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631- 589 -8100
85.06 -1 -19
BOX 34
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7"� t PUTNAM COUNTY DEPARTMENT AF H;-ALT G
"Division of Environmental Health Services, i Carmel, : N. Y 10512
CONSTRUCTION PERMIT: FOR SEWAGE DISPOSAL SYSTEM�",•�
_ Town or ViIl;ige Blot
- — - -Located ai-., �`P" _� � see- J� -' -a _ —�—
Subdivision ° Lot Job .!
Address / 2,
Owner
Building Type � C►. Lot Area '` %t/S .� A
Number of Bedrooms � °' ersr �s e31 Total Habitable - Space �' Square -Feet
Gal. Septic Tank lineal feet X width trench
Separate Sewerage System to consist of -
To be constructed by
Address:
Water Supply:
Public Supply From
Other Requirements
_ Private Supply to be drilled by
Address
i tai
i°'- i
I represent that 1 am wholly and completely responsible for the design and location of :the p
above described will be constructed as shown on the approved amendment there to and in acc
County Department of Health, and that on completion thereof a "Certificate of Construc
be submitted to the Department, and a written guarantee will be furnished the owner,
place in good operating condition any part of said sewage disposal system during'. tho,
ante of the approval of the Certificate of Construction Compliance of the original i0te
will be located as shown on the approved plan and that said well will be installed in accorjatt4
County Department of Health.
Date &% Signed ° Y
Address
APPROVED FOR CONSTRUCTION: This approval expires o e year from the date issued
revocable for cause or may be amended or modified w conside d ne s by the
require new p rmit. Approved for disposal of mastic san' ry swage, ar�/or priva
Date
d.AXPrpss);.1) that the. separate sewage disposal system
A��itkgto "A4ndards, rules an regu a ion; o, the Putnam
st�cto,y to the Commissioner.of'Healthwill
glVitsor!i4ris by the builder, that said builder will
wo ( 1,4edcs imlbediately following the date of the issu-
ny repairs 66V%to• k that the drilled well described above
r 9gandarl0p Xul@,s and regulations .of . the 'Putnam
0
1' 1( n .._. . .
.l�t/�i K.VD�rN P.E. R.A.
License No.'��
° atrere��(bQ'S►� 0°t a building.has been undertaken and is
QIF$Na3ateitd?' Any change or alteration of. construction,
eFccgW'ispi� only. ,
Titi
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N. Y. 10512 p �%
`CONSTRUCTION HERMIT;. FOR SEWAGE DISPOSAL SYSTEM J G�J°�, ` Y G /�`
%�
// Town r Village
Located at _Z -,e-- 0!-' �' S 6�(7— &1- C Tax Map Block
Subdiv
Owner
Building Type ,� - :r c-.,.,/ Lot Area
Number of Bedrooms –3 Design Flow &4'to rf
Separate Sewerage System to consist of / a G Gal. Septic Tank
To be constructed by 0 w t1/ G tz
Water Supply: Public Supply From
s/
Private Supply to be drilled by
��Ad ydress�s''
Other Requirements
e 17 ,ca
lei e.
Lot 4 Job
L
Address �'
Tot/, Habitable Space /.q-,are Feet
and -'1 Cs`"fd.5'�i�14s
Address .�a �,-S -
I represent that I 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 and regulations of e Putnam
County Department of Health, and that on completion thereof a "Certificate of Construction Compliance' ssaatt�ia[lvjyyat�wo the Commissioner of Healthwill
be submitted to the Department, and a written guarantee will be furnished the owner, his successors, h �1*si!!?iN-, builder, that said builder will
place in good operating condition any part of said sewage disposal system during the period of two rsjFWj&% is llowing thedate of the issu-
ance of the approval of the Certificate of Construction Compliance of the original system or any r j�,�( q , �iflaj ruled well described above
will be located as shown on the approved plan and that said well will be installed in accordance with t stayf s. rules regZFioFns of the Putnam
County Department of Health.
A.
Date % Signed • P. E. 6r R.A.
� a
Address / -9 �. i nf e ' ,�� s LicBn o.
APPROVED FOR CONSTRUCTION: This approval expires one year from the date issued
revocable for cause or may be amended or modified when co Qsan* d cessary by he Coi
requires a new permit. Approv d for disposal of domesti ar sew age, r
a �
��-1-
Date By
is been undertaken and is
alteration of construction
} b r
PUTN AM COUN �'Y fl��PAR TMENT OF HEAL TIC �'
Diwsion >of Environmental Hea /th Services Carme/ N Y 10512:
RTIFICATR nCtnr►weTQ inrnn ;..,., - -- - ,
YORKTOWN MEDICAL LABORATORY INC.
