Any person occupying premises saivetl by the above system s shill ionmptly take such action's may be nsKesyry to sacun tM cot raction of any unsanitary. ;.conditions resulting from weh usige ADDrowl of the separ+te swvecaps System shill become nu It end void;af soon ei a pubtb fanitaFy awy becomit. lIll avatlawi7ind the-, pprov l`-of the -- prly +te witer supply sh+ll:become;,null an`d:�void whin .public uvula "iupply, bieomes avillatiN Sueh aaprovalc a : wbiect ;to odific+tion pr change whfih An the tudgmenP of the Commissipner of Healt uch revoeatbn,.•modifieation or, enan4e , ls,- necessary. r ; �� Date Br Titlo M WELL COMPLETION REPORT Office ,Use On' DEPARTMENT OF HEALTH Division Of 'Environmental�Hea1>I Iq S`ervices C PUTN�.M COUNTY DEPARTMENT OF HEALTH WELL LOCATION STREETAOURESS' .,..,., ...o. _o..... ." .,..." .... WELL OWNER NAME: ADDRESS: P81VATE O PUBLIC USE OF WELL 1 - primary 2 • secondary RESIDENTIAL ❑ .PUBLIC SUPPLY ❑ AIR /COND./HEAT PUMP O ABANDONED ❑ BUSINESS ❑ FARM ❑ TESTIOBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT __S_. gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE 6�O gal. REASON FOR DRILLING NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA ` WELL DEPTH __2 ft• STATIC WATER LEVEL � ft. DATE MEASURED Sly 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 DETAILS TOTAL LENGTH ft. MATERIALS: STEEL O PLASTIC O OTHER LENGTH.BELOV/ GRADE JOINTS: O WELDED YTHREADED O OTHER DIAMETER 7 in. SEAL: O CEMENT GROUT d6BENTONITE OOTHER WEIGHT PER FOOT lb./ft. I DRIVE SHOE 9YES ❑ NO LINER: OYES iYNO SCREEN -DETAILS - DI; 'SLOT SIZE LENGTH (ft) DEPTH 70 SCREEN (ft) DEVELOPED? FIRST !METER(Iin)] _. -- .. . O YES - O -M HOURS ....:..._. SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE; DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM DEPTH tt. WELL YIELD TEST If detailed pumping ' M,V HOD: O PUMPED I tests were done is it (F COMPRESSED AIR ;formation attached? ❑ BAILED ❑ OTHER ; O YES C3 NO WELL LOG if more detailed formation descriptions or sieve analyses are available, please attach. DEPTH FROM SURFACE Water Bear- "9 We11 Oia- Inter FORMATION DESCRIPTION tOOE. ft. ft. WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft.. YIELD gpm- Land Surface O 3 06 4 �� �,' 3d6 / WATER WCLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED? DYES ❑ NO ANALYSIS ATTACHED? O YES ❑ NO STORAGE TANK: TYPE CAPACITY GAL. PUMP INFORMATION TYPE1�•��'►C r` sJ,61 e _CAPACITY 7 - !b MAKER G- n ny_ DE17H 000 MODEL SPA. -12 VOLTAGE. H� L DRILLER NAME DATE •/, �ERT M. HYATT & SONS, INC. �7 ADDRESS Well Drilling SIGr7ATURE Rte-II R.R. YORK 12563 A PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES -76 e47 Owner or purchaser4bf Building Section Block Lot Building Constructed by Alf LocAjon - Street Subdivision. Name FA�7q Xr-5 A/ 2-�� Municipality SubdivisionLot #. lt4 u. y , Building Type GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTEM .worrepresent that aR61= wholly and completely responsible for the location, ship, 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 '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 A& to such - systen, except where