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HomeMy WebLinkAbout3222DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73. -1 -7 BOX 26 ' ■' , . } ;, k-7 T J - t �r JL r 03222 r'. ec� SEP-2E -2007 01:47P)A FROM-BVIROMEHTAL 1EALTH a s4527e7la21 r 1418 P.001I01 P.- DIVISION OF ENVIRONMENTAL HEALTH SERVICES PK:a ->4 QR.OP.2SAL FOR SEWAGE TREATNEIENT M MI 115A R ❑ L Repair Pvmd !Mod in lase 5 years U Not in Watershed tM ❑ Repair wWm Boyeft Camara, W. Dmitch or Craton Falls Res, ❑ DetegaW ❑ ❑ FMMf ttACtirt 200 h• of it wet course or DEGmdpped waft id ❑ Joint Review SrrE L0CATj0N - Sim, f6ti IZo TOWN TM # OWNER'S NAME f"I a + E�! `� P ONE #f PIIAIUIdCiAG1DRESS CSitLIA— Ak Knp Apr- LICANT tMiner w+rme b RehdiwWo (L&, ownw. unans. Conamoo DATE Q Q4 7 FACILITY TYPE %S+dik -i-1 SM PCHD COMPLAINT 4f PROPOSED INSrALLE:R ECL& 00f P_ At{ (1iW.,,, se6 A PHONE#IIAOZ _tea % -b►bb xtlt ADDRESS` 9 m�l� rnn g EAL P4 pg_RECIOTRA71QN /LICENSE # t oi►� �Z P. r000sal (include a separate sketchflowdris the house, pmperty lines, al adjacent welts within 200 teat of reprair and the location Of eXIStieg send proposed system) NOTE: The Deparnent may require submfol of prnpMl tTVtn la,enSed prGflaSS 0nW depending on the psture wd emnt oP t!* repair.. t, as owner 'A=40 the cntui stated on this 1 St4NA iE YIT1.E ��9_.5.�� IJAT �W (owner) I, the septic indwi to 00m conditions of tttis.pem' t for the Septic system reps%! SIGNATURE TITLE 1 1 DATE (-rnstelter) EMMI sammajALke t-�-- 1. PMCUrenent AF any TnwM. Qrrttit,.i 2;- t tviz ii Hka,Qij i ine sb pc em "VWI:r WhIIjjn`a0 Gays ofilh9. _ _ - p repair, m txupucarr~ stiowik ` a owner`s worm, Site Street Name, Town and tax Map number b, Location Of irst8lied comportmts 1w to r4m tix94 points a SY4- -m description (a-g., 12W gal. Lbaew-a septic tank, etc.) o. Ins aabis' Rams and phone number 3. System repair to be perfr mtied in aloe wpb the above proposat and Conditions 4, The proposes SSYS repair's considered a best 9r design and twm is nn guarentoo to ft duration at winch the con 101064d =0 repair V411 fungi ion. S. No o=pt wed work is to tie baacMW until authoiRation to do so hag bew obtained from the Dap2rtmmt• - NTERNAL USE ONLY IM COPIED' PCHD; Owner; Inamlicr PG,RP 99ML Denied !� � K D210 Yes Rev, =7 TOTAL P.02 SEP -26 -2007 11:57 P. 02 SEP- 25 -20QT 01:4TP)A FREE VIROBERTAL HEALTH "5270T921 T -418 P. Ml /001 f-93i d" NI IN M.. -- -... r ..-- DIVISION OF ENVIRONMENTAL HEALTH SERVICES pK :a PROPOSAL FOR SEWAGE M9A1M__E_K SYSTEM 115PAIR _ f-1) r PERMrT # ❑ L Repair Pennil imed in last 5 years U riot in W9 tM ❑ Repair wWin Boy4'e Corners, W. Branch or CkotOn Falls Res. ❑ Delegated ❑ ❑ Asir min am h. of a watercourse or DW m W weftw ❑ Jarrt Revs SME LOCATION + Sircd -F/ tit tom TOWN �IARiI� N,1e4 TM# I -T OWNER'S NAME + 1 .