HomeMy WebLinkAbout4519DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
85. -1 -17
BOX 34
04519
0
� _
'
im
♦
lee
;1
m
%%
T
J
is
I
f ■
.
�
1-46
1
..,
a
04519
1..
.�.. ..:...' -: -. - - _....,-:...s:.:.':.:_:- y ,r�.:- ?,.a.. - ,..:..,.�.:. .,. '�,v;, -. .*'- L.- .mot = �- '• € � e-* r:� �. � _ ,� ;... � ".' ..�.: '•�
YORKrDWN KEDICAL LABORATORY INC. .
P.O Box 99 321. Kear Street
Yorktown Heights, N:Y.10598 .245443
DATE COLLECTED ,
RESULTS OF EXAMINATION OF WATER_. -.
NER DATE RE(
ROBERT TRISSEE
!'Y, VILLAGE, TOWN & /OR NAME OF SUPPLY
STEPHEN SMITH DR. PUTNAM.VALLEY, N.Y.
APLING POINT
WELL iiI RUSTIC VALE
DATE REPORTED
7%73 i
,2/20/73
CTI RIA PER ML. (Agar plate count at 35 C).
COLIFORM." GROUP (Mostr•"probable N6. /100ml.)
LESS ,THAN 2e2
:'HARDNESS*' TOTAL "- ppm
4"e0 GRAINS /GAL. (SOFT)
PERGENTS - ppm
NI "TRATES: (a's N): -..ppm .: _ ...,..: _ .._
- IRON, TOTAL: - ppm
)URIDE (F) - m9• /l•
se results'indicate that the water was YES of a satisfactory sanitary quality when the sgnple was collect .
x 1
A
•
A t,
i
e 4
°:•�L!'S%m swo =''.0 -mom t ':Yi- . =•v�^a'-5�3rti't+S..`O':: �,'�p.��; '.°� -: }ie ^�`. -5: ii •ice 'S'c`1"1:�",'at��..:�pY.�+:��w :''.f�aee srYi; =yj,�. -i't •+'�vi.: "e •��F.7.;, ,.._._... -. �.� ^'l�.'.2 i,
Owner or Purchaser of Building
A06&47- 12 tsSL'6 z-
Building Constructed by
(
Location - Street
Building Type
r -'Vo °T11)AArl ` /AI_IrGy
Muni cip ality
Z Z-
o�
Block
Z. 7
Lot
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 repairs made by me to such system, except where the failure
to operate properly is caused by the willful or negligent act of the occu-
$ant.of the building utilizing-the.-system.
�xa. -- , . .-a o -. o - -... _ • ., - _ ..y F -„ - aur -- .. ,-� a -... c -.,_.: _.... -ro, _. u .. ... `. . ' _' � - . -' .. ,.
The - undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
vices 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 �L day of 6.6 193 Signature v "'
Title la14--loelt.
(I corporation, give name
and address)
THREE (3) COPIES ARE REQUIRED WITH THREE (3) COPIES OF FINAL PLANS BEFORE
CERTIFICATE OF COMPLETION WILL BE ISSUED.
GUARANTOR IS REQUIRED TO FILE NOTICE, OF DATE OF FIRST USE OF SYSTEM.
Division of Environmental Health Services, Putnam County Department of Health
WELL aCOMPLETION REPORT
3/71
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Serviees
COUNTY OFFICE BUILDING : CARMEL, NEW YORK
;.� .,., ''- #y;S7;o- a��wn�u�t�dd•�6p �a�M' dkt110� '�FY�'S�cs'iCRttea'�o'�(:�fur�' �;3sa)f -`t E8 diti't` Igo'% �tf� •e�f1LF41F1`tLI`i= S8bT5�ai:i3? IiE €r��a%-:= �J'�:•�
analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued.
REPORT MUST BE SUBMITTED WITHIN 30 DAYS OF WELL COMPLETION
OWNER
NAME I-'
ADDRESS
LOCATION
OF WELL
�? (No. 8 Street) (Town) y, (Lot Number)
PROPOSED
USE OF
WELL
DOMESTIC ❑ ESTABLISHMENT ❑ FARM j ❑ TEST WELL
❑ SUPPLY ❑ INDUSTRIAL ❑ CONDITIONING OTHER if )
DRILLING
EQUIPMENT
COMPRESSED CABLE OTHER
❑ ROTARY -"AIR PERCUSSION ❑ PERCUSSION ❑ (Specify)
CASING
DETAILS
LENGTH (feet),
I
DIAMETER (inches)
»
WEIGHT PER FOOT
l
�J THREADED ❑ WELDED
DRIVE SHOE
❑ YES ❑ NO
MLAjS CASING ROUTED?
