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HomeMy WebLinkAbout1641DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 34.13 -1 -53 BOX 15 I I' I 'I, 17-2 Ji I . 1� .��, 11 C6 ky. w I - - T 1 ; ' ' 4 , r� - ' - ' ' '- ' - 1 . _', 01641 assns a 5 r PUfNAM COUNTY DEPARTMEPIT OF HEALTH s Division of Envhnnmental Health SeevWu- Carmel, N. 10512 Engineer Must Provide P 10 '87 ' f } P C;H D Permit N CER CATE OF;CONSTRUCTIONI.CONIPLIANCE EOR,SEVYAGE.IDISPOSAI SYSTEIVf. Patterson r _ �, ! _ •-�►~ Located 8t Block TesMap34± 3 1 _53 3 1 >`Owaer /appllcantName iehael &Francine Law�oimerly` r Subdivision NaNmelxsen, Ganz�e>�t RD6 Bullet Hoye Road p10512 9/1 -0/93, Mailing.Addrese Date Permit Issned Carmel; NY" i Neal Peragine Patterson, NY Separate, Sewerage Syetem`baUt by Address 1 DSO ' , i " Gallon Se P tic Tank and 4(1(1 T , F ?4" Trench 'Con sisting of ` tf ,5 J - `Water Su pplys Public Supply From - Address 1' ~' } or= Xx n Private Supply DrWed byMi 1�1 nr� l`1 �n� AddreesBrewster, I isidence e!§, Y , 'Building Type Has Eroelon Control Been Completed? - . ." jf ra (.• . T Nambei of Bedrooms 4 t .G Has Garbage Grinder Been InetaUedY ' 'No td '' Other Requirement's r x; - , j $a art fy that ;the syefem(s)'as'listed serving the above premises "were constructed essentially as shown on the plans of ifie completed work ( copies i _ _ ... - -. ..., -c-,­ - �hfch are attached) and in ^accordance with the etandards� rules and egPs ' in accordance w e filed:.plan; and the permit 'issued by the ' yam 'County Department- Of Healthc !; . ? H 4/ 7/ 5 ' "i R s .t !'+ m Certified E.XX A ` h P Bo 374 ew '` 1 051011 L Address Icenw No 1 ; person - occupying :premises served by;the above systems) shall,promptty. take weh actiorras may be naceaary to' CUro thi,torroetlon, ;of any unwnitory ditions resulting from, such ADproval of the separateweragoaystorn (hall boeoirie nulhand yold.as loon as a,pubt'. santaiy; sevvK' beeomos .' -"go--, ladle and�ythe`approval,df thi"ohvate water supply shall become null and vokt urf en a' public <wbtor supply becomes available Sueh,epprova1"' ,are + y { M K +t ect `,to modMiution or change when ,Jn the Judgment,of the Commis;foner a oa 4hs oeation,,modMicatksn or'thange If "neeesaary ze /'r7 -L �' By' Title e I M - C WILL uUnrliziluN r%zrvni DEPARTMENT OF HEALTH Division' Of "Environmental Health. Seivi6i PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STREET ADDRESS: WNI t. I TAX GRIO NUMSM- gullet Hale Road Patterson 3q,13— -- SZ3 WELL OWNER NAME: ADDRESS: Michael Lawlor, 352 Haviland ,Drive, Patterson, NY 1256310 IN PgIVATE PUBLIC USE OF WELL 1 - pii.piaFy 2 - secon ary XXRESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP ❑ ABANDONED O BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) O INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT 5. gpm. /N0. PEOPLE SERVED 2 -4 / EST. OF DAILY USAGE gal. REASON FOR DRILLING ®REPLACE EXISTING SUPPLY ,• ®TEST /OBSERVATION ®ADDITIONAL SUPPLY DNEWSUPPLY (NEW DWELLING) ® DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 305. ft. STATIC WATER LEVEL 25 ft. DATE MEASURED 5113194 DRILLING EQUIPMENT ❑ ROTARY E9 COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ' ❑ OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING QcOPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 35_ it MATERIALS: 19 STEEL ❑ PLASTIC O OTHER LENGTH BELOW GRADE __ 4 ft. JOINTS: O WELDED O THREADED ❑ OTHER DIAMETER 6 in. SEAL: CZCEMENT GROUT ❑ BENTONITE OOTHER WEIGHT PER FOOT 19 Ib. /ft. DRIVE SHOE 93 YES ONO I LINER: G YES ONO SCREEN DETAILS - . _.._ _-- .. - - - - -. DIAMETER (in) 'SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST ❑ YES [3 NO - HOUfiS.�.._..__. SECOND -__ .- .._- _._.._..__... -_._ __.-- •- ._�_.__. � .:- >�....y.... �... __...- ... _------ ____.___....__---- - -..__ GRAVEL PACK O YES ❑ NO GRAVEL DIAMETER SIZE: OF PACK In. TOP DEPTH ft. BOTTOM DEPTH R. WELL YIELD TEST If detailed pumping METHOD: ❑ PUMPED t tests were done is in- r tXCOMPRESSED AIR , formation attached? ❑ BAILED ❑ OTHER ❑ YES O NO if more detailed formation descriptions or sieve analyses W ELL LOG are available, please attach. DEPTH FROM SURFACE Water Well Bear- OIa- Ing meter FORMATION DESCRIPTION eooe ft it WELL DEPTH it. DURATION hr. rein. DRAWOOWN ft.. YIELD gpm• Surface 10 Hard an 10 305 Medium -hard granite. 