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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 74.14 -1 -13 BOX 29 03656 I or 03656 _ "N44 _ I -- I? 1 PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N. . Y. 10512 C R=I if`:dsAH E r` P CUi39 ON O:ALIN E A"SYSTEJF F C n S Town or Village Located at 4S k A &K nC_ P" \ W e - Section `' Block f ? 1 Owner A \tSS� is \ Lot ! [TZ� _ Job `may Separate Sewerage System built by 1't �� o `' `� t ta.1J �G ,/ Consisting of 90Q Gal. Septic Tank l 5 © lineal Feet � X � width trench c Other requirements AM4 i�t ag- x�A��4iQt Al`i% --i- am" izG' A 6 ''j� ti(d\? 15rei f-(^ r' Water Supply: % Public Supply From r Private Supply Drilled BY 1/ Address - iA we ` t. g— — - Building Type �� `� j�� i tl— No. of Bedrooms Date Permit Issued Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed, and the permit issued. by 1he � tnam County Department of Health. Date (4 ` Certified b , r / r Q P.E. R.A. Address License No./1 6 1-6 6 Any person occupying premises served by the above systems) 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 sewerage 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 Tor change when, in the judgment of the Commissioner of Health, such revocation, modification or change is necessary. Date / ! By L- Title PUTNAM COUNTY DEPARTMENT OF HEALTH h Division of Environmen to l _ Health Services, Carmel, N. Y. 10512 CONSTRUCTION PERMIT FOR SEWAGE DISPOSAL•SYSTEM Town or Village Located at �'C� "� aG� � �tI Section Block 6 Owner Building Type Lot Area 4-4yo 0 I Number of Bedrooms Separate, Sewerage System to consist of ter✓ Gal. Septic Tank To, be constructed by Water Supply: Public Supply From Private Supply to be drilled by Address Other. Requirements M Lot 1 L,4. �le Job ••,, Address y �J 3 LilA Total Habitable Space Ano i9n (10 Square Feet lineal feet X L�_q width� trench Address (� � � �LJ 1T l Vt 0 t >,A. C' rA t? I represent that, l 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 an regulations o e u nam County Department of Health, and that on completion thereof a "Certificate of Construction Compliance" satisfactory to the Commissioner of Healthwilt 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 approJar.of .the Certificate of Construction Compliance of the original system or any epairs thereto; 2) that the drilled well described above will be located as sh'oivn 6n1he approved plan and that said well will be installed in cc nce with he sta ar s, `rut 57 and regula l� of the Putnam County Depart not.oj,H Ith. Date 7 yV 7 Signed ' , ;� - ' *, "; P. ._ R.A. Address - 0 e + License No,Q� APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued unless construct n o the building has been undertaken and is 1. revocable for cause or may be amended or modified when considered necessary b the Commissioner of H tth. Any change or alteration of construction requires a new permit. Appro ved for disposal of domestic san tar . sewage, n /or JpriI to water supply only. s 4 Date dTi�sCiC //1 17,19 /�� o:, 7(� 9 / !. PP Y y 0 , - PEEKSKILL MEDICAL LABORATORY 1879 Crompond Rd. Barclay Plaza Bldg. A, Apt. 1. Peekskill, New York 10566 e6yq PE 7 -8777 DATE COLLECTED RESULTS OF EXAMINATION OF WATER, OWNER DATE RECEIVED CITY, 11 Uclic BACT8RIA PER ML. (Agar plate count at 35 C). COLIf ORM GROUP (Most probable N6,7100m1.) e-e'$ t�7 n —1TKRDNESS, TOTAL - ppm DETERGENTS - ppm NITRATES (as N) - ppm 1RON, TOTAL - ppm, r LVUr[lUG tr ) - mg. /i. These results indicate that the water was of a satisfactory sanitary quality when the sample was collected. A. H. PADOVANI, M. T. (ASCP) BRUCE . R . FOLEY- ' . "- °° P�itiiic``lieditb I3irecfbr, "-" �`' -. - "•" - ., `� ° - .