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HomeMy WebLinkAbout0331DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -2 -30 BOX 4 00140 } J { ,' � � 1 4 e T ; IL �'6 �.1: IN 1 � I oil 00140 r e 17. - : -. 3a PU'fNAM COUNTY DEPARTMENT OF HEALTH VISION OF ENVIRONMENTAL HEALTH SERVICES CERTIFICATE OF CONSTRUCTIO COMP FOR SEWAGE TREATMENT SYSTEM PCHD CONSTRUCTION PERMIT # Located at j2-r-SS ZDAJ4 > To or Village s i i i2 j per/ Owner /Applicant Name S sl,. 17,o i /a V l Tax Map /y Block Lot Formerly Mailing Address Date Construction Permit Issued by PCHD Z. b Subdivision Name e�) ` 11- F4A Subd. Lot # 03-EM E-1101 Separate Sewerage System built by ST��r�� Xl /��i�� ✓��� Address try � Consis of 5� Gallon Septic Tank and 5� G G- 2 " lr%:a�j % �Z, U�' C).� o O&zj�ejfluifnents• — Watk i of Public Supply From Address or: Private Supply Drilled by A 6 ( Address, _I_ (gZ }- . Building Type r-%S / D /5 /v r7A -�— Has erosion control been completed? Number of Bedrooms Has garbage grinder been installed? f I certify that the system(s), 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 Coun)r Department of Health. Date: Certified by AddressS� -�-� / g -D R.A. License # 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 ar subject to modification or change when, in the judgment of the Public Health Director, such revocatio , o ificatio r change is necessary. By: !' Title: r/� C- '�' '� Date: 1 White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional Form CC -97 2e PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES /D,3 ? FINAL SITE INSPECTION Date: 0A Inspected by: S et ri-- ©55 , Owner n ' b'ARA Town Permit # p-3-V-87 Ttif Subdivision Lot # 9 1. Sewage SN-stem Area a. STS area located as per approved plans ................:.......... b. Fill section - date of placement 3:1 barrier Lath. Width Avg.Dpth c. Natural soil not stripped ................... ............................... d. Stone, brush, etc., greater than 15' from STS area.......... e. 100' from water course/wetlands ...... ............................... II. Sew-aQe Svstem a. Septic tank size - 1,000 ........1, 250 // ....other .............:.. b. Septic tank installed level ................ ............................... c. 10' minimum from foundation ..... :................................... d. Distribtuion Box I - All —outlets at sane elevation -water tested ................. 2. Protected below- frost .................. ............................... 3. i`finimum 2 ft.Original soil between box & trenches Junction Box - properly set ...................................................... ength required Length installed ffpo 2. Distance to watercourse measured I',I- c�,c,Ft.......... 3- Installed according to p a6-.4. Slope of ten acceptably 1 5. 10 o ro rtyline - 2 oundations.......... 6. D t of tr nch <30 inches fr m�urface ::::::::::::.�� 7. Room allowed for e t n, 8. Si of vav1 1 " di eter clean .................... 9. e ISIren2ch 12" minimum ................... 10. ell capped ........................ ............................... g. Pumu or Dosed Svstems 1. Size of pump c am er ................ ............................... 2. Overflow tank ............................. ............................... 3. Alarm, visual/ audio .................... ............................... 4. Pump easily accessible, manhole to grade.: ............... 5. First box baffled .......................... ............................... 6. Cycle witnessed by H.D.estimated flow /cycle........... III. HouseBuildinQ a. house located per approved plans ... ............................... b. Number of bedrooms ....................... ............................... IV. Well a. Nell located as per approved plans ..............." .? b. Distance from STS area measured ©o ft .......... c. Casing 18" above grade ................. .............................:. d. Surface drainage around well acceptable ............... V. Qv6all 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. 1/97 axe' It �.��� COMMENTS e - I� I ©� IBM IMM Iwo.� ✓ ' �Imm 1 __ ,' axe' It �.��� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES WELL COMPLETION REPORT Well Location Street Address: Cross Rd. Town/Village: I Patterson Tax Grid # Map Block Lot(s) 4 Well Owner: Name: Address: North Ridge Builders 5 Progress St. Brewster,NY. Use of Well: 1- primary 2- secondary _X Residential Public Supply Air cond/heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion X Compressed air percussion Other (specify) Well Type Screened Open end casing X Open hole in bedrock Other Casing Details Total length 20 ft. Length below grade 18 ; ft. Diameter 6 in. Weight per foot 171b/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 NONE _ Yes—No Hours Second Well Yj0d T . _ Bailed _Pumped __K Compressed Air Hours 6— Yield _L2- gpm Dept `' w`> C/3 Measure from land surface- static (specify ft) 20 During yield test(ft) 245 Depth of completed well in feet 245 V{ -g Il _ �detaiRd ft. U -% in' ltd ion# -- desft�lon§ r sieve analy%s are available, please attach. Depth From Surface Water Bearing Well Diameter(in) Formation Description ft. Land Surface 3 6 iliXXXX soil 3 245 Limestone If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type Capacity Depth Model Voltage HP Tank Type Volume Date Well Competed 6/26/98 Pytnam County ertification No. 010 Date of Report 6/27/98 Well Driller (signature) NOTE: Exact location of well with distances to at least two permanent landmarks to be provided on a separate sheet/plan. Well Driller's e Wr g Bros. Address: 162 Baker Rd. Roxbury, Ct . Signature: QAJ Date: 6 L AP White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 I PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM ILIJO (4h /0 Owner or Purcliaser of Building Tax Map Block tot Building Constructed by ToWn�/, Tillage. . . Location - Street Subdivision Name ,s. B g Type Subdivision I,,ot # p , e= O Li } eseAthat I am wholly: and completely responsible for the location, workmanship, material, truct n and drainage of the sewage treatment system serving the above - described property, and is has -been constructed as shown on the approved plan or approved amendment thereto, and in act dam with the standards, rules and regulations of the Putnam County Department of Health, and hereby fDarantee 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 system. .. The undersigned further agrees to accept as conclusive the determination of the Public Health Director 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: Month )o Day Year `1 y Signature: Title: `i '5 +0f_ A General Contractor (Owner) - Signature Corporation Name (if corporation) Corporation Name (if corporation) Address: .� !° r o 5 r 53 S fi 50' SW Address: S 61-1 State 00 ► 7 . Zip %6,5--O`i State Zip Form GS -97 NORTHEAST LABORATORY OF DANBURY 39 -3 MILL PLAIN ROAD - DANBuRY, CT 06811 (203) 748 -7903 - FAX (203) 748 -0652 LABORATORY REPORT -- WATER SUPPLY TESTING REPORT TO: NORTHRIDGE BUILDERS 5 PROGRESS STREET BREWSTER, N.Y. 10509 SAMPLE SITE: SAMPLING POINT: SOURCE: TREATMENT: BACTERIAL: Total Coliform (Bacteria) PHYSICALS: CT Cert: PH -0404 NY Cert: 11471 DATE SAMPLE COLLECTED: 10/6/98 TIME COLLECTED: 11: 15 A.M. COLLECTED BY: STEVE DATE RECEIVED @ LAB: 10 /6/98 TESTED BY: LAB #PH0404 & 11031 REPORT DATE: 10 /9/98 LOT #4, CROSS RD., PATTERS ON, N.Y. OUTSIDE HOSE WELL -NEW NONE 0 7.44 0.33 <0.01 0.78 113.0 130.0 <0.03 0.015 2.4 <0.005 ml = milliliter mg/L = milligrams per Liter * *Notification Level ** *Action Level per 100 ml 0 per 100 ml no designated limit NTUs 5 NTUs mg/L as N 1 mg/L as N mg/L as N 10 mg/L as N mg/L no designated limits pH no designated limits mg/L Turbidity CIISIPRY: 0.3 0 mg/L [Note: Combined Limit for Iron plus Nitrite N ,Manganese = 0.50 mg/L] 11301 -Nitrate N g!a � .1c ez Alkalinity E Hardness �< � 7Z: ?.. ^+ N Iron v Manganese t,u oa an Sodium Lead CT Cert: PH -0404 NY Cert: 11471 DATE SAMPLE COLLECTED: 10/6/98 TIME COLLECTED: 11: 15 A.M. COLLECTED BY: STEVE DATE RECEIVED @ LAB: 10 /6/98 TESTED BY: LAB #PH0404 & 11031 REPORT DATE: 10 /9/98 LOT #4, CROSS RD., PATTERS ON, N.Y. OUTSIDE HOSE WELL -NEW NONE 0 7.44 0.33 <0.01 0.78 113.0 130.0 <0.03 0.015 2.4 <0.005 ml = milliliter mg/L = milligrams per Liter * *Notification Level ** *Action Level per 100 ml 0 per 100 ml no designated limit NTUs 5 NTUs mg/L as N 1 mg/L as N mg/L as N 10 mg/L as N mg/L no designated limits mg/L no designated limits mg/L 0.30 mg/L mg/L 0.3 0 mg/L [Note: Combined Limit for Iron plus ,Manganese = 0.50 mg/L] mg/L 20 mg/L ** mg/L 0.015 * ** ND = none detected NTU =Units RESULTS BASED ON SAMPLES SUBMITTED: 10/6/98 SAMPLE, AS TESTED ABOVE: MOTABLE or AMNOT POTABLE (PER NEW YORK STATE DEPT. OF HEALTH SERVICES STANDARDS FOR POTABLE WATER) ME_. Laboratory Director •NORTHEAST LABORATORY, 129 MILL STREET, BERLIN, CT 06037• (860)828 -9787 - FAX (860)829 -1050 TOLL FREE WITHIN CT: 800 - 826 -0105 •OUTSIDE CT: 800 - 654 -1230 I DAte Subdivision `-A, iy.ewi y, ,' 1 .M•M�we that t anwN011y ane' above described wii be construct County. OadartwAnt . of MaNtly IN wiMwNtM to tIr >blliml tw In 110• atM gr1�N1 aneo of Elie, NMOrt+! i1 tIM 6 wo N loomed am tw,dl Cow�ty IiMkh. Off. A ;% R VEO fOA C6NST1tNCTl rwroeMN for ewss er nay M: am rNUMN a w psr, IL AM►et I 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 # R3/i//9 WELL LOCATION Street Addres G o5 s o illage City Tax Grid Number / 3 - Z — WELL OWNER N e Mailing e9 1.111V16V Address GPrivate O Public OF WELL 1 primary 2- secondary CILMIDENTIAL ❑ PUBLIC SUPPLY O AIR /COND /HEAT PUMP O ABANDONED O BUSINESS O FARM O TEST /OBSERVATION O OTHER (specify, O INDUSTRIAL O INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT _gpm /# D REP�ACE EXISTING SUPPLY WEW SUPPLY (NEW DWELLINGI PEOPLE SERVED 8 /EST. L3 TEST /OBSERVATION P DEEPEN EXISTING WELL OF DAILY USAGE_ _6C. al Q ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING US WELL TYPE I GRVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES t--"NO IF WELL IS LOCATED IN A R TY SUBDIVISION, NAME OF SUBDIVISION: V ��� Lot No. WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES t—__N0 NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATI N SK TCH & RCES OF CONTAMINATION PROVIDED ci SEPARATE SHEET ���� (d te) (signature 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 drill' g operations be contained on this property and in suc a manner as not to degrade or oth r i e cont 'nate surface or groundwater. Date of Issue: 1�! Date of Expiration 2— Permit Issuing Official Permit is Non - Transferrable '7,,o-o:O White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Ror d Brewster, New Yorlt 10509 Tel. (914) 278 - 6130 Fax (914) 278 - 7921 Sean Daly Box 243 Shenorock, New York 10587 Dear Mr. Daly: 7 BRUCE R. FOLEY Acting Public Health Director November 3, 1997 Re: Proposed SSDS: O'Hara Lot 4 (T) Patterson Review of plans and other supporting documents submitted at this time relative to the above - captioned project has been completed. Comments are offered as follows: "The construction of this sewage disposal system may be subject to local wetlands regulations. You should contact local wetlands officials in this regard." 1) Engineer's authorization has not been signed by the property owner. d 2) Trench cover is to be noted as geotextile. 3) Erosion control measures are to be shown and detailed for the house well and SSDS. Furthermore, a note is to be added stating all erosion control measures are to be installed prior to the start of any construction. �J 4) Plan has not been signed and sealed by the design engineer. Cam' 5) Remove or cross out fill settlement note. This is not applicable for fill sec ' ns 2 feet or less 6) Add fill specifications, i.e., the % allowed to pass a 100 and 200 sieve. "You are referred to Article 128.1 of the official compilation of Codes, Rules and regulations of the State of New York, Title 10, relative to the'need for approval of individual sewage disposal systems by the City of New York. You should contact city Officials in this regard." Upon receipt of a submission, revised to reflect the above, this application will be considered further. Very truly yours, �bw- Roxio Robert Morris, P. E. Public Health Engineer RM/mh watershed DESIGN DATA Slur- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. own Address Located at (Street) C SC ` Q 10 Block Lot (indicate nearest cross street) Municipality f /'��€zr I Watershed Date of Pre- Soaking 8 Date of Percolation Test 7 Z6l,6 HOLE NUMBER CLOCK TIME L PERCOLATION PERCOLATION Run Elapse Depth th 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 �D 007 3 r7 - 3c-) 1-7 2C� a�� J' f 4 4 5 1 2 3 4 5 ')� a G c0,kre t� 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 submitted for review. 