the 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 Environirental 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 b 'lding u lining the system. n i 1� r� Dated this C3 . day 1 Ge era Contractor (Owner) - Signature Corporation Name (if .) m , ,,,. i� s rev. 9/85 mk Title vivo — "D Lf �CoorrpZY .r 3, 0 , 1� .c. LAB d -- Yorktown Medical Laboratory, Inc. Time : �" 321 Keu Street _ Date Taken: 3 Yorktown Heighis, N.Y. 10598 Dst e` -R c" d : �- (914)245.3203 Date Reported: Collected By: u P�pR� ---- Director: Albert H. Pado van i M. T. (A SCP) Referred By Sample Location: Acl,C,4 COLONIAL RIDGE X;SOCIATION, INC.-- i SSeAMP - -X T �� 495 MAIN STREET ARMONK, NEW YORK-1.0504 ?hone a ?ji —s22s ,' S a m p l e ^• -I. J e Phone I . J Repeat Test? — (check one) L ON THE QUALITY OF Ac - d -tI - C:,, o -_de _ :etergerts, MBAS _ .- -tress, Total _ ';--'.roger, A_.:-o., is _ :_:roger, trate Tota.1 Sulfate S_' -de 3 u I _te CO -. Ter Lead Manganese Sodium Zinc `dISC TA:t OUS _ pH (units) _ Color (units) _ Odor (TON) Turbidity (N TU ) VTCRO?" I031CAL (CFU /100 ^L) GENERAL BACTERIA Standard ?late Count (C ?'J/1.OraL) "SEC Total Coliform Fecal Coliform Fecal Streptococcus ii05m ? ?OBABL .iL'.'•`3:.R TEE •- 'rL Total Coliform Index Fecal Col,-form, Index BEY FOR TERI-41NDLOGY it /A = `tot Applicable LT = Less Than (< ) GT = Greater Than ( i) TNTC= Too Numerous To Count CON = Confluent (= TINTC) NR = :ton - reactive REMARKS/ COY`4ENI'S (For Lab Use) :ion - potable - _ Other -ple Status. eac• ) n• _o. 3 504 5203 ct�er. =0 ^_1: LE 40C _ T 40C off LE 2 GE 9. p GE 12 _ Other. THESE RESULTS INDICATE THAT THE WATER SAMP (WAS) (,WASN'T) (Pt /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO 'YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. THESE RESULTS �INLICATE THAT THE WATER SAMPLE ( DID) (DIDN'T)(NIA)MEET WATER SATISFACTORY CHEMICAL QUALITY STANDARDS OF CODES, FOR THE.P ;.RAMETERS TESTED, AT THE TIME OF COLLECTION. 2/86 (Rvsd7 /87 )RWE a,._... u VeAnva,11. M.T. ASCP), Director II. IV. V. Ila AWWH:NI 1I X ( • FINAL SITE INSPECTION Date ;CATION° J T -f-' .� ,! petted by � i .� OWNER � c� # G' % G% # OR SUBDIVISION LOT # 1C COMMENTS SEWAGE 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. from water course /wetlands SEWAGE DISPOSAL SYSTEM a. Septic tank size - 1,000 b. Septic tank installed level c.. 10' minimum fran foundation d. No 90° bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water test 2. Protected below frost 3. Minimum 2 ft. original soil between box an enches f. JUNCTION BOX — ro 1 set g • TRENCHES 1. Length required - / Length installed _. 2. Distance to watercourse measured--' ft. 3. Installed according to plan 4. Distance center to center 5. Slope of trench acceptable 1/16 - 1/32 " /foot. 6. 