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HomeMy WebLinkAbout3451DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 73.18 -1 -20 BOX 27 03451 7' r % . , ,' �' ' lo`r4 ' '6 � �, IS I JIt �. �. r or 03451 I I TNAM COUNTY DEPARTMENT OF HEALTH 00I ,OE- .ENYRONM.E1 . _.UY -A -Tjl SER, ICES: CEI� FICATE OY CONSTRUCTION COMPLIANCE FOR SEWAGE TREATMENT SYSTEM PCHD STRUCTION PERMIT # V.- 3 g L4 8 aA:k t4 i t-L Zia Located at GAA4 R6k IF-c� , LL D 5-30(4) Or Village �p rcn(A �A•+.�. ��! Owner /Applicant Name 'GoTtr caNir, a &-Q,, sr cc.c,lN i N,.. Tax Map , l F, Block ( Lot 2cp Formerly Subdivision Name 1- t A c- A-ti; 3 I Subd. Lot # 11 Mailing Address ,'?j 7 ; c7rrg) �l 0)Ltk 2 o.�y nbss � ru rc�, _ jl/ Zi (ps C'2— P Date Construction Permit Issued by PCHD 10 _ ZI - °I % Separate Sewerage S 'sy iem built by Address 1 Consisting of : 1. -2 5 o i Gallon Septic Tank and S cx3+ L F Other Requirements: I Water Suanly: Public Supply From Address l;xis� idvy qPL) ,VA.K XVC or: Private Supply Drilled by ?,ip rzszxt_ s &iv g -Ay c. Address 12, N q 1 -L)5o �wIdint'�''_'t'�,'S nN�A a ilas erosion cantrcrl- been c".W Number of Bedrooms Has garbage grinder been installed? No I certify that�the system($), as listed, serving the above premises were constructed essentially as shown on the as- built plans (copies of which are attached), in accordance with the issued PCHD Construction Permit and approved plans and the standards, rules and regulations of the Putnam County Department of Health. Date: �� 8 I Certified by P. E. X (D ign Pr es onal) Address �5 9,,�r_ ,may, svaw ,�,u� ., n pA-%�ctksktRr ?c-License # `Y 3 / Any person occupying premises served by the above system(s) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from such usage. Approval of the separate sewage treatment system shall become null and void as soon as a public sanitary sewer becomes available and the approval of the private water supply shall become null and void when a public water supply becomes available. Such approvals are subject to modification or change when, in the judgment of the Public Health Director, such revoca ' n, modification o hang is necessary. i /✓ J2 By: Title: Date: 1 White copy HD File; Yell w co y - Building Inspector; Pink copy - Owner; range copy - Design Professional Fonn CC -97 PUTNAM COUNTY DEPARTMENT OF lH[IEAL'II'H DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETI<ONREP_R'II' Well Location Street Address: Woodland Est., Kramers Pond Town/Village: ITax Rd Putnam Valle Grid # 5vs Pt V. i 4 t3 Map -7A1$ Block I Lot(s) Zo Well Owner: Name: Address: V.S.-Cgrporation, 37 Croton Dam Road OssiniLiq, NY 10562 Use of Well: - rimary 2-secondary X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling (Equipment X Rotary Cable percussion -X Compressed air percussion Other (specify) Well Type Screened Open end casing __ Open hole in bedrock _ Other Casing Details Total length 32 ft. Length below grade 31 ft. Diameter' 6 in. Weight per foot 19 lb /ft. Materials: X Steel — Plastic _ Other Joints: _ Welded X Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: X Yes No Liner:_ Yes . X No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First _ Yes No Hours Second Well Yield Test _ Bailed X Pumped X Compressed Air Hours _ Yield 35 gpm Depth Data Measure from land surface- static (specify ft) 30' During yield test(ft) 340' Depth of completed well in feet 1. 405' Well Log If more detailed information descriptions or are available, please attach. Depth Fro nn Surface Water ]bearing Well Diameter(in) Formation Description fft. ft. Land surface 5 Drillin i in ove burden clay and boulders 5 Hit rocc at 5' `3- _ :32 °' "' Dr T1 in roc' — sit --casiri : . outed 32 405 Drillim in rocj granite If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type sub Capacity 5crpm Depth 360' Model 5GS07412 Voltage 230 HP 3/4 Tank Type WX302 Volume 8�a1. Date Well Completed 10/18/88 Putnam County Certification No. 002 Date of Report 1/5/99 W:zIW,.a N4.➢,rj6: Cxact location oI well wlut ulstances tv a =4 Nci WaIMIR ►aiiw11un3 w u� Flu-7-y.....�. r -- -• Putnam Avenue Well Drillees Name P. F. Address: Brewster, NY 10509 Signature: Date: 1/5/99 Perry L. Be White copy: HD File; Yello copy -Building Inspector; Pink copy - Owner; Orange copy- Well driller Form WC -97 i NORTHEAST LABORATORY OF DANBURY . �. .; :. " :, ?-r : :• a r. �• :c `c ia- , �. k . _._,� .:ti:c:; ..