305 6 200 100 WATER X CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? t YES ONO ANALYSIS ATTACHED? 21 YES 0 N STORAGE TANK: TYPE CAPACITY GAIL. PUMP IXFORMATION TYPE MAKER MODEL CAPACITY DEPTH VOLTAGE HP WELL DRILLER NAME Mill br i l l i ng , c. DA9120194 ADDRESS Putnam Avenue SIGNA g r ews t e r , NIJ. 10509" r ,j/ tsy "zAL, LARS TARLTON ENVIRONMENTAL LABORATORIES, INC. CT Cert: PH-0404 A Division of Northeast Laboratories, Inc. DANBURY: P.O. Box 2328.22 KENoslA AVENUE -DANBURY, CT 06813 -2328 BERLIN: 129 MILL STREET • BERLIN, Cr (M37 LABORATORY REPORT — WATER SUPPLY TESTING REPORT LO: MILL DRILLING, INC. DATE SAMPLE COLLECTED: 6/8/94 PU'rNAM AVENUE T COLLECTED: 11:50A.A BREWSTER,N.Y. 10509 COLLECTED BY: ROB MILL DATE RECEIVED @ LAB- 6/8194 DATE(S) TESTED-. 6/8/94 TESTED BY: TEL REPORT DATE: 6110194 SAMPLE SrrE: LAWWR, 13ULI.Er HOLE RD., PATrERSON, N.Y. SAMPLING POINT: TOP OF WELL TREATMENT: NONE SOURCE: WELL-NEW TEST PERFORMED RESULT: RECOMMENDED LINUT BACTERIAL: MOT = mmiv-= per ater. . Total Coliform (Bacteria) 0 per 100 ml 0 per 100 ml CHEMISTRY: Chlorine Residual .00 mg(L MULTS BASED ON SAMPLES suDmrrTEDicoLLKcTED: ' 6/3/94 3Ar"LE AS TESTED ABOVEMMABLE or�OT POTAB 9 LE PER EPA STANDARDS FOR POTABLE WATER) -OMMNTS OR NOTES (IF ANY): ,e S ONMEL�rAL ,.HEALTH SERVICES PUTNAM COUN`T'Y DEPART OF HEALTH ...._. - DlVI ION. OF ENiIIR 411A�=I- 9(- �� /.ilk �i�G✓ /a,�= Owner or Purchaser of Building XC, A: r, 2 V f 1 1 Building Constructed by X ,YOZ. E Location - Street /V/ Y /a.r , Mun'cipality 6,5 4,5,0 711q L Building Type 313 - 5--.3 - / . Section Block Lot N 06 $Q�N (4 Subdivision Name 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 ' ___i'Certificat- e-of-� Construction-Compliance" -for 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 system. The undersigned further agrees to accept as conclusive the determination of the Director of the Division of Environinental 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 43 191 Signature IV "4 J QG � 1�� Title General Contractor (Owner) - Signature SAP Corporation Name (if Corp.) /V Address rev. 9/85 mk Corporation Name (if Corp.) Address b � c- t• o XP z r` �� � NOTE � SA /v ,Car BB/NG ,Car �/ D.v %i[ED M.vo x'`2080, fcEVJ/ T.E�3iri✓Ar/ lou.�ry�.E.P.rs OFFrt £ D�/,s'•EPT,E�fB.E.? 23, C9B.5r9.vv�rirc.EO� ': S[ tBD /Y,cf /O�V/f%AO%�.EPrgR.EO%.P P. /li.[S.EN, e ' t O °\ PREPAAEO BY PROFESS /oNA.L.ENC/NE.ER f .IANO .SU•PY•EYOR CONCORD /POAO _ MA.vOPAC - l.Ew YaRK M54 I (914) 626-471,4 5 k •Cor-OS I . . N r }. • i. - Lck�� /t /G h >o s, a' /WCIAA9 L.1 i, . WG J2 — MAP OF SURVEY `» { P.vEP9.lE0 FOR ' S/TUA7.E . jN TN.E �` TOWNOFPfl 77ERSON- P!/TNAMCDUNTY-NE/✓YO.P.K' run only to the person for wham this survey vas I V Gi SCA.C.E I•.° �n� DATE: Vii. U� • /'° /J;yT �. . erfirications shall ,epored, and on his behalf to the t/t/e company, lending Institution p p • J +� p - ;ti d gommmentai agency listed hereon; sold cart /Bcoticns are not In— ended to run to additional title companies• landing efstitufionx sub— O� 4 bry n 6 ^ •• !� puent owners or future contract —ndees , G'orrr✓,vc0 N�F N F p7..10� ,r AWL iP : s/MaAs +} . Ny..TO N/F � =Sp � STNUFFER !� L9•" , • 5. ifZa.. A4P4 4' 4 b � c- t• o XP z r` �� � NOTE � SA /v ,Car BB/NG ,Car �/ D.v %i[ED M.vo x'`2080, fcEVJ/ T.E�3iri✓Ar/ lou.�ry�.E.P.rs OFFrt £ D�/,s'•EPT,E�fB.E.? 23, C9B.5r9.vv�rirc.EO� ': S[ tBD /Y,cf /O�V/f%AO%�.EPrgR.EO%.P P. /li.[S.EN, e ' t O °\ PREPAAEO BY PROFESS /oNA.L.ENC/NE.ER f .IANO .SU•PY•EYOR CONCORD /POAO _ MA.vOPAC - l.Ew YaRK M54 I (914) 626-471,4 5 k •Cor-OS I . . N DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APP LICATION`-T'O -CONSTRUCT ` A' .WATER WELL PCHD PERMIT # WELL LOCATION Street Add ess /� T wn Village City Tax Grid Number eAl WELL OWNER Ngme Mailin Address ivate Awof ,$°g' 6 �� 0 Public USE OF WELL 64SIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED - rimer O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify 2- secondary :13 INDUSTRIAL O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT­ 500 gpm /# O UPLACE EXISTING SUPPLY PEOPLE SERVED /EST. OF DAILY USAGE 0110 gal O TEST /OBSERVATION