P.O. Box 99 321 Kear Street 2453203
Yorktown Heights, N.Y.10598 #4879
DATE COLLECTED
RESULTS OF EXAMINATION OF WATER 9 _
DATE RECEIVED
OWNER 4 10 91 1_I -25 A.M.
KENNETH MARIANO DATE REPORTED
CITY, VILLAGE, TOWN & /OR NAME OF SUPPLY
, TOTAL - PPM
-- - BACTERIA PER ML. (Agra' plate count at 35 )•
_ _.....
NITRA (as ) - mg L IRON,-TOTAL- Mg L
DETERGENTS" IIKJ
A1�Il�tU1VIA m r EEC as N mg L
YES COLLECTED BY: K. MARIANO
These results indicate that the water was
of a satisfactory sanitary quality when the sample was collected.
A. PADOVANI, M. T. (ASCP)
SHERLITA AMLEK MD, MS, FAAP
Commissioner of Health
L 0 RE TT 9 1 M0LINARI; RN IVI.SW" - `n
Associate Commissioner of Health
ROBERT I BONDI
County Executive
-
Z. ='::
- - - - -.- ---- - - - - -- - - - - -- - -- DEPARTMENT- OF-- HEALTH ___-- ____ - - - -__ _ __--------- - -___. __
1 Geneva Road, Brewster, New York 10509
May 3, 2005
Victor Pascente
12 Dosoris Lane
Putnam Valley, NY 10579
Re: Addition — Pascente
12 Dosoris Lane
(T) Putnam Valley, T.M. #85.06 -1 -19
Dear Mr. Pascente:
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 May 2, 2005. The addition is approved with the following conditions.
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 fixtures must be updated with water saving devices (i.e. new low flush toilets,
.restrictors for shower heads and faucets etc ... ).
Any permits or variances required are the responsibility of the applicant and the jurisdiction of the
Town of Putnam Valley.
If you have any questions, please contact me at your convenience.
Sincerely, �
�/. e
(:�/Oiseph S. Paravati Jr.
Assistant Public Health Engineer
JP:cw
Cc: Building Inspector, Putnam Valley
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085
Early Intervention/Preschool(845)278 -6014 Fax(845)278 -6648
t�
BRUCE R. FOLEY
'H Wk -.free
Associate Public Health Director
Director of Patient Services .
_ _ ---------- --- - -- ------ - -_ - -_ 1 Geneva Road
Brewster, New York 10509
Environmental Health (845) 278 6130 Fu (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 -.6678 Fax (845) 278 - 6085
Early Intervention (845)278-6014 Preschool (845) 278 -6082 Fax (845) 278 - 6648
ADDITION APPLICATION
STREET i l �)� o ft� 5 Li -
(RESIDENTIAL ONLY0
TOWN ` VA &X MAN
NAs� V r (L ?0VSC&Ae— PHONE AIS- s -PY' - /PCHD# . }S & 7--d S
MAILING ADDRESS ( L 0M-5 �-- e—
DESCRIPTION OF ADDITION Ho54f,-
—' � `JtM.76•om.�C_ O►►'G d�/b'ow+ �dtrn 15,/�`4r
NLRvIBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS � r 4A,, h
(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 ido and e following to Putnam County Health Dept., 4 Geneva Road, Brewster, NY
10509, Phone 278 -6130.
I. 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
Feb98
BFhouseguidelines
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At3
LORETTA MOLINARI
Public Health Director,---
DEPARTMENT OF HEALTH
I Geneva Road, Brewster, New York 10509
EnAronniental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 - 6014 Fax (845)-278 - 6648
Putnam County Dept. of Health
1 Geneva Road
Brewster, NY 10509
To Whom It May Concern:
Rdort (
ROBERT J. BONDI
L;:�Counl)4_ --Fxeculive:.;�-- 2.
Re:. IZ— 905 0-'E/S Z—�-
Residence
Tax Map
Town
According to records maintained by the Town, the above noted dwelling,
IS
IS NOT
In compliance with Town code and the total number of bedrooms on record is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD;
OTHER:
Building Inspector
houseguidelines
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TOWN OF PUTNAM VALLEY
WELL DRILLERS LOG AND REPORT
Thi,_rcpnrt is ;to ^beA completed by well driller and submitted to
-- department; - together- with - laboratory Trepor -t=Tof
water sample indicating water --,is of satisfactory bacterial quality.