2. Depth measurements to be made from top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. HOLE NO. G.L. HOLE NO. 21 31 41 51 6'DGI L/ 71 81 9 10, 121 131 141 INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING =UNTERED DEEP HOLE OBSERVATIONS MADE BY: DATE.-/-7 DESIGN Soil Rate Used Min/1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity gals. Type Absorption Area'Provided By L.F. x 24" width trench Other L41 Name SignatujTr-�Li_ Address A�)J� SEAL THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: 13 Soil Rate Approved sq.ft/gal. Checked by Date SEAN J. DgLY, P.E. P.O. Box 243 81hLejmoroc11K, N.Y. 10587 <914)o 776 - 5773 \ 5'i January 30, 1998 Mr. Robert Morris, P.E., Public Health Engineer Putnam County Department of Health, Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Re: Proposed SSDS: O'Hara Lot #4 Tax map 13, Block 2, Lot 3 (T) Patterson Dear Mr. Morris: Enclosed, please find ail necessary documentation and required revisions to plans, in accordance with your letter dated November 3, 1997. In regard to local wetlands regulations, I have contacted Mr. John Calbo, Codes Enforcement Officer, for the town Patterson, New York. In a letter to me dated January 7, 1998, Mr. Calbo stated that the only section of wetlands owned by Mr. O'Hara was deeded over to his trailor park, which has 25 acres. All other lots were approved many years ago. If you require any further information from either Mr. Calbo or myself, please do not hesitate to call. Thank you in advance for your cooperation. Very truly yours r Sean J. Da y, P.E. PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of % 9i 0 " //WhI Located at G,eoss ,2Q, 1,9, (T) f �Sp/� Block Z. Lot J�f� Subdivision of 0 � l/ /Wi1-1 Subdv. Lot # Filed Map # Z Date Gentlemen: This letter is to authorize S J-Os"F-R// Z�P/- a duly licensed professional engineer or (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 Code. Very truly yours, Signed Countersigned: # Owner of Property P.E., R.A., Address Address 5ff,w4 �y l©�7 Telephone Town 0` g-- -7 5-Z-9. Telephone PC -1• PUT NAM COUNTY D E PART M E NT OF H EA EY H APPLICATION FOR APPROVAL OF PLANS FOR A WASTEWATER DISPOSAL SYSTEM 1. Name and Address of Applicant: �• 0 • D, Z30)(: 8 Z F22 7777,C501V, IV.y /Z 5-6 �2 2. Name of Project: ����- , 50,rl-76 515 3. Location (9V /C: 4. Project Engineer: J_• �A �--y 5. Address: /30K � J —7 2 S 4F AJ0 P2r� K / 3 X---72&-,'5-773 License Number: 5 Phone: 6. Type of Project: �rivate /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 �� n 8. Is a Draft Environmental Impact Statement (DEIS) required? . 9. Has DEIS been completed and found acceptable by Lead Agency? ........... A), 1 ' 10. Name of Lead Agency 11. Is this project in an area under the control of local planning, zoning, y orother officials, ordinances? ........... ............................. 12. If so, have plans been submitted to such authorities? .................. o 13. Has preliminary approval been granted by such authorities? Date Granted: _ 14. Type of Sewage Disposal System Discharge s : g SUW_ Surface Water Ground Waters 15. If surface water discharge, what is the stream class designation ?........ 16. Waters index number (surface) ........... ............................... 17. Is project located near a public water supply system? ................... A42 18. If yes, name of water supply Distance to water supply 19. Is project site near a public sewage collection or disposal system ?..... 20. Name of- sewage system Distance to sewage system — 21. Date test holes observed: 22. Name of Health Inspector: 23. Project design flow (gallons per day)...... ...... .... ....................... 11/93 2. 