LJ YES NO
YIELD
TEST
HOURS G.P.M.
❑ BAILED ❑ PUMPED ❑ COMPRESSED AIR
YIELD (G.P.M.)
WATER
LEVEL
MEASURE FROM LAND SURFACE— STATIC(Specify feet)
DURING YIELD TEST fleet)
Depth of Completed Well i
in feet below Land surface: 3o '..5 —
SCREEN
MAKE
LENGTH OPEN TO AQUIFER (feet)
DETAILS
SLOT SIZE
DIAMETER (Inches)
IF GRAVEL
PACKED:
Diameter of well including
gravel pack (Inches):
GRAVEL SIZE (inches)
FROM (feet)
TO (feet)
DEPTH FROM LAND SURFACE
FORMATION DESCRIPTION
Sketch exact location of well with distances, to at least
two permanent landmarks.
FEET to FEET
r
If yield was tested at different depths during drilling, list below
FEET
GALLONS PER MINUTE
DATE WELL COMPL TED
% alt 7 -? v
DATE OF REPORT
WELL DRILLE atu►e) 5
4...
..- i .,.' :�4rY 7, 4.',,. ; r riS`_.ti�,ei..w;o - .. r_ ; ty;.:. 1 cw'.'Y` ?;•s.ti^ <Yi..' ei..•�ti+.i g. �.G.ti..i�•r .- -: �. -Ce "::�c� 1 t ^m,: �sw .. >d�ce - : , •
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Dated y.5 7° /j / 9 7Z -
Re : Property of 80 gz A-r :FAISSc6'P_'
Located at Sn= EMIT _1>21 VIE l�Vja/
-rAX MAP
•won iVZ Block OZ-
Gentlemen:
:"4
Lot Z7 ' jar' /
This letter is to authorize STANLEY I LANDER,
a duly licensed professional engineer V or registered architect
(Indicale7-
to apply for a Construction Permit for a separate sewerage system; to
serve the above noted property in accordance with the standards, rules
or regulations as promulgated by the Commissioner of the Putnam County
Department of HGC11.t 1, and to sign all rleueasary papers on my behalf in
connection with this matter and to supervise the construction of said
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health law, and the Putnam County Sani-
tary Code.
i
Y
Coi rsigned:
P.E., P#n*vf=* SZ7
Ad res�rija?
- - - `
Very truly
Signed
Address
Telephone
io dw
0..
..- i .,.' :�4rY 7, 4.',,. ; r riS`_.ti�,ei..w;o - .. r_ ; ty;.:. 1 cw'.'Y` ?;•s.ti^ <Yi..' ei..•�ti+.i g. �.G.ti..i�•r .- -: �. -Ce "::�c� 1 t ^m,: �sw .. >d�ce - : , •
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
Dated y.5 7° /j / 9 7Z -
Re : Property of 80 gz A-r :FAISSc6'P_'
Located at Sn= EMIT _1>21 VIE l�Vja/
-rAX MAP
•won iVZ Block OZ-
Gentlemen:
:"4
Lot Z7 ' jar' /
This letter is to authorize STANLEY I LANDER,
a duly licensed professional engineer V or registered architect
(Indicale7-
to apply for a Construction Permit for a separate sewerage system; to
serve the above noted property in accordance with the standards, rules
or regulations as promulgated by the Commissioner of the Putnam County
Department of HGC11.t 1, and to sign all rleueasary papers on my behalf in
connection with this matter and to supervise the construction of said
system or systems in conformity with the provisions of Article 145 or
147, Education Law, the Public Health law, and the Putnam County Sani-
tary Code.
i
Y
Coi rsigned:
P.E., P#n*vf=* SZ7
Ad res�rija?