� �:; : _._� CT Cert:. li -Q4Q4 39 -3 MILL PLAIN ROAD - DANBURY, CT 06811 NY Cert:`, 11471 LABS (203) 748 -7903 - PAR (203( 748 -0652 LABORATORY REPORT WATER SUPPLY TESTING REPORT TO: P.F. BEAL& SONS DATE SAMPLE COLLECTED: 12/2/98 & 12/8/98 4 PUTNAM'AVENUE TIME COLLECTED: 4:30 P.M. & 12:30 A.M. BREWSTER, N.Y.. 10509 COLLECTED BY: W. MAYES & MTB DATE RECEIVED @ LAB: 12/3/98 & 12/9/98 TESTED BY: LAB #11471 & 11301 REPORT DATE: 12 /14/98 SAMPLE SITE: V.S. CONSTRUCTION, LOT #13, WOODLAND EST., PUTNAM VALLEY, N.Y. SAMPLING POINT: HOSE BIB SOURCE:.. WELL TREATMENT: NONE TEST PERFORMED BACTERIAL: 12/8 -Total Coliform (Bacteria) RESULT: MAXIMUM CONTAMINANT LEVEL 0 per 100 ml 0 per 100 ml PHYSICALS: pH 6.18 no designated limit ;Turbidity 1.8 NTUs 5 NTUs CHEMISTRY: jNitrite N <0.005 mg/L as N 1 mg/L as N 11301 — Nitrate N 0.88 mg/L as N 10 mg/L as N Alkalinity 16.0 mg/L no designated limits Hdness. �... : 46:Q. -.... r►Lg/[ no designated limits Iron 0.043 mg/L 0.30 mg/L Manganese <0.01 mg/L . 0.30 mg/L [Note: Combined Limit for Iron plus Manganese = 0.50 mg/L] Sodium 11.9 mg/L 20 mg/L ** i Lead 0.001 mg/L 6.015 * ** m1= milliliter mg/L = milligrams per Liter ND = none detected NTU =Units * *Notification Level . ** *Action Level RESULTS BASED ON SAMPLES SUBMITTED: 12/3/98 & 12/9/98 } SAMPLE, AS TESTED ABOVE: 0 OTABLE or FD POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) Laboratory Director -NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 060379 (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 I PU T'NAM COUNTY DEPARTMENT OF HEALTH D SI®N OF ENVIRONMENTAL. EA 'I' SE _RV .- , rrSl_:.n- „_nia' Y �'i�i'•... �s3ni W'.Waiw .•• �• � - S«.. -. .. . .. w�a=...- r..�r..va.c- a...v..r�m.- ,+�:aa r.; tiMV.wV.a�?n "�.�C..rr- .a..t.�:,e -fi �. w'.. ... o►►.+... a• wa+.. �anu6� ..- .rr+a.c- rn.sw.�.�.� -am .�.c�. �^c.saGep.r� GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM �aTZx-LA -N DT- IZA cq o cT C Owner or Purchaser of Building 37 caoraN 'DP C0' kp. Building Constructed by 'M,4g 4.LL RD• C romivViLy SiRC.0 14,LL RD. 300714) Location - Street RP-5 IV E N t-/.-. L. Building Type -73.19 1 20 Tax Map Block Lot . Pura N M VA L.LQy' Town/Village �INcgrt Subdivision Name 13. Subdivision Lot # I represent that I am wholly and completely responsible for the location, workmanship, material, construction and drainage of the sewage treatment system serving the above - described property, and that is 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 "Certificate of Construction Compliance” for the sewage treatment 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 The undersigned further agrees to accept as conclusive the determi atio 0 Director of th Put County Department of Health as to whether oriot floe f to operat wa ca y the willful or negligent act of the occupan of th b Day Year _'5PR— Signature: Title: ) - Signature C' 0RrL/,N0T- RXC0yQr 6LO134 T ric, Corporation Name (if corporation) yp 37 GRo�,�,_s `Dis.M 2oA-p c06ZP. Address: 3-7 c2 or o N ri2c9,a__ D Health system ina the _r Corporation Name (if corporation) Address: State 053 i" i N g,, tJ � Zip i o 5 C. 2 State Zip Form GS -97 ENG11VEERING, SURVEYING & LANDSCAPEARCHITECTURE, P.C. LETTER OF TRANSMITTAL RoUt6:22' -(914) 218,49-M Brewster, New York 10509 (914) 278-6392 7 Del-aveigne Avenu6 - (914) 297-1742 Wappinge rs Falls, New"York 12590, Date: NO. I Job No. ? ( r4-7 -51 Attn: ers P-(-/ d Re: cc -o%% 60 -J 5 -rrC V C-17 VI) C-V/- r-c-1 AY4 Cir WE ARE SENDING YOU Vo Attached ❑ Under separate cover via ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Copy of Letter ❑ Change Order ❑ the following items: ❑ Samples ❑ Specifications . COPIES DATE NO. DESCRIPTION A-5- 13c-,( cc -o%% 60 -J 5 -rrC V C-17 VI) C-V/- r-c-1 AY4 Cir . . .. .......... . .......... ............... . ....... . ................... ............... .................... . .. . . ...... ... . ...................... . ......................... .............. . ............... . .... . ..... . .. . ........................................................ ............................................................................................... .... ............................ .............. . ................. . .... . . . . . ...... . . . .. . ................................ I .......................... . .............................. I ........................... .. I THESE ARE TRANSMITTED For approval ❑ For your Fuse ❑ As requested ❑ For review and comment REMARKS: as checked below: ❑.Approved as submitted ❑ Approved as noted ❑ Returned for corrections ❑ Resubmit copies for approval ❑ Submit copies for distribution ❑ Return corrected prints COPY TO: SIGNED: IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE Lot98.dot .bj - DEPARTMENT OF )HEALTH Division of Environmental Rea 10 Services 4 Geneva Road Brewstei, New York 10509 TeL (914) 278-6130 Fax (914) M-7921 Date: To: c-�hf S FAX COVER SHEET Fax #: 2 ?a' C,, BRUCE R: FOLEY Public Health Director loo. Pages (Including cover sheet) From: Adam B. Stiebeling A . Public Health Engineer For your information Please respond ,. •-.n. .yg.