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BOX 21
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02439
PUTNAM COUNTY DEPARTIYiENT OF HEAL
Rev. 3186 TH
'Divlslon of Environmental Health Services, CarmelN.Y.1OS12'
r
.
Engineer Mast Provide '
q PC.H.D. Peimit q--:
#
j •
_;f: 4e`Az;'017:',/•••p,/
iATE -'-ONSTRUCTION,CO.'JS'b,?`NCE=FOP RYA E..DLWZSAL.SYSTFAI
�i ✓ / . c'.tg. ��
Lpeated
Tex Map �. —. Lot _L=
at
Qwner /a f ry Forme
MUCH
Sabdiv(e)on Na Si. n
Name 'Sabdv. Lot l!
MaWng Address / e fi %' Zip
Date Penri It Issued
f�
//L�'i/
SepFate Sewerage System built by • d wow 0r Address
e,
Consisting of / U o o* Gallon Septic Tank and 4527 F d . W,' de,
�T eriCGc- j
Water Supply: c Supply From
Address
or :• Private Supply Drilled by .��' G
Address All
gi g qy pe 677 G � Has Erosion Control Been Completed?
Number of Bedrooms Has Garbage Grinder Been Installed?.
Other 'Requirements
I csitify that'•the'system(s) as listed serving the above premises were constructed esse.n
)a on the plans of.the completed work ( copies
)0 fil issued by
of.ahich are attached), and in accordance with the standards, rules and regulations,
he plan, and the permit the
Putnam County Department Of Health: �-�
Date 3� � Car ified by -
0 '
A S ¢-
Q P.E. R.A.
4
' O� 6� W
f ( Llcena No.
Address
r\ a C
I .t r
Any person premises served by the a ova systems) shall promptly take such
secure the correction of any unsanitary
.occupying
condit Ions, result Ing from such usage. Approval of the separate sewerage system shall
available the approval of the private water supply shall become null and void when
n as a pubtt: sanitary sewer becomes
° M pb' becomes available. Such approvals are
,and
subjeet to modification or change :when, In the judgment of the Commissioner of Nealt
modiflutlon or change Is necessary.
Date By `�
TItN�!-= -����C
1r
PUTNAM COUMfY DEPAR24ENT OF HEALTH
DIVISION OF FNVIR0LZ9WrAL HEALTH SERVICES .
j�/f ti
/ / G%
Owner or Purchaser of Building Sect Block Lot
Building Constructed by
T,ocation - Street Subdivision/Name
Municipality
Building Type
Subdivision Lot #
GUARA= 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
��Ce t� ioa e =af Const u;�te +.rui.Compliance" .for: the. sewage'.ciisposal'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 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 f
Title l
General Contractor (Owner) - Signature
Corporation Name (if Corp.)
Corporation Name (if Corp.)
Address
Address
rev. 9/85
mk
Yorktown Medical Laboratory, Inc.
321 Kear Street
.Yorktown Heights. N. Y. 10598
r (914) 245 -2800
Director: Albert H. Padovani M. T. (ASCP)
r
Margaret Zraly
19 Far Reach Trail
Putnam Valley, NY 10579
L
i
LAB N 32.02.116��)
Date Taken: 1 -12 -90 Time: 7:45AM.
Date Rc'd: 1 -12 -90 Time: !UAM—
Date Reported: JAN. 1 6199Q
Collect.ed By: M. Zraly
Referred By:
Sample Location: Tap
Phone N 526-3525
Phone N Sample Type:
J Repeat Test? (check each)
LABORATORY REPORT ON THE QUALITY OF WATER
INORGANIC NON- METALS mg /L MICROBIOLOGICAL CFU /100mL
Acidity GENERAL BACTERIA
_ Alkalinity
Chloride _ Standard Plate Count
Detergents, MBAS (CFU /1.OmL)
Hardness, Total
Nitrogen, Ammonia MEMBRANE FILTRATION TECHNIQUE
Nitrogen, Nitrate
--
Phosphate, Total rTotal.Colfor.m �.
