HomeMy WebLinkAbout2214DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
41.05 -1 -5
BOX 19
i,yti T
IN
:6 , it
rIN
02214
o
�+ IN
PUT
NAM COUNTY DEPARTMENT OF HEALTH �a •. ��'' Y
Rev. 3 86
Divislon of Environmental Health Services, Carmel, , N.Y. Y. 10512
:r Engineer Mnst Provide
r l u
��� CERTIFIC OF CONSTRUCTION COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM ' UTha
+.Town or 3! she .. .. .. .. �. , .
Located at d/�1C� I (7(A E•� G Taz 1VIap 9 Block ` Lod iA
ppt .
Owner /applicant Name ��, Formerly ame11f29i✓JN1ll�Sabdv.,Lot q
tl Pr ,I.A Sabdlvlston N
MaWng Address �"'� 40'V� %_Zi 7b Date PenIDlt Iesaed � � � �
Separate Seweiage System ballt by A-p'' t� Address' �U C . A Kd
Consisting of - �' b O Gallon Septic Tank and 4 Z 4 h \.140 P1,
Water: Sapplys Public ,Supply Fom Address
orsPrivate Su ply Drilled by� /1u1�+y AddressS
Banding Type iTI'� Has Erosion Control Been CompletsdY
Namber:of Bedrooms Has Garbage Grinder Been InstaltedY
Other Requirements N• ° �1, . 0 , (:
I certify that the system(:) as listed serving the ibove, premises were constructed essenti y as s on t p ns f, the completed work ( copies
of which• are'aitiched),, and in' accordance with;the standards, rules and iegula rdanc� with t1' 1 n, d the permit issued by the
Putnam County liepartment.Of llealt:
j '
Datef✓� �, Certified by
Address t Z G�2 License No.
Any person occupyinq.premisas served by the above system(:) shall promptly take such action, as may be necessary to tun the correction of any unsanitary
conditions resulting from such -usage Approval .of the separate, sewerage systsm shalt become null'ind void as soon as' a pubt;: sanitary ewer becomes
available and the', ?approval of the private "water supply shell;Decome null and ^void wAen a public water mpply baeomos available. Such .approvals are
subject ;to modification or efsm9e' when ;;in the.ludgment; of the Commissioner Of'Fiealth;- ch ravocsiion, modlflcatlon o► ehange Is necessary.
Oois C�' �J .; ��.. / l �CO By e' Title
A
•••- 1�L1��1S1J•11I�p•` • /Y./LK •lwl.i.•:li W: a' \
• U rlu USE iinu
WELLJC®MPLETION REP[Iff
DEPARTMENT , OF HEAL TH 0'
Division Of Environrneneat .Health Services — --
. ::... .::...
:._
s.:.:.- PUTNAM EQUNTY T)EPARtMENT OF�AEAI:TF£' "'
Si -T Ao0RES5: t wNwili AGEiCifY fAX GRID NUMBER:
WELL LOCATION
WELL OWNER
NAME: u ADORE
O PeIVATE
O PUBLIC
USE OF WELL
a RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ -ABANDONED
1- primary
❑ BUSINESS ❑ FARM O TEST /OBSERVATION ❑ OTHER (specify)
2 - secondary
p INDUSTRIAL ❑ INSTITUTIONAL - O STAND -BY p
MOUNT OF USE
YIELD SOUGHT_ gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal.
REASON FOR
li� NEW SUPPLY = ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION
DRILLING
O 11EPLACE EXISTING SUPPLY 0. DEEPEN EXISTING WELL
DEPTH. DATA
WELL DEPTH 00 ft [STATIC
WATER LEVEL =ft.
DATE MEASURED �0 46
:= DRILLING
O.HOTARY ❑ COMPRESSED AIR PERCUSSION •, 0 DUG -
EQUIPMENT
p WELL POINT, 0 CABLE PERCUSSION ❑OTHER (specify):
WELL. TYPE..