- - - `
Very truly
Signed
Address
Telephone
io dw
4a
PUTNAM COUNTY DEPARTMENT OF HEALTH
1) isInN by ih�i 6h$a�IaLTH SEFRVI E
COUNTY OFFICE BUILDING, CARMEL, N..Y. 10512
Lc 7' /
DESIGN DATA SHEET- SEPARATE SEWAGE DISPOSAL SYSTEM FILE NO.
i
Owner VoBap_7` ,I SSL.EP Address x 2�4� _ .3trF� � ®ak N� to�@43
I iA`F mAP
Located at (Street )6]Ce � c5mi -r1 Pem . I27- Block 0'2- Lot
(TH-dica e nearer cross street)
Municipality l a aAj A-� v F= ` v °T�JAM VAur )Natershed /pF..zes?,o /7'ozioW ton 1pae .
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
Run
apse
Depth
to "Water
a er ve
No.
Time
From Ground Surface
in Inches
Soil Rate
Start -Stop
Min.
Start
Stop
Drop in
Min. /in drop
Inches
Inches
Inchess
Q
3 f!O V q.,fq
/0
14
3
3.
4
4
5 ..
2
3
A
Notes: 1) Te'gts to be repeated at same depth until approximatelyy 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.
Address
THIS SPACE FOR USE BY.HEALTH
Soil Rate Approved Sq. Ft /Cal.
cked by
Date
a
TEST PIT DATA REQUIRED TO BE SUBMITTED WITH
APPLICATION
} v .._ _ .:�.... n. , =s•: --DE* SCRTPT101,1,.OF SOIL.;: ENCOUN`fE'RED,-rN .I'ES`F
DEPTH HOLE NO. �� HOLE NO.' 'r 2-
HOLE NO. De60
G.L.O« ✓ �f�c>i�
/ o��c..
6"
12" fJ/l'oyCe '�AYg,%�' / a�i�cE -.�J /
A.c✓[y "'Y;C�.Sz�c='A
18" "' u
3Q."
3
42"
48"
5411
�
60"
[ 1
66"
72..
78'►
84 tt
IP?DICATE- LEGTEL AT WIiZCH--GROUND WATER I.S -ENCOUNTERED ..
-" '-- INDICATE LEVEL TO WHICH WATER LEVEL RISES ASTER BEINGENCOUNTERED
TESTS MADE BY
Date : - 3!— -72
± Soil Rate Used A DESIGN Min/1 "Drop: S. D: Usable
Area Provided F
No. of Bedrooms %Wry Septic Tank Capacit %S
Gals. Type AYO-Setl^
Absorption Area Pro ded By /ZD L.F.
width trench
e a e,se,rn .O as�i\
Other
Address
THIS SPACE FOR USE BY.HEALTH
Soil Rate Approved Sq. Ft /Cal.
cked by
Date
y
e
Q
\k
0 S'%TPPMPN t5Ao!f/7)W `�A0i4 1VE
i
N 73 /-7 E
f
—, 39
76' I s
TAP G
I
V�
ti
t'
' PR�/y/ /SES SHO�'1/N HEREON .BEJNCa
GOT' / As :Sf/0.A'ViV ON q->Ap ENT /TL ELF;
" /iY/PRoVEiy/ENj pLF�N pF�EOFJREO �OF�
Rvsjic yAL �Roo�RrrES N sio
k iYlRP F /LEp /NTh'�' �UTNA//�/ COUn!i''y
! CLEiQ/t'S OFF /C� ON �IUL}� /7, /970 FIS
�� �, • .. �s�.4v�y of ,�/400��TY ��:
//v
r�)vm 49,F 400&7NAW y4q4zz 4ex
G
Leo -i6 4 N47" COIJNry
L5. 7B °/9 3O'W -- E /VEJ'V YORK
-Ito' Z71,177-,E: WOeF.. /,. /972 ;
SURVEYED & PREPARED BY
ALEXANDER BUNNEY t
LAND SURVEYOR. P.C. _ � � � •' � � •• •
20 .WOODSBRIDGE ROAD