[l t 0 P ONE #3 14,AJ .iNG ADDRESS 'Ak APPUCANT b.Orter• Name 3 Reletiet'xhip &.e., owner. warm conumorl DATE 0 7 FAc11_ITY mite kes idGJ&l SSIS Pctm compLWWT # _�� PROPOSED INSTALLER e a& CCwe- Ck A 1sCA Se,-j6 s PHONE # 1- KOj1� ���t • I bb ADDRESS 1�_Qt [an 4 U-Jecn RECIOTRATION /LICENSE # O -1y 6Z. P.. To1zR.sal (induce a separate sketr h'Iac;+Ling the house, property fines, OR adjacent umis within 200 febt of repair and the lomflan of Ws" and propose# syMM) NOTE_ 7130 Daparunent may require SUI)MIDl of prnpMl from licensed profess10nai depending an me =ture and extent of the repair_ _ NVQ 1, as owner o the eortdlti stated on this 11 1 SIGNA RE TITLE .���q,�* S2.& RA+7 (oauner) I, the septic irts l to tom condhions of L th!3.pem* for ft septic system repair )-(0 __ f / "� ,-, SIGNA' .1 kfbE TITLE 1 DATE d 0C) (nstt3lier) CB5 P t e Quin c 1, __Procurernant of any Taws_ armit, if app6eable. w. uw.ii4Swn'3'Gi-ae':i z= i 6 P 4 M; -11 Z uld S&IIIl% s!af(i u" W Yli,Iirt:Zw a YS aif- iA a'i IV ill 6 i ii Liie t. iwwn . o. Owner's name, Site Seteat Nm% Town and T ax Map timber b, Location of installed conVoaents 10 to two 8XW points c. System description (e-q., 12W gar. CarterVA septic tank, etc.) ci. Insmabis' name and phone number 3. System repair to be petiormed in om ordance whh the above proposal and eonditiorA 4. The propoew SSTS repaQ's considered a best fir design and there iB no guarentas m the duration at which the emnolsted WTS repair will fun6w. S. No compteted work is to tic bac 411ed to IH authmtmVan to do so has seen ate mad from Ota Departrnant. Denied 0 re is in =rnpoance wm applicable codes Yes COPIES, PCHD, Owner, Installer PC ,-RP 99ML Rev, 2107 �) 6�0' Y TOTAL P.02 PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1 Peekskill, New York 10566 PE 7.8777 39859 RESULTS OF EXAMINATION OF WATER DATE COLLECTED 2 OWNER DATE RECEIVED Stanwood Builders 112 " CITY, VILLAGE, TOWN &/OR NINt OF SUPPLY DATE REPORTED Birchhill Road, Lot # 10,Putnam Valley IL/29/73 SAMPLING POINT Well BACTERIA PER ML. (Agar plate count at 350C). COLIFORM GROUP (Most probable No. /l00m1.) MRDNESS, TOTAL -ppm 5. less than 2.2 DETERGENTS - ppm NITRATES (as N) - ppm IRON, TOTAL - ppm. r-LUUK1Utr (1-) - mg. /t. These results indicate that the water was yes of a satisfactory sanitary quality when the samnple- was colle PtA- A. H. PATafiVHiyT a y - - _ y - _. -+ ' _ _ ' PUTNAM COUNTY3 DEPARTMENT OF HEALTII r ., , X . I i� v� 3 f� Dwision of"Eiw7*_ entaf Health Services frarme% N. Y310512 g ^ Y�� r� r w� i l2 !!`YI "''�' C' "4n'.. �Asin �. � . °F' "lC�er l001S�� - �YCY�, -Pi .�,�}k �Y�A `!�-.� r '.- : 1 1.� _ [)� (� Town or.,,, _i.age I i s` �� __ i -if I Section Block' f �' Located aLt �, , , . , {� ` j 41 ` �JT�� 4���tlJ��VI.I�L'' ? 4�%C LOt j J, _ ., ` r r Owner { , T , fnc �� �1� 14.. Address, 4 � Separate, Sewerage .System -.bwlt by trench � ., il_ �c() z.� lineal: Feet X- wridth Consisting of_ Gal :Septic Tank, �' 3 = i ` Other regwrements z - f 11 t r- -" e # , ' Public SuPPIy From Water Supply , :'� d.- a _tom, Private .SUPpIY. Drylled :BY p III `. r t Address - 1 $ * Bwldm4 YPe No' of Bedrooms Date Permit Issued S . ,. E C„,. .y i t � .� � � � " a 3� '' t 4 . L •'I +'-X i i' fin' . i`l p NEW I Has ,6,_." rosion Control Been Completed O Q , '. ���� A K :. �'-F - �,. a of e? completed work�.