�, �.. _<. >;� +.. � - - .r —. - .... ., .., .- .....�;.. _... ......�... - .�p....,s -'�. -. .tee: .�r� sr.o- ;+.�- ...o -r. y - �. a.--. .. �:c�. .o ...-.. �... �_... .. .w For your review Attached as requested As discussed Notes/iMessages _ Lvr 13 1 c,i Ll M r- em- Please call 0 C I� `t��s "'v r<CG(SS-C-"Yf-- D140 f4 Z),' �( <-k-- 0,2z0 ,Vert: In he event of transmission /reception difficulties, please contact this office at (914) 278 -6130 ext. 157. Amoo�� t— 0 , kWT1 a>g 1 tZ� now PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES FINAL SITE INSPECTION f Date: a-+.. q. •..: �•. '>:. '. y, f. . x r: ;i#-'.m '1TJpG'.cred lry:' 'Stre r)✓c�eati i` .,, yb��z i,e ovT Owner Luc $47— To%,Yn 1 Permit # 5)4 — TM r -7.3. I t— 1—Z7 Subdivision Lot 1. Sewage Svstem Area a. STS area located as per approved plans ........................... b. Fill, section -date of placement 3:1 barrier Lgth. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from watercourse/ wetlands ...... ............................... II. Sewaee System a. eptic 1,000 ....2 other ................ to c size' . b. Septic tank installed level ................ ............................... c. 10' 'minimum fr om foundation.* ........................................ d. Distribtuion Box . j All outlets at same elevation -water tested ................. 2. 'Protected below frost .................. ............................... 3. ;Minimum 2 ft.Original soil between box & trenches Junction Box roperly set... .................. ............................... 1. engtlprequired� Length installed 5722 2. 'Distance to watercourse measured Ft.......... 3. Installed according to plan ....................... :................. 4. ',Slope of trench acceptable 1 /16 - 1/32"/foot .............. 5. ! 10 ft. from property line - 20 ft.- foundations.......... . 6. !Depth of trench <30 inches from surface .................. 7. .Room allowed for expansion, 100% .......................... 8. IS of gravel 3/4 - 1 %2" diameter clean .................... 9. Depth of gravel in trench 12" minimum ..... :............. ends :capped.a.......,.,,.n:..� . g. Pump or Dosed ft stems terns 1 Size of pump chamber .........:...... ............................... 2. :Overflow tank ............................. ............................... 3. Alarm, visuaUaudio .................... ............................... 4. Pump easily, accessible, manhole to grade ................. 5. 'First box baffled .......................... ............................... 6. 'Cycle witnessed by H.D.estimated flow /cycle........... III. House/Buildin a. use located per approved plans . .........................:..:.: b. Number of bedr` ooms ................ ............................... IV. Well a. Well located as;per approved plans, .... ­ ... .... b. Distance from STS area measured --- ft ........... c. Casing 18" above grade .................. ............................... d. Surface drainage around well acceptable ....................... V. Overall Workmanship - a. Boxes properly ',grouted ................... ............................... b. All pipes partially backfilled ........... ............................... c. All pipes flush with inside of box ... ............................... d. Backfill material contains stones <4" diameter .............. e. Curtain drain & standpipes installed according to plan.. f. Curtain drain outfall protected & dir.to exist watercourse g. Footing drains discharge away from STS area ............... h. Surface water protection adequate ... ............................... i. Erosion control 'provided ................. ............................... Rev. 1/9,7 + orm G',1;' csr' l3 'Had:- Zf, == Ton 331asIkk3 Rnba J ry Bob Ga ?wVftw 2� 34: Irew . M J)Atg Subdivision"" zlviad t—Vo:l Fee Enclosed.13, Ainnimi- vow= D061811 now G I? i) as i> Pt 7P �J t&gje. s, V io -T e C-*E! 6tk) 0 wow sq*. !221 EL n,a I represent that I am vi il9. I'Tol"" systems) 1) that the e2parato system . . — '­ . i ara. oandinaccorclan6owithtKastan To% rules and requqjj�ns or Putnam OtiOVO '0411 6jffio#n�o� �hq,pp i �."Omsnclrnent h .00 --6i�t�nitT'4ctlon COTIPP I P"w'-:Pti00c!oFV to the Cdrrimi .ou =Vncllt-oi -it ani't jfj66td seloner of Heofthviill w assigns by the biilldeT. that