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HomeMy WebLinkAbout0252DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 5. -1 -16 BOX 3 IN I IN I,yti. - • �� . ' , 'N I ' . , Is �� Is �� Eri �ti 16 r- ' N I I . I IN � 00061 ReCeWed of - IS IN The Sum Of "` ❑„ Cash......;,. Check X%,__101'. __1U\ a W O4 WELL UUrirLL t 1UV tulruml DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only WELL LOCATION STREET ADDRESS: WN/vt I TAX GRIO NUMBER: F � , (IVY CD C ;-� i tc �i'c, WELL OWNER NAME: ADDRESS: -- a c;i CA ❑ PBIVATE O PUBLIC USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ❑ PUBLIC SUPPLY 0 AIR /COND. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST/ OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED ,2 / EST. OF DAILY USAGE l2 gal. REASON FOR DRILLING NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION 0 REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH % A5' ft. STATIC WATER LEVEL � _f GATE MEASURED 1 - 1 'mil S DRILLING EQUIPMENT O ROTARY M COMPRESSED AIR PERCUSSION ❑ DUG ❑ WELL POINT ❑ CABLE PERCUSSION ❑ OTHER. (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. C� OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH 8— ft. MATERIALS: 51 STEEL ❑ PLASTIC ❑ OTHER LENGTH.BELOW GRADE ft. JOINTS: ❑ WELDED O THREADED ❑ OTHER DIAMETER in. SEAL: q CEMENT GROUT 0 BENTONITE 0 OTHER WEIGHT PER FOOT /!I lb./ft. DRIVE SHOE O YES ❑ NO LINER: ❑ YES ❑ NO SCREEN DETAILS DIAMETER (in) SLOT SIZE LENGTH (ft) DEPTH TO SCREEN (it) DEVELOPED? FIRST O YES ONO HOURS SECOND GKAVEL PACK O YES ❑ NO GRAVEL SIZE DIAMETER OF PACK In TOP DEPTH ft- BOTTOM I DEPTH ft. WELL YIELD TEST It detailed pumping METHOD: 0 PUMPED 1 tests were done is in- f COMPRESSED AIR formation attached. BAILED O OTHER :OYES 0 NO WELL LOG It more detailed formation descriptions or sieve analyses are available. please attach. DEPTH FROM SURFACE water Pear- ing Well Oia- Meter r- 9 FORMATION DESCRIPTION CODE tt. ft. WELL DEPTH ft. DURATION hr. min. DRAWOOWN ft. YIELD gym. Land I fV WATER CLEAR TEMP. QUALITY O CLOUDY HARDNESS ❑ COLORED ANALYZED? BYES O NO ANALYSIS ATTACHED? O YES O NO STORAGE TANK : TYPE U)X ;.I (D { CAPACITY (9a GAL. (9 61 PUMP INFORMATION TYPE 4U 11��`� I RAPACITY MAKER i_1 DEPTH 0 , MODEL I VOLTAGE. t; HP qa- WELL DRILLER NAME ��i� -�, , uo _ DATE AooRESS �, j�p) ` ,� v , StGrnfTURE 'C" r it PUTNAM CDUYfY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Owner or ,Purchaser of Building Section Block Lot Building Constructed by Aled Location - Street 41 -lee Y m Lart. Municipality Building Type Subdivision Name Subdivision Lot # /0 _ 7 � -Z3 GUARANTEE OF SUBSURFACE SEWAGE DISPOSAL SYSTU4 I represent that I am wholly and completely responsible for the location, work=ship, 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 DeFaranent 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 inmediately following the date of approval of the "Certificate of Construction Compliance" for the saiage 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 occupant of the building utilizing the system. The undersigned further agrees to accept as conclusive the determination of the- Director of the Division of Environirental Health Services of the Putnam County ti,i 1.rc�gt uucul, vL 11cCL11.11 CLZ) t.v wuculc.L WL 11v�. 