.__..... _ ...Sulfate ,__... .._.... _... _.. ._ .v
_... Sulfide _ Fecal Coliform
Sulfite
METALS (mg /L)
Copper
Iron
Lewd
Manganese
— Mercury
Sodium
Zinc
MISCELLANEOUS
pH (units)
Color (units)
Odor (TON)
Turbidity (NTU)
Fecal Streptococcus
MOST PROBABLE NUMBER TECHNIQUE
Total Coliform Index
Fecal Coliform Index
KEY FOR
TERMINOLOGY
CFU =
Colony Forming Units
CON =
Confluent (q.v. TNTC)
LT =
< = Less Than
GT =
> = Greater Than
N/A =
Not Applicable
S/A =
See Attached
TNTC=
Too.Nu merous To Count
REMARKS
/COMMENTS (For Lab Use)
Potable
Non - potable
STP INF
STP EFF
Other:
Sample Status:
(check each) ,
Outpioing
HNO3
_ HC1
H2SO4
NaOH
._ ZnOAc
Na2S203
Other.
Inc6ming
LE
4 °C
_
GT
4 °C
_ pH
LE 2
_ pH
GE 9
_ pH
GE 12
_ Other.
ELAP No. 10323
THESE RESULTS INDICATE THAT THE WATER-SAMPLE(1s) (Wasn't) (N /A) OF A
SATISFACTORY SANITARY QUALITY ACCORDING TO TH ORK STATE PUBLIC DRINKING
WATER CODES, FOR THE PARAMETERS TESTED, AT THE TIME OF SAMPLE COLLECTION.
THESE RESULTS INDICATE THAT THE WATER SAMPLE (Did) (Didn't) N/A MEET THE
SATISFACTORY CHE MICA UALITY STANDARDS OF THE NEW YORK PUBLIC RIN NG WATER
ED.. SAT_ T'h1'E-�T�•Mf --&F SAM'?L7=' OfiL 4C ._.. M _... _. _... .... _ ..... . _._..,,.....
Lx/ N-1V'KJO _
Albert H. Padovani, M.T. (ASCP), Director
2 /86(Rvsd7 /87)RWE
a
MINU DETAM
E y, L
-SCREW-DETAIlLo
ai a
dasure from 1
d surface)
d
+' . or
TOMT OF PUTNAM
VALLEY
Make_:.
WLLL D,RILLF,RS LOG
AND . REFORT
en .ailed.
lot
— Diameter. Inches
Yield: ajhGPM
= �•
Length Ft. ,size
WELL bOCATION C/
' ° . ' PR d D
stredft
TOTAL DEPTH OF WELL l Feet
section
8rc lot
iJELL OWNER C P &a
� F � �- �,'�°� t�
�i ,�:D �
2
�v i��r� IH fiA ,i.G.1� Io
name
address
city or town's
WELL MILLER—. Eu L k r
k W'F j..�.j'DR?"
3 P rr L S le i i.I'
name
m
address:
city or.town
MINU DETAM
E y, L
-SCREW-DETAIlLo
ai a
dasure from 1
d surface)
Lengh, ;, . feet
+' . or
Pumped),HiOb,
Static �O ft
Make_:.
en .ailed.
lot
— Diameter. Inches
Yield: ajhGPM
r Pun ed ft
Length Ft. ,size
TOTAL DEPTH OF WELL l Feet
depth '' .rk air Give csc rti.o. of formataan penetrated, such as: peat,
G -round Surface 'silt, sand, gravel, clay, hardpan, shale, sandstone,
anite, etc. Include size of gravel(diameter and sand
fine, medium, course), color of material, structure
(Zoor.e, packed, cemented, soft, hard),(Ex. Oft. to 27 ft
fine packed yellow sand 27 ft to 134 ft- gray ranite
Ieetr toFeee�t orma -Hon Description, a e ch exact location of well to
at least two •permenant Lane
112 S k..�.e...1
�° cP idG
d
Date Well Completed _d. � -Date of Deport
Well Driller J�'d..111
7 signat=e
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
John M. Simmons, M.D.