-," _ ". LORETTA ...MOLIN.ARI • �Assocurte �ublicTHealtlt Director���� Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (914) 278 - 6130 Fax (914) 278 - 7921 Nursing Services (914) 278 - 6558 Fax (914) 278 - 6085 Early Intervention (914) 278 - 6014 Fax (914) 278 - 6648 WIC (914) 278 - 6678 Fax (914) 278 - 6085 Hausler 31 Shamrock Dr. Putnam Valley, NY 10578 September 14, 1999 Re: Addition- Hausler- Shamrock Dr. No Increases in Number of Bedrooms (T) Putnam Valley Tax # 74.14 -1 -13 I have received and reviewed the plans for the proposed addition to the above - mentioned residence. The proposal for the addition has been approved as per plans bearing the approval stamp from this Department dated September 14, 1999 The addition is approved with the following conditions: 1. The total number of bedrooms must remain at Three without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing f stares must be apdated with water saving devices, i.e., new low_ flush toilets, restrictors for shower heads and faucets; etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Vallev. If you have any questions, please contact me at your convenience. Very truly yours, Michael Luke ML :kg Public Health Technician cc:BI DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 TeL (914) 278-6130 Fax (914) 278-7921 PROPOSED ADDITION APPLICATION (RESIDENTIAL ONLY) BRUCE R. TOLEY ��t�i`Director STREET %!Z TOWea TX MAP #. 742.1L/ NAME le PHONE_ PCHD # 4),)q-q9 MAILING ADDRESS W DESCRIPTION OF ADDITIONZAwi ,l 13 S�° �IeA* NUMBER OF EXISTING BEDROOMS,S PROPOSED # OF BEDROOMS, (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) *Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code: ` Please submit this form and the following to Putnam County Health Dept., 4 Geneva Rd., Brewster, NY 10509, Phone 278 -6130. 1. Certified check or money order for $100.00 2. Sketches of existing floor plan (drawn to scale, all living area including basement) * Non - professional sketches are acceptable 3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #) * Non - professional sketches are acceptable 4. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Cert. of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE Comments Feb 98 *,herei only if said map or copies bear the impressed .:of;, tie surveyor whose signature appears hereon." m Z 0 CS � 53 3f cp � w9- -p � C COiYI/,j'141'✓1Vz5q1- Thy Ai v'r� T1i � � /.'r'v'ci %� A•v i. E CO.i'�.4N� .�ivl� pUJ'NF�iyJ COCJw%y �5AY /�1/GS SURVEYED & PREPARED BY ALEXANDER BUNNEY LAND SURVEYOR. P.C. 20 WOODSBRIDGE ROAD ROUTE KATONAH. NEW YORK 10536 A �o DoT Z�• , �0 � O s7r X a rn L, 0 S J//OPV/V fN�REO/V ,51;711D 117 �vr/VA� cov/vTy c� E.4.