1.110 1.CL1. -LULC V1 111C JYJL IL l.V VjjC.Ld IC WCL Caused by the willful or negligent act of the occupant of the bui;4ng utilizing day of 7 1917-6 Signature Title ier"a1�Contractor (Owner) - Signature o. . Corporation Name (if Corp.) _� lVa ,ill fid Address Pa-tel-5oa, /V Y, 12,5-&3, rev. 9/65 mk Address r Corp.) NORTH AMERICAN nATMRIES31K, L zmna LABORATORY REPORT TYPE: P LAB ID NUMBER: 95-3625 CLIENT: Paul Talamo 3504 Gomer St Yorktown Heights NY 10598 SAMPLING LOCATION: COLLECTED BY: DATE COLLECTED: DATE RECEIVED: DATE OF REPORT: Upstairs Bathroom Sink: Bridle Ridge Rd, Lot 12 P. Talamo 07/10/95 TIME COLLECTED: 2:00 PM 07/10/95 07/17/95 y_ ANALYTE RESULT UNITS METHOD ANALYZED Total Coliform Absent Colilert 07/10/95 E. Coli Absent Colilert 07/10/95 This sample, as submitted to the laboratory, and as compared to the New York State limits for drinking water quality for the tests performed, was: ✓ 'ACCEPTABLE. . NOT ACCEPTABLE. 447W1 0 u7:141-OmAr. Laboratory Director NYSDOH ELAP #11218 CT Lab Approval #PH-0171 Fax A !UTNAM COUNTY DEPAMMERr OF MALTS Dmdm 1 sod& S lo Caal, N.Y.14S12 Blighs. Ir b pa 14- Pall w CEi1S+ICATE OF CDC PEtt1101t FOE =WAGE MWOSAL SYST= o.:esTiA�.e m..e a L�vr+. MA I-to ,,►ate... nat-c QrihtHvi -,I Annrnved z-. Z-i \�9� -7 4 93 Town :dry[oh Tax Mill S 3191 i lat ReuvwaL—O—Revkhe o Date d Previous Approval Town °ter V :.� : a (L'. �aa F.nr1 nGart ❑ k,..,: —+- ..: > - � onefts Type Lot Am i .X1.3 • Fm section oab, Dept vala.e mombw d Bed' Den1Ee Fbw G P D CEO PC® NolMleatiea Is Eegdeed Wheel Fm d a�pided Selpaea/e SewenW System a con" et [CV0 c.ao. Sepa Talk Jim - Coo t,�F. ors emi oxi To be o by —ry . (3 V— h diireee Water swflr. Pedelic Supply Fees• Addnm ere _PlIvate Supply DOW by C' 91;- I%E �j'eee Odwr iEaq�be�wta 1 represent that 1 am wholly and. completely responsible for the design and location of the proposed system(s); 1) that the sa rate ,saw di aal' stem above described will be constructed as shown on the approved amendment there to and in accordance With the standards, rules a squ ions O nam County Ospartment of l+..ltn, and that on completion thereof a "C"fIII of Construction Compliance" satisfactory to the Commissioner of Hulthwill be suOmitted to the Departnnnt, and a, written guarantee, Will be furnished the owner, his sltcesiews, heirs or aaiflns by the puilde►, that aid builder will plece in flood .operating - "Rion any part of said sewage .disposal system during the period of two (2) yeas Immediately following thedate of the iau- ence of the approval of the Cartilkate• Of Construction Compliance of the Original slam any r M►et0; 2) that the drilled well dps►Iped above will be located a$ shown on the approved plan and that Paid well l will M' ltA t sta rds, rules and ree—UN o-f Of the Putnam County' Oafart o wealth. Date t O�C� ` Signed P.E.'Rr.A. — ' `7p& Addna S" � License No APPROVED FOR CONSTRUCTION: This approval expires two yeas from the date issued unless construction of the build, inq .has been undertaken and is revocable for cause or may 'be'amended 'or modified'whon'considered n cesary-b the . Commissioner of Health. Any Charge Or alteration of construction "Quires anew permit VW2Mpd for disposal of domestic sanitary e, w �ri�r to water wpply only. Ran.�� 10/88 "a- 0Y — Title s DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner } 1..lsvrui. Address 3So �E Ceti- �-�2 55r, T31Lr x-Le- lZh7 ZO q 1 vS4 Located at (Street) 'IQ rrzc l� W L t_ Mr, _ (jviv \ Sec Block Lot I �o (indicate nearest. cross street) Municipality Watershed K --e7V � Date of Pre - Soaking C I' Ice Date of Percolation Test e i "-{ HOLE �iZ 1S NUMBER CLOCK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level We No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In.Drop. Inches Inches Inches 1 .4 -��� r 26 �� Z i 2 Iv�3R ii L�q �� Z4 i�ti - .�f ��� j,'?S F7 3 lido II •L!o 3y ,l Z4 _ zG 1. 