11
Wall.Locatio
Tax Map Street
Well Gwner,�
Sec. Bl. Lot
Uime Mailing Address City or Town
//�� Tel. #
z��
Well Drille,P,.,
Name MailitLg Address City or Town
CASING DETAILS YIELD TEST WATER LEVEL SCREEN DETAILS
Bailed Measure from land surface
Length Ft. or !�
Pumped Hrs. Static: Ft. Make:
i// Bailed Slot
Diameter:& Inches Yield:.�fPM lWhen
or Pumped Ftil Length Ft.Size
Kind 1 Diameter in.
T r TAL DEPTH OF �.L o d Feet
WELL LAG
Depth from Give description ^f formations penetrated, such
Ground Surface as: peat, silt, sand, gravel, clay, hardpan,
,shahs; sandstone, .granite,. ete. - Include size _..-
gravel (diameter') and sand' (fine, medium, coarse),
color of material, structure, (LGose, packed,
cemented, soft, hard). For example O, ft. to
27 ft. fine, packed, yellow sand; 27 ,ft, to
134 ft. gray granite
Feet to Feet Formatinn Desc;rintion
Date Well Completed /i �- Date of Report
Well Driller
Signature
BLS 1 -77
JOSEPH F. SULLIVAN, P.E.
eonaur�Ein9 �n9ineee
2972 FERNCREST DRIVE -
�•i" a '•>;'z+,.. a.. QW.. .. a vu -" ',i •r . ♦�i. nYOk'R: W i.:.. �'va:::'ar .. .. a u,'. '�'4r• • "ii • . 6v.a.' "`c. ..
'N HEIGHTS, N. Y. 10598
(914) 962 -4248
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Owner or Purchaserof Building Municipality
Building Constructed by Section
Location - Street Block
j 7/_
Building Type 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-
'.pant of the building utilizing the system.
The undersigned further agrees to accept as conclusive the de-
termination of the Director of the Division of Environmental Health Ser-
tr,�es of the m
Putna•- County. - Depar.tment of .-Heal as to t�rhether 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.
r,
Dated thi s day of /crr'- 19.` Signature`
Title
If 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
3
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF-ENVIRONMENTAL - HEALTH .SERVICES
.. - _
Re Property of _ /' o i C7 .'�? 7
Located at -
Section Block Lot
Gentlemen:
This letter is to authorize
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 nece$sary papers on my behalf in
VVJ111eV dull wl girl L11-L5 nna is per and to. supervise the coristruc ciun of said
system or systems in conformity with the provisions of Article 145 or
147, Eduoation, Law, the ._Public Health Law,, and, the, Putnam County _ -Sani- -
tary Code.
Countersigned:
P .E ., R.A ., # 2—
of nfpi
Very truly ours,
Signed
Owner of Property
Address
` "1 1,5-
Telephone
.l
L m EZjb
Ail/ 1 !deli'!: idl_;f_?:k i y
HEALTH
F
PUTN" nr I[rAr,Tll
DTVTqTnN 01' `A-* ^'1' \T:IE, l(EALTli
Re: Property of
Located atC�.�
Section Block Lot
Gentlemen:
This letter is to authorize
i"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 wid to supervise the construction, of said
system or systems in conformity with the provisions of Article 115 or
.1L17, Education Law, the Public .Head:th-- T��.w;: arad the; PUtnafli`C �amy Sani =-
'tart' " `Code.:
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Very truly yours,
Signed c- �.
.�`•E 6F ,yfwc•,,, Owner of Property
Countersigns *�F,�i�as s�'��- 1 �- { �o✓a� �;,,��_ '`
Address
Telephone
Address �.y..;_��i►�„'O� .����;' ,� � �� �'4 �9 .
Telephone
i
FIELD CJ7;CI; TST
Date
SIIITTAL SI`IE INSPECTION,
As
No
Commcrits
Property lines or corn --r3 found .
Can estimate- house location . . . . . . . ..
Will .driveway rie -ed c,-*,-U- . . . . . , . .
Mist trees be removed-ncte these
Is deep hole reprecen t,e '" ve of entire SD 3 area
F`d d. ll1 1_o- holes • • • . • O O
Sufficj--cnt ,D,:, a, , a a_lab1.e con-1iaering
�.
drivei-w- cut, house 1 ova Lion, sepe.ration .
distances, etc, . . . . .. .