10 feet fran property line - 20 feet - foundations 7. Depth of trench < 30 inches fran surface 8. Roan allowed for expansion, 50% 9. Size of gravel 3/4 - 1 ". diameter 10. Depth of ravel in trench 12" minimum 11. Pipe ends capped h. PUMP OR DOSE SYSTEMS 1. Size of pump chamber 2. Overflcw tank 3. Alarm, visual /audio 4. Pump easily accessible manhole to grade, 5. First box baffled 6. Cycle witnessed by Health Department estimated flaw per cycle HOUSE - a. House located per approved plans. b. Number of bedrocns �c WELL a. Well located as per approved plans b. Distance fran SDS area measured ZA =c ft. C. Casing 18" above grade. d. Surface drainage around well acce ptable. " OVERALL WORKMASHIP a. Boxes properly grouted b. All pipes partially backfilled c. All pipes flush with inside of -" d. Backfill material contains stones "_in diameter e. Curtain drain installed according to plan f. Curtain drain outfall protected & dir.to exist.watercours g. Footing drains discharge away fran SDS area h. Surface water rotection adequate i. Erross.on control rovlded on slopes greater than 15 %. 1C PUTNAAY CUUNTY DEPARTMENT OF HEALTH " Provi nml RP4V 3/t6 'Divlslon of Environmental Health Services Carmel N Y.1051? Engle ,r/A eer to de Pe t q F COMPLIANCE on CERTiFI TE O CONSTRUCTION PERMIT FOR SE GE DISPOSAL SYSTEM G rV ,Located at � �1i ��1 �' "'T�k�_L�ts- Toe"vn or Village � „, Sabdivislon Name�i,,�° Snbd Lot # �+ � Ta: Map � � Block � Lot Owner /Applicant'Namea'�f�IZYil3i ;'^ a,).� ,. Renewal ❑ Revision - -� Date of Peevloas Approval ' M»�IT Aaarr�sa T . �Y1Ron7� 1 D5' Bnildbtg TyperG^ t✓ Lut Ares B �• Fill Sectloa Only Depth Votttme Number of Bedrooms- Design Flow G /P /D® PCHD Notlflcatlon is Regalred,When FIII bt completed t Separete Sewerage System, to consist 0: f Gabon Septic Tank, an �J t To be eonetracted by ... �� Address W#*,Sappy Pdblle Supply From Aaareaa or �Prlvate'Sappiy Dulled ddre' Other_Regnirements I represent that -I am wholly antl completely. responsible,for the design and location of the proposed system(s) 1) that the. separate.,sewage tliiposal,syitem above tlescntied will be constructed as shown on the approvetl,.amentlment thereto and in•accordance with the standards rules ;an regu a ions o e u ham County' Department of''NealtR 'and that.on completion thereof a "Corti irate of Construction Compliance'. sat�sfac ;cry to the Commissioner %of Health will be submitted' to the Department; anc a wntten guarantee will be furniihed'the owner,'his successors, h' eirs or assigns`tiy, the bu�ldec,ahat said -6'64 or"'. ill place 'in gootl operat;ng 'conddion any,, part of said sewage oisposal`.system duffing the period of•.two (2) yearslmme tely_4ollowing the date of the'.issu- ance :ot the approval of the:Certificate.of Construction' Compliance of the,original system or any repairi thereto; t at th drilled well desci� bed above will be4ocateCa sh own o the ;appiovedplan andtAaf saldwell'will'De Installed County Depart hi of alih r/ - Date Signeed_ C Address APPROVED FOR CONSTRUCTION This approval:expuessooai , year fi 'm the re4ocab le for cause r maybe mended `o`r, Mod Mid when considered n esiar requiies a n w" rmit. A ro d' -for disposal of• "domesticsanit or ' , Date BY c! y«oi a with the stun ds' lea and% a Ions of�the Putnam PE R!'A._ ense N' e issu unless construction of a building has`been undertaken' and is �th', m mif H Ith Any change or alteratwm of construction s, a we-_r P lY A Title DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 `APPLICATION- TO CONSTRUCT ".A WATER WELD " -' PCHD PERMIT #__ WELL LOCATION Street Address "Atv;me Town/Village/City Tax 1m, .