7f 1.7 4 30 Z4 - 2� 5 1 to:y� IAA 3`1 3 7- �iZ 1S ^j 3 1013 4 We 5 NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained at each percolation test hole. All. data to* be suimitted for review. 2. Depth measurements to be made fran top of hole. . P TNAM COUNTY DEPARTMENT OF EMALTD _ Dldira d Dawkouniatald Hedlh Saltless. Camel. N.Y. low to Pwvl� Ia�ll. N PSUOT FOR SRWAOE DISPOSAL SYSTMyI[� ,� �i'zl nlar �i (»s K- ell�t7 S.eavw. N�io a'. i D1 c 2 i nL;� r:S MTeS Subd. rot / I 1 Ownof/Ap OkWA Nlaffs Piau1 LAUeA i A Lea V4 0 Tema on: Tax 11LP 45> Itaotl< ' f.r 1 (19 Rawwa_❑ Rovidw -a Daft of Pirevba Approval Town �(c� lZ iCi?Si_:i�� (�TS . zip t v `1b CC) Dies Type 9 LL-1 1VA' l t Ara A G - F)R Sectlea OBIT Depth' r V.Ww Z-5 ' Nombot d Ded� DWp Flow G P D Required Whm FM Is aNpbobd Sopfrala Sew+egp 8�� a oatlalat d .tiC>ti U C.aBon SoPtk Took and � vz.3 L F, n "F l� T5 ���P`ri vu . ) 9v�e� Te ba,00exlIi%i ad by 1 J29- 12�1- 4111)12 -2 Addwas WatR Sqppb: Ptiilli Sopi* Fto Ad&m Other Regdeareanla 1 reprennt -that I am.wholly and Completely responsible for the design and location of the proposed system(s); 1) that the u sate sew di cal s stem above descritiid will be constructed as shown on the approved amendment there to and in accordance with the standards. rules on* rpu anf ream County, DSpsitment " of leulth, and that on completkfn. thereof a .,Cartiflute of Construction Compliance" satisfactory to the Commissioner of Healthwill be submitted to the Department, and' a, written guarantee will be furnished the owner, his successors, heirs or assigns by the bulkier, that said bulkier will gAae.. in food .operating "Man goy, part of said sewage .disposal system during th kxll of ears immediately following the "to of the luu- ar4o of the approval of the Certificate of Construction Compliance of the origi st W y repairs t o; 2) that the drilled well.described;ebom w1a be Muted as showw on the approved plan and that islet welt will -0o 1 rda he standards, rules and rpu aliions of tM 1, outnam County Depart of Ifaaltei. Date q -1 Signed P.E. R A , . Address ,4 ) 1 ��rL . Z— License No 6­7 APPROVED FOR CONSTRUCTIONe Thee " approal expires two years from the date issued unless construction of the building has been undertaken and is revocable for cause or may be amended or modified when considered necessary by the Commissioner of Health. Any change or alteration of construction requires w permit. Approved for.dispoul of domestic unitary iw !%§N WA private water supply only. ?ev. oae• 2G l er/ /�� /� Title V/ 00 3Y� 4 DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster, New York 10509 (914) 278 -6130 December 14, 1993 Paul Lynch 103 Fair Street Carmel, NY 10512 Re: Talamo Bridal Ridge Road Patterson Dear Mr. Lynch: JOHN KARELL Jr., P.E., M.S. Public Health Director Your application has been received by this department on 11/16/93 The application is considered incomplete and the following items must be submitted. ( Fee should be paid by Certified Check or Money Order only. ( ) Fee is not enclosed or incorrect amount. Fee due is: ( ) New Tax Map designation should be provided. ( ) Other: If you have any questions, please contact Robert Morris, ext. 166 or William Hedges, ext. 168 of this office. Thank you for your cooperation. Very truly yours, Christine Johnson Intermediate Clerk Note: Your application has been approved, upon receipt of a Certified Check or Money Order you can pick up your application. 0 Paul Lynch 103 Fair Street Carmel, NY 10512 Dear Mr. Lynch: DEPARTMENT OF HEALTH Division Of Environmental Health Services Geneva Road, Brewster. New York 10509 (91;, 2 73 -0130 December 14, 1993 Re: Talamo Bridal Ridge Road Patterson .;OHN -(ARE!