(copies.of which are I :cert,fy that the system(s), as l!sted serving - he�a,bove premises were constructed es is - n I-V mi b e tram Courty,Department of Health attached) and m.accortlance'with' the standards, rules and regulations plans,f� led :_ j J S '�'F .c� Z �� < ✓ c 13E �RA ^- ,Date '_�'�T"" s Certified by Q� ' License No�� F Address r !� I,.- ay 11 it sz � ' £ t . ' b�'e' secure the correction of any unsanitary t Any person 6- cu`pym9_pre`mises served by tithe above systems) shall promptly take such , on.as a public sanitary sewer becomes . ,. conditions resulting 'from. such <.usage.' Approval: of theseparate. sewerage systemshall 411 becomes available Such approvals are •, available .and the_:5pproJel of the - private water: supply shall become .null and void -when a if;catwn .or,- change is necessary z_ 'subject to modification or change when an the judgment, of the`Commf of Health,' f s [ KR F h a 1, y /� pp y" ¢'F. n `•.e,.. t .r� �« Tale' _ 11 `y Date ` - ! BY $A ' F PUTNAM COUNTY DEPARTMENT OF; HEALTH = , , --r I v ..may a, i- t I ..fif C/7Vh -11. r - >, f/Pa7S�� SSf h u r�i,rl ?�v r .7ub71 ". �t `*�*' ' �'* � ? 1. I J­,, "� -, _",__i," L'' . �-_� ------ "' I "; , �. . . y CONSTRUCTION PERMIT` °FOR ,SEWAGE ,DISPf�'SAL SYSTEM �1I _� I , ", .11 �j����AA , _Town or -e-' V 1. Located at s 11, z Sectwn Block Subdivfis�on ` ` Fx �,� * , .� � ��. �, i, -,K � Lot -� Job ­­%.6_1­_, wner "» TSB+ rrJ r - lil��ABJ.�p�` J. � �- Address Bwldmg Type, Lot Area y , 1 r t Number of Bedrooms $ - ; °x Total Habitable Space , �� �' 'r x -, , `� � p' Square Feet - Separate Sewerage System to consist .of` � Gal: -Septic Tank '- width ,french,. __ lineal feet X 11 To be :constructetl bY. V I , .- x Yt - Add ress a e Water Supply Public, Supply ,From r: . /�Pnvate'Supply,to be drilled by , W� L�Y�� ri Address � '� v;- , �`a�" "�> 1 Other ( Requirements T ug 1. n . _. s a -� �, z ._ i? T 1. I represent that I, '.am wholly and ;completely responsible for. the design and'iocaUon :of .the ,proposed systemO .1) _that t,- . ,- arate.'sewage ,disposal. s -stem above described "will be: constructed as shown on the approved amendment tfiere to and ,m accordance with the_stanilards' rifles Y en County'. Department = of Health; ?and that on complet�ok- thereot a, "Cerf ificate of :Construction "Com' Itanc " ' ' r�ulat�ons o t e u ram ;be submltted.to the;Department- and'_-- itten uararitee'.w ``" '' _' � " ". P e ,saLsfactor{y,,to the Comrri�ssionerof Healtfiw�ll '` •::: _ . .,_9 1. ill be furnished the owner, -his successors, heirsorsassigns by fh'e'bufldeBIthat �` a . - saitl builder will. place jn good `operatirtg, Condit ov ary part�of,isaitl sewage disposal system'dur�ng the period of :two 2 ; `'ears. <i , _'Nance of;, the,appr_Z.' of the Gectifficate'bf 'Construction ;Com liarice -of ( ! -Y mrt ed�ately,folloWing the.dafe of the issu= (, , „ . P,; „, t original system or any repairs thereto; 2) that tfie drilled swell d'escribed;;above will be loeated ,as, shown on the approvetl'plan and,that said :well will be instal i -: "" ordanc �t :the standaards rides and .regulat —'ors of the , P;utnam ', 1. County ;Departm_ent , Health Dete ei t s W f € Address R� License No -�V� APPROVED FO,R CONSTRUCTION This a s -', pproval expires one year from -the date issued "unless construction of the building has been undertaken and �s revocable for ,cause or °may be amended'ormodified when;cons�dered necessary by `the Co loner of Health :.qn :c' ` + equires;a eW permit A - r? , ;vim Y hangs or alteration of, consstr'uctionn ' pproved for disposal of domestic ' 'ar sews a and /,or , r -' - '- „ 9 p ate ater:i �� ' x�' rte...i'/,i �'. _ ri "14�.a.”- .._..."' ._.�- w....,. .. ..a_ UPPIV.. <onlv_. .a. _..._........ __......_�,�____._ _. k. r ' ._.,E.. PUTNAM COUNYY Dh1At"V1,N',,`:fqT Oi- JELL . 0 !171 Division of Environmo;nta! Hvaldt services COUNTY OFFICE Wlt.D;1\16 • CAI`0-4;- L, N -L V1 YC fi:' This report is to t)c by vvedf drillcr and subrziiucd to County Health Department vvitl-) labora.ory report of analy:is of tvater sz;n1r;!(.- ndicaling, water is of Satiofactory bac..ulial quaNty before certificate of .. . ... -.7; 1-7_2�'90—Lv"".Trf ED vv1*r;-1,!P, m nAYS OF WELL COWL i:TION I OWNQ NAME ADDVESS T I.00ATION .1e // a 0. ? treat) (Town) (IV (Lot llurnSerJ OF WELL BUSINESS El EIARM El .PROPOSED Z�J D,:4AESTJC EST-ABLISHmENr TEST WELL USE OF WELL ❑ PutLIC AIR I 01 iEP SUPPLY INDUSTRIAL J CONDITIONINr, (S;Ccify) 1)1,iLLING m C0,1,1,"RESSED CABtE OTHER ROTARY El E Q U I P.M. E N T L-1 AIP PERCUSSION PERCUSSION (Spoc;fy) CAS!14G DETAILS LENGTH (heat) V-11GHT PER FOOT —'I i Or. WAS CA ffTf r-DD? f I R UREADED Ej WTLDE, IIES r ,0! 1 YES El No I YIELD, r —,A HOURS G.P.A. Y! F. LD (G. P.;.f. P F01 b A I I V 0 PUMPED '[!J COMPkESSED AIR WAVER MEASURE ) .17- YIELD TEST fact) FROM LAND SURFACE —STATIC (Specily Ic v, Depth of Completed Well LEVEL =j;Tp , in feet below Land surface- MAKE LENGTH . FEN TO AQUIF[R (!DfQ SCPEEN DETAILS GRAVEL SIZE OnCh3S) FROM (le&tJ TO !F G R A Diameter of well 'including V11 PACKI gravel pack (Inet:esp K 1'1101*��. UND L.P. "CE FORMATION DESCRIPTION -Skofch exrct location of we!l wfth distances, .— E-Pil-- lc' at least E 1 4C, FiET to FEET tzvo pe,marnmi iandmarks. 7— _r P U T N A, 11A COUNTY Q T PY -N' Ir OF �HEAI.Tk-4 rk -4-RT!AE • h1f)ZEAVO 0 PL&IN D U M September 22, 1-980 Hon. David Bruon A J. Robert Folche Capozzi Complai.14- Town of Putnam Valley, Septeri-ber 8, 1980 X, 0 In response to a,complaint from Mr. Daniel C - apozzi, Birch Hill Subdivision, 'Town of Put-)Lam Valley, this office paid -a visit to his site for the purpose of examining the sewage disposal system layout. 0 Mr. Capozzi alleged that the total footage of absorbtion fj..t:ld 0 installed in the ground for his system Substantially less than the footage shown upon the asbuilt 4-:.-Ilwing on file in. this office, 0 After,several days of discussion, I stceeded. in putting Mr.