❑ SCREENED ... 0 OPEN END CASING - •_ OPEN HOLE IN BEDROCK ❑OTHER: '
TOTAL LENGTH ` tL
MATERIALS: ig STEEL ❑ PLASTIC ❑ OTHER
LENGTH.BELOW GRADE ft.
JOINTS: ❑ WELDED JE.THREADED ❑ OTHER
CASING
DETAILS.
DIAMETER _ in.
SEAL.,Z CEMENT GROUT ❑ 8ENTONITE ❑ OTHER
WEIGHT
PER FOOT.. _IS' Ib. /ft.
DRIVE SHOE YES ❑ NO
LINER: Q YES ❑ NO
SCREEN
DIAMETER (in)
SL 07 SIZE
LENGTH (It)
DEPTH TO SCRE"cN (it)
DEVELOPED?
DETAILS
FIRST
YEAS;
5EGON0�.'
.
HOURS
:GRAVEL PACK
q YES
I7,NO
GRAVES. �` r,
cxtx i b
7C
DIAMETER x k �
r
TOF1 R r V t
^ a y
eft..-
- BOI IDMF .
•It.
♦y
J
$IZEr
DEP'iHH`��
MELL.:YIELD -TEST ° It detailed pumping
�L� ��� tE`more detailed formation descnptlons or sieve analyses
are
e
f�EiHQOr,: O PUMPEIF t ests were done is in -.
available. please attach
CEPTH- FPOh4.
SURFACE
Water
sear-
Wei!
ilia-
p COMPRESaED,`AIR Q..
, formation attached?
_
O BAILED � OTHER.- a ❑ YES'' ❑ NO
Ing
meter
FORMATION DESCRIPTION
CODE
ft.
tY
WELL DEPTH
DURATION
ORAWOOWN,
YIELD
Surface
IL
hr. min,
ft.
gFm:
X06
i
WATEii CLEAR TEMP.
QUALITY O CLOUDY HARDNESS
O COLORED ANALYZED? O YES )00
ANALYSIS ATTACHED? ES O NO
STORAGE . TANK: YP E''
CAPACITY GAL.
WELL DRILLER NAME cl D
L
2h
PUMP INFORMATION
TYPE C4U L6 �� CAPACITY
/may
MAKER DEPTH
ADDRESS S(GtJ3{TURE ,�
MODEL VOLTAGE"' HP VV
I
1, a
of
Yorktown Medical Laboratory, Inc, LAB • _ YK.027451 -
321 Kcar Street
Yorktown Heights, N. Y. 10S98 Collection Station Used:
r
2 1320 3
a me Peekskill
_
Director: Albert H. Padoomi X r. �AS0 .,Ki a o ,..11 v C i t
.L
93-7-
/j / I° 7/d
gsG �
Date Taken:
' 0
Date Received:
Date Reported: /o //-,P&
Collected By: _ /;J//
Referred By:
.1 Sample Source: / T �;
!JA1C2���4 -ra'
/'u i.tlifiiyl V-1-
LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER
GENERAL BACTERIA
L Standard Plate Count per 1.0 •al
(Agar,p.late @ 35 °C)
MEMBRANE FILTRATION TECHNIQUE (MFT)
t/ Total Colrfor% Der 100 ml
Fecal Coliform ner 100 ml
_ Fecal Streptococcus per 100 al
PROaABLE NUMBER TECHNIgUF •(MPN)
..._...._........ y: Total - Col-iform:, MPN- Inde- x..pe.r.2Q.0...m1::-
Fecal Coliform:
OTHER ANALYSES
M:PN Index per 100 ml
THESE RESULTS INDICATE. THAT THE WATER SAMPLE. (VAS (WAS NOT) (NOT APPLICABLE
OF A SATISFACTORY SANITARY QUALITY ACCORDING 0 TH NEW YORK STATE DRINKING
WATER STANDARDS, FOR THE PARAMETERS TESTED, A TIME OF COLLECTION-
o��
lbert If. Padoyani, M.T. ASCP), Director
LEGEND.