Deputy Camnissioner of Health FIELD ACTIVITY REPORT - Sheet - of
INSPECTION
F.1 0) 1) v
4-0 A-
TM No.
MAILING ADDRESS
P.O. Box Post Office Zip Code
PERSON IN CHARGE
OR INTERVIEWED
Name and Title
71,
DATE ITY
�'e!:557 TYPE FACIL
TIME TIME LEFT
FINDINGS:
INSPBCTOR:
0 0 -W I'd 0—F..Pd' M-
Signature and Title
PERSON IN CHARGE OR INTERVIEWED:
I acknowledge this Field Activity Report.. SIGNATURE:
6/86 TITLE:
Orig. Routine
Orig. Complain
Orig. Request
Compliance
Carplaint Canp
Final
Group Illness
Construction
Reinspection
Field, Sampling Only
Field Conference
Other
TELEPHONE:
Explain
t y PUTNAIVI COUNTY DEARTl1IEN'8 OE ']EIEALT�I
fir) ;r
r ; Division of Environmenia/ Health Services, Carme%
N. Y 10512 .
CERTIFICATE OF COIVS.T.RIlCTI:ON COMPLIANCE FOR SEWAGE DISPOSAL SYSTEM
w a -:. Town or_Uillage •
i
Located at Section Block
.. _,,
Owner v -S . � Gi/ i' Lot h _ / Jq,
,Separate Sewerage System built•'by � /'CtCc`s/ Address
Consisting .of Gal.' Septic-Tank ��5 I�neal Feet `X width ",trench
Other requirements. -
i
Water Pubad
Supply: rSupply,,From
u
d /•? r
PrwatesSupply °_Drilled By e
- Address . •-
Bwlding Type'_ No of Bedrooms •.Date Permit Issued
Has Erosion Control Been Completed •��Pt� 04 _ �✓,`'
I certify that the systems) as' listed serving the.atiove premises wereconstructed essentially as shp0vn or °tF(a2�s �bf�4�ef'¢ofjipleted work;(copie4 of which, are
attached) and in accordance with the standards ;rules and regulations plans filed and the,p it 9$u�d _y th>� Pytnafl� ':County department of Health
'Date' Ce tif�ed b�iry 0' '`� X
P7 F ^`B R A
"• ° �/ y
Address ' R
License
;.Any person, occupying pcemiseSServecJ by; th above systems) shall, promptly take such action ag y °qe� sk y t0 T4Le the correction of any unsanitary'
conditions 'resulting from such ;usage ,Approval "of the- separate" °sewerage srjern snall'become;la d ?,vaiel sdo OS a " puOic .sanitary sewer• becomes
•'available and one approval o'f, the private water supply'shall become null an vo�d':when a;public fioa F at6bmes..,available: Such approvals are -
`subject to modification or, change when; m the;fudgment of the' Comm sio r Health such' revo tl1AAil%odification ' or change is necessary
S .
ri
:Date ".. BY
X
1
Title'
0
WELL IUOCATION
si
WELL OWNER
name.
WELL DRILL'M PuL k'
name
z
TOWYT - OF PUTNAM VALLEY
.,:REPORT:_-
section -------
--�'
address-
w
.address
( - _ _.
ock- --: of
4/,(+M l'4 4k97 �
city- or-town
cit9 -or. town
As LNG -- ETAI Y
YIELD TEST W
WATER TSVEL. S
SCREEN DETAILS _
Bailed M
Measure from land s
_
,eingh: feet o
or ., .
. . .