24. Is State Pollutant Discharge Elimination System ( SPDES) Permit required ?, 25. Has SPDES Application been submitted to local DEC Office? ............... —' 26. Is any portion of this project located within a designated Town or State wetland? ......................................... ............... D 27. Wetland ID Number ........................ ............................... 28. Is Wetland Permit required? .............. ............................... Has application been made to Town or Local DEC Office? .................. 29. Does project require a DEC Stream Disturbance Permit? ................... No 30. 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 O 31. 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 D DESCRIBE: 32. Is there a local master plan or file with the Town or Village? ........... 33. Are community water, sewer facilities planned to be developed within 15 years?� 34. Are any sewage disposal areas in excess of 15% slope' ........................ 35. Tax Map ID Number ............................... 13 -C2_ °-30 36. 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 Misdemeanor pursuant to Section 210.45 of the Penal Law. 11--) /? SIGNATURES & OFFICIAL TITLES: MAILING ADDRESS: O7G 13 S1 �/r/4�G� ���� lI T PURRAMCODNME11 AR1ll�il OF�ALTH s A W DlWdm d g ndrmmmmw Bed& Swdm& Cmimmm . NA 1is1? ' ' B� � Pwvldi Prltolti a• CZRMFIC ►TE COQ 1 ' CpNSitQC110N PSG FOR SMAGE DOPOSAL'SYSTBM J v Iat r Tax MaP- o�f.et Nre Dale of Affreval 9 er.�1g Aai1... �1 O j( 7iB "� Tawn LI . 1 _n D++rs Lot Aeeo 1 r Pm s«Ne 0.4 Depth valaneZ Neaaier d Below Dedgm Flow G P D cJO PCHD Nodbandom Is DevYbed Whim PM Is oomplebed Sep- s —mom s,,mb- d -M" a L�Z�� c�.B.. � TW* Md -FT" /u�^ I' T ,ll To 6a. oa�ebioeled ��j 7—, ' u i —fl-> I Adl4are Water S"* :. - Frieda Soplb pt� {R � Ad�eeee on Pit"" �s � •✓ 1 / � 2 Adore... oue 1 represent;: that I am wholly and.Corrlpletelyresponsiblefor the design and location of the proposed system(s)1 1) that the separate saw d. YI f stem above described will beconstructed as.shown on the approved amendment tfieri to and in accordance with the s4ndard; rules a rpu Suns o : Mm County ' Depertment of Health, 'and that on compNt=tIhereof • "Certificate of .Construction Compliand" satisfactory to the Conlmissloner of Healthwill be submitted to the Oepertment,'.and .a written guanntea will be furnished the owner, his Successors, heirs or au s by the bul". that said builder will pace iA pod` operating condition, -any part. of Yid sewage disposal system during -the period of two (2) years tat fouowing the date of the IaSu- Sass of the 'appra at -of, tfle- Catifkate of Construction Compliance of the. original ern or a . repairs o; ) t, M drilled wait described aboira will be located as shown on'thwepprowd.;plan and that 'said wail will be Insta in a nCe w IM d 6 N • Ypy cell% -of the Putnam County Depart IfeaR °� P.E. v A Date a ph s+�a.o C �.-yL Addres � Lleerlse No APPROVEO FOR CONSTRUCTION This approval expires two -years from the. date issued ass construction oft building has been undertaken and is revocable for cause or may be arhaide0 or nlodifled when considered nec y by . ssioner Hof Health. Any Charge or alteration of construction p ramuiref a new per t. �Approved for disposal of domed IC sanitary or v q yr only. �[BV ...Title DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 APPLICATION TO CONSTRUCT A WATER WELL �-a PCHD PERMIT # WELL LOCATION Street Address To Village City G 102 7 TA-, - �O, u Tax Grid Number -3 WELL OWNER,,`` Name Mailing Addr U -L I�rivate ❑ Public ff E OF WELL primary 2 - secondary L- xESIDENTIAL D BUSINESS 0 INDUSTRIAL ❑ PUBLIC SUPPLY ❑ AIR /COND /HEAT P ❑ ABANDONED 0 FARM 0 TEST /OBSERVATION ❑ OTHER (specify b INSTITUTIONAL ❑ STAND -BY O AMOUNT OF USE YIELD SOUGHT 5 gpm /# PEOPLE SERVED_ /EST. 0 REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION 04EW SUPPL l (NEW DWELLING 13 DEEPEN EXISTING WELL OF DAILY USAGE Lgogal Q ADDITIONAL SUPPLY REASON FOR DRILLING DETAILED REASON FOR DRILLING MOW -� WELL TYPE CIBI(ILLED DRIVEN DDUG GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES --'N0 IF WELL IS LOCATED IN A REALTY S DIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name —i ; 751 -D Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES �-NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH 6 SOURCES OF CONTAMINATION PROVIDED �_ SEPARATE SHEET (date) Tsignature ) 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 c.to a surface or groundwater. Date of Issue: 19��� ' --"�- Date of Expiration 19 wPe Issuing �-� g Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg.-Insp. Orange copy: Well Driller IrMorm of mmahwin that saii t eimir w is . the Mto o/ .t" IMU- wNl.inwe" $60" t IMildW$g bas t*W underUkon.and if Any .chants or aRoriiion of coMt ruction i0 /8Q . ora_ 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 #,P-54-89 WELL LOCATION Street A dress To Village City Tax Grid Number WELL OWNER ame Mai ' ng Address -0.1bo `` II rivate '� �V Y O Public USE OF WELL `� primary secondary SIDENTIAL O BUSINESS 0 INDUSTRIAL D PUBLIC SUPPLY O FARM b INSTITUTIONAL O AIR /COND /HEAT PUMP O ABANDONED O TEST /OBSERVATION. O OTHER (specify, O STAND -BY O AMOUNT OF USE YIELD SOUGHT t7 gpm /# PEOPLE SERVED_6 /EST. OF DAILY USAGE_�al O REPLACE EXISTING SUPPLY O TEST /OBSERVATION 12. ADDITIONAL SUPPLY EW SUP LY N DWELLING O DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING NOW 4joi-C-26 WELL TYPE �ILLED O DRIVEN []DUG GRAVED OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED o 13ON SEPARATE SHEET 2 91 X21-11 (date) (signa 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 thirt, (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 otherwis = ^on ^mina *°._Surface or groundwater. Date of Issue: c _-275 19 Date of Expiration 19 Prmit Issu�ing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date q l.� bt) Re: Property of Located at�� T u (T) =� r 'J Block' Lot 0 c.. Subdivision of Subdv. Lot ## Filed Map ## i ?7GPQ _Date_ T. MICHAEL DALY, P.E. Gentlemen: CONSULTING ENGINEER P. 0. BOX 243 This letter is to authorize SHENAROCK N a duly licensed professional engineer 0r (Indicate to apply for a Construction Permit for a separate sewage: system, to serve the above rioted 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 Code. Very truly yours, n e d ( V , — +) CountersigneslC` V Owner of Property P.E., R.A. , ## `Z . Address T. MICHAEL DALY, P.E. Address P. 0. BOX 243 SHENOROCK, N. Y. 10587 Telephone CA- Town `Telephone DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Address Located at ( Street) �� cArrN NeG— 10 Block Lot (indicate nearest cross street) Municipaiity i' /jz€] Watershed SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of Pre - Soaking :Z64 Date of Percolation Test HOLE NUMBER C= TIME PERC OI ATION PERCOLATION Run Elapse Depth tb 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 2 C> c3 .�3C) t 7 � Y�j 3 3/ 5 3 n - -)rj r) 17 20 a1Ly 4 E 4 5 1 2 3 4 0 ahrC rL 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 submitted for review. 2. Depth measurements to be made fran top of hole. rev. 9/85 TEST PIT DATA REQUIRED TO BE SUBMITTED WITH APPLICATION DESCRIPTION OF SOILS ENCOUNTERED IN TEST HOLES DEPTH HOLE NO. I HOLE NO. HOLE NO. G.L. iG c�J � it 2 3' f 4' 5' 6' 7' 8' 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED Cdriy y�i INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER BEING ENCOUNTERED DEEP HOLE OBSERVATIONS MADE BY: �.� DATE: DESIGN Soil Rate Used %/ i 5 Min /1" Drop: S.D. Usable Area Provided No. of Bedrooms Septic Tank Capacity 12-S'Z) gals. Type �y Absorption Area Provided By L.F. x 24" width trench Other o�- .�-��41 , Name L Signat` ZY ' Address SEAL _ THIS SPACE FOR USE BY HEALTH DEPARTMENT ONLY: Soil Rate Approved sq. ft/gal . Checked by Date DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130 Fax. (914) 278-7921 October 29, 1998 Sean Daly PO Box 418 Shenorock, New York 10587 Dear Sean: BRUCE R. FOLEY Public Health Director Re: Certificate of Construction Compliance Cross Road. D'Ottavio, Lot 4, Patterson Please submit the required fee of $200.00 Certified Check or Money Order for the above referenced Compliance. Upon receipt of the above, your application will be considered further. Very yours Christine Johnson Principal Clerk ,I i� I i Y lU9UM 000lfR DWAtil�f OF NBAC11H B' $ Cisal N Y M32 Ekob4aw M law" room � Cg1�IC,AZE O� OO1QfJAlICi �OMr;MR UWAai DRCiAL :M'W Pg 9 ad S anowwoL- Dated Aev A*eaal 9 rates AM" 1 ,0 oit ZB ,Z 'N ►J TOWS 12T''Yo3 pates Subdivi tnn 'Approved ' Fee .Enclosed Amrijm t 1..