said builder will In.: ep". qw;Ding',. of two (2) years IM, laioly'falw lnb thiiaieof the issu- i)fiiCO OP, I�en closcri6ce abovo ihet tho drilled WOOD b0'ebc6tqd' all 0 6166 and that sbid i:ibjl 116iblied in -04ok6hib =0,46rd6. iucas . and rcuumions of tho' Putnam ls 19 ---9 Addro-- License No 94 'APPROVED FOOD h ad unless conStiuctiqn, of the bwn undertakon and is C9 b the Commissioner of Hcalth. Any change i046�bla for 'cause or may bo amend r, -n essary,-, or alteration of construction Lit. �'Appr �' of door sanitary 6tor supply only. mqu Too a new iit. Pro"vqq.], , IM Rev. 10/88 Titla U1 ki 7� -IA k. PTKW, CQU_Nff 77, 13MM 2DEPARTMEMOF.1 Jr +� ` I a CERTMATE OF C8 PS ]FOR SITAG; DEPOSAL Siftblk q 0/1-t> cn -ww 7 Two at ,Vu ft. All imoewal_, n. 7 -7 kr-wr to i, C re, S 23p Pit gm 40 sm&ft T* Simpgaft Sown water Snob 1, represent above eau County I Cie be subs in ON" 111111. to W40 of th wo'be loci County Doi Data APPROVED FOR Col revocable for cis or I r I requires 8' err"it... -.4jjj6Vai for ill Rev.' 10/88 cite Lot Ainis Delp flqi� G D 46614otlentleai6'Raigab+ad *bed FM b Milli~ V-A— Sepik Tsw*,and: 77Le Wes A� bk-Cpr0pl466V,., sitlsfactory,to tha,comrnleslpnar. of "emoth will succe" Ms�`hjjrjLoj, i5jitinli,ty ,that �Ujd bUIMW Will lad tof. two (2)4yisars'hwiniedlately following thedisto of the au- r'or any above with: this rules and i4luU MrVoW "the Putnat" P.E. R.A. License No nioss:,Cinskrucilor of this building has been undertaken and is Any changeor,iliwition of construction i'-'AMet 'sugnity"only. Title .... . ... .. iF C®Gr f -- - - 5 WELL. OMPLETIODI REPORT office Use Only a ..e DEPARTMENT OF HEALTH Division Of Enviionmental Health Services ' gN ® PU'TNAM COUNTY DEI?l1i.TIKEf t T " OF; R�l� x� "�.; :�;: - ; - 1.... - STREET AOM ---S: wat BAX GRIO MAISEk WELL LOCATION Kramer ]Pond Rd, Putnam valleygNY Lot #13 WELL OWNER NAME: ADDRESS: Lincar_ Dev Corp. a c /oCollins&Meyer, 3a2, degs t, ® PRIVATE ❑ PUBLIC USE OF WELL ® RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /CONO. /HEAT PUMP ❑ ABANDONED 1- primary ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) 2 - secondary . ❑ INDUSTRIAL O INSTITUTIONAL ❑ STAND -BY ❑ AMOUNT OF USE YIELD SOUGHT gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR ® NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING ❑ REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 40 ft. STATIC WATER LEVEL 0 ft. DATE MEASURED 10/18/88 DRILLING IN ROTARY a COMPRESSED AIR PERCUSSION O OUG EQUIPMENT O WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE O SCREENED O OPEN END CASING IN OPEN HOLE IN BEDROCK ❑ OTHER TOTAL LENGTH 32 it MATERIALS: - ® STEEL ❑ PLASTIC O OTHER CASING LENGTH BELOW GRADE _31 ft. JOINTS: O WELDED. aTHREADED ❑ OTHER DIAMETER in. SEAL: ® CEMENT GROUT O BENTONITE ❑OTHER DETAILS WEIGHT PER FOOT ____ 7_9 Ib.lit. I DRIVE SHOE ® YES ❑ NO I LINER: OYES ®NO DIAMETER (in) 'SLOT SIZE LENGTH (It) DEPTH TO SCREEN (it) DEVELOPED? SCREEN DETAILS FIRST O YES O NO _. SECOND :. _ ...:. -._ ` . :. HOURS GRAVEL PACK O YES GRAVEL DIAMETER TOP BOTTOM O NO SIZE OF PACK An. DEPTH tL DEPTH lt. WELL YIELD TEST ' It detailed pumping o WELL LOG it more detailed formation descriptions or sieve analyses Y`� are available. please attach. METHOD: O PUMPED i tests were done is in- AIR formation DEPTH FROM SURFACE Water Well �cCOMPRMED , attached? O BAILED O OTHER ; D YES O NO fear- eg Dia- deter FORMATION DESCRIPTION ME ft IL WELL DEPTH DURATION DRAWDOWN YIELD Lane surface a and b Tt, hr. min. It. gpm. Iii r ck at 5' 40 6 8 2 na in rocki set casing,grouted. 32 405 Dr 11 ng in rock granite, WATER, O CLEAR TEMP. QUALITY O CLOUDY HARDNESS O COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE CAPACITY GAT.. PUMP WFORMATIOH TYPE CAPACITY WELL DRILLER NAME P.F. Beal do Sons n Inc , DATE 1 4/8 MAKER DEPTH PO Box H ADDRESS Gtr ATURE Brews ter NY 1009 n MODEL VOLTAGE HP l V4 - s f -- - - 5 P(* �= ?AM COUNTY DEPARTMENI OF HEALTH r; Divis'Yon of Environmental Sealth Servi -Les ., AFFIDAVIT - CORPORATE OWNER APPLICATION y.:jfcli �..;;:. -6��. - �.'.a.9.m,,... .c, F.:,�-i= -rv..- -.i:i �rFO��• ..+.. '�i: ir::.�.:e« .�:ir;•�,= ,.�Z;..- ;�•�4a rJ•'n".;�:;:i:.t '- .. . _. PUTN&%1 COUNTY HEALTH DEPARTMENT i 1 � TO: Commissioner of.Health In the' matter of application for: L i :v cA R; DLyELo P,r,T -, ?—N c • c.