GlADDITIONAL SUPPLY REASON FOR DRILLING UVNEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE JTDRILLED DRIVEN ODUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES v--"NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: isop) &AP11 46 Lot No. _--__,[ WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES s0" NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM,NEAREST..WATER,,MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED SEPARATE SHEET 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 thirt3, (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 provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise co to inate surface or groundwater. Date of Issue• 19� -� Date of Expiration 19 Permit Issuing Offi cj Permit is Non - Transfer able White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller I 111-4 Ile st4Tr LAWL 4' FM LAM- LWATM - % 1 >?air } 4ffi Qass J4S1 �, o - ; t o E-� } fy I J i 92'-C" I36� I C24 - M4 iu e I e! I cu 9'Z` !4' -4 1F? ' a it -�• 'r tIT cl� Cr p� '=1 1 � � 9CTC:ffal�. I } -• 1 t\V I I b [ . �i" (1 � �' J 1` DRCAKFAST D i i it 11 m� Ramc o I Ffei to 4 -'1 , I 7 i i1 EI 1 — `C ai 1t 0.I } ( ...Ili 7 IPAX ; i NI I _ t-3 L c.l . 1 rcCAClcz sno: i Ln t AMV% ALLY L mw r q S ! ITf� /�/ /. 7 / /'T� %f t �� c»4 �cao iei '• -4' . I Bn ?r: a3' Nt - "/ eJYL Alta !' - --- ---- -- • '-- -- ' / �( CAM I L - � - 1�1 _ L 1 -_.� _ � �e_` .�- P— -C a g•. 7• 5'-C e• -...- �i,, -: 5 1t B•1-• illy. / �/ / % % ,/ r - � - �`� 40: � a;: 1 - i 1 P t • 9GC2 SIUIIa 1 , I v� i . : ' j 5 • I 1 nsa't .Atr N; . � ' � • 1 � i I I J P •JI!7tfMl ONEii I —' I 1 I 1 •; � rACSZI.!' R970w v : ! I--- t-- - - - - -- •. sr —s sit• ' as '�� 7 t ' a • T Ii o. m / ,z -g• c l l4,_4, i — � I li r ' ©l —r sr —e- rmxts, L � V V� 2758 JEFFERSUN 2 2TJ4 AWE b A LS IS TA STORY 3 �.6/FI.R aiIRII�R l.21/lKG T>0 � 6-1 !/2°xlt 1/4° � . � - 4 C9.G/FLR G3RDF3L A$D!/IE FAsiELY 8 T1D 8Er S-$c92 Y'� 02 Ala ¢r. O� Hvi 9aTb EttlJl&4'°l' -D' C FA MJFACTAYlE1) AOt STRI9CTlRES ava KID t Rrt.A2 b� :211 9q 17449 c � 17"171 e4s- J.69'S i'W7c 17979 •=eh -T3TY •- -- ••� - STD :I F I 9•-t' ir-r �� �� m. ol O O zr-�• ; z1' -u u a 35 - -0 1/4• q �a,�s , -r• �1 9•-s V2' + N 11 -'' o ••_!• . r -2• r -30' ? - r -r I CL.D tii t El • CC� ` a! O 4{ 3 -0' • j K : � ClD s BA3'N Of LATH 02 BEZROON •s •o i ; S.t 7 I'] .. m ''a j Lo + r n , iu r-1 t/ s•-3 t/2' _ HALLns i �rao t ` . vtu ' um o. ul-u ' j- •� E; S1 a� j �s N u I 4: m tXD J ❑e� � f VA1X -IN �— -3', ortx nx °0 ; r 7 BEBtital •t nT stoe► m • :oi i. { ( BUR" R 4•�• BUR" *Z N =1 + t i Iix-s 1/2• iz•- s+Wmu►$ULMaoaac u _.• °� tt ON ari �© s p i nn i (. tea.-- rs�ZcTii';ty�� :'� s: �' 1 i£' -'Yis w • � 10MtM4r ►n�mg•� /QTf:D L 2rrL aw YAiLS VA1.1.S L 1 R.6 lEA3a.1N NAt1, TO 262-1 vrse2',c 4. 311_ a nA DER BMW 11"VIORA3 TO Wi 4-j!xW nP •?d2 -i VVx9 V4• I- S. nA GDM KUW BATH OR To Do 1/2`x9 V4• ril.. .t . of T-B• t• -tlt' "-6' lt�' -6• L 12'-6• 2758 JEFFERSON �eEMOiQ 2ND STORY mwM irs ocaro .,. tM>Ly NA3eiwc HMO-AD VT1RES 1/4 •'.i• a• F�GR. bpi[ i� E1{/ptirt�� F% 17M3 rnn "4-3M rlx cm _ 444- r0 i ti it PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date' A A Re: Property of j( ., *4t)l- 011e Located at iex) (T) SectionZl Block/ Lot A?, Subdivision of Subdv. Lot # Filed Map #rte Date 2 Gentlemen: This letter is to authorize 7, (,6. 1 7C, a duly licensed professional engineer or registered architect (Indicate) to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam. OuAtyi . Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to supervise the construction of'--.�aid system or systems in conformity with the provisions of Article or, 147, Education Law, the Public Health Law, and the Putnam County.,8an.yl- tary Code. Countersigne P, E o , —, # 4 64 Address Al'A 61-2 4-C- 7 flo Telephone Very truly yours, gned 61A wn e r of i,6petty ZI 142 - Address' Town 2,1r -- Y -? 6J' Telephone DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 _ ...... ,.. :APPLI-CA' IION.- .. -T,Q ; - . _ : -.