+rs lj.. ,�-� : ✓ l ► 1 I AL L« A... � ° ' j Z',41--1 Po "iiia. o.a Depl� l ee et laiwar Dui@ plow G P, D : 8 © O rc® Nedb a" Is Rea mil Wiw M b einINai Sew.b sd aaie f,11lt11il to on" d 2 �4_jGM§@I1 scale To* "L—. To be w.� rule pr.. Aii<en an �/ Pidrite fib Milid, by 7 represent that 1 Inn i wholly and cpviowdy- rs*onsibw for the d"ien OW Jo;aat {on of the 'piopos systMntlli_ 1) that .the. separate Mwga dild"I system above deaCrNNd wlll;ea aonstruaed as shown on:ttw app► W owaf amendment there to and M accordanaa with the standards ruNS an regu County Departmant: of `mmah. aiw that on eofnpetial,tM►eo1 a •'G� tificite of Construction Conlplianel' Nt {sfaetory to thi Commieebna► of Isw*h'WiN be a1lbnNted to towDapaArnwtt.. and . a wfittali Nurentse wip. be ii"Wh li the ownw his fuCars►t� Mlre or,asai�na by the builder. that saWlIvi der will pave;a go"/ Oder tilM�eondttan':any Part of`.fam se wa@ ilii l syftiui dwifN tM:OKbd of tviro'f!1 yens telyfollowlf» thedate of the IMP. anq of too, aipray l 411:.2" Certifkate of.,CenstwetNn,Cow►pt", of ,the orlsk"I system or ;any repNs t l2)'.t_ thCON" wall dewb", alo e wIM M IoeetM as WWWO dh,ttie.apprehrM.ple . that Yid well will -bi Installed , in ` nq: war the It ' r art Para a et tow hitMM 1. Cawlty, sMnt'Cf NNkh.' Date 1 I . ZD.,I L Barbed RE.; . R A. Address- 2 l.k»aes No APPROVED FOR CONSTRUCTION. This approval: expires two the date .1swed unless construction .of buildkle has Merl undertaken and is 01 011181111k for Cr a or. nwy be af11M1Md or modified whim con ed ry by tM omnNNio er of MSaRh. ny` chin@ or alteretion of Construction sMY 11e a tt. Anpsarell, for diumno of donledle and/ hate water supply only. Rev<. Ot11a fltr 11 QQ TRN Mz h0k,, i��9. DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT�A WATER WELL P,CHD PERMIT #793-4-8-9 WELL LOCATION Stet Address G To Village City l� Tax Grid Number 10 —3 - WELL OWNER Name Mailei3g Address Pa O .�Ox Cwfivate 313 Public USE OF WELL Cl -primary 2- secondary SIDENTIAL D BUSINESS D INDUSTRIAL OPUBLIC SUPPLY QAIR /COND /HEAT PUMP ❑ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify U INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT g gpm /# PEOPLE SERVED 8 /EST. OF DAILY USAGE L00gal REASON FOR DRILLING 0,,, �REPLACE EXISTING SUPPLY' 13 TEST /OBSERVATION 8i16W UPP Y JNEW DWELLING ) O DEEPEN EXISTING WELL Gl ADDITIONAL SUPPLY DETAILED REASON FOR DRILLING r WELL TYPE rtVRILLED E]DRIVEN QDUG GRAVEL. OTHER IS WELL SITE SUBJECT TO FLOODING? YES y NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: U 1, Lot No. WATER WELL CONTRACTOR: Name ` s 1r ,�, Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES 1,-'NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATIOIJ SKETCH OURCES OF CONTAMINATION PROVIDED N SEPARATE SHEET (date) ((signature) 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 thirti� (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 Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Health 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 oth wi contaminate surface or groundwater. Date of Issue: � � 19 Date of Expiration � Z 19 2 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Date Re: Property of �1 t-lA�� Located at SeYA 4s -Block �j Lot Subdivision of Subdv. Lot # Filed Map # Date T. MICHAEL DALY, P.E. Gentlemen: CONSULTING ENGINEER P. 0. BOX 213 This letter is to authorize SHENOROCK, W. X. ygpSg7 a duly licensed professional engineer !dam o ct (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 Code. >w Countersigned:(� G" �; P.E. , R. A. T. MICHAEL DALY, P.E. Address CONS NG ENGINEER P. 0. BOX 243 SHENOROCK, N. Y. 10587 Telephone Very truly yours, Signed Q?- C , Owner of Property X82 Address '-So Town Telephone ..-- .... ---z•- ----- r-"r i- x-=----- T-- -'-^- — .---z �� _ ' PQl1Ul[ COO[fti Dl�lif�[fl' OF �AL'!� ' • � P PaectQS DOaYAwd�o�l oa1�18aoM�8 flew. lI.Y low, anCE24VATS07CONEZAARM PiYm M IWAM BurosL f!b!