KATONAH. NEW YORK 10536 '
f Mf•
I �
44
, !/;rte,•
r
tj
�_ �... � � . � .. • �.. •' \ ��r - r it � .. - _ .__ :r � .c:.— j t .. •, yam. '" ! ;w .:;� ' x
4 Op
.,, i . r-.. ,. rt.'�" � ..., i .,. .. e ... �; ..... J .. Y� >.ti �.. _ x ., .•,at. x,'�. rt.e. Y.G�I�'hx .�... .F f.. .., �,.t, 't 3�,{ =.nY 1 1 �:..n 1f ,. ?,.a :�7fd:�'.°�+?',. e1. ,., s�.��4'(
4 Op
Z��� ,wd•' F ..' 3 f w' ,� 11'st x'r ,u�" '; ,60 .3v,�Y -,a t ' �t r L ,� 7 t to `x ° t e F. 1 a r !j
"mss '� "'I" '� . 1. ti 9 { . r '�. u, « z -1 „� s n �x � r ,. S
a tt`s a , r '� e fi _`, v ,; 9b x' h . - 't d 4 + J
r to a >i' t nt,d•_xt .y r^,r j - th u 1. t , w
jj y,t a F s 7 ,Py F w p} 5 8 t, k r .1'rn J F .. ya< t �, V J w4, t' M .:
rra `frsy rar of '."'+ztfi,tw.�„d ,a4i P. q {..2t"�Ja �t,^ar�'r+ `Y�"�P r�?`t'i "rt rha Y'a'.J eh s., i✓ "..`'� S'Ji a� 's ,q ! ' (`�u '� �r ; "i
ry ray 3 r r 1~ f s e;.f'i }' v 5`! ^. i 4`5 : �A k t �'." .r a'#, .a '.1 t.+rt r a i
bj Er5 } f _„ Kar t +H� - ta>- p r ° 'S`r :. a ��' _
7 s '' fir. gt �' t r z",.s A +yp" r.� r 1 � -« o is �p4' '° "' t
n { *� °� 4 7 / , '� 7�., S4!- x ,,�� 1yry. R;'"5.,.(m1,CS, }`+"Ic z v, " to a �t::. `5" '�` r.4 +, 1' I i .i y°c F:$ t �a ,F'� f a51t'
Y 0 S ,� � "4a f��f ts'i �'4 � r -.v, 4 � V �Y'S �-t -� T��.. 'dl HA. P.3 {, � It! "i.Z *,:P t if i ,* y }�' Rt1 S) ' w'Y S'1 1�., �'1i' ' wM'x � iJ[ V. It'Y j A'�}} C�`i i' �y `,',f:
.� .i-a 4 ]'�>it � 5 r .4 `a"I hd�^, -a �,� �.y '�" 's, } 4, ° ] `C �.:r r 1 r c
� ;tom x,w v' rs x * s� }, � F } y} t £c r f 5 ! ,
E �tA.,' "r*tY' 'i�a^v+'.y't mt, ,fi;„Y« a i...t rh , , x -.. n�'ry i ,w �r _#a� '.,. t . Y' �•y, ` *c U r 4 , rj , T r h 'w w ..' A l {t Y : "� `i" y x y,
y' w'a` n 'e g' d'•"y?° 9tt, z a �X, k arn' �, k #� c
ab`i 5�yj�i� +` w' S, ' +'..'y, a 4{F .ta, Yt r ax, "� P F'j.+' 'y�aW.t ,µ .,£ Yl" t f• ,y.t '�, ea Y y,k ,� fi a+ �' `P' `. t ,w
t'` '�"k"' "^Q'7�r,�T",Zl� '".`_^`'°"'y" utq 'k�.11rtv,_17, :x�W 'q �,0'�'i r�+.i."�.�,� ;y f.p �,'Y x •y�yv4, a 4.'f.tkrY 6 t +$ +A'xFsv -i!'
r �' x,7 yw ! &+`. iT� x a "'! -`c az f h hh 4 ,`., -¢h r `.� a xj v .. A r by :z d
X39 9 df {° �yq r o b �q f °iv , i ` > ;
t ;.: ° {�., t "t . ", k r'v. sf^ ^!� k � , „;j'"a g t x, d'k^ ,: y. e -e t 4 A �,:. * Vol s J 'l'# _�
k �'s `k7 x { } k. v
i av w A� R s .� S a r o
r.. �.v 1" ..fa: Jza t' '« r z'��G'NS �' 1` a n 11 % y v'a ,"Y'+'. ' e,.,, ,,N # a t „ § MT r i ..