RDS a Recommend Disinfect-
ing Water Source
< • less than
T1TC ■ Too Numerous Too
on
o
- — - — --
C) t
q
ancl o
r. 0,
11 -f.'k 3 Cm
6'-; PO S tJ '111 Sc ..... I-! abov' C,
0!' Tlpn'---v-cd
C*,(M-,,,k,l-,,,,c4,",(,,d as On
anC 'Ln
LI - � 1- " st, an 2 0 a G I s o
of
s o -rs r s or a s? an, al" 01,
r; 21 o o o r IG o,, d i t c i
'u L-.o c. a
consi;ruc,,
C. fa I I o, r a "u for' ri 0 a' of
at e of initial use of thn. f3 E., v.-, a.�! di c
r� jy�r
cl. )r C; 1, c% I
o any S u c it s S t c,.x. c c G, -D r c, 'Ghci
- S U3 or I of i:11
2'. 11 IA T
-0
o 'c I
3)"oit, ol' t- b i I I i -j ut -i "r= 4 ' s t
"T
4,,L h� A. a r", a c c, s 1;0 acccpt as c o C. j. V t dl
C., YIM a C-1-1 c f D e C� o
of
Division ol'
--vices of t, i
o 6a, j. t, S t, C)
J.
act C) 1-1
0 c Cu 1.) 0-11 -1.) i. I i 1 d j -1 u t "I J 11L r� _ - .
DA t e, d thl s day of U, n t ca u jr
C4— S j. i
Title
Give. rl!..
and Lkdd esS
TEPEE
I j xl�- E S 0 F 1,011,` JL P L 1,. IN", S I'
TIH27, CC) I
CEit`i'IIt 701:3
OF COt11- i3: IS-SUID
- !-i - 1 1. Lj i J., -
Gill 1 A." -�,,-,OR IS R- 0-
— J. J.- n - I . i �- ill .1
IR 'D TO FIL" 'M') T I C ll'�? .1 TI I cl M Ij SY Sr I I
Ec.rdth Services, Putnann- County DoparUji' nt, of
)-i-vision. of :JT:-hvironmen%tal::':;.J- c
"In
7—T
ANU
•rr.:,Y -� TLa:: �y. it ✓!.i�.::.;viY;t.:✓S�rai.,,.""p i:i:.y''yy1'T.?-"r�..•. , r .,[:ttCS'••'r:- :.::,.v+F'!««%. �,. -.a • -
- -_ �'_. C,..: _.2";.:• -. `C�;'*�..3_^`�j`�- _ °h.'."-- M!%:a'"�•` �1C?%'?'t�..ir',"': = �y'� "�_iP:�
� .. 43vw•- +v:a�..'T'v.: - .1.�a�.Y:- _r;�';ri1Y��S. _�G.• __ u: ,..� f,
PUIMM COUNTY DEPARTMERr OF HEALTH DIVISION OF ENVIRONMENTAIL HEALTH SERVICES
INDIVIDUALLWATER SUPPLY SUBSURFACE SEWAGE DISPOSAL SYSTEMS
(. DATE: 9 a
INSP. BY:
(Name of Owner) (Street Locatio)
INITIAL SITE INSPECTION YES NO ..0 MMERrS
Wetlands on /or proximate to,property...............
Property lines or corners found ..................... :... • .. _
• Z .
Can estimate house location...;.; ........... .....:'
Willdriveway 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 ...... w......................
her-ccc f-n nrnrrncoA Y.7c1 7 1 nrai-inn fnr Ari 11 i nrT I r-_
D.H. 1 Lot
Depth to G.W.
Depth to.rock
0 ft.
3. ft.
6 ft.
9 ft..,
�12 ft.
J
D.H. 2 Lot
Depth to G.W.
Depth to rock
DATE: _
FINAL SITE INSPECTION INSP.BY:
House SSDS located per approved plan.............