�s o��-/ c� ✓tJ�, y 00, 1071 As /yIAG /V .F IROO 1i . . �� = - --�— SURVEY Bb94 N Y. S. LIC. No. `� M- U N O r N 6) u 7- �� J s jAK � � O •oo,� 27 sU,QVEy of �RO,��,QTr PREPAREp �'O.Q �siTvAT.E ��/ Pvriv,9/k1 coUiVl�' /V Y t-5 CAL. / " = 50 ' OA%� : /y�Ay 28, 49 75 /9 7,5- A.oA /L 23 1-D776 "It is here6y certified that this survey was prepared in accordance with the existing Code of Practice I I_ d S ado fed b th N w York State S IN. POSSESSION an ur�eys p y e e FILE NO_ %838- 2 Association of Professional Land Surveyors. ,41&6— b PUTNAM COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services, Carmel, N.. Y. 10512 CERTIFICATE OF CONSTRUCTION COMPLIANCE FOR SE'NAGE DISPOSAL- _SY_SLTF!19_ _- Town or Located at 4A A wz 0 c V, \ v IF- Section r y Block C, Owner Lot � `cf`�1� Job •'�., fs Separate Sewerage System built by (::�Q 1. t Z iiG i tclJ Address 1� Consisting of 90Q Gal. Septic Tank l lineal Feet X 3 / width trench Other requirements N `I F U ►iRir' �->t ?AN4j Io trl W �-1- . i2c"QI �\R'c ��Ml^' '7+� S v'►� _ Water Supply: Public Supply From - Private Supply Grilled By Address rT= �Z 1 Ir \ N Ik tA VAl_ El i N a Building Type . it✓ No. of Bedrooms Date Permit Issued — Has Erosion Control Been Completed? I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the plans of the completed work (copies of which are attached), and in accordance with the standards, rules and regulations, plans filed, and the permit ' sued by he tnam County Department of Health. 4 (4 �1� ✓ Date Certified b � P.E. R.A. Address License No. 1 v fl�1 6 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 sewerage 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 Tor change when, in the judgment of the Commissioner of Health, such revocation, modification or change is necessary. /Date 7 / By Title S pound Surface silt,. sand, gravel, clay, hardpan shale sandstone s . 7 l ranite, etc. Include size of gravel(diam�eter and sated g fine, medium,. course), color of material, structure (Loose packed, , .cemented, soft., hard) a (Ex. Oit;- to -?�- ft o -- ; 1..� .fine pacede.�_l .. - +.. 27 ft t`ci` 14 ft bra .rani te) 'rormation Descri �tion otch exact location of.well to.least two permenant Landmarks;- e Well Completed ,3 �-�. % 6 Date of Report Well Driller• G2 --- signature ...........— c -:'s. - ....�.. TOWIT OF PUTNAM VALLEY WL - Dr(1L1 HS_-- 10T_'Ar- D`1r WELL DOCATION =I-.-rP WELL GWNER , -- name WELL DRILLS ..name.. =1 ress LNG ..DETAILS YIELD TEST WATER T,EVEL SCREEN DETAILS =' =5` ,. i Bailed Measure From 1 d surface Lengh s_.` fe et or ' um P ed A o Stati . ft Make: p ..._ Diameter: G"5, ' Inches When.Bailed lot Yield: S�GPM Dr Pumped ft Length Ft. size Kind: Diameter _ In.' )TAL "DEPTH OF WELL ;Zoo Feet - Depth From ' Give description of formation penetrated, such:. at ::`:peat, .. Ground Surface ° silt l . sand, gravel, clay,, hardpan., shale, sandstone, " ranite, etc. Include size of gravel(diameter. and " sand fine, medium,:course), color of material, structure (Loose, packed, cemented, soft, hard)-(-Ex. Oft. to 27 ft. . _.._. ° . _.fine ... acked,_vellow..sai— 27 :fty.'to..134 ..ft .grayr gran;.tA r �t e"zi. -Forvuatian N7 .6�ri istion Skvtdh- exact location of to:'.. ..we11 at two permenant Landmarks :,' ! a .least r -� v5U0 v�U � II� . i i • I Date Well Completed Date of Report Well Driller signature N i 1 1� 1 Ciwn.e ;r o a. "1 tz L'Cld ;Cr. a.' ; H b _. c. Xa i;ocation -- Street Building Type t\� n:irl. ali.ty 3 C t %J.O21 - - -Bl o cl. Lot Gl/A'RAJ T1r OF SEPARP.Tl;' S`,!AGE SY'STE11 I represen l t that I am w .olly and co?apletely 'responsible for the .. 