®It I�aaloi 1� o� ee dleINe . t ,( �iidlslle� lle�e Let./ � MR 1 Q Blas4_s 3 laY 4 . le mill l_ O lZevlalaos ❑ OwndA@Pred�b lle�e � L�.�� • � Dabs d Psevivasi'A�aevel _ :: r.wfhls AiciM; �� Town p }p. Subdivision Avnroved Fee Enclosed. `Amn„nt 3111210116 Ty" la Am. V SCid@ll,O*_ Ntitlier d �. lD—ei Plow G P D iPCHD b li tad Whig P91 �.e d ,. SoleteaM:87atbe� w oeeoeleb of.. -G TWA '.a wow rwa s F on y .are. Sim* Dead by Milli !MAL�_ 1 npasant-.that 1 am wholly and COMPIG Ny rafponr* for the dmign and)ocation of the proposed system(S) 1) that the saParati saw d. sal slam Son— dascribed will'be constructed as fhown on ter sown,, amendment there to and in accordatnp with -the standards, rules a rpu_ o . na county Department of. /1a nK -and tluitFoil cornotatlon.thereof a "Cirtifscale. of Construction CompiianW tat4dat2ory to the Commissioner Of Hee thwill bo 'Ud"Nsd to the .Deoerbmllt, and a writtah;,twawntei wits. 0a'fuinishild the owner his sucauor ; MirS OF assyn y the twl ldss. that said builder will place ir1 goon opsntinp condition any`. Part 'of sells fauns" dissiolal'systom' during the pwiod of two.(2) yaersfth tely foltowl"'thodate of the kw- anp of :the - gppm&l of ter CartNicatsi _of Construetia+ ,Comppaince Of ;!So or- yinsl,fystem or, any repairs thereto 2) hat the Grilled' wall described a6OVQ will be located ai thin the approved plen and thot laid well will be installed in oll ith std rA u and CPU ns lk the Putnam county Dapart r.6 f. _ Data Signed ' P.E. RA. iterlfe No ApkOVEO FOR CONSTRUCTION TMI,M,WO"I slipi revocable for Cause Or may be ainendad or modified who reouwes a permit. A olnd for dki"I of doe Rev. - . By date issued union' construction of t, uikting has boron undertaken and is by ter . Commissioner of HGAI y change or alteration of construction atnd /oa�paivate water wpply only. , DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT 4 1� WELL LOCATION Street Address r To Village City Tax Grid Number iC7-' D WELL OWNER Name '' !! Mailing K6 APIA Address CFArrivate O Public USE OF WELL 1 - primary 2 - secondary "SIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP O BUSINESS O FARM O TEST /OBSERVATION O INDUSTRIAL []INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify Q AMOUNT OF USE YIELD SOUGHT .r"— gpm /# PEOPLE SERVED /EST. OF DAILY USAGE (000 gal REASON FOR DRILLING D WLACE EXISTING SUPPLY 94EW SUPPLY NEW DWELLING [3 TEST/ OBSERVATION Q ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING Maw 1Lnrga-X WELL TYPE DRILLED EDDRIVEN []DUG OGRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION,.NAME OF SUBDIVISION: (*r)' 1,J 4PQ. nn Lot No. T WATER WELL CONTRACTOR: Name f� ;'j�. Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES ✓ NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: L N SK OCATI ETC6�NISEPARATE URCES OF CONTAMINATION PROVIDED / SHEET (date) ` ignature) 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 thirt; (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 groundwater. Date of Issue: ,�4.—'� 19 �j-� - --4- Date of Expiration 19Z"o, Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller Re: PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES Property of Date / Located at lU Block j Lot P I Subdivision of 6A Subdv. Lot # 4- Filed Map # ���� Date 47 02. T• MICHAEL DALY, P.E. Gentlemen: CONSULTING ENGINEER P. 0. BOX 243 This letter is.to authorize SH NOROC 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 Code. Very truly yours, Signed C) Countersign d: Owner of Property P.E., R.A., # C24Q Address T. ECHAE1. DAI.Y, P E. Address CONSULTING ENGINEER Town P. 0. BOX 243 SHENOROrx, N Y. 105117 i_4� Z - z �; 4 _0 7 Telephone ,S-- -9-_- '- -3 5' Z__ Telephone m +tx , CF DIS_ Ly per7L, t A_=_L C_-r:_czaL= P1 T S C=.-si-st—ant P -r Z: PEE a7 =r -z7z-,;a C 7 C-E-L C=7C LC z Data Ca 7�7 =7 Tank No P:= Dr:.vaiay 2c S 1, cc:=—= C RE-grasa=-R-1-7E cf c:: C_ ar!E-Cc .7 --v & 72-1- Tf P & D a - No -1 ff Eez-c T- C:: 1 -4— =-Z, Cau=aE pro::arty be ' _ ­­ saiv (T- DTc Ee=;Es f7c_� Z7 -M Fis C S 20' tz ti ca WE i1 I 2.1 r.�,II; i0o, in 3 5 '-L.:; 5 tc vv 10, t 50, in ttant crainac= Sol tz waLl C JCT