1 ; r ir�� s� a� ".�s ext ���a n zip o,
�'-i Mail. t �. 'tai i k a.. :a" v Y a, ,G ,7, }.e ✓�� �" ,, �,x B., 7 3 `lti t v 11 x 5� ° a. "' ,T� Y ay-" -`- rev - �'�' a e.,; f`,�.k' ,+ + 'tusk �. 'r, ,, �, "' _
P
91 °'' 'X t , °, *- 4 sr �.`. rE &�``*S J' rs,,, ,Ja. rhy,�7; ..rk„'''i!' a,_• 'Mx+ P r'�": �, t�'. r G.�.'� t t
sct'* y r.{ ' � f� '� rypr r` t , "-4 � ". as ,. , #'t �4. to tE a e `kr `S �i, :n'.,x 4k'5,.h # 1'tr d` �;ca x .rvE�+, -re fat: ,.�i"�^ 4 ' e '��
`*x, 4 -> r "';- S "'i �°agl' 9i ,0.s �.{u am,. ' "' -?k p.,a"r4' , y r ty- �s +" rk '�u 1 aF F y t a t fir+ f 1 r`n '4ti , .�''
��{Z t`W t .r �%• 5I a y N'' ? '� w t _ ,� lyo'w v ',� r t ri `- tw# fir- ak < Ft � t z 'E ' Aa ' ?i �x { ,'id} ,. „ro.I. V g � r
I� xo 4 Fc, 3 x r s Y 3 Tti t�-4'y i fxi�,.+aP. "Y e';_ r n .,n e- , t a k '
1 0. g 1 5 .y ,a 7 t ,,3 1 S
Y J- r 'r r' �, x 4 ae x r X b� , %, t " t
7{ta�a ' '�+"�. '`j, l�, tt , C ,,. :; ' 'v � ' y� ✓k' � t� �t ' • T':� "^�ry`a -° ,'w, '�"" : �..'s ` ,;f tsk'k x a r"�r?. k ,4" L 'r -:i: ?, -,/.t dw' ";:,i ' y�', !
k''nZY.'4v3r:: *+� Mv' t,. l�'1' fir} ?`'e,h a'2'a .U� �y�'�.,,�° �, �, f 'ate �`.,r•xtj �ry��^v`*n W14` j0, „t +a4 �, er 'f x. Wt +,r �>E, "±.,�" avi,' 1°i,, low M. 4
ka �I a'?�'� 5 'r � A� " '�,T� -fir f}''� .F `£� t Ea%'� 4 s &�'+ r' t fir'.'" f S 1 `�? ws :.`i'Cta'ia, 'r`. a at `r,r x'
}}41 �'Fj$ c i' a k4 T r :+L-ad S a:. - h h � � yi h � , ;h i `+l tc.}t a 'T �r �i }j5 £
{,r �M7'"�'' n� 31 ..au�y. .*tr.+p",, c+^ rT' 3 r Y a:. 4 _ t t x -n r,.#- 'Ss s
M Y, a �,� A �, ,;,K -.rat pfy `? i` -x.'K �'..r L`a mr i a ,� -`3' #G a}yw "!f L 1„r 11
"n'c+" ii* b x,4Jb, ?1'a Y�:' §,,- a`'r a`.• qY`� .u'� g u3 g +r �''vtt `i i qGN, 9-M, y.4 a , 'y, ap"1' I {^e v? ,�' yd �r ,.''s "ivZ
I'll '�y:. Tia�rt vi�'"'�' 'S r k' r 'u�Yti`,a+ 5�~'r '+�i" :`�t^ aC�w m f2I t' "`i ".Y� s �; - YyFr`t` 3 t. "cC� n " ' F' ,�. t I , a i .Z � ��.'.
9 s 3 -4 �` � "�. t , ,„ t 'N' v' '� 7,`4 i art u \ Y �} 5 14 �+. ` } �7 g. x, "A ;X e h+ Pt !'�H + ,., t't3'n. 'M`�&r 'fl. �is .!„ uv>
.,£t? �i &i y 'r s ,! 3 ti 5 at r« . il t ` w t. ;,a• h,�. -y Ja h d `' x. v l y. x � r, r F �{ q to -
rs `"1 `;cr .t :�P ,0 `'y>r 7 .t,,. e'�" } t i"u _,., a ar :, r, t !
r ``- ,1 A `4� y 2 `.`t s r{ .r Y a . d, M � -•b S Sti , I � ,., , 'c^• �v d s � � ] F � S t '..