Length of trench measured Z �! '
Width of trench average .�
Slope of tile line and trench acceptable.........
Roan allcwed for expansion trenches........ :. w.
Over 100 ft. fran watercourse ....................
Natural soil not stripped or SDS area
unnecessarly graded: - - - ......
10 ft. maintained fran property line and
20 ft- from house.. -
Distance well to SSDS (ft.) ....... 11 &4 � :-•�- -
Number of bedrocros checks........... ..........
Stones, brush, stumps, rubble, etc., greater
than 15 ft. fran nearest trench ................
15 ft. of peripheral soil horizontally
frantrench......................................
Boxes properly set- - -
: -w.. .
Could surface runoff fran driveway, roads,•
ground surface, etc., channel near SDS area. '. .w
Does lot drainage, appear OK in area of SDS..',
Rr F
D.H. - Deep Hole
G.W.- Groundwater
D.H. 3 Lot
Depth to G.W.
Depth to rock
5011 Descrr
0 ft.
3 ft.
6'ft:::
<'9 ft'
12 ft.
1-
MANOWN
m�.i cowrz 112ALTH DEPARR.=
DIVISION' QF - ENVIRONMENTAL HEALTH SERVICES`
John M. Simmons,- ,M.D.
Deputy Cainissioner ' of Health - - FIE T;D ACTIVITY REPORT - "
Sheet of
INSPECTION
NAME`. =
Org: Routine
ADDRESS
Orig. Complain
Orig. Request
No. Street - Tbwn
Compliance
Canpla' int Comp
MAILING ADDRESS
Final
TO. Hoar' :: `Post °Offiw Zip ,Code
roup Illness
;
Construction
TELEPHONE
Reinspection
PERSON INFCHARGE -
Field, Sampling Only
-
OR INTERVIEWED
Field Conference
Name and Title
Other
DATE �("- Q.' TYPE ".FACILITY -
TIME ARRIVED TIME LEFT."
Explain
> >> "
th
Appr.g.veo plan an
App
1 Zz,;
APOROVED
ejioff�prei�iou��App,nvav 1,
eretb
Pply .0
ne
C.
`
~
�
`
Sheet of
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
_ _ _ ... _. _ .. . ._.w+ R __.- ... - ..... e .o .� �. ..ta ..,ti i. •n.wrn .. � R ...Af -. ••gip •--�
-., - >.... .., °� ° .... °�'COL'iVTY °,�OF'FICE' BUII�DING� •��CAFu�L; N:' 'i': �� .""]:�a51:�.,� "'"'. " .,
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
Owner aukr.,Z6 'aaem - Address
oe 7
Located at ( Street sec . oc Lot
n ica e � area t cross street)
Municipality. iX Watershed
SOIL PERCOLATION TEST DATA R�QUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME PERCOLATION PERCOLATION
Run Elapse Depth to Water Water Level
No. Time From Ground Surface in Inches Soil Rate
Start -Stop Min. Start ,Stop Drop in Min. /in drop
Inches Inches Inches
Z 3 Z Z %. 4 12- 7 3
1
3
5
Q" 6�ti4g?_,V
Notes: 1) Tests to be repeated at same depth until approximate lyy 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.
3
y
4
fl -
7. 8
��' ►v - 3 9.3
/ 5
07
.30
CIO /o
1.0-
Z/
Z/ _ 17 3 7
Z 3 Z Z %. 4 12- 7 3
1
3
5
Q" 6�ti4g?_,V
Notes: 1) Tests to be repeated at same depth until approximate lyy 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.
El
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES
DEPTH HOLE N0. HOLE NO. HOLE NO.
G.L.
61'
1211
1811
-7
2411
3011
36"
4211
48"
5411
6011
661►
7211
781►
84
INDICATE LEVEL-AT 1MCH GROUND WATER IS ENCOUNTERED
INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED=
TESTS' MADE BY "72,
IGN
Soil Rate Used�MirVl "Drop: S.D. Usable Area .Provided
No. of Bedrooms 3 Seg!t;*�T�ank Capacity /00d Gals. Type—
Absorption Area Provided L F.x2411 36-1 width trench.