•. ,.. - :- .,:...., -...:, ,.. .. CONSTRUCT J�•y. PCHD PERMIT 4 #A/V' -9. WELL LOCATION Street Address, Town Villager City Tax Grid Number WELL OWNER Name 1, Address .3 �C/' f 'r /11V rivate O Public USE OF WELL 1 - primary 2 - secondary [RESIDENTIAL ❑ BUSINESS ❑ INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HE T PUMP O FARM O TEST /OBSERVATION O INSTITUTIONAL O STAND -BY 0 ABANDONED ❑ OTHER (specify 13 AMOUNT OF USE YIELD SOUGHT a' gpm /# PEOPLE SERVED /EST. OF DAILY USAGE > gal REASON FOR DRILLING EW SUPPLY O PROVIDE ADDITIONAL SUPPLY ❑REPLACE EXISTIN SUPPLY ❑DEEPEN EXISTING WELL ❑ TEST /OBSERVATION DETAILED REASON FOR DRILLING �,,;.� -- ,,; "'� -• � ' - WELL TYPE DRILLED DRIVEN ®DUG IDGRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL 15 LOCATED IN REALTY SUBDIVISION, NAME OF SUBDIVISION: 4/' L_S'c 6 4�' - r�., I- �� ° j Lot No . WATER WELL CONTRACTOR: Name . i7 f,"�`''j?rit/11'�� Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE, TO PROPERTY - FROM NEAI�EST� WADER MAIN :..: _.. _... _ _..._ .:._- •. - -._ ........_._._:................_ :.: >..... �, _. _� LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION ON SEP_ARA E SHEET a (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 pr vide by he Putnam C unty Health Depart ent. Date of Issue: 3- 19 �` Date of Expiration: 19 Permit suinglOfficCal Permit is Non- Transferrable yr C3 Tom' APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER C_ISPCSAL SYSTEM . Name and Address cf Applicant: 2 2'Z 7� 1 NaTe of Project: i/l 0,:s; /E.ri Sri. r�d G9rozy12 3. Location T /V /C: r— s0�d� Project Engineer: /1 /L� -MiJ -6- ;7&72 5. Address: 24 N��1/ -�� �J License Number: iVLk Phone: 2e- r Tyice of.Proiect: P rivate /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) • Is th:s project subject to State Environmental Quality Review (SEAR)? /V c Type Status (Check ' One.) Type I.. Exempt Type II. Unlisted • Is a Craft: EnvironnenCat Impact Statement DEIS) required. wo • Fes* D =?S been completed and found acceptable by Lead Agency? ......... Name c.. Lead:,Agency. Is this project in an area under the control of local planning, Zoning, Or Ot cr Officials, ordinances? es If so, have plans been submitted to such authorities? :�:' :�:VZVVy?�.::�:�!? Has Freliminary'approval been granted by such authorities ?_ Cate Granted: x /ds- Type cf Sewage Disposal System Gisci^,arge...... Surface Water Ground Waters If s,-'rface slater discharge, what is the stream class designation ?........ WatL-s index number '(surface) ............................................ Is prc?ect located near a public water supply system? .................. A/0 If yes, name of water supply Distance to water supply LS r "C� =Ct s -I to near c Dull is Sewag= Sv= :eE'. � ...... A o Nam C: se`;a_e SySte(C Distance a.0 Seh'aQe SE'S .°_id Lv. i, =me oiF F��? _r nSpevLO -. Frcie�: dm-Sign flow (Dallons per day) ...... ............................... Poo r , 2. Is Sate Pollutant Discharge Eiiminaticn System (SPDES) Permit required ?.. U Has SPDES Application been submitted to local -bEC Of c ? :.. e ........... Is any portion of this project located within a designated Town or State wetland? ..:............................... ............................... o WetlandID Number ............. ..............A................. ......... Is Wetland Permit required? .............. ............................... �o Has application been made to Town or Local DEC Office? Wo Does project require a DEC-Stream Disturbance Permit? ................... a Is or was project site used for agricultural activity involving application CT pe5%icides to orchal-ds or other crops, solid or h2-zard-ous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO U Is project located within 1,000 feet of existence of abandoned landfill, hazardous waste site, salt stockpile, landfill, sludge disposal site or any other potential known source of contamination? ..............YES or NO /Vo CESCFi3E: Is there a local master plan cr file with the Town or Village? a 73 Are community water, sewer facilities planned to be developed within 15 years? /00 _ ..:F re any sewage__disrosal areas in excess of 15% slope? .... I......... �s Tax Map-ID-Number .... . . ..... e ...................... ..... . ..... .... ,1, /,IZ, l - Approved P1ans'ere�to <be returned to::--: ..:..... Applicant --'Engineer the `- - application° is'- signed _- by -, a=-per.son other than the applicant. shown in_Item -1, the lication gust be accompanied