-I _ _ .. PE.. M.S. PCo::c Heai :n Jirec :or Your application has been received by this department on 11/16/93 The application is considered incomplete and the following items must be submitted. should be paid by Cartified Check or Money Order only. ( ) Fee is not enclosed or incorrect amount. Fee due is: ( ) New Tax Map designation should be provided. ( ) Other: If you have any questions, please contact Robert Morris, ext. 166 or William Hedges, ext. ?9.8 of this office. Thank ycu for your ccoperation. Ilery truly yours, Christine Johnson Intermediate Clerk Note: Your application has been approved, upon receipt of a Certified Check or Money Order you can pick up your application. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # v WELL LOCATION Street Address t32it� 21D6C Town V+k 7a y> Tax Grid Number zc�+.S S - t - t WELL OWNER Name Mailing Address '35v 4 6,044VW- Private 0 Public USE OF WELL - primary. - secondary RESIDENTIAL O BUSINESS O INDUSTRIAL O PUBLIC SUPPLY O FARM C3INSTITUTIONAL O AIR /COND /HEAT PUMP O TEST /OBSERVATION O STAND -BY 0 ABANDONED 0 OTHER (specify O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED 4- /EST. OF DAILY USAGE (.C:t.) gal REASON FOR DRILLING O REPLACE EXISTING SUPPLY 0 TEST/ OBSERVATION 12-ADDITIONAL SUPPLY NEW SUPPLY NEW DWELLING O DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN DUG GRAVEL C] OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL' IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: TS21DL�_ 1p c_F_-f Lot No. i7_ WATER WELL CONTRACTOR: Name 'r, �• Address: 1 17 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ NO NAME OF PUBLIC WATER SUPPLY: u A TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: A , LOCATION SKETC SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET (da e) (signat re) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or grou ater. Date of Issue: 19— Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller ti PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date �•.� c3v � a�_ Y} Ic(ci7 Re: Property of��� L,�ti,- jjL,Lc� Located at C3 t&z o _ (T) �j�,�ZLJr?�SC,�j Section S Block Lot C:1 Subdivision of Ra cot,,i_ `R'cP Subdv. Lot # .Z Filed Map # ate "Z Z -I Gentlemen: This letter is to authorize I � �u t- ��'1 _ � rW-C"� 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 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 C, Counter P.E. , ] Address Very truly yours, ����Lt�C �Cl Signed` Owner of Properrt�y X35 S/ 414, A/ ee ,k Address ��FX` ��TOc✓t� � bti � /(O Town Te lephone Telephone DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEK FILE NO. C weer } Address 'W<3 4 Located at (Street) ALL n r? (�,�t ;s1 Sec. .Block 1 Lot. i (indicate nearest. cross street) Municipality Watershed • • • 71• •• • Y� t • Y• - 9• P �t • XIMU Yet •I • Date of Pre - Soaking Date of Percolation Test HOLE NL74BM CL= TIME PERCOLATION PERCOLATION Run Elapse Depth to Water Fran Water Level No. Time Ground Surface In Inches Soil Rate Start -Stop Min. Start Stop Drop In Min /In.Drop Inches Inches Inches 2t_ 3 14o&-is- 3 4 5 1. Tests to be repeated are obtained.at each for review. 