V° t i 7.3 , . U `x is. 'r�oi.. a, ;`a� ,' a ✓"`ws�' .a,. �r + '2+ ° __4P,1,1'; }r i' 75 , a �.:• i �' e' a < i 4 "1
�'c +dpi , ''�nvi 3{4 �, e r �. , r,, e «"8 .p rY^ 5A9;w'"rAn, ,t��,I 3,� 1{ z�a t ni5v�t �r "{' -, J.��' '. S},,gS.a Bt 9v � �� ;' 3V s°� tf�^+,'is� `'f :'1,y ^ at-
M., ,, s . '� p.. G�'� z �,I v t �F 2 �,�`y., '? wt ,' � I�w`` ,. K'aS t .1 �.x£'�h ^ a a'+ A,I � ' + ,�.e +� A, Z , "r 't � �c �w-
> a b a �a r z ,r r C F r n
1T IM r J s r a ?, cY s a .+ M,a � a �,
f0 2 r ' 1� c lax �7 q. 4 2
:. ai & .,aa. i( 'r z t e �. -i d u~r. :� y. x..r r iT dw a •, ,u vz'� xr € ra T -° c �
T"" iixrxf rt d 2_ �. j. �� . rt ,, ? s'r r '4.x:r+ b f x ry ° t;, 'wr, ` ice. - & 'O'7W,'" y t' -. _ as } ` mot, .
�u ax "' a _ A�. r?ta' S` tfi.'Yb` .rNy .� t �'' ,r,�, ti,- s' x..�t >k ::^ :; t- `�E amt �;, .. y'!, a"+H•9 n y#y �s '�
yt +�.a3.' ti.' r `fi ✓ �>: v,� •i' ' '+ ,. k,� N i.ii �y� r�C` ^'�' t a 'u +yC i F ` i ri -#;:
'! y +1: , ' Pdf�a�Yr t+ t y, d J "'rn 4` ,'G YG: �« t y,k' .!�"l� gs]{'''1(" '�3��ri..: _ 4 .✓C r� a r Y f
e ,NC a h.. `�� .a' v ^xQ ., x . i s` 4 t tif¢ err' L . a ><.'Y I >�- 2, � i. �- '�*�. � '^' a��"w,,ru � � ::.
r[ l��'','i i' . 'i 4i -k4` A 1F t'f �` ✓lr"ff xi `1'. s 4 ! j,+.- S i�`' 2 i Y 4 �`C1.• 'x.� 1
y y; y p
^ .y :� � Y�+eF3'�'r `,'i�r T.��°l.',. #` a ^;7yv3 �. &'n,. " t �y � .s- 4h �I'due �,._ 7' ''C ,: rw ..aSF" a�a , «... dLi, �a Y �w' .fi'
11, ;.�'ax��• 4 P�� a �spts��� A#i+ �txrx`i'ra�re``�;" i,�
w re ;'�g i "r , , �, E pz, f r 'z # v S� v" - ot, } 9,w y. ay f J,..
a A �t v X w2' 9ya� . s �F 9j y� �i 5 } s. 4
. to M r F k9 �. s 1 3 ,
11 I s a `,, twa * j call, rw S $a y wt x a f {a
r ",!?,, t: fi s" '$ a a r a «.w , r a"a'ti'`' °r'�hF �" `'! �°a
1 n`
a' ,, 7 I - Iw Y 1 ie ,� a`
' h a fi$ 2�' } "u ' t 1� ' i 3 '� Q' � l ,j s Y r i T 11-1 .1 r ',%.',,,, `�rn`t�` 'I u 1 �iT .m,'e rj� ,`���y '9�l."�;w�l °y�., a' ',,F' �'`.tz t'"�kK � �5,�
N L#r �y; 'i ✓a,9 ft�+r y e p i',, : .ri
0,00 'S N Y 1 � a tit s t Y .