by a Letter of Authorization. Failure to comply wit h 'this vision may be.grounds for the.rejection of any submission. F hereby affirm, under penalty of perjury, that information provided on this forn is true to the best of my knowledge and belief. False statearents made herein are punishable as a Class A Misdemeanor pursuant to Section 210,45 of the Pena 7 Lair.. 4 /"I `AJUrIES i 0=- :C:A'_ T i _ES: _ING ADDRESS. PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH William Zeiler, P. E. Division Of Environ ??ppclh 12- alt�9S &ces Concord Road Mahopac, New York 10541 RE: Gantz Subdivision Lots 1, 4, 5 (T) Patterson Dear Mr. Zeiler: JOHN SIMMONS. M.D. Deputy Commissioner Review of plans and other supporting documents submitted at this time relative to the above captioned project has been completed. Comments are offered as follows: Lot 5 1.;, well permit application not provided 2. show clearly that well is within lower section of property not upper offset. 3. design data is not a fill plan 4. two foot proposed contours are not provided Lot 4 1. see #1 Lot 5 2. see #4 Lot -5 3. the location of the well on the adjacent lot has been shown moved to the property line. This well should be shown in the original subdivision location separated from the well on this lot in order that they do not interfere with each other. Lot 1 1 see #1 Lot 5 2. see #2 Lot 5 The.plan does not provide for fill 10 feet to each side of the trenches. see #3 Lot 5 5. see #4 Lot 5 n Upon receipt of a submission, revised to Jhej ec he' above comments, this application will be considere u n ll, Jr, P. E. JK:pt D rector, cc:JK Environmental Health File Services 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 Rev. 3186 I CONSTRUCTI0R1 PERiYHT FOR Located at Subdivision PUTNAM COUNTY-DErPARIMENT OF HEALTH Division of Environmental Health Serviced. Carmel, N.Y. 10512 1GE DISPOSAL SYSTEM TIP Engineer to Provide Permit # on CERTIFICA7E OF COMPLL,HiCE o %� -Y Permit # (/ Town or Village -77 q r :Taz Map� —Block Lot /i.d>is AJfCdaaL/s�� Renewal❑ Revision ❑ Owner /Applicant Blame B� Date of Previous Approval Mauing Address A 1,0,6 .: Town A4&aeW,'JVY Zip ItM/ Building Type a1 i is s/ O �r % ✓� L Lot Area -2- ° �F% Pie Section Only Depth Volume Plumber of Bedrooms � Design Flow G /P /D O Q PCHD Notification is Required When Fill is -.view Separate Sewerage System to consist of 42— 0 Gallon JSeptic Tank and To be constructed by ® 1110- 4� /l°_ ild te$•.! Address -91- Water Supply: Pdblic Supply From Address . or: Private Supply Drilled by 7 — Address_' - /Aim Other Requirements• „ �o ®e represent that 1 am wholly and completely responsible for the design and I cation of the proposed system(s); 1) that the separate sewage disposal system above described will be constructed as shown on the approved amendment there to and in accordance with the standartls, rules an a regu ions o o u, nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and a written guarantee will be furnished the owner, his successors, heirs or assigns by the builder, that said builder will place in good operating condition any part of said sewage disposal system during the period of two (2) years immediately following the Gate of the issu- ance of the approval of the Certificate 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 be installed in accordance with the staVqds. ►u s and regu aofth . Putnam County Department of Health. Data Signed / ,/q� P.E._ R.A. _ en „ Address I/ ' C °� License No 5¢ APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construction of the building has been undertaken and is f revocable for cause or may be amended or modified when consi red n nary the Commission of Health. Any change or alteration of construction requires a new permit. A proved for disposal of domestic niter ewe e O p a t Supply Only. - r Date By Title �I RI , PUTNAM COUNTY Dil?AtV1:11lw4' us a.+d4►ma• �( . MOUSE PLANS APPFOVED FOR BEAROOM COUNT ONLY; Rooms- - 743 iL FNO A s o �i DINING 0 - KITCHEN -- - BED RM I - --► ;. LL - BAT N HALL on s i G Q u - i' q s Q a O LIVING RM o ` BED RM ZZ ° BED RM 3 _ ye—` r Lar' ..111. u= ZJ_1, y4 y �1 77 - , f - APPENDIX B PUTNAM COUN'T'Y DEPARTMENT OF HEALTH - DIVISION OF ENVIRCMENTAL HEALTH SERVICES INDIVIDUAL WA= SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTE!-iS (Name of Owner) CCHMENTS VO-4 provicieo reauired i '6O -ft. nax. Parellel to REVIDv 5 r °- - 'CIMSTRUCTION PERMIT -- - contours DATE RE VIVERED -J� F BY: f- � (Street Location) YES NO DOCUMENTS Permit Application Corporate Resolution Plans - Three sets s/s Engineers Authorization Design Data Sheet (DDS) SUBDIVISION Deep Hole Log Perc Consistent Perc Results (3) Fill Z -3 R Perc Hole Depth cd --°a House Plans. sets Well i ; PWS letter Variance GENERAL Legal Subdivision Subdivision Anoroval Checked -- Ex- approval SSDS Mj. Lots Checked Wetland (Tcw-n /DEC Permit R & D) Data On DDS Plans & Permit Same REQUIRED DEZAIIS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity F1cw Fill Profile & Dimensions - VG!aR--- D or J Box;Trench /Gallery; Pump pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes ,,. Design -Datar -Ferc-and..deep res Two -Foot Contours Existing. & r posed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc & Deep Holes Located. Representative of primary and expansion Expansion Area; shcwn;gravity f low, suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedrooms Wells & SSDS's w /in 200 ft. of Proposed System Property Rtes & 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 fi' 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expo 15' to Drains - Curtain, Leader, Footing 35'to catch basin, sto=rdrain,piped watercour. 101. to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' from Foundation; 50' to well i' Well to PL PUTNAM COUN'T'Y DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Y COUNTY OFFICE BUILDING, .CARMEL; N. Y. 10512 _ DESIGN.DATA SIIEET- SEPARATE SEWAGE °DISPOSAL SYSTEM FILE NO. WhOi ;¢ ✓ /U` IC if o C AS 'Addre s s Z 3 A ,p . . Located at - f Street 0 f- i, r oc sec. 7 Block / Lot I2, j lca e neares cross s ree Municipality P/� 7Te-pad Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS o .e ........... . Number CLOCK TIME PERCOLATION PERCOLATION Elapse Dep o' a er water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Dro Stop P in Min. in drop Inches Inches Inches 2 /t4,q- ?...�Z�i4d'S� ��``�� `7l�c- Zi __.. .. ..T'y 4 7 ItYl ' 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. DEPTH G.L. 6" 12" 1811 24" 30 36.. 42'1 48" 5411 60" 66" 7211 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION , DESCRIPTION OF SOIL" ENCOUNTERED IN TEST HOLES HOLE NO. HOLE NO. HOLE NO. 78'1 INDICATE LEVEL AT.WHICH GROUND WATER IS ENCOUNTERED - INDICATE LEVEL TO W,��[CH WATER LEV RISES- AFTER BEING ENCOUNTERED __.__.. _ Soil Rate Used 6' Min/1 " DEIN Drop: S.D. Usable Area Provided vJO S No. of Bedrooms Septic Tank Capacity /d 0 0 Gals. Type C Absorption Area, Prov de By Soo L. F. x24" .:/"�61 width trenc . Other 45 gL2 ame i� c ; �" �, c am. ���i�na ur mac' - "0 Address if c-o 4,4-11 ad),, MA-40,0,+-C. /-/i / a THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: r'� Vi x a: 04 �' Soil Rate Approved Sq. Ft /Gal. Check �s Date PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Re: Property of -6 r Date /��fAi j Located at AcC kD (T) ��GsQN jection 77 Block ___j Lot Subdivision, of /UfC.Y , filcXe-z1 Subdv. Lot # Filed Map # 20 0 Date 9 Z3 Gentlemen: This letter is to authorize j�(,/ C, a duly licensed professional engineer or registered architect (Indicate to apply for a Construction Permit for a separate sewage system, to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and to-supervise the construction of said system -- or-- systems -- in - conformity with the provisions -of Article - 145 `or - 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Countersigned P. E. , P —A.. -s # Address 'LL zor Telephone Very truly yours, Signed Owner of of Property -2,3 Address a for y/ own Telephone AG'- 4.T 10: <' 9o. L/; wi- /o 0 SEpl /C TF.✓,(' / � /JO:O.aar 11 . D /STR /BUNUO AIVU4 •• 4/.G/�, • PERCa <gTiovTsr/�LE AB'- 47s /OE S7-B0' -- � "Drs P,eeFPPE /30'Awr A/' 4Z =40t ZZ. 5 pie! -SSA _ t Y C Sore- L),4 7W 7P SO,(, a Len 6t der c. f/+rr � o I -7'x -- we <c OvrR 200'Airwr X10 goo' • �q0 ( - 4q-gp 'esy 1 i i w �V O ,Z07 -/ AREA: 2.¢8G Ace.