►t 3� Sv a p ✓• c�rr— 13 I� � �C7NAc -D I�c�l.ct�rC- represent that I are an officer or employee of the corporation and am authorized to ac: for s C/tK L eye-r-aer7? ED17 t t.._o. (Name of Corporation) having ;offices at Z8l 7-y St. r6c Fex-/ry Y 3 Whose officers are: Pres ie`at• 00A�.4c.p /velGKFL. ZS I C..loore- 51r u77-7Lf_ FE -1Z4Z( /76y3 (Name and Address) / Vice - ?resident: (Name and Address) Secretary: and Address...._..:. - Tre�s�r2r: (Name and Address) and tact I am a4vill be individually responsible for any and 0-111 acts of ihe' corporation with respect to the approval requested and all subsequent acts` gelatin the:etoi Svor-a to before me this i / day Sioned: of —Yy'I GcJt✓ 19--y Title: Hta_: Public , ' RLENE FAUSTINI - � IARY PUBLIC OI '"iEW JERSEY kid Cot irnwion EXpllas, June 24.190-6 . 1 i i I PUTJ;.. - %l COUNTY DEPARTBIM OF HEA9 'i'H . t 5 DIUSION OF ENVIRONMENTAL HEALTH SERVICES Re: ]Property of l -ix)c=aR Cc.%.2 31 CJ Located at jgIGGN kl,c- eOAP ,sow (T) fUr-f0A^, •VAU-CY Section -73, IS Block � Lot Ze Subdivision of Subdva Lot # i 3 .]Filed Asap Date Gentlemen: This ]Letter is. to authorize �n051'TC 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 Laid four Is _.oiL:': Ai ticl_ C C p 147, Education Law, the Public Health draw, and the Putnam County Sani- tary Code. Very truly yours ; ,= Signed Count.ersiigned: a ? IP a IE 9 R+'+ e o # ,5-e ff/Zt'y i Address 1 "'H r f let iii Y is -I-( 2 ` 1 q - Z75-- 6Z cc) Telephone 'L,•'�•j°'ri2 n Ic f- i/`'7C'TJ," Gn. 5,�. Address �;nzE f -7e y, ti--T r-7r< y3 To�,-n Y 7c c Telephone DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Jeff Contehho Insite Engineering' 'Route 22 'Brewster, NY 10509 BRUCE R. FOLEY, R.S. Acting Public Health Director December 16, 1996 Re: . Proposed SSDS: Lincar Lot #3 Birch Road South (T) Putnam Valley Dear Mr. CdIntelmo: Review of plans and other supporting documents submitted at this time relative to the above- ; ' project Comments are offffedasfollows: captione d proj "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." sie lis'f6r6 e­ifi oi'�'_ Wiii�j � i ill� on the plan. 2. Contour lines are not discernable. Plan is to note all erosion control measures are to be installed prior to the start of construction. Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very t* yours, Robert Morris, P. E. Public Health Engineer RNVjp APPENDIX 3 PUTNAM COUNTY DEPARTMENT OF HEALTH - DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL WATER SUPPLY p & rySUBSURFACE y�SEWAGE pp DISPOSAL SYSTEMS rT:a+ny.t`�- '..�:. r�'..7° Mir <uiiyc'fA`d`�'al.3f"'� . w�: R1i' 1T+ I-$` 26•': JII3. S�i3 +1-°"� ®I{^^�'CJfliY4PT'R�7W�➢^ - Y?�' Ii: Li2rI•$r��e�*cS�+'�'`C-�:"tr :J.i.rrc�L'. +'tiK.'�.i�..�'- NAME OF OWNER BY Y DOCUMENTS. APPLICATION WELL PERMIT;W PWS ENGINEERS AUTHORIZA "DESIGN DATA SHEET(DDS) DEEP HOLE LOG CONSISTENT PERC RESULTS (3) PERC HOLE DEPTH STREET LOCATION DATE TAX MAP # W DISCHARGE (OK) ERC & DEEP HOLES LOCATED REPRESENTATIVE OF PRIMARY AND EXPANSION a EXP. AREA; SHOWN; GRAVITY FLOW, SUFF. SIZE IF PUMPED PIT & D BOX SHOWN & DETAILED HOUSE - NO. OF BEDROOMS WELLS & SSDS'S WAN 200 FT. OF PROPOSED SYSTEM PROPERTY METES & BOUNDS HOUSE SETBACK NECESSARY (TIGHT LOT) CORPORATE RESOLUTION LI J HOUSE SEWER - 1 /4 "/FT. 4"0; TYPE PIPE PLANS THREE SETS ® NO BENDS; MAX. BENDS 45 W /CLEANOUT HOUSE PLANS - TWO SETS if FILL SYSTEMS VARIANCE REQUEST t.7111 CLAYBARRIER GENERAL 10 FT HORIZONTAL: SLOPE 3:1 TO GRADE qC�S_Rq EUB DSION FILL SPECS = PERC RATE N APPROVAL HEM jI�D DEPTH GAUGES FILL PROFILE & DIMENSIONS C= FILL REQUIRED VOLUME CURTAIN DRAIN REQUIRED =STANDPIPES TRENCH EX- APPROVAL SSDS ADJ. LOTS t6(0 F TRENCH PROVIDED C WETLAND (TOWN/DEC PERMIT R & D) FT MAX DATA ON DDS PLANS & PERMIT SAME ARALLEL TO CONTOURS PRE- 1969 - NEIGHBOR NOTIFIFICATION 00% EXPANSION PROVIDED LETTER BI/ZBA SEPARATION DISTANCES SPECIFIED ON PLAN 0 l 00 YR�_1 L OQQ Ei:EVATION _ _� D S REQUIRED DETAILS ON PLANS L 10' TO P.L., DRIVEWAY, LARGE TREES, TOP OF FILL SEWAGE SYSTEM PLAN - (NORTH ARROW) 20' TO FOUNDATION WALLS SSDS HYDRAULIC PROFILE = GRAVITY FLOW 100 TO WELL, 200' IN D.L.O.D., 150' PITS D/ J BOX = TRENCH/GALLEY = P- PIT DETAILS 100 TO STREAM WATERCOURSE LAKE (INC.EXPAN) SEPTIC TANK -SIZE, DETAIL 50' TO CATCH BASIN, 35' STORMDRAIN, PIPED WATER WELL DETAIL, SERVICE LINE IF OVER 10' TO WATER LINE (PITS -20') CONSTRUCTION NOTES (GRINDER RATE) 50' INTERMITTENT DRAINAGE COURSE DESIGN DATA: PERC AND DEEP RESULTS = 200 FT. RESERVOIR, ETC.= 150 FT. GALLEY SYSTEMS TWO -FOOT CONTOURS EXISTING & PROPOSED SEPTIC TANKS Cpl DRIVEWAY & SLOPES CUT =10' FROM FOUNDATION; 50' TO WELL m FOOTING /GUTTER/CURTAIN DRAINS WELLS =15' WELL TO P.L. COMMENTS- I I I IINS] j�J�► I l V �.J 1 1 SURVEYING, P. C: 1849, Route 6 (914) 223.6200 Carmel, New York 10312 Far (914) 123.6438 - _. �� ':;.t..�tt ►/ ,-. u.4e'rin e " ven ue .� . �! .