Pumped:_ H S
Static:"�ft M
Make:
.� tb �'i' -� -
- - - - - - _
_
•
-=
e B 1-led - =- —
� -
-lot ••
i:amete�c: -_ Inches° Y
Yield• - GPT'I °
ft =
= .:__i;en thT.-- ,_._Ft: �
�ize�_
AL iEPTH- OF .. WELL _ _- /��� Feet , .. .
epth From: description of-- -forma-;ion -- penetrated., such. as:..-
s: -peat,
round Surface 'silt, sand, :- gravel; _ c1ay _ _hardpan, .shale,= sandstone; -
anite-, =etc. Include size - -of :gravel (diameter_.:and sand
fine'' -,:--medium, =_course).; color... of .,-material,- structure
o ose., - =- packed,: -= cemented -;=- -soft, hard).:_(. Oft. to? 27 ft.
r fine, "packed, :- :e_llow Zsai d,_ ?7� ft to = 1:34 =ft bra ranite).
et_ o eet Formation,:- Descri tion r
_ � .Si c tch .exact= location of__we1- --- to..
at l pas t- : =.:two permen'ant - Landmarks
41
r o c.✓> �__�
,ZS NOV
ate Well Completed Date of- :_Report -�
Well Driller.
signature
(914) 666 -3335 Mount Kisco Medical Laboratory
344 East Main Street #1561
- Mount„Ki sc N .10549
_
T
RESULTS OF EXAMINATION OF WATER 9-9-77
OWNER DATE RECEIVED
CHARLES ZRALY 9 -9 -77
CITY, VILLAGE, TOWN & /OR NAME OF SUPPLY I WA- L rtlrrvrt1r-U
FAR REACH TRAIL PUTNAM VALLEY, NEW YORK 9- 12-77
BACTERIA PER ML. (Agar plate count at 350C).
9
COLIFORM GROUP (Most probable No. /looml.)
LESS THAN 2.2
HARDNESS, TOTAL -ppm
DETERGENTS - ppm
NITRATES (as N) - ppm
IRON, TOTAL - ppm.
I FLOURIDE (F) - mg. /1.
These results indicate that the water was YES of a satisfactory sanitary quality when the sample s collected.
These results indicate that, at the time of sampling the eonst���1�lti
measured met The Drinking Water Staadards of Part 72 of the A. H. PADOVANI, M. T. (ASCP)
New York State Administrative Rules and Regulations.
Owner or purchaser or Building� MuniCipsllty
Iding ona ruete By
R Ala Az Z���
Location!- Street
Chv,r C_
ffuMding Type'
�•d c on
B oc
of
GUARANTY OF SEPARATE; SEWAGE 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 guaranty to the owner, his succes-
sors, 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 initial use of the sewage disposal
system, or any r ®pairs :Wade by me to such system, except where the failure
to operate properly is caused by the-.willful or negligent.act of the occu-
pant of the building utilizing the system.
The undersigned Further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
C
vices of the Putnam,_o=.ty..Dopartme.nt of Health as to whether :.or.-not .the1.
- fa-1 -1 --o-f--t�--sys_tem- -t'o� operate, Was ��useid�lay."�he- wilful- or negligent
act of the occupant of the building utilizing the system.
Dated this ,�� day of 19i Signature
Title2i�+t at.
corpor tion, g1 ye name
and address)
- - - - - - - - - - - - - - - - - - - -
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS, BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTQR IS REp O FILE OTICE OF DATE OF FIRST USE OF SYSTEM.
-- ��'-- �l�Z--------- •---- - - - - -- - - - - -
Division of Environmental Health Services, Putnam County Department of..Health
1P�J B 1�1AM COUN �'�l D]E�AflB'� 1�9[�1�1 ,: OF HEALTH'
e�
'- '`Dvfson of Environmental Health Serli�ces, Carmel, N Y 70512 S
CONSTRUCTION PERMIT , OR�SEWAGE .DISPOSAL SYSTEM !,✓ O� a ' _
Town or: V iIlage'
LoceEea fiction btottr
Subdivision a LOt A Job
Owner Address'
r
Building. Type ^� Lot Area
O ,
Number' of Bedrooms ,�, Total Habitable Space �_� ` Square Feet
Separate Sewerage System to 'consist of- Gal Septic Tank lineal feet X� '
`� '• width trench
'jo be, constructed by'
Address
Water Supply, Public SuPpry ,From '
Private` Supply' to bey drilled b'
-Other iRequirements
y.