;,..1 P: rJ "`t"W ..r ' 4 xtrts�'c - *ia Frah � t" 4 `', ''"� ' ..a1.�,r v �Y�
zwo
-rte ,-"' --...r _ 'a
4 . +7 va 'f . ter` , r
..]
`-'r- . J� `.....'-^�..
M1
,R t ,, `� a r 17,. '''S` "4 'S ec el v' w.7 x*
a ° 4 ;
�,{ i1,ry 4,,F1A +S 1
' i
WA, y p
" 1
SRI ]" Y� a wt�- a s s - Y rrt ea'; d at' ' g a t L �' -J. t u. T ",•,t' t .
r>+ r,° r' 5h is ,.*t°'��3 .�,.b '. "4. x r r. `�� 3w-. ,wY s 1
r d s,} -. a ,4 t -cW nv r " h ., �t1� c ,�7 a�, va r '�".t `a y � x . �,, r
Tlr`-. t'''_p F i`3 4 ''u_r '*4 A 4 h :�$ '�,' " C -"'F] t t+ V. i .l X'' Y.- T P ak S 1 }.
11 I I K+.''a+1 �, 6 Ycx tt!`;.' 1z,` , , $. i r j4 ., 't'T2 � � '� a 64 :b x. '� e fat y e: } � 41 ,
k- TMs +rat• � ti 5 a kv 'x� rr#` _ i ` t `3' - r sw. f
r,' "k ,q ,0e tea,, e y�Y< .a �� .::! +, a" v 'e a.�rtombs °ae'r,• r� x r^ tea.,: �, r ««, t, a �
' „5F„ z .Y' � a to z ,, � b ja ;) e a xst f r. 6 - e� . _ �4 ^ti, to :, y .o t
A�LT " i " tt7t ? i c y �r x e t 7tF <li 8Y d ) n" r `
11 . a "' r l "ti ,jj F x r y �y� r Y.
a �" a � k' q�°-� r. ,,,,. n '1 r '� ,,'. a "� +Jt�' Wiim
4191517j; � %, 1, r 3 k tz � rt,e a, F'sY s P' x - 2 S J *4""11 ?' a Y' F v..
„4t�r��'t e +'N �k d m ',^ "F ir` 4, f �11w` - t ' ., !, �, r p tS'xt' `�t^y�ry �vA `,r x-iV'Y"t": e rf e7 A hl -sf agq� :sAV) �+w- 1 r x, �' r 9; ;Ep' 4 u"' a_ JA r1r 4..,,t. ) - Ea" w f$ 8 k 5WM7 "6Y2+'. 1A� eu. .* ,b ;' }{{�,, fi ,'� kl' 4 .RW * W:D11'A 'Ytt 'p1 x. 1.
+ 4'+'� 9, I ( fr A p�v4- AV-"7+tR >v his # y '.i
-11 q ryh
&kP'tiy�.` �{�.ml ?.y fi�rr, �'" '"'' y L' a�7h e S +SQQiijttjt�< ;d ter° rt'- 'C'.N'q' " III6 `a, s �. r YAP `6 ' '{j �^'' a,k 44 e11
u --,Z a b'*s y �' * a � �� f la ,a1,� a d` S+" t. - � �� . k 4 x r' .+ x '. G 1.
+' f Y �a p 'x n s. i .,' N a U. {�.. f A r r •' n 0, v�+v t P 1-1
t'"xr�t','r aY x. ~Y s.'', w � s ay .. �``3a, ",,vAE 1,._C.Tr" ;� - ,��.�% , v _, `Ik6r <y 8 r t r 4 '*3e '..
r x P`, s �''i,.4 ,x,
x t y ?' V e c+faY', �' C `` >H r' je 'ro % 'yy ...&, Iv y, j� r �� J`,�, ,o y^ �::�,, . �.,F, �+- � q k�e� MMJ- (�{y �.ti s'� t t A t� .� �:,1'm Y't I� a'#"{N� a "r ! a 5c �, 'si °dj'.� r` r :..h" f W. { i M^ e °�„ 7`a j w �.
r rm .� a Y _+'t+"9-,4 A.,:� 'psi -7 v ." y`,a,, -' car �?" ' +c.i. l..