1ocati.on, worin"ianship, material, construction and drainage of the Sowar e ..;...disposal system serving the above.describ--d property, and that it has been constructed as shot:,n on the approved plan or ar_pro,,Ted amendment thoreto, and in accordance with the standards,_ rules and regulations of the Putnam County Depart - ont of Health, and hereby P:uaranty to the o;•mer, his suc:.es- sors, heirs or assigns, to place in good operating condition any dart of said. systeri� constructed by 2ne ihich•fails to operate for a period of two years i.,;,r,ediately the date of initial' use of tl:e sei•:ag° disposal system, or any repairs trade by me to such system, except i.,rere the . fazlure to operate oroperl;;r is caused by the willful or negligent act of the occu - pant. of the building- utilizing the system. '111E tt!luE l si�;r�ed .? uz•cilar aFZ ees to accept as conci:zs�.ve Lt1e de- .1 of the Director of tilt,: Division of Health Sar- vices of the P ►ztnari County D•opartMent of Health as to whether or not the failure of the system to operate 1.7as caused by the wi l.11 ful or negligent act of the occupant; of the building utilizin` the s.ystem....... _._. Dated this ^ day of 'y �2..t�.- 19 -% F(T' corpora ion, give name and address) i THREE (3) COPIES ARE REQUIRED WIT11 T iIu' (3} COPIES OF FINAL PLANS' BEFOIRE CERTIFICATE OF COiiI'E1'TOid WILL BE ISSUED. GUARAT,TTOR IS REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SY-STETM. Division of Environmental Health Services, Putnam County Dcpartment of llcaldl! PUTNAM COUNTY Z!1':"l?�, RTL1F1 T 077 HEM. -I'N DIVISTON Or ENVT.}30NMCNITAL- ;afAj?'jH.._wS't Date_ Re: Property of Kflo Located a Section _Bloc k Gentlemen: f. &-+f, M 1 Y Lot o2 _ This letter is to authorize a duly licensed professional engineer_ qor 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 D connection wlrn this matter and to supervise the construction of saict system or systems in conformity with the provisions of Article 145 or 1.47, Education Law, the Public Health Law, and the Putnam County Sani r...,_ .. __....... -• Lary Code. Countersigned: P .E ., R.A ., # �45r Address Telephone Very truly -yours, Signe d Owner o Proper ty - 0 j o 6 /9-Y Address 7 v7lo. W / Ay� 31 —a2Z 2 Telephone 1 T 141 7 s Ro, Coii,itments Property 11-nes or corners found Gail eSt.,_ houseN location W-111 drivei,ray need cut Must trees be removed-note thelse: . . . . . . . . d. e e p o,] - c rep_ of ' entire SDS area Giona r-,T) holes needed. . . . . . . I de-7 - . . Sufficient SDS. area available considerinc, driveway cut, house location.: -,cparation distances, etc. DE -TT HOUE :1MrPA D-_ Pth': 1,7a-ter elevation: tock. elevation: ,FII,T,'I,L SITE 1FISPECTION, InsT). b,7 Housse located -v.,here shown on. approved plan 3T)3 located1where approved U1 Uop -. of ti _le lire 'and' tren-In 0 Room allowed for exparsion trenches .. . . . . C)vc-r. 50 ft. from swa,.,m), i., atercoitrse 11atural soil not stripDed or SAS area _1y 1O. .LP L. m-ainta-Lned from prop.line and 20 ft from house Se-Paration. of - trench from house, well etc. follous plan Number of bedroci-,is- checks .St.cnes., brush., stumps, rubb-le, etc. greater than 15 ft. frorr, nearest trench 15 Ft . of pheral soil hori,,on--a"'!y from trench . . . . . . 