[ -v Grid Number (.,— -- Z —7 WELL OWNER Name IMalling "SIDENTIAL O BUSINESS 11 INDUSTRIAL Address G• 4 � O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM 0 TEST /OBSERVATION b INSTITUTIONAL 0 STAND -BY� V.Private O Public D ABANDONED 0 OTHER (specify O USE OF WELL 1 - primary 2- secondary AMOUNT OF USE YIELD SOUGHT_�gpm /# PEOPLE SERVED_ /EST. OF DAILY USAGE gal REASON FOR DRILLING EMEW SUPPLY []PROVIDE ADDITIONAL SUPPLY OREPLACE EX STING SUPPLY ODEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING ^ WELL TYPE j DRILLED DRIVEN ®DUG ®GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES LAN0 IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: �3�► Lot N . Z _; WATER WELL CONTRACTOR: Name �j .� Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES r/ NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE" TO PROPERTY` FROM NEAREST WATER -MAIN: * LOCATION S ETCH & SOURCES OF CONTAMINATION PROVIDED ^� ON REAR OF THIS APPLICATION �J �N S SHE (date) (sign ure) 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 requir ments of the Putnam County Health Department attached to this permit. 3. Submit a Well Comp etion Report on a form provi ed th Putna o my Health Depart en Date of Issue: 1219 Date of Expiration: 1g a it Issuing Official Permit is Non - Transferrable White copy:.H.D. File Yellow copy: Building Inspector 2/87 Pink Copy: Ovmer Orange copy: Well Driller 4 Division OF Lnv.ircnmcntal Sanitation AFFIDAVU CDRPOP;+TE (11NER APPLICATION rop .PERMIT S7CBMOTTED TO COUN-Y PEA-1 111 9 I S514 one r of XF a 411 t*h - In t'j,e mis 4 -, e r Of p p'L --, c, a lion for — — — — — -- —CG — — — — — -- — — — — — — — — — — — — — — — — — — — — — — - - - - - --- - - - - - - - o-r c ----- -ation ancl-am r�.j-t�)crSzed tl-,B�r I a7. an of.-, a 7Z 01 C 0r h a 0 J-. C, e s -- — — — — — — — — — — — — — — — — — — — f, W, ic 7-7-, JU LA sr- C7 t C/ -C, 1A3 a nd 7,) j a c t- a - a 1 lor an% or &I s -c --s c� ted -p e C, t -,es, all sub C)i ��te e se, n to. r,,,� 11his JQ �-y e lic LINDA R. BURI Notary PubliC, State of New York No.4808377 Qualified in Westchester county commission Expiresmil� ' Car-; rate Seel APPENDIX B p °tU,MM 4rrw 7I'Y DEPAFmoff�tn OF HEALTH - DIVISION OF ENVnROMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY & SUBSURFACE SET+1A3E DISPOSAL SYSTEMS _..,,. _ ....- .....__.. �.;�•REVIEW�- SHEET-- .:CONSTRUCTION.PERI�ZT .,_... ....::. ...: . .:,..: ,.- .�- ,...:- ..� - -� . ��-_.:.�..- DATE BY: l 9 t ' (Street Location) /1 1— �-> (/I-- )OCUMENTS Permit Application corporate- Resolution Plans - Three sets Engine. -.rs Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth t mmmc of Own,--r) s/s SUBDIVISION Perc 3 (3) Fill ca House Plans -Two sets Well �/ /permit; PWS letter Variance Request GENERAL Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town/DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - VoluTe D or J Box;Trench /Gallery; Pty pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes (grinder notes) Design perc_ and deep results Two-Foot Contours Existing &Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located Representative of primary and expansion Expansion Area;shcwn;gravity flow,suff. size If pumped 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 450 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 35'to catch basin,stormdrain,piped watercourse 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well 15' Well to PL 0 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. Owner G. Address /I (�,�� A�_) T_ Located at (Street "_% to , Block 1 Lot kindicate neare8t cross s ree Municipality. -- R�-���7 Watershed jgn-Z m,ti ) SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water - �ia�er Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 5` l 2 3 4 5 Notes: 1) Tests to be repeated at same depth until approximately 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 PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE N0. HOLE N0. G.L.J7 IL I� 6" t 12" 18.. 1 24" 3011 36.. 42" 48" 54" , I 6011, 6611. 1 / 7 8 if 84" ,I 've 67 INDICATE LEVEL AAA' WHICH GROUND WATER IS ENCOUNTERED .0q.T-j MAP INDICATE LEVEL_ TO -WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED - -w o'�' Fk Lao NV�n TESTS -MADE ;BY Z ;� _ . _ Date � 8 Soil Rate Used !Z1- 3pMirVl "Drop: S.D. Usable Area Providedc)467- dpi[ No. of Bedrooms Septic Tank Capacity y"t7 Gals. Type Absorption Area l'roded By 4&-1 L.F.x24" width.trenc ... Adore s s 'ice K !% �3 JLHL THIS SPACE FOR UrZ'IE BY HEA1frH DEPARTMENT ONLY: Soil Rate Approved Sq. Ft /Cal. Checked by Date. 73 0 at, zz me 3 Q 4 0 Z z 0 Z IL ia M 0 0 :, Is 0 0 cl 0 0 IH H k Is t. 1114 Z 0 Fu U3 fl? I, Q ;> '.o W f. :v 11 C, rl I I A P, 4;1 N < uj jS -3 tL LL to .1 P.Z f— UN 73 0 at, zz me 3 Q 4 0 Z z 0 Z IL ia M 0 0 :, Is 0 0 cl 0 0 IH H k Is t. 1114 Z 0 Fu U3 fl? I, Q ;> '.o W f. :v 11 C, rl I I A P, 4;1 N < uj jS 126641 1, 0 a a N I 0 4 s'1' -t 53-52'E 228 .col 9,.o w 9 S ec 6_ LACd, V-:) 23Co .� i c AREA =49'7 84 s. F. 9 e' Zs.ao' p'4GYoA -�' -- �- NIS° -3q.2 < -• -� ... IV JENNIFER LAME- 8 Q 50- 2 ?' 29-7. 61' (Suev62Y of P>20PEeTY COI.OellAl. Q10-JE ASSOC tATES -I" L.OT 25 AS 6HCJVDti l OW IIZ T wbbviWK3 AILED MAt�t*ac I _TD�-)K of PA u PUTNAMcO, �lY �CAL.E l a =5o cSuI�E < <a g7 c zncic..Cnow,iUDIC,&7ED tIFVE_rY 1514.IJILV 1314T lJi.IA�Jt1k'�e17_ED �1L ?E1ZATloIJ of eCflmou is SU2vEy WAfi P E -PA¢ED JU AC-00?DAJJC-P- YM -To-rW,i MAP t�iAVloLLCnoL1 cCSE�1Z01�1° -WE. EXISiTILk. cOpE oc PtZACTIGE FOB L1WD '6LJ1?a( 'P` -7209 cr'TLIE USVJ 1400.1- erATE- EDUC/lnw AppPTL�D we -n4e- L*.kj `Ior� -slw Ahh---- rA -nc:k 1 of L,&kj, U110EPl�imUt1P 51�JCTZ -1PES, tP dj.N Per�GEEiiIOt 14L L111 lD SUP�dTI 'i. yAID GEt�[1�1G1Cru:xQ,17 UCSr 514oWQ. ALL GE -enPC-X-C",'7 4EZEt." AjAALI- 2L4J CQL`I It, -%E- PE-Z'500 GL'- VUao4 7' W- &Or vA.LIP F02 'n -It�i AAAAP AQC> COPtE�i 0, E t5 F EPAePD ALn C*-1 WKi BE LkSLF To-We- T+EeEc)C OIJL`i 1C:' 0741D AAAP oe GOPIE�7 'TTfLE a- C>AAPAU,4 Ad.-(D LE)4DW6 tt l%TpLTT1oo LIS?ED eEAe 7UF- IMIPQEAp4AED SEAL CF-r4c 4E_eEbi.i. ce- znG1C1k CLPD AEE "Or IZA45CE.e&B-E -ICI APPeARY AnomoLIAL tL - lrnl -M0 1l ae. 51 � CWWE-OWi. psi E. Ntdlil �37QEEf ►J�(S L.IL k10 lk>51Y7 ooAl LJD aocy=�- I� VCy