pia n o H ry a. ( o S ,t wt� fi y t rr , € r . , e ++ "' M.n ""`.T �.dn , t 1F•" x ,.�x,3,4'*+n'.r� A L. ..:
`�yKtr t4s r d Y., '{ ry E"+° M' 2 ' raTJ S-` `'t "z 2r s k� kq 4 a '�' -,� 1 Jw.+r V x e
kii`!'i�Pf�;^tvO.'S', i,"t3```�• �' "� f �"Zw'r `"'.�, d72 ttnd� 't ��.awr^i'?«k"�1y� xa�C '� t.yl , ep n."
r x t >` n A q ," y �, ,
, t r r �x , APPROVED 4*4 ��i a 3 'il�� X37 t" i';� ti ,�,.. sl*'van4,.afa"�.' �,sJ +a 1' " ! ��'
x "$` 7+" it a. ,, *a ' a a «�7� r$ tY m •ts. „ny 'Jr 4 5 r + x' `` v .,, "° , a
q.L "�, Ni 4� i .a "} '+ h' r- trdv�w "#`•'z .y 'R"" '!� y�' '!' ' 1 a '� 4 h {'�.�4 ; E v + S "` ^�, 4 ti ,ran,'t "ta a h `P!` `F n'�ki r m S
'rf -6 ym .y t 4 �` t tV '`' @ # v �E s rk". " S , '
_ g � � t} , ' e . *, � _ FE82 81973
'fop i 2 V n1` �'r( , ! t q v 1 r u r ti xlf f a a+-" Y'��" �k �.a *a W.
; rt t y ve `�, , t
a t` t- -.�, eta $ rz 2 7 '� , r' "-"goo, r. o- P N COUNTY D HEALTN
]a J'�' x� �'"'xC'{9a "" .3w�` t2 I r u'h�` t "t 1' �A" �'x # t 4r J H a _�i7 t , v� ar �'b- y� * , t
„arWV�,�5'f "^;#,ii�5.. tF. Y �"�'{'�r,, ��". '� h ' +' h a 4 a a °rw'^'�k �” r C`t,.t /Z`.> ,
> *�k 4 13" .. , ) ..,r»�r a - ¢ ,,� a.y fA '! 0 VISION OF
:t* i T r""P%'"t : '; i `' t x j «xy ''Mn ��•� t ENVIRONMENTAL HEALTH SERVN�I.
a'txt xxaY n yy - ,, rF_' - t'} rF UT i, )v `e';-- �-'a �„ i'3 ai ' t ! t r s :
r ,}��. rk "' 4 .°,�'Lr' i' L ,.w .-* ,a j r^+ r' 7 <Ma� r a ' '� x �, �r:,k �" i:. �' 111
�A r a� t o ? "n , s "- m f a k
r .. R �r> r' s�� , ' } a h ''iF -'t 9 y0. ar� ;di +4 p `t ?i 5�,." �'m a." "' td*.w'r",r' t 'RZ:;$M
n -W,,,, i s tt i ° � ?',3`x' +, t`S a.w 11
+. sxt�j`+a a �+ d t ear 1t jay `"71�wt -M, 4"��'^ e-_
t II t tc34 e v m , ' F n r vt w ry-1 x , , yw I , "w � ( �;
�G'�e�#�zf {N�x�aM(YsA d 4fi ��4p# :!byF��W #Ic�7a*"Mwl�w I.
�: _ p , ,W`,!'. - "r f • t , w . 'k''x'.r� c..q. ,. ,� 1- -:+� '� �T`,r�q *.r `N .i µ � -i f, I
.,t '". '; # ". -�.,, ;f�-'*`y �r ^ �""''"- _ " r .�!�g`ma" :%w e.s. a` " t-'s,.. at•,. f'v i*r `''Y.+�n «„ .. '.
I.;;,4,.
.,ii�4 , ,r zS!`;5�+,. ' "' '.fit '� +�y�+, '� " rw`W,i�aa,. '3�t"} -.y 4�'*h+' 0y`11' +,• �" " `$. °N"T"`,,y,,t !. W '1"S''L, ''' («1..4 e*'"i ." �.,', 4 »F,,, *,, �.�, k "
t ih
x
, i d a } 7 t " I w A
in A
. � 1. �w , M r ! � s v a � Y- {d y
w W ,, t
..