2. Depth measurements to _, o /Q [ at same depth until approximately equal soil rates percolation test hole. All.data-to'be submitted be made from top of hole. . TEST PIT DATA P3QUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN .TEST HOLES DEP'T'H HOLE NO. HOLE NO. HOLE NO. G.L. 2' 3' 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROONDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: <>u ,, n t V 5 r oy DATE: / Lii71Vt`1 1" Drop: S Soil .Rat ed 2 -1 -13 v / P= .D. Usable Area Provided No. -6f Bedr Septic Tank Capacity UU Zj g Type Absorption Area Provided By SQL L.F. x 24" width trench Other ! U. CS l 1 R-�- 5 ��1CHAE((Y 9f Name- �v� 1 `ft✓c �� Signature Address ko'3 -7-7109 S-,— SEAL Fpm 06744 Ivy 4 Z THIS SPACE FOR USE BY HEALTH DEPARIiENP ONLY: Soil Rate Approved sq.ft /gal. Checked by Date PC -1 P UT NAM C OUN TY D E PART M EN T O F H EAL TH APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: _ -P&ui t., c, & i--C 3 Cc ZA 6 —cl a'Pl S� 2. Name of Project: 3. Location T /VV-e:- 4. Project Engineer: Ps -vim L �wzf� �� -1 5. Address: 0,3 47:'- ►e- Si License Number: (a-1 4 rk( Phone: Z2 -S" o�rEA 6. Type of Project: 7 — Private /Residential Food Service Commercial Apartments Institutional Mobile Home Park Office Building Realty Subdivision Other (specify) 7. Is this project subject to State Environmental Quality Review (SEAR)? Type Status (Check One) Type I.. Exempt Type II. Unlisted -�K 8. Is a Draft Environmental Impact Statement (DEIS) required? ............. 9. Has DEIS been completed and found acceptable by Lead Agency? YL ............L- l \ 10. Name of Lead Agency �i�rr►j�s � 4�.utr RD. SugDwtsco 11. Is this project in an area under the control of local planning, zoning, or other officials, ordinances? ......... ............................:.. 12. If so, have plans been submitted to such authorities? .................. 13. Has p•�iaa.ry approval been granted by such authorities? Xf-Ff Date Granted: Z. Z 14. Type of Sewage Disposal System Discharge...... Surface Water Ground Waters 15. If surface water discharge, what is the stream class designat ion ?........ 1) 16. Waters index number (surface) ..... ................ ! l !7. Is project located near a public water supply system? 8. If yes, name of water supply Distance to water supply 9..Is project site near a public sewage collection or disposal.. system ?..... 0. Name of sewage system Distance to sewage system ,1. Date observed: 17,1D4M23. Name of Health Inspector: 4. Project design flow (gallons per day) ....... . .............................. ('w W 25. Is State Pollutant Discharge Elimination System (SPOES) Permit required ?.. 26. Has'SPDES Application been submitted to local DEC Office? ............... LJ-7111 2T. Is any portion of this project located within a designated- Town or State wetland ? ............................. t�3Z� 28. Wetland ID Number ......................... ........................ ........ 07Z, 29. Is Wetland Permit required? .............. ............................... Has application been made to Town or Local DEC Office? .................. 30. Does project require a DEC Stream Disturbance Permit? ................... 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 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 DESCRIBE: . kj--u 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? 1� 35. Are any sewage disposal areas in excess of 15% slope? ........................ U-7) 36. Tax Map ID Number ......................... ............................... 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 provision may be grounds for the rejection of any submission. I hereby affirm, under penalty of perjury, that information provided on this ....form is true to the best of my knowledge and belief. False statements made herein are punishable as a Class A. Hisdpoeanor pursdant to Section 210.45 f the Penal Law. SIGNATURES & OFFICIAL TITLES: 1`i���+— I�l • �-! (1.�Z -�i{ )� ^ —�. 1 u3- .fit(!? Si V MAILING ADDRESS: ,�,... •� L. Cfi r � L s 5 .': -a . KESi►a��.+t.E r N. cl �i I ��q.: c►b'