- Capozzi in touch with th.,--,, i-rispectfng eugirlp-er. o 51-le en- -ineer paid a visit to Mr. Cp'pozzi, proceeded to tawcovar the ends of the and to measure the exact footage as in tolled. The engineer has confirmed to me that the footage in the - exceds- 0 I repeat, exceeds, the footage shown on the asbuilt 'arwwj.-,q1-. 0 On .his basis, tharefore, X.r. Capozz-J.'s allegatior. is in -,=o- o subse*qtIc"I.A to the of the System, Mr. Capozzi cc,-;af--1--mPd th,?.f: s her' Uy moving -i-.Ltc) his home_ he had rc-gradled the fro-at lawn of s lot with a machine. _0 1t1e reg-radin.- and apetation'of th at'machii:ie on the sewage-- cl�sposal systtedl mused crusbing of sevei.al of the junction boy, lids and ve,-y probabi caused crushing of the pipe which. explained -wiry Mr. Co.pozzi co-,1•d no-" --: i'r,easure the total *footage by i-i-.iserting a snake 4 �n the nis De- art- ment renards this ri.atter as closed. f cc: P -rs. 1.4ol'-.1111 SEP -25 -2007 01:47PM DIVISION OF ENVIRONMENTAL HEALTH SERVICES e Q PROPOSAL FOR SEWAGE TREATMENT SYSTEM REPAIR _- M:N��. ,::;:_.r.�,ri -:. .. ��...:...; �: i? iii�ixiYlilfuf5t `%ii�s:.�V...a.,.«� rr-.ri �cT -�• .._. ;«= ;d'..� .- _,.....,. -:.. _..- ,,.�+'.: FROM - ENVIRONMENTAL HEALTH 8452787921 T -413 12.00001 F -937 ❑ ❑ ❑ V ❑ ❑ Repair permit issued in last 5 years Repair within Boyd's Comers, W. Branch or Croton Falls Res, Repair within 200 h. of a watercourse or DEC - mapped wettand H ❑ ❑ Not in Watershed Delegated Joint Review SITE LOCATION iI TM .� OWNER'S NAME Wm (\ } ► lA � P ONE # g MAILING ADDRESS a APPLICANT lne Name & Relationship (.e., owner, tenam, contractor) DATE FACILITY TYPE PCHD COMPLAINT # PROPOSED INSTALLER E04% 00d e- A11 �iyn��! _ PHONE # �,.J 1���.- 1bb X112 ADDRESS 1�i MOwlQ �jY 'REGISTRATION /LICENSE # C $ p l� o1y lo' Z Proposal (Include a separate sketch locating the house, property lines, all adjacent wells within 200 feet of repair and the location of existing. and proposed system) NOTE: The Department may require submittal of proposal from licensed professional depending on the nature and extent of the repair. 1, as owner to the conditl stated on this form SIGN A RE TITLE DAT (owner) I, the septic installer, agree to comply with the conditions of this-permit for the septic system repair (nstaller) Proposal approved with the following condons: 1. Procurement of any Town Permit, if applicable. 2, Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing: a. Owners name, Site Street Name, Town and Tax Map number b, Location of installed components tied to two fixed points c. System description (e.g., 1250 gal. Concrete septic tank, etc.) d. Installers, name and phone number 3. System repair to be performed in accordance with the above proposal and conditions 4. The proposed SSTS repair is considered a best fit design and there is no guarantee to the duration at which the completed SSTS repair will function, 5. No completed work is to be backfilled until authorization to do so has been obtained from the Department. INTERNAL USE ONLY Proposal Approved ❑ Proposal Denied ❑ inspectors Signature & Title Date Expiration Date Repair proposal is in compliance with applicable codes Yes ❑ No ❑ COPIES' PCHD; Owner; Installer PC -RP 99ML. Rev. 2107 ? PUTNA 1 ,COU \N Y DE?ART:TNT OF H =.LTEf rat. }.q.. -•�.