�s ' Aroro:�n f i - Most 0/ R•r[� NOSE RO/aD P.CAN _ P -ro-b7 %A= County bo- ealtfi b14101oa of Environmental .. ", h Sorvicea APPROVED TCi Pl.,�t ILL 0 ?1LY 0-6 W,0. sao CY. In acaordar.cc ai +:; :, *'r :::e Rules a:.y'. 11 County Health .40F/0W7, ���Tl &tUl.'E �. Ti•L:.O ll1'.i CAL.E: %�OR /EOiI/TA,C - /•'ZD' NOTES: X710 % .Sew.ve,EDrsvLls vc Sy -r7E/7 TeBEI.Ktrox -," To l..vFORg7 %O ..iPEt /F /�.or�o.✓S As "'n<o SE7FO, PTf/' TN.E>' LT. rgy4UN7Y 11EA,CTiYOEPi9.PTi•J'ENT. 2. ,PEMOYE//[< TEES J✓/rH /N fD'QF S..S. O. l?. K 700 .3. TEARE.95 DEL /NEi9TED FDR.iEN.V6E D, t ,S'ibSA<Fil.[OS.ExPiouS /ONA.PEA TO BE PNyS /CAL<y�%ARK.�"O QVTEL%POUNO �'NO,Fi9.PTJV/tiDY /Nl. CIP�N,f'T,?UCT /ON - EpU /PME.VTT TOBEA[L O/✓. EOINT. ES, EA• PE .5t5'ExtEPTi�s'/PE(TU /.P.EDFO.P ' �o�.�- ,���T.oi�aFrEsXSr.�•>. 00 . 4. to vrPACroeTalcrngcc S'EPricToFawBy6'Pq�iry S. W LL Gssi.✓s 70 .6A-7-- v,9 /B':4BaYEFi,✓AC �P.goE S.EPT/ C D.ES /GN , SOq PR,EPFREO FOR S /TU/�TEJN 2w—l- TOWN 0F1'W77Z V0W- z0//71✓A1/ 4!9e1W7-Y -1WA1 Y"Ic, SCA,C,E: As.SrvOw,v OAr,F: Feeu/4.eY /D, /987 c PrEPv,QED -SY � 3, PROFE.S'S /ON/q,C EN6 /N6,E,P F` LANG SU.PY.EYO� "' � . LONCO ,PDIiOf'D- /f%Af/O�/7C-NEwYO.PK /O.S4I ,. �F�o ~�... a "4` "?'� (914) 6z.6 - 47 &1 4 �ioressioN�� W I 3 W Iu H O I CASING 20 FT. MIN. C I LENGTH UNDER ANT j W p I CONDITIONS. W I I u W Q USE CLAY PUDDLE CORE BETWEEN CASING AND DRILL HOLE. SOLID ROCK CASING, /2, MIN GROUT 10' MIN.' IN ROCK SEAL THICKNESS I) f SANITARY SEAL . / ON WELL CAP SCREEN VENT 112 [ �T WELDED SLEEVE 48�� MIN. P TYPE COUPLING P w� FROM PUMP TO PUMP —� /ELL CASING IBUSHING T Y.PICAL SECTION OF DRILL WELL r t T ASPHALTIC , T- 1 SEAL RING I —e INLET it j 11 � Il� I BOLTS I I QO CONCRETE SEPTIC TANK SLABS POURED IN PLACE 1 a I I I I ARE DESIGNED TO 1 ; SUPPORT A MIN. LOAD OF L- 300 P,SF. .i tj 1 0" 5, -O° t PLAN 1 LOCATION STAKE REMOVABLE MANHOLE, I 12 MIN. REMOVABLE MANHOLE, 20- MIN. OPENING t /a3 BARS, 6�OG_ 36" MAX. 20" MIN. OPENING 7 a 4" SOLID PIPE WITH TIGHT CAST IRON PIPE, WITH TIGHT JOINTS V41 FT. MIN. SLOPE INLET CAULKED JOINT SANITARY TEE I JOINTS, GRADED 118'IFT. MIN. OUTLET CAULKED JOINT SANITARY TEE 6" MIN. WALL THICKNESS FOR POURED IN PLACE CONCRETE Q PEA GRAVEL OR SECTION CLEAN SAND TYPICAL 1200 ! GAL. CONCRETE SEPTIC TANK SEPTIC DETAILS prepared for OF NEW YO ASPH4LTIC SEAL 2 INVERT OF INLET ✓ 3"ABOVE INVERT n WILLIAM F. ZEILER I OF OUTLET. N • I I LiOUID I I LEVEL .Concord Road - Mahopac -New York 10541 T (914}628-4764 F° PRO ;L;sr�,�E i BAFFLES MAY BE m ILI USED INSTEAD /_"✓PIT , i OF SANITARY TEES Ij a �~ 1 1 W 2� p l GEMEKT PARGING < p ONE INSIDE _ O ' P J JOINTS, GRADED 118'IFT. MIN. OUTLET CAULKED JOINT SANITARY TEE 6" MIN. WALL THICKNESS FOR POURED IN PLACE CONCRETE Q PEA GRAVEL OR SECTION CLEAN SAND TYPICAL 1200 ! GAL. CONCRETE SEPTIC TANK SEPTIC DETAILS prepared for OF NEW YO prepared by ✓ WILLIAM F. ZEILER Professional Engineer & Land Surveyor A, .Concord Road - Mahopac -New York 10541 T (914}628-4764 F° PRO ;L;sr�,�E i 2 eF 3 . I MW Cover T 2. Site modification activities involving placement of fill are to be conducted during -•- relatively dry periods to minimize soil smearing and excessive soil' compaction. 3. Run of bank fill shall be suitable for seraga absorption, be free at tines or- other unsuitable material and shall have an in -place percolation rate at least equal to that in the natural soil after the required stabilization period. The engineer /architect shall perform final percolation tests in the 14-11 after stabilization. 4. The impervious (4-11, c'_ay barrier, shall be a dense clayey soil vith little or no ,.l LuC [- N BOX - sevage absorption capacity. { r-- 5. Fill suitable for sevage absor p ticn should contain no more than 5: and re-f y erabl no more than 2:: fines by ;eight. Fines are clay and silt particles that pass a 200 sieve w F t f and no more than 10X by veight, of the fill material should pass a 100 sieve. SEPTIC DETAILS - - -- prepared for ==o-a_-_cr_1 =-__ L Land Su :- :e_ic= -, r_ _. yr V-./ s�r�: • 'r Ge -0're TILC F /e -T17Z rr7BXlC - -- Su__-u �C= Sc::n _ 0__r05=� S__'Ss =__ :_ - Basic Required Notee r f r\ e�r�! � ! � 1: 2. All trees vithin 10 feet of the proposed SSDS shall be removed. SSDS to De inspected b the design en sneer /architect and the Putnam County Health P / /'��' : :- �� ^`�-•— ,` r^ ,�� /' "� +' 111 Y 9 9 ra " -z� i - ' - _ :x.