DEEP HOLE, DATA
'
IIate'r elevation:
Rock, elevaticn:
Soils d e s cr_L TA
lY
rII�aL S1T, —, Insp. bv
House located t•;here sho m on approved plan
Sly located t: h;:l a� ,�_ o, ed . . . .
Iengt n of trench
a .h of trenc-h ave.-a� e
Slope of t i le ,ir_e and L..—nch acceptable . .
Rco:-i allowed for e ?:pa s-.cn trenches
-O,-er -0 ft:
nautiira1 "soil r_ot strir_p edvor SDS area
unne.cessarily gr6de-a. . . . . . . . . .
10 1 . maintained f rcr: p, -op. line armed .
20.ft. from house
. . . . . .
S °;aration of trench frc:i house, i -,ell
etc. follows plan
htLrber of be (1roo ;s . . . . . . .
Stones, brush, stu::ps, ,�uU��lc, etc. greater
VL:n 15 ft. from near--st trench . . . . . .
15 1'�.. of periphercl soil horizont.e.11y from
trench. ... . . . . . . . . . . . . . . . .
Junction bozos prop,Drl;- set
Cot:<ld surfa. ce rein off dr.-Lvel. a y roads,
gro IR, • a- r SDS ,. . . .
.1 �,`:s lot dral»ar•e armcar O.K. in a.rc.a of SDS
_
��.L1�TPiL l]RADl? 1G OF J -T:_, t1CCl'1'1�T.�L ,'
.e
• Y
I in. JO pr-1 c Lest depL1
Comt . r ,-cults for j r. tu>.s
D . hole log
0. K. I
Ccr•_rorate �.�.'�':i c vit for. oi.ilr -9 than irldividual
Autilori[;u.tJ!.0iI f'or eriE- ine ^r ! I
Letter from '.'_ for Suon?.y ii' ��nT).li.cable �' I
If variance roquestea -such noted_ on plans 8, apps.: fu Jq j
Lr;a.riTI1S .. .
if char'Z.e is proposod, )
Existing contours shown kshow ne.•r contours) (. Je
Slop -s for do-iv --%-;ay cuts, -etc. sho;•in.. t
mater service line location '
Tootirz; drain, etc. location
Top slope, bo t t- cm slope of fill � I
Percolation tests and deeu test pit location f
Septic 1- n'•c si„e and conformance to st
j
B. house niinirr:ur; -
Housc setbac'c shown I 1
Al.l water t,er wiTm1n .,V ii .. of, t'L 5t'IUI•Itl
Plan and profile S.L,S _ . {..: _,........ {.......... _ . ....
x ll other wells and SDS closer 200' f
rcrice - .,i;dd
Property boundaries (metes and bounds -cleat y sho.r 1 I M G
'> n'� T'��1TI0'`J D? Sl:!1?`CIvS Si'T'CIF'IIs7 GIST PLAIN
0' to P.L.
10' to Fo- md�_tlon walls
0' to Noarost .-,,ell _
i0' to strea.rt, march, 1,11'..e, etc. i.ncl ,ex' pansi
.5' to Curtain drain - -- _
0' to .later line -
5' to storm drain _
0' to :Lar�,e .�t.rocs
0' fr10n! found" Uorl to sc:pt:i.c .t<ank - -��
5 to pipe from leader drain i fooLin;; ural n-
!
0-11T
1.
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PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
` - U CARMEL;
COUNTY O��FTCE BUILDING, N. Y. 10512
-- -- DESIGN -DATA -� SHEET -S SEEPARATEP SEWAGE DISPOSAL- SYSTEM--
Owner.Z �d��"e� /�rS�" /rr� �' Address ,%?
Located at ('Street o_s �''s ` Sec. ,!� ;7 Block Lot
Indicate neares cross street)
Municipality hz7erl Watershed
SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS
Hole
Number CLOCK TIME
PERCOLATION
PERCOLATION
Elapse
Depth to Water
Water ve
No.
Time
From Ground
Surface
in Inches
Soil Rate
Start -Stop
Min.
Start
Stop
Drop in
Min. /in drop
Inches
Inches
Inches
Odfy�
7
20
5
5 �
Notes: 1) Tuts 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.
TEST
PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION
DESCRIPTION OF SOILS ENCOUNTERED IN TEST
HOLES
DEPTH - HOLE
N0. r y/.. HOLE NO
4 HOLE NO
G. L._.
_.. -_
12"
18"
2411
3011
36..
48
54".