'Junction boxe.s properly. set Could surface run off from driv_-,•Iay, road6, cyro-and surface etc. clmnacl near SDS . . . . area. . . . . . .... . . . . . . Pxo a P, 3. b 4u- drainage aoc)_-.ar 0. Y:. in area of SDS PIDLU GRADING OF SITE ACC'EPTABLE, ZZA D PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES INITIAL INDIVUDAL ADDITION/REPAIR FORM SECTION A: GENERAL INFORMATION Name of Project 31 (T)(' �� Tai# Year of Construction Size of Parcel SECTION -B. TOPOGRAPHY (Please check all appropriate boxes) 1. y ❑olling []Steep Slope 0.6'ne Slope ❑Flat 2. ❑Evidence of wetland ❑Low area subject to flooding ❑Bodies of water ❑Drainage ditches DRock outcrop YES NO 3. Property lines evident? ❑ 4. Water courses exist on, or adjacent to parcel: ❑ U 5. Existing individual wells within 200ft of the existing, SSTS? U ❑ SECTION C. EXISTING SUBSURFACE SEWAGE TREATMENT SYSTEM(SSTS) 1. Physical character of existing SSTS area. A. L1Level OGentle Sloe 13 P P Steep slope P B. ❑Well drained ^Moderately well drained ❑Somewhat poorly drained ❑Poorly drained C. Area available for SSTS. (Primary & Reserve) �--�� ❑Extremely limited ❑Somewhat limited LZAdequate -ft x ft LIM D. INSPECTION Date Inspector 0\0 evidence of failure ®Evidence of failure ®Evidence of seasonal failure ------------------------------------------------------------------------------------------- (Indicate North) Illy, s HOUSE S O -- - - - - - - - - -rr- ---- ------ ----- -- -- - --- ----- ------ ---- -- - - - - -- (1) Indicate location of SSTS A. Size and type of septic tank gallons [lietal ® OPlastic B. Type of absorption area 1. Fields ft. 2. Pits 3. Gallies ft. Indicate setbacks, front street, backyard, and side yard dimensions (3) Show location of well (4) Show location of driveway (5) Note physical features (steep slopes, rock outcrops, streams/wetlands) .. SECTION E. EXISTING WATER SUPPLY 0PWS OShared well ❑Individual well DDrilled 13Dua* C3 Casing above ground CONiSIENTS : Gv� (/� �GrC,' ,�� �,(l�C.-�t L S:.t ✓CJs � REPAIRS ONLY: Status: As Built Inspection Required: As Built Submitted: As Built Inspection Done: Inspector: PUTNAM COUNTY DEPARTMENT OF HEALTH COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512 DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO. Owner T d Address --5-5c> 7� ..� a.� , n� P. .� ►J (�3 �( , Located at ( Street n4-_eac.Nc_- -Sec. Block (o Lot indicate ,nearest cross street) Municipality( ,� fit, U.��, ~�- Watershed 4f:72c� —(z4 SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Hole Number CLOCK TIME PERCOLATION PERCOLATION Run elapse Depth to Wa er Water Level No. Time From Ground Surface in Inches Soil Rate Start -Stop Min. Start Stop Drop in Min. /in drop Inches Inches Inches 1 C> >-- ( 6 Z 0. -7-3 :3 Z 3 9 ` 20 7,3 ?