I represent that I am'wholly`and'completely responsible for the design and IocaUon'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 -arid in accordance with the standards, rules an regula ionso a ,:..0 nam
%County ;Department tof`, Health; ,and that -on completion thereof a 'Certificate of Construction Co "4i ®reaart�tisfactory to the Commissioner- of'Nealth will
be submdted to the Qepartment, and a:- written guarantee wUlitie furnished the owner yh�s suC� of hiYipr gs�signs by the bwlder, that said builder will ,
place•
in good. +operatirig- conddion any'.:part of -said sewage disposal system during,the;:pea �S1�Evbrpd- ��,yearj tely''fo wirlg'the
edia Ilo date of ,the' jS' u=
,ante, of the.'approval -ofahe Certificate `of .Cor struCtion: Compliance of'the original syste�i a��,��yc� ttier� 2tthat She drilled;welf described above
will ().located as shown:on the approved plan and,that said well will tie installed Fin accordan�b;weif�fhe standa�st�5,.ruIeV and1 regula i�mns ; of ' the Putnam
`County Depart m nt of ealth
Atldress - `� �_. License No.!2 1"-
APPROVED FOR CONS :1 ,This approval expiras one year from the date issued a S ruo�tR'6 ���a?uiltling has been undertaken and is
revocable for cause or may be ,amended ,or modified whenconsidered necessary by the'Comrfl+ ?rt®t;a HeaoiJa° ry1 change or alteration of construction
requires,a new :permit Approved for disposal of domestic sanitary sew/a�ge, andlor private OIpt�dd�p?Iq°��ay �..
`Dates '�7 /tom` BY _ L�°�il'b�s� Triter l�'
su
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION- OF ENVIRONMENTAL; - HEALTH' SE=RVICES'
jj Dater
Re: Property of
Located at
Section 2 Block Lot
Gentlemen:
,r.
This letter is to authorize r/ a,S ev,4
a duly licensed professional engineer k._� 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-
l VilllCV 4.LU11 w_L Ln Liiis nia is i ev aiki to. 5uperv:i_se ine construe-ciuri of said
system or systems in conformity with the provisions of Article 145 or
_.._.._._._ -141-- Education- Law; -the -Public--- Health-taw;- -'and• the--Putnam County Sani= <._._.
tary Code.
Ilk
Coun ers ned:.° •• °�� roes '•.���o.
• s
P.E., R.A.,
14%
Q w / r,a• • I ��•
Address •�„�•., �• 24
d ��� lot
Telephone
Very truly yours,
Me
AMR W'0-
-lv
Telephone c
6 42
Ora 1?e;,ed
�up.6W U-t
FIELD CHECK LIST
Date:
-#
INITIAL SITE INSPECTION
Yes
No
Comments
Property lines or corners found . . ... . . . .
Can estimate house location . . . . . . . . . .
M
Will driveway need cut . . . . . . . . . . . .
Must trees be removed -note these . . . .
✓
Is deep hole representative of entire SDS area
Additional deep holes needed. . . . . . ._✓
Sufficient SDS area available considering
driveway cut,house location,separation .
distances, etc. . . . . . . . . . . . .
DEEP HOLE DATA
Depth : •7'
Water elevation: —
Rock elevation: 7'
Soils description:S
Date.
FINAL SITE INSPECTION Ins ..b :
House located where shown on approved plan.. .
SDS located Where approved • . . • . • • .. . .
Length of trench measured
Width of'trench average
Slope of the line and trench acceptable . . .
Room allowed for expansion trenches . . . . .
Natural soil not stripped or SDS area
unnecessarily graded . . . . . . . . . .