I . . Other
Address
THIS SPACE FOR USE BY HEALTH DEPARTIENT ONLY:
Soil Rate Approved Sq. Ft/Gal. Checked by Date
�b� f , PUTNAM COUNTY tDEPARTME
' - 1 Division 'of EnwWonmental ,Health Serv►cE
x
CONSTRU ,ION PERMIT FOR..SEWAGE DISPOSAL__SYST,EMs f; ;
/� � rte• �•�''� v
Lacate,d at ' n_ k� i�!'f ► � �, �G � 'j � � L
w { `
1 r subd ;LOt
'Subdivision •• ' ' Ni;
Owner /Address
'Building Type��l�t �� LOt Afr�ea�r w:
.` Number of Bedrooms � Design ",Plowuc /g /o ' �•
Separate Seweiage System to consist of �i t' Ga135eptic GTarik i
b l � r t �a �� a `.1 ) •.., � 5i1•F" '�.(� � �s �J �"
To be•constructetl y
V!,
SuPPIy Public Sup
t ' •{rt y
� Prwate Supply:`to be drilletl by ;
~ Address,
Ot herf,,R equirements sibl
te
(.represent that t am wholly and;complely' respone for the design and4ocation "ot tt
�.., : :.
above described `will ba constructed as shown on. fire approvetl amendmentfthere to and'ir
County: Depart meriV, oft> Health, and that on completioh_ thereof a'_Certificate 'oi. Cony
be
"'submitted to the:Deparfinent and'd wnttenguarantee will' tie furriislied the owns
place yin good: operating condttion'any, part of, said sewage diiposal system duiing,L
anee of 4he approval of the' t:eitiflcate of Construction .Compliance of`the originaVi
will be located as shown on the approved plan and That said well will be Installe?5-
County Depart yr
r .. Signetl,
`=
° ` � ,. 'Addre'ss'� t "
APPROVED FOR CONSTRUCTION Thls approval expi es one year from,fhe .date; }iss
:revocable for. cause or may be amended .or modifietl when considered necessary bfhe ,
requires 'a, `w ,perm ?, -`A rq ed for %dispos5lof dome sovvage`�a'd %or ,l
Date; tom, Y ey a
'1
7V 1
0.
�F •HEALTH'S Permit
mel N Y 10512
Town or 'Village
I.tl 'N,tp W_�.,,,{��lock�-
r � v
al �� Revision •�
Of Previous Approval '
Section Only ❑
1
H D/`�jNoti(P�icatlion Required�''j^'
t - s t
w r hF Gx t
sosed'systdm(s)n• 1) that'the separate sewage disposdl system .i
lance with the itandaids;`.rules an regu a ons o ' = e. u nam -
n Complmnce satisfactory'•to thetomhiiisioner of Healthwill
uccessors heirs or assigns by the tiuilder, that _said builder will
)d,- 'two (2) years immediately following thedate of the Issu,
or any repairs..thereto; at'the drilled well described above
h fire st Bardss and u a�Ti�ons of, ;the ` Putnam
icense No
x
less construction of Sh building has been undertaken antl Is
ssione`rzof Mealthr Any_chang! 11 L�ja�lteration',Of construction'
z \Tltl
c
alb
5Y1 .._. .. x..n .. 'V. n.'✓'..e. .u.('X!' -... may.. 'R'r41., 'S.,.y^�'y "^.at' ^^°t'�_ ���.' "�; —r,_ {;,.