- . y: -• = -i.,: Wappingers Falls, New York 12390 (914) 297-1742 , � I ro � t) vnrr _/t i . �-F �'f "77- I'- L5 U U IEM oU UUUMOOMU U UL DATE DATE JOB NO �. 'AFT6'NTiC rs.ma,h �:' o:r -�. w r�cw• :y_�� -... ., . >,, .. RE: &crr 13 5517_5 d I2nq c- LIPM of e7 cnrJ WE ARE SENDING YOU [KAttached ❑ Under separate cover via the following items: I ❑ ;Shop drawing's ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ 'Copy of letter ❑ Change order ❑ I � COPIES DATE NO. DESCRIPTION d I2nq c- LIPM of e7 cnrJ — F �{ °D�1 Y�i- Oi= Go�p�,12A -T� fa'r✓e-7'Zsn i � 3cc• C70 if-c-E. P 0 3 00, od 17 j 1 C ( 62 1`;-S %7-a 1,c. ®.a rya f GJ wit_ C <-Y, t: _Irt r,o ..rcc�����- - THESE ARE TRA SMITTEU as 'checked below: `' For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ; ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints I t ❑ For review and', comment p i ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS I i i COPY TO (, ,tJ SIGNED: It enclosures are not as noted, kindly notify us at once. , RC—I. P UT NAM COUNTY DEPARTMENT O F HEALTH . --: "_.._ PLAN..r.• APPLICATI.ON POR APPROVAL O'F S FOR'�A` WASTEWATER­ DISPOSAt 'SYSTEM "' 1. Name and: Address of Applicant: �' �^�ca'ig ��vEt- oP•- se•.�r Go•� Sivc . Z8t 4aezry sr: `, !� Lrrrc.E ��,c►z y , N.S. / 7 b yS 2. Name of Project: SSDS fret 3. Location T /V /C: P V.u.cty 4. Project Engineer: ::ryprE EN���FR /�✓s 1`.f��v�wT 5. Address: 900M ZZ QrrEwsr�t� AT -1,o5V T License Number: Phone: fi. Type of Pro ect: X PPrivate /Resi'dential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) T. Is this project subject to State Environmental Quality Review (SEAR) ?. Type Status (Check One) Type I.. Exempt Type II. Unlisted X _ mental Impact Statement (DEIS) required? NO 8. Is a Draft Enyiron •••• ••••••••• 00 1 9;. Has DEIS been completed and found acceptable by Lead Agency? A 10. Name of Lead Agency N/A 4 -� 1s"ti hies -pr ject:ara :an :area u`nder''the'.coritrol ,Qf:l:acal.-p_i- Ing,._zonin9;'.:::.a�o6z DEFT..; •. or other officials,'ordinances? .... .....rox &06 PEt`r 12'; If so, have plans been submitted to such authorities? NO 13 Has preliminary approval been granted by such authorities? N�A Date Granted: t' A 14. Type of Sewage Disposal System Discharge...... Surface Water X Ground Waters 15: If surface water discharge, VIA .charge, what is the stream class designation ?........ 16! Waters -index number: (surface) ........................................... N /A 17. Is project located near a public water supply system? .................. A/0 18. If yes, name of water supply N /A Distance to water supply N�A 19. Is project' site near'a public sewage collection or disposal system ?..... . No 20. Name of sewage system /V LA Distance to sewage system .N�A NN K 7 o a7 A 21. Date observed: U1 K NO aa 23. Name of Health Inspector 24.' Project design flow '(gallons per day)............ ............ ....... t. 2. 25. Is State Pollutant Discharge Elimination System (S.PDES) Permit required?.. NO " 26. Has SPDES Application been submitted to local DEC Office? ........... 27. Is any portion of this project located within a designated Town or State A7 C7 wetland? ... o ............. _o .......... o ................................ o.. 28. Wetland ID Number ................... o .......... o ..... o ..... o ............ ... A)JA 29. Is Wetland Permit requi red? . * ............................................ A/0 Has application been made to Town or Local DEC Office? ................... 101A 30. Does project require a DEC Stream Disturbance Permit? ..o ................ NO 31. Is or was project site used for agricultural activity involving application of pesticides to orchards or other crops, solid or hazardous waste disposal, landfilling, sludge application or industrial activity? ........ YES or NO No 32. 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 ----IVCI DESCRIBE: 33. Is there a local master plan or file with the Town or village? ............ 34. Are community water, sewer facilities planned to be developed within 15 years? AIR -35. -.Are, any, sewage di.spq�§al areas in excess of 15% slope? ..... /.V. qI 36. Tax Map ID Number ......... I ................................................ 37. Approved Plans are to be returned to: ................ Applicant Engineer If the application is signed by a person other than the applicant shown in Item 1, the application must be accompanied by a Letter of Authorization. Failure to comply with this i . provision may be grounds for the rejection of any submission. I hereby affirm, under pena 7 ty of perjury, that information provided on this form Is true to the best of my knowledge and be I ief. False statements made herein are punishable as a Class A Misdemeanor pursuant to Section 210.45 of the Penal Law. SIGNATURES & OFFICIAL TITLES:. :N . 