10 Ft. maintained from prop.line and
20 ft. from house . . . . . . . . .
Separation of trench from house, well
etc. follows plan . . . . . . . . . . . .
Number of bedrooms checks . . . . . . . . . . .
_
Stones, brush, stumps, rubble, etc. greater
than 15 ft. from nearest trench . ... . . .
15 Ft. of peripheral soil horizontally from
trench. . . . . . . . . . . . . . . . .
Junction boxes properly set
Could surface run off from driveway, roads,
ground surface, etc. channel near SDS . .
area . . . . . . . . . .
Does lot drainage a ppear O.K. in area of SDS
FINAL GRADING OF SITE ACCEPTABLE
REVIEW CHECK SHEET
ai
DOCUMENTS....
House plans O.K.
Design data sheet i
Peres presoaked? i
Alin. 30" pert test depth j
Const. results for 3 runs I
D. Hole log 0. K. i
Corporate Affidavit for other than individual i
Authorization for engineer I
Letter from Water Supply if applicable i
If variance requested -such noted on plans & apps.?
eets Std.l Remarks
es No
-
s i
i
I _
DETAILS
if charge is proposed,)
Existing contours shown show new contours)
Slopes for driveway cuts, etc. shown 41A
Water service line location
Foot.ing,drain, etc. location I
Top slope, bottom slope of fill ! �►
Percolation tests and deep test pit location
Septic tank size and conformance to std. +(V
3 B.R. house minimum
7House ysetback shown
..11ZSL�'.1_bl."!t1r.1,1 i:li. iii_- ,;'�i -, +',lc= 7Nj f ?:•1:: u. :. .. -.. ._.....,._.._. _._.........__r :.i...._
1i U' water wi i:rall jv -1 U. Ui r.ii ailUw l _._I _...
Plan and profile SW
All other wells and SDS closer 2001.
. _...._:._ _ - ___s.,hQ�rr.� �Q� ..x��'ex:�r�� �- �macle .._ _ . _ -- - - -• - =- -- - I :...: ' .
Property boundaries (metes and bounds - clearly show}
SEPARATION DISTANCES SPECIFIED ON PLAN
10' to P.L.
20' to. Foundation walls
100' to Nearest well
50' to stream, march, lake, etc. i
15' to Curtain drain
10' to water line (pits -20 _
15' to storm drain.
10' to large trees
f0' from foundation to septic tank
5' to pipe from leader drain & fo`c
.{expansion)
6-
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 e. " Zo Address %S���p C:/ e �, 0�w.x�. o
Located at (Street Sec. e? Block j Lot
indicate neares cross s ree
Municipality, zfz ade7 4� q Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
Run Elapse
Depth to
Water
Water ve
No. Time
From Ground Surface
in Inches
Soil Rate
Start -Stop Min.
Start
Stop .
Drop in
Min. /in drop
Inches
Inches
Inches
4
14-.')I Y'%
%44%
2�.' %� �' /%
3
4
5
1
2
3
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.
�t��,. ` a ,i i* „ c.S ,fi,.,.; " <, - i ti..7 w 8 ;s:, ,�..3..` ..M`? s •kcrs- i'ti,.c?#".'' �s, PrF"i.,,..: ` z•r^,,' i - d '!!,t�., "`chi;.
t s ri
'3? z
TEST. PIT:; ATA P.Q`IJIRED TO BE Sti;BMTV 6lITH'.APPLY6T# SAT{
iD z "' b S`CR'1pTI0i7 OF SOAS kNCOlUNT1,RFD jN .:TEST HOLY
*k, t ttva.x
' GO
18D` Q
3°°° r.
. 36
54"
r
6.6 !' `
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'say ... - . _ . _ ._ ... _ •..
INDICATE.,LEVEL AT WHICH GROUND WA17PR IS E1 COUNTERED-
'IN DICATE LL L FOR WHIG i WATEn LEVEb RISES AFTER BEI2i ENCt� :BRED
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