6o"
66"
7211
78"
r
84
INDICATE LEVEL AT WHICH GROUND WATER IS ENCOUNTERED Z <rl;�,
INDICATE .LEE" BYL - .O� WHICH .� WATER. � L.E�V_EL - R,I._ S E.. S::AFTER .BEING . ENCOUNTERED
:
- TESTS'
D��1G1V f
Soil Rate Used� "Drop: Drop: S.D. Usable Area Provided
No. of Bedrooms Septic Tank Capacity f0 Pfd Gals. Type Mie -son r�
Absorption Area Prodded By_?& �, L.F.x2411 width trench.
Other
Name s _ �� i v u signature,
yes. i° "4"
Address 2, 0 7 Z fie: L o afw
THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY:
Soil Rate Approved Sq. Ft /Gal. Checked byop bite
24 8T,
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Tree on
Llna
62.69
o /0��C
!97.00' to the 1!/
Southerly Side of H o. .
D(inq Lane as Shown -\� o. 01 I !
on Filed Moo No.
R.O.W. Mon. � � � e, Npil Set In
,1' Set .Wail I Edst. Coop.
_ 'w•f' .. ,V I m I R.O.W. Yon,
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B•ICk
Stbroge
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LOW L. nun 1 n r 17(. vv
Mpt.P
2ti l e s —
4,RCEL SHOWN HEREON KNOWN AS A PORTION OF PARgEL "A"
N SUBDIVISION MAP ENTITLED "MAP No. I, GLENBROOK
LED IN COUNTY CLERK'S OFFICE ON NOV. 14, 1952
i MAP, No. 680.
JBJEOT I,) ELECTRIC ANDIOR TELEPHONE CO.
.SFME'NTS. IF ANY, FOR OVERHEAD ANDIOR
JOERGRCUND SERVICE.
RVEYE-D AS IN POSSESSION, fNo Lines of Possession
',c, Than Inclicatedl.
OSTRUCTURES ANDIOR THEIR ENCROACHMENTS
LOW GRADE, IF ANY. NOT SHOWN.
USE OFFSETS TAKEN TO FOUNDATION L!NE.
OPERTY CORNERS STAKED FOR BLDG. CONSTRUCTION
RPOSES ONLY.
CT'RTiFICATIONS INDICATED HEREON SIGNIFY THIS SURVEY
',V-1 PRF =ARE.0 IN ACCORDANCE III THE EXISTING ' OD•L
, PRACTICE: FOR LAND SURVEYS AUOPTEO BY THE NEW
Y•.;FtK STATE'. ASSOCIATION OF PROFESSIONAL LAND
5l:r :VEYORS, SAID CERTIFICATIONS SHALL RUN ONLY Trl
Teti: PERSON rOR WHOM THE SURVEY ISPRFOARF,D. AND
:)'1 1115 BEHAL! TD THE TITLE COMPANY. GOVFRNMENTAt.
A;;ENLY ANO LEND+N(; INSTITUT ON LISTED HEREON. ANC tr.
THE '.';IG ^.NESS OF THE LENDING INSTITUTION.
tok N1, :! TFANSI'ERAbLE TO ADDITIONAL INS'•IT,i TIONS OR
S;JH;EQLJENT OWNERS.
SURVEY OF PROPERTY
PREPARED FOR
ALLAN and HEIDI FREED
!IS SURVEY IS HEREBY CERTIFIED ONLY TO:
LOCATED IN
1; ALLAN and HEIDI FREED
3 THE CHICAGO TITLE INSURANCE CO. FOR POLICY No.811030-0934. TOWN OF PUTNAM VALLEY
J. HENRY CARPENTER & CO.
::IVIIL ENGINEERING & LAND SURVEYING PUTNAM COUNTY, N.Y.
YORKTOWN HEIGHTS, N. Y. elk ctrtlt,petip RS Fte,ton ea Vs4d fo, This Mep end CoOits Thertpr
1 Henry Ca, ye rater 6 Co. 0..H—by Ct,Wy The, on 00 29,1979 Ohly it Seed Mep 0, C.0— Beer The Impressed Seel of Tht Sw—it l
ty' The pre ml5<s Shown Htrepn Wes ede end That Th,s Map Wh05e Slgnstttre App—, Hereon•
sa( I ccoroenct W„h The Fies� Notes Seid 5 veY. Alteration of 'IN. Man Other Than by s Licensed Lend Surveyor
SCALE: 1 "= 40 DATE: 1.00,29.197c
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