PUTRIAM COUNTY DEPARTMENT OF HEALTH ENGINEER TO PROVIDE PERMIT #
ON CERTIFIC PLI CE,
Division of Environmental Health Services, Carmel, N. V. 10512 PERMIT #
CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL SYSTEM
Located� at
Subdivision / subd. Lot 8 AD
Owner /AddresscLff5 - -�K) C & �
Building Type L-t-ot Area 35 6 a (ps ch
(
Number of Bedrooms Design Flow G /P /D_ Goo
V- L
Town or i lage
..... ..:.- n.: ea:x ��- a..t..v .x... c��.�e •G'..,..5�. �'._ ':.:ra .•..w -� .n.. ;.fit -.:,
Renewal Revision p
Date Of Pr ious Approval V �p �yf itl9��
Fill Section Only ❑ �lJ
P.C. H.DD...Notification Required
Separate Sewerage System e
to consist of � �� Gal. Septic Tank and YA� I ( l
To be constructed by -- r,6 D Address
Water Supply: Public Supply From
v Private Supply to be dril d by
Address 31S
Other Requirements
I represent that I am wholly and completely responsible for the design and location 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 standards, rules and regulations of e Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Heaithwill
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 date 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 standiyds, rule sId.r$g aZT•iTons of the -,,Putnam
County Department of Health. / /,� J
Address Y [..J 1>_ DLJ�IN. .:-:j_ ✓, v 1 1 1-1 `I V
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless
►evocabie for cause or may be amended or modified when consi ed nec nary by the Commis
requires a new permit App oved r disposal of domestic ni ry s ag and/ private
Date _
By
Ray. r. /AS
struction of the building has been undertaken and is
of Health. Any change or alteration of construction
upper only.
Title
(914).628 -0507
BOX 243
• SHENOROCK, NEW YORK 10587
April 22, 1985
STATEMENT
Fred Straub
Mahopac, N.Y.
Septic system Oakridge Drive, Putnam Valley„ @............ $350.00
THANK YOU
fliz.-p
Hal,
(3) 'A'
le c> �
".,A 5= 1000
UAL
0
Y'= ZO
TM: SJ*%,*A-I;
CONTRUCTED A$ [NDICA-111) ON 'ifils ili-A,
SYSTEM WAS INSPECTIA) By 'ME ]AA,M]: I't' i fj act
THE SYSITINI WAS CON-STRUCCF-D IN 'rYlil AU-
THE RULES AND REGULATIONS OF TI-Ij- V1, 1,'.'ASd
DEPARTMENT OF 11ILALTI-I,
L 'IP-1 —IA-<,
It
it
Nil it
Nil
11 It It
It
It
II 'IOU
le)
rucu" uOuriLy wilsa•Ts"Ut or he&.LU
jivision of Envirommental Health Service*
approved as noted for conformance with
applicable 1hass and Regulations Of the
1putnam C" ft Health Department,.
9-,C5-
7 1
AS
Sir r-3
-7'- -7
05-6,
4 7,
IJ
(Dow,,-
i.
--GuJ.a 'Orr— Vw-,�—
F Ne��
A 01�0 QZi �TFM7-` P - a-
le)
rucu" uOuriLy wilsa•Ts"Ut or he&.LU
jivision of Envirommental Health Service*
approved as noted for conformance with
applicable 1hass and Regulations Of the
1putnam C" ft Health Department,.
9-,C5-
�d
NO W 0)? FOF7MER1- Y
LoT 506
49; e8'10 ",5.
.r
vl I
/y! p WGLL
i
LOT 507
AREA= -33,46-5 5•
i
o.
Tq.
B U Q /VS
i. P /PE c''UAZD
0. a, s., 0.2•w .......
NOW OR FORMERLY ��
PREMISES S `/ON/ l/ HEREON LOT -508
BEING LOT 5"47 AS SI- /OWA.I
ON " F/FThI lk4P OF ROARING
BROOif L4 KE "; M4P F /LEO
/N THE PUTA14/M% COUNTY
CLERfr S OFD CE O .I` fUL Y
1949 AS h'/AP V-9 -908--T.
J.VDERGROU.VO EASEMENTS ,
STRUCTURES (jR Ed-/CR04Ch'MEL17S,
F 4 N Y, NOT 5NOK/N.