• ;, , ..;; ; Z- M[H' ~X' Department after construction and prior to beckfill. - 1 3. So trucks, machinery, building materials, nor excavated earth shall be alloyed in the I ! :_ _ ' -. =' , '. - sevage disposal area. Construction of SSDS to be in accordance vi!th these plans, any -.� ;........, • ••• '• �''�� '-••'.'- -;_. J - - • -• : - +' �• �' �, :' •I s- XrN„ revisions thereto, and the rules and regulations of the permit issuing governmental /�•' / + �• •4i�0l:.: :c9 vvC :p; TO pia aqN C:� _ ;• cN agency. tfinimum cell yield of 5 gpm is required. Yields less than 5 gpm v "ill be immediately ' weSx_89 OR Ca US +:: %'p =. dFC5 � CAA O ° O Vq ,.`.. reported to the Putnam County Department of Health. The sevage system design shown hereon does not orovide for installation of a ,6C'yl1M oarbaoe grinder. Such installation requires the aooroval of the Putnam �1! County Department of Health.' IOry PAOr lL� GAC UNO T 1 ;, • WAT -A — �tocx r Notes Required When ROB Fill Procesed • i 1. ROB fill must be stabili =ed by alloving the ROB 14-11 to settle naturally for a period ^L _ of at least o months and include at least one -free = a -thav cycle or fill stab4-laticn ma DISr'vS •I r;ENCr-' DE IA L ( INSTALL or ON be achieved by mechanical compact :on in approximately six inch lilts to the apprexima_ density o-f the undisturbed underlying granular soil. The results o± density tests performed in the undisturbed underlying soil and in the fill pad are to be submit :ad _ the Put.2am Count Hea "i De artment i= mechanical com action is to be uti24zed MW Cover T 2. Site modification activities involving placement of fill are to be conducted during -•- relatively dry periods to minimize soil smearing and excessive soil' compaction. 3. Run of bank fill shall be suitable for seraga absorption, be free at tines or- other unsuitable material and shall have an in -place percolation rate at least equal to that in the natural soil after the required stabilization period. The engineer /architect shall perform final percolation tests in the 14-11 after stabilization. 4. The impervious (4-11, c'_ay barrier, shall be a dense clayey soil vith little or no ,.l LuC [- N BOX - sevage absorption capacity. { r-- 5. Fill suitable for sevage absor p ticn should contain no more than 5: and re-f y erabl no more than 2:: fines by ;eight. Fines are clay and silt particles that pass a 200 sieve w F t f and no more than 10X by veight, of the fill material should pass a 100 sieve. SEPTIC DETAILS - - -- prepared for ==o-a_-_cr_1 =-__ L Land Su :- :e_ic= -, r_ _. yr V-./ s�r�: • 'r Nb'- 4Z'10 E 9: K�(i� /v� /�l✓cu d.at o . p� iau�avBox ai1� s4 =\ v O PEaco[gTiaN7----s7;4,eE m L�EPT.sryLE ii/E4L N6'- 47 - /O`b, S7. BO' WSAA Oran A' /° 42'40'z, 11. /' �de3. pgsi. SD/+ ,S O 11- A Tff /Z - rP Sq,vby GtlA� �.ED 6rr .4> •.S' 4 7yA _. w«< Orsx 200'girwr .r ��191i ®tic�Ei �O��Eos:O�OFr � —,faz, ZZS c.Y. 2 Pr?OF/.b.E SCALE: /leeizovrq< /' =20' I M6T.fS 710 i / &wAA--,D /SPQSA.0 SYSTEM TpBEI�CS'TALLEp To L'e vFOR.°1 Tp SPECIf /ti4T /oNS i�S � �`� .SETT {j,PrNf!}'TE %1/TNAfI �OU.t/TyiIEA <TiyDEPrO,?Ti9ENT. �7p0 J. 711EA""., QEL1,✓ EA710 15ejA-,W OE- ASADSAG %M2p.S Zo PNrsiev[ <Y.%A,ee�DllvTE6.POV.vp 0` N ,F..9Rnvr9loravtQ��.✓srRUC'riov ' .EOU/R%ENTIS TD BEAL[O/o�EDI.V TNBSEiiRE/RS' ExtEPTiiiS'/PEIJU /R.EO FOR • i Lo.�.srRUtrio.✓OfTES'xsrE.�. 4. Co vT•PAL777.4 7,1 - r*WrA4,C SEPrie To 15-- By s�R.4l rry u C.vsr.✓s T ExrE.✓o /6':4BavFFi.�.v c �,PAoE rutnam County Depa i ;.,.. .. _ Division of Environmental ilealth ServiO`d APPROVED TO PLACE FILL 0 N! Y SZP7' 1 Cj ACSASN IL) locoriance with Rp ;)17aab`o 7iulor zi,'$' soq } PREPA.CED FOR Re B13til :':s of the ut -am Count;' 11oa1th .SYTUATEJN 771E g'6zts um l F tie 6 ti TOWN OFPATT,ER.SOW- PUTNf!/y1 C'DUWTY -IWAI YO.PK S�.vt E: AsS/iow.v OarE: FeeurvRy JO, /987 t .Z&-,1: lq-meff ,/, IYP7 of NENi A(0 YO. 0� ��pM F. PP.BPARED By ' /✓ /tt /AM F. �.E /DER P•POiE.f'S /ON.9L EN6/N� -E,.P �,GVNp SURl6E'yp,Q eaweo PO .POgD -/%.9HOP.gC'NEl✓Yo.PK /OS41 014) Gz& - 4764 i i { 4 j 4 !¢"H tiva 12sn1 CFO'...�e..i' FR0FE35100" |� ®y. ) a . / ) (\ z . lUF \� t • %� �■,,R )v- ,� :. !, } f� \� "���� \\ ( � � � w .. is I) / \\ J A � % a \ ) a . / ) (\ z . lUF \� t