4010 IV," PX MAILING ADDRESS: 7r Z,_Z a-e'-.95 7F-Z �Y PLTR M COUNTY DEPARTMERr CF BEALTH DIVISION OF ENVIRCNMENTAL HEALTH SE wicE s DATA :*SHH,T:SUSSLTACE SEWAGE DISPOSAL SYS`i`EAi ' FILE W. Tr .5TILAZ r- Omer Lac rr� %FVFcorWEnrr Co•,sNC Address (�n-c� r!aa N.� 1-7C 113 Located at (Street) gi2ciy /���. /�oar� �r-fr Sec. 73 r 6 Block I lot 70 (indicate nearest cross street) Municipality , ; PV 7_A) 41.4 VA c-c_.E Y Watershed i SOIL PERCOLATION TEST DATA REQUIRED TO BE SU&ffTrED WrVH APPLICATIONS Date of Pre- Soaking N 1A Date of Percolation Test N ,� HOLE NUMBER CLOCK -TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water'Level No. ; Time Ground Surface In Inches Soil Rate Start -Stop; Min. Start Stop Drop In Min /In Drop Inches Inches Inches 1 i i 3 T�K fO�M rl�� i��P zy33�, 4 5 .. r••ji— .+I+..' 1- _.'�T w•.y +a ,..a • ....... _ • w ,91 .raw- -. �.:✓.- .�w•r�.w..e.ww.w � f 2 3 NOTES: 1. Test's to be repeated•at same depth until approximately equal soil rates are obtained at each percolation test hole. All data to* be submitted for review. 2. Depth measurements to be made from top of hole'. TEST PIT WITH APPLICATION IN TEST HOLES DEPTH HOLE NO I HOLE NO. �D�L?,.- )/ HOLE NO. G.L. Sa�D S.so�n s 21 3° 4° 5° 6° r t 71 89 5A.o P Co 4rY7 lit = I« =_ IEt E 04 reac,r, L 7` Lm V6, 'it = 1ty it(v m Z?cPC,tc Q_ 91 10° 11° 12° 13° 141 =- 1NUI=-I%= `WHIaf=(3R �tT DKA ER' -IS :� r <. ........._ .' INDICATE LEVEL TO WHICH WATER LEVEL, RISES AFTER BEING ENOOUNTERED � � •� � DEEP HOLE OBSERVATIONS MADE BY: I3ALrnJ,a DATE: DESIGN Soil Rate Used Min /1" Drop: S.D. Usable Area Provided c-, co -5F No. of Bedrooms Septic Tank Capacity /'FSa gals. Type Absorption Area Provided'By. Std L.F. x 24" width trench -�- Other Name C, Signature' p Address ZZ SEAL 5zm al THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq.ft /gal. Checked by Date TT OF HEALTH PUTNAM COUNTY DEPARTMEh ENVIRONMENTAL T UP A I tT%U SERVICES L)JLVJLO.LWIN OF Dade Re:. Property of Cb.j -T. Cj I Located gat 1311,eC14 e0AP 5r.1-IrFf IT) PU'rf Arvi VAL�-e-y Section Block Lot : Subdiviilion of Subdv. Lot # Filed Map # A Date-,.,. q 5 Gentlemen: This letter is to authorize 6N61^)CFr-t0xI 5-CIIKVCYI-,0VI- duly licens'ed 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 oi, Health, and to 'sign all necessary .papers on my behalf in connection with this matter and to supervise the construction of said -wi t.h-.-,,th,e"pro*xs.Lons. s 0, 1479 Education Law, the Public Health Law, and the Putnam County 'Sani- tary t Very truly your Signed countersigned: CP f-E) R.-Oc. 0911 3 PAC. zw-.,� (rc. --fd6W6ZWg,*t-; 1 5-cw veye Address 0? LAIC,-76t :6Z Cc) Telephone 5?0,0 V,r.eI-'0-f/PWeIr-ty /�eiz ^x- i r Address eirl-7-C ��,e , /Z/-,T r76. y3 Town I - Zo I - q4 0 — 4170 Telephone PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services AFFIDAVIT v CORPORATE OWNER APPLICATION FOR PERMIT APPLICATION SUBMITTED TO PU.TNAM COUNTY HEALTH. DEPARTMENT T0: Commissioner of Health In the matter of application for: ' Y L ilJC.Ar, CVEZDPI97E»T G=.� u t� IBC jJ�Ar ✓• Cr1'd— 3 • a � 1 II a D O rJ A L-D 1 � "C' 1 -"r [_ represent that I am an officer or employee mf the corporation and am authorized to act for L / %oc, 1t (Name of Corporation) having offices at. 567r-7- S r: ly 7 K,=, 3 Whose officers are: President: P0/0A(.o %vsBC ��� . Z-fl 1 CJ C3e-le-ry 5'r u -ff -cx— FEJZ,Zc A) /76Y ame and Address Vice- President: (Name and address) Secretary: Treasurer: (Name and address) and that I am and will be individually responsible for any and aI acts o: �h� corporation with respect to the approval requested and all subset /quent ac "T�lse Af Svoru to before me this i / day Signed: � }' m f 19 9 Seta_: Public , ,ARLENE FAUSTH NOTARY PUBLIC OF NEW JEASET My Coriinsswn Expires June 24.1996 f S. Title: 0 (Corporate Seal WELL 'OMPLETION REPORT Office Use only DEPARTMENT OF HEALTH. __111vi9loin• Of,* Environmental Health Services 'PUrM COUNTY DEPARTMENT OF HEALTH WELL LOCATION r r1AFE1 MWIES& wNivoliz.11JOIF W GRID MAMEk ; Kramer, Pond Rd. ' V - Putnam �lley,Ny Lot #13 11 WELL OWNER NAME; ADDRESS. V Corp. —TOOPUBLIC Lincar; De /0C0llins&Meyer,?