� 4 5 2 r®— 9 2 z( z� 3 3 3 A-D - 17, (z. M Z( 3 4 Notes: 1) Te'gts to be repeated at same depth until aroximately equal soil rates are obtained at each percolation test hole. A11 pp data to be submitted for review. 2) Depth measurements to be made from top of hole. TEST PIT DATA REQUIRED.'TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED, ERRED. -IN- TEST- HODS _ - DEPTH HOLE NO. HOLE 140. HOLE NO. G. 611 f 1. 12" _ 181 L 24 301 3611 <� 42" 48 5 ,,,.. 11 66" 7211 7811 � 8411 INDICATE LEVEL AT WHICH L GROUND WATER IS ENCOUNTERED. _ !`��_ `N '4 4 r T ii3I3I CAT E "L'<`VEL .3'G' `1ru�iCH. -R i� �l T T T,l l� 7C TtTN ?1 -.. .._ ... r .. ,. WIi Tac'wiiEL rclaEa At TLR E�Ii1G' ElV�GuiJlEI�LT:: / TESTS MADE BY t ®� A. �( Date Z l7s" T DE IGN Soil Rate Used_.L-_n/1 'Drop: S:`D Usable Area Provided No. of Bedrooms 3 Septic Tank Capacity 0 0 Gals. TypeAA560-Z' Absorpti.ori Area Primed By t 5 O L--. _ x2�F "'' fi'— width, .trenc . Address THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rage Approved Sq. Ft /Cal. Checked by Date C � �:�. � .y K t�. 1 r= � cam' -�'' � "- � ` N ` , • _ /+ -- � `i E'tQl /�+��. Cj. C1 j r i ITN�S tq,..To Cr2T1FyTHAT 74\ l�rw/P.y� - 7ISYo�a.4�Yy�'cM. I � �oN�jTRUGTry Aq Ta��c..Tc -o O�a•T�,1s Y�e...� �' Tar.T•TNr yyyTe�,� - j WAy Tyyvt- c,TE -n K- BFC -A-'IT TUB S�STc *� ��IRS. Co,a TR "GTZ-o 1:1 AGGO(29ra�ac,r- In( rTU �t. m goo, �Rt Ater, �tAhpU �� Aa q FuRT�1E�I� C x�N�lOd TAN1< d — �f I-r ax 8 7,0 Z("O - Thu ILr Aa q FuRT�1E�I� C x�N�lOd �. d �f Thu ILr j d Thu ILr � � p' �pO �� 2 1, Z � �o�-RT 1-t "v!.j T" � � • R t �o.lw� pF T'1�.Tt�gM �VAVLiz"'( N A eR Cn LL N T `(. t • Y . � � � / /�QOy LL.�• tin f "� • 1/1�11.rC'T% c� ynN�l CO�IS"T'TZ�lGT10+J T M�G�iAF�- .�AL'G ?�� ` - I�A1�o -ESoX Z4 3 �eGT Lo T: J i tr0.T Z. �D(Z��`E� �YR1� �� (9i(0 . !� Ta)L MAP Iowa pF tlYNA�ti VP.1_�.E- (. �. v t- t 11 certifications hereon ar�,qy'valid for the map and copies reof only if said map 4 topics bear the impressed I of the surveyor "'howl( signature a.ppears hereon." �i . 4e • r- i � O ' O t a T SAS r r � —� l9 .5 T s `. .d- ,� ' m i .oRE p 11=014, Pat ORZES �� Jj Sr jU nAJ'E f 70"M e ®4 per/ rN � , PR�� - / /.SE S �Sh'Of•YN HEREON Belly LOj ec 1,r ,S/!O/AV1V O/V PUrN/ 7' /y/ co�r�Ty r SURVEYED 'I'; PREPARED BY "joV, ALEXANDER BUNNEY B GGOCF7/j/O�Q�Q,q 9CRE�5 " Pr °T LAND SURVEYOR. P.C. aSA.✓.CU .F /L�JJ /N jh'E �5 CALE- / "_ 5"O' OATS: /y1Ay 28 /97,5 '�"'�:% O WOODSBRIDGE R,OAD ROUTE 117 PU,TNA/j�/COUNTy CLE.Q/('S KATONAH. NEW YORK 10536 OFF• /CG' W4,>- 20, /.97/ AS /y/FjP /V ° /ZZZ ?9r 1 "It is hereby certified that this survey was prepared `+ in accordance with the existing Code of Pracfice T�K'GL `• /jn- ��dwraGS�� _ for Land Surveys adopted by the New York State T' SURVFYFn AC IN Pl�C4F441f1A1: - .. .. _ ., �l ,t 9 i- HOUSE PLANS APPRUvti) tu" BEDROOM COUNT ONLIt. BEDROOMS ate is 9y �h,ra X 1111P LM M mommomom olmommus 0 ommommm OMMEME moommom No ME MEN No M 0 0 MMINME mom mom 0 I 11IL9m MENEM mom ONO ME ME -Ell 1 0 a No mom m MOM MMIMMMEMIMMunummommommmmm m MEN M so m M ON mmmm mmMMMM MOMMMUMME MMIMMMMMMMMH ME M M - Am M MR immim mm ME No I IN M 0 1 MEMO omm No m MOM OWN moms flix �,MMMMM MMOMMOMMEMME MOMMOMEMEM ONO MOMMEMEME 11000W -Ilil I HOUSE PLANS APPRUvti) tu" BEDROOM COUNT ONLIt. 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