�. .1 �: �'ui. 0,57z; :., � 7°��::: °ZL`- r� *,4�. ��.i: y::�_ L :.''1. gym. :P;:��•'' i� = .J =;s. ., ,. .._ .. _.— ._ _ .i — DESIGN DATA v'HEE,I SEPARATE SE.,:AGE. DIS CS'AL SYSTE_• FILE N0'. Octi�nerwOQi��.0 ^,. Addre �s1.(C�'u5- �N+Mt�{ Located at (Street). i�i��O�p C 9,�Cid (Zm _ Sec ._ Block Lot M (Indicate nearest cross street) Municipality itCK 'Hatershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUE"IITTED tvITH APPLICATION Hole Nurrber CLOCK TIPIE PERCOLATION PERCOL -ATION Run Elapse Dept*- to Later ;dater Level No. Time From Ground Surrace is Inches Soil Ra'�e Start Stop Alin. Star Stop Drop in Min/in.drop Inches Inc;-.es Inches 1 lO:to iO.Z3 i3 1 z �.. 2 jC'.13 -1O:3 _7 k4- TO 3: Z -- Z4 t, il9 3 RO i 5 3:2dr, 3 lZ ?W V6 Zm 3 l(a 4 4 : ?ro S l'. 3Sci (o q . l i9 2 3 . 4.1,GZ 3: Z -- Z4 t, il9 3 RO i 5 3:2dr, 3 :39j lZ ?W 3 l(a 4 4 : ?ro S l'. 3Sci (o q . l Note: 1) Tests to be repeated at sae depth un`il approxi- tel;. epaal soil rates are ob tained at each percolation test hole . All data to be submitted for revie:� . 2) Depth measureiments.to be made from too of hole. 2 4'. 30- 36�t 42 48 5 4`t 6 O'r . . 66" 72; i8" 8 4" INDICATE LEVEL AT t,�?HICH GROU \D WATLR IS E \COU\TEPzn. INDICATE LF'�EL .TO' WHICH WATER LEVEL RISES :AFTER BEI \G ENCOUNTERED` TESTS :LADE; Date Z s, 3 Soil Ramie L ?sed `�- `�-' Min /1` Drop: _ S.D. o r Sept.�c Tank Cap_city X12 �, �Srn No . of tea_ or, 's Absorption Area Provided By 2-4-0 'L. F.x2 36" c,: n Other Sim atur - \ 42t Address�(Z -Q2 SEALS a �� PU'TivA�I COUNTY DECART�IFNT OF HEALTH Soil Pate Approved Sq. Ft. /Gal Checked by— Date NO TRUCKS,MA*-HINERY,BUILDING MATERIALS NOR EXCAVATED EARTH SHALL BE ALLOWED IN HE SEWAGE DISPOSAL AREA, CONSTRUCTJON OF THE SYSTEM IS TO BE IN ACC-_,RDANCE WITH THESE PLANS ANY REVISIONS THERETO AND THE RULES AND REE .1 LILATIONS OF THE PERMIT ISSUING GOVERNMENTAL AGENCY.- -4 Al 15' A-4 A 5 --dL.AC2 e, A PPROVEL.- w- 1 �1144 PLAN;_ JAS BUILF AN: I; NOV2 91973 DIVISIDN OF T SEPARATE SEWERAGE SYSTEM OWNER : I LOCAT I ON )SEC, _BLK. CONTRACTOR: DOLPH ROTFELD ASSOCIATES 12 MAMARONECK AVENUE,WHITE PLAIrl,,NY '4 .l N d :a ,i ,te - - LLJ 4 TIGHT - —AP, Pc20x: P20 ��Aap fu NGTION BJH. . aai�ClG A TANK -- •i � I' c 1p' V. I" 440' N. \' ti •q -- --� _-- _.__�_ .._�_� •..___._ 321 � i o7- G,.A N ------ ----- p�V /SEiG� GONyYitJ�� NO TRUCKS,MA(.'.HINERY,BUILDING MATERIALS NOR EXCAVATED EARTH SHALL BE ALLOWED IN THE SEWAGE DISPOSAL AREA. CONSTRUCTION OF'THE SYSTEM IS TO'BE IN ACCCSRDANCE WITH THESE PLANS ANY REVISIONS THERETO AND.THE RULB AN,D.RO: ULA'TIONS OF THE PERMIT' ISSUING GOVERNMENTAL AGENCY, s-- 1 d I�xP�.N4101 -i �- jUNC�'iDN �as?k I -- - - - -Iko - - - -N --- -�� - -- 1 4. \, I � / I 1 I r 1200 GA4., JVV --, IC '7141vt- a4d L,P x sro ° Aar 'ra, I ,_...— AI — — — — — lSoo GAL. Sp,-TSc •r4NW. 10' M I t-4 - C. "ca- �. F.L.. C-L- e � A'S . 0 a Eba1:)e00M I 'PROVED I. S JUL 73 fU N Ui NAE i H ON O F BNVIRDNMENTAL HEALTH SERVICO