400ERT E. i5AXTER f.4S,50C.
4AJD SURVEY'OR.S�PLANVERS
:?o BOX 298 °R. o. , ,BOX 277 -C
741-10PAC, N Y 7)40 EWEL L,CT., V.. Y.
;e8-z800j 22/ -//92 _ {�
N. Y3. L /C.^ 4943.4
Certified only to:
DOUGLAS 8 BARBARA ✓E
COMMONWEALTH LAND T
ULSTER SAVINGS BANK
FS
.4 Ai/Cb-
INSURANCE CO'
DF NEW CERT /F /C4T /O/✓S FlEREO V S /G�(/ /FY
�o T/f4 T THIS SURVEY W,4S . PRE°QREO ,
"I F- eit"o /N 4CCOROANCE dV /TN T/HE EX /ST-
s NG COOE OF PRACT /CE FOR L4 A10
URVEY,5 ADOPTED BYjTHE t/E{t/
R1-r,4,5-'30C1,47-10,V OF PROFESS /ON-:.
MO 4943x, L 44 ND SUR VEYDRS
LAND SCR
4'
i Y
s•
0
o
3 /5.00
CROSS cur
Fou.VD
S0�?1%f Y
7-04 TE- /Av =
70' N O� PU MAN V4 LL f Y
PU TIVA Al CO U/V T Y
/t/FW YD R K
I04TE•' OCT. G, /983
.UPDATED SEPT 1O, IO&C
41190,47 -Ep OCT. P, 1980
Prepared for DOUGLAS 8 BARBARA ✓ENK/NS
299.54 -• - -gyp O
{I 'QB f
LQ
0) o I
= O
a
U �V
>
111 V Y
W
NOW OR FORMERLY ��
PREMISES S `/ON/ l/ HEREON LOT -508
BEING LOT 5"47 AS SI- /OWA.I
ON " F/FThI lk4P OF ROARING
BROOif L4 KE "; M4P F /LEO
/N THE PUTA14/M% COUNTY
CLERfr S OFD CE O .I` fUL Y
1949 AS h'/AP V-9 -908--T.
J.VDERGROU.VO EASEMENTS ,
STRUCTURES (jR Ed-/CR04Ch'MEL17S,
F 4 N Y, NOT 5NOK/N.
400ERT E. i5AXTER f.4S,50C.
4AJD SURVEY'OR.S�PLANVERS
:?o BOX 298 °R. o. , ,BOX 277 -C
741-10PAC, N Y 7)40 EWEL L,CT., V.. Y.
;e8-z800j 22/ -//92 _ {�
N. Y3. L /C.^ 4943.4
Certified only to:
DOUGLAS 8 BARBARA ✓E
COMMONWEALTH LAND T
ULSTER SAVINGS BANK
FS
.4 Ai/Cb-
INSURANCE CO'
DF NEW CERT /F /C4T /O/✓S FlEREO V S /G�(/ /FY
�o T/f4 T THIS SURVEY W,4S . PRE°QREO ,
"I F- eit"o /N 4CCOROANCE dV /TN T/HE EX /ST-
s NG COOE OF PRACT /CE FOR L4 A10
URVEY,5 ADOPTED BYjTHE t/E{t/
R1-r,4,5-'30C1,47-10,V OF PROFESS /ON-:.
MO 4943x, L 44 ND SUR VEYDRS
LAND SCR
4'
i Y
s•
0
o
3 /5.00
CROSS cur
Fou.VD
S0�?1%f Y
7-04 TE- /Av =
70' N O� PU MAN V4 LL f Y
PU TIVA Al CO U/V T Y
/t/FW YD R K
I04TE•' OCT. G, /983
.UPDATED SEPT 1O, IO&C
41190,47 -Ep OCT. P, 1980
Prepared for DOUGLAS 8 BARBARA ✓ENK/NS