�2rAndSepkn a en N§t PRIVATE USE OF WELL il - primary ,2 - secondary. (A RESIDENTIAL 0 PUBLIC SUPPLY 0 AIR/COND./HEAT PUMP, 0 ABANDONED 0 BUSINESS 0 FARM ❑ TEST /OBSERVATION 0 OTHER (specify) 0 INDUSTRIAL 0 INSTITUTIONAL 0 STAND-BY 0 AMOUNT OF USE YIELD SOUGHT gpm./NO. PEOPLE SERVED EST. OF DAILY USAGE gal. REASON FOR DRILLING 0 NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY 0 TEST/08SERVATION 0 REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH 405 ft. STATIC WATER LEVEL —22—Lft. DATE MEASURED 10/18/88 DRILLING EQUIPMENT (29 ROTARY! C9 COMPRESSED AIR. PERCUSSION ❑ DUG 0 WELL POINT 0 CABLE PERCUSSION 0 OTHER (specify): WELL TYPE 0 SCREENED 0 OPEN END CASING. G9 -OPEN HOLE IN BEDROCK 0 OTHER ___,3 TOTAL LENGTH 2_ tL MATERIALS: - 0 STEEL 0 PLASTIC 0 OTHER CASING LENGTH BELOW GRADE 31 ft. JOINTS: OWELDED . 13THREADED 0 OTHER DETAILS 6— DIAMETER in. SEAL* W CEMENT GROUT 0 BENTONITE 0 OTHER WEIGHT PER FOOT 19 lb./fL DRIVE SHOE. W YES ONO LINER:0YES WN0 S E E N DIAMETER (in) 'SLOT SIZE LENGTH (it) DEPTH TO SCREEN (ft) DEVELOPED? tOR Jf161_ $ �FIRST 5 t&d­ -r . .. GRAVEL PACK 0 YES 0 NO GRAVEL SIZE, DIAMETER OF PACK In. TOP LOOE DEPTH ft. BOTTOM DEPTH — It. WELL YIELD TEST It detailed pumping METHOD: 11 PUMPED itests' were done is In- KkCOMPRESSED AIR,. formation attached? 0 BAILED 0 YES ❑ No 0 OTHER If more detailed formation descriptions or sieve analyses WELL LOG are available. please attach. DEPTH FROM SURFACE wale, our- kn Well Di3- in FORMATION DESCRIPTION ME it. I IL WELL DEPTH DURATION hr. min. DRAWO0qWN ft. YIELD grm. Land Surface t; nrl-l-ling erb in n urden clay and bouj Hi r ck at 51 �40 5 6 8 35 r, 12 1 T)lr n in .,rockiset casing,grouted 32 405 Dr.11:ng in rock granite. WATER 0 CLEAR TEMP. QUAUTY 0 CLOUDY, HARDNESS 0 COLORED ANALYZED? iOYES ONO ANALYSIS ATTACHED? 0 YES ONO STORAGE TANK: TYPE CAPACITY GAL. WELLORIU.ERNAME P.P. Beal & Sons,Inc. DATE PO Box B kl)l 4/8 1 Brewster,NY 10y09 ADDRESS FIXTURIlk PUMP INFORMATION TYPE CAPACITY MAKER DEPTH MODEL VOLTAGE—' HP S , THE i - i S�cond Floor SCSI .. TA=" �`° �I& �> �$' A% ��A9BY�!.. T% Y. 9Wb- G' nbMSw.[ tgpAC ®.L4asY+A'�•:.^�ga,�.mvFift p �� • .Y` �, BEDROOM4 H I BEDROOM3 11'-0' x 9'- 7' - l to'-0,X 13' -0° 27'8" 278 I_ q7_1 fLlvdVIU 'ROOM' 13'- 9" x 13' 0' C „ 18-9,X 13' -0" DR I L .1n 48 r'M 1AW � A STANDARD `, Date • 4- Spacious Bedrooms .S i©>",'Framingha'm Pediment on Front Door • 2%z Baths o Fireplace-Options Available • Open Two -Story Entry Foyer o "Boxed-out" and "Angle Bad/' Options • Formal Dining Room Available • Formal Living Room o Consult an Authorized Westchester Builder • Spacious Country Kitchen with Breakfast for a Complete List of Options Room and Pantry o Artist's renderings and Floor Plan Dimensions are • "Cottage-Style" 3056 Lower Level Windows approximate. All specifications must be Written in the Contract No oral conditions. with Architraves on Front • T INC. PO. BOX 900 • Dover Mains, • 832-9400 800 832-3888 MAST €R Ir -2r2 BEDROOM x 16'- 8" BE JR00M 2 16' - 2 x 13' -0" i I 48' First Floor. ,0� -� . -- -J 0' I KITCHEN i i BREAKFAST FAMILY ROOM - - -j 12.O "x 124, i , 8' -5 "x IS 0" 20' -ON 13' -0" I A 278 I_ q7_1 fLlvdVIU 'ROOM' 13'- 9" x 13' 0' C „ 18-9,X 13' -0" DR I L .1n 48 r'M 1AW � A STANDARD `, Date • 4- Spacious Bedrooms .S i©>",'Framingha'm Pediment on Front Door • 2%z Baths o Fireplace-Options Available • Open Two -Story Entry Foyer o "Boxed-out" and "Angle Bad/' Options • Formal Dining Room Available • Formal Living Room o Consult an Authorized Westchester Builder • Spacious Country Kitchen with Breakfast for a Complete List of Options Room and Pantry o Artist's renderings and Floor Plan Dimensions are • "Cottage-Style" 3056 Lower Level Windows approximate. All specifications must be Written in the Contract No oral conditions. with Architraves on Front • T INC. PO. BOX 900 • Dover Mains, • 832-9400 800 832-3888 LOT 13 AREA . t 2.115 ACRES `i' S 66'41'10' 'A 2-- BO TYp 4 J WELL 6 MIN 7 18 15' rl k 14 40 C 12 WELL OT -14 EXIS TING � .� ,. ,: � 5 � s � .0 �� r tr, r Xhr w •. s . �Y Y f `t +. �e^ [ 7T. �,. r -.� � '• � ^r f= +.-;'h51 "�', y. �Ft Yn tT.�� � s�F,�r .y� �,q� �l��ti.� i+��h '�,�. ` A4 v.�, AS =BUILT MEASUREMENTS ,,... SITE LO( NO. A B REMARKS.. 1 11, C= 72' 1250 GALLON SEPTJC TANK ' 2 62' 88' DROPI BOX 3 62" 89!. DROP. BOX 4.- 62' 91 ' DROP,. ;BOX` 5 613'. 93' DROP, ,. BOX. 6 65' 95'" DROP- "'.BOX . 7 67' • " 98' DROP% BOX 8 69' 101' DROP: BQX . ' 1:: 9 .72' .40' DROP, BOX 10: 75' 10' . DROP : BOX . 1.1 111 ' 78"*. END OF TRENCH 12 128'. 63' END, bF TRENCH 13 `1 26'vy ;5 "7 " END" OF VENCH 14 125' 52' END :�OF TRENCH 15 124',. 47' END 6. F TRENCH 16 123' 42'..* END, OF TRENCH 17 123' 38' END OF TRENCH 18 123' 33' END "'OF TRENCH .19 123' 30' END 'OF TRENCH r NO TES: 1. THIS IS, WAS. C01 THE SY5 ,SURVt YI WAS CO' `GENERAL REdULAI OF HEAL HEAL TH. 2. ALL FAC J PROPER: FROM R LANDSC,