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Home My WebLink About0593DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23. -1 -57 BOX 7 T r IT. ti ', i, � � . . 16 N I ' -- llr 1, , , Igloo 1111 IN 00593 Pev,; • -3�/ 86 PLiTNAM COUNTY DEPARTMENT OF HEALTH Dlvielon of Environmental Health Services, Carmel, N Y.10512 Engineer Must Provide' P.C.H D. Permit q �� i 571 SEWAI Located at A"rec-.-� / I„L(Gf v Cr, ` Owner /appUcant formerly Marlin 'Address "G /d am l4 /lil i B � Zip No �.�lm Aver�� Separate Sewerage_ System built by CYR10- srr S Y c✓% Consisting of „J� Gallon Septic Tank and Town or V e Tai Map Block Lot" �t�iry-vt- a�>✓ ! Subdivision Name r� Subdv. Lot �q Date 'Permit,lssued�� s± Water Supply: Public Supply From Address � or. Private Supply Drilled by t)A L A L)e- i11 Ads ddress _216 Building Type L?159L / A- L- Has Erosion Control Been Completed? 1. Number of Bedrooms Has Garbage Grinder Been Installed? /J Other Requirements I.certify that the system(s) as listed serving the above'premises were constructed essentially as shown on the plans of the completed work ( copies of,which are attached), and in accordance with the standards, rules and regulations, in accordance with the filed plan, and the permit issued by the Putnam County DepartmentOf Health. r Date r� `�� Certified by L7 �- P.E. R.A. AddreS.15 ' � "��cense No. / Any person occupying premises servad .by the above systems) shall promptly take such action as may be necessary to secure the correction of any unsanitary conditions resulting from. such .usage.. Approval, of the_ separate. sewerage system shall become null and void as soon as a pub;': sanitary ewer becomes available and the approval of the private water supply shall become null old when a' public water'supply becomes available. Such approvals are subject to , m difico ion or change when, in the. Judgment of the Co m sf ei ealth, such revocatio n, modification or change Is necessary. Date • BY T tle' A Owner or Purchaser of Building Section'. Block. Lot t% li`0m�e,S Building Constructed by S6 rh e i f-S�t // /1 -S ��. Location - Street Subdivision Name Municipality Subdivision Tot # s Building Type GUARAUM OF SUBSURFACE SEW&GE DISPOSAL SYSTEM . UP represent that AWwholly a a nd:-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 guarantee to the owner, his successors, heirs or assigns, to place in good operating condition any` part. of said system''constructed by which fails to operate.,for a period of two years immediately following the.ddate of approval of the !'Certificate ,o €_ Construction Compliance00 for the sewage disposal systen, or any repairs . made _.Iby to such system, . except where the . fai.lure 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 . Environhental Health Services of the Putnam County Department of Health as to whether,or.not: the failure of .the systen too was caused °by.the willful or negligent act of the occupant of. the di �' iz' the system.. ; Dated .this. c� day �o 19 Signature Title . — a-11 e"> (Owner) - Signature ,\ Corporation liame .(if Corp.) U� . Corporation.Name (if. Corp:) ess d /Va' ;/ Q. ij r ev 9/65, mk 9 �l EK-26I /ITT 0 wz" klurirj rziiuv Ar.rvr:i DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH Office Use Only ` WELL LOCATION STREET ADDRESS: 76WRIVICtIEUCIII, TAX GRID NUMBER: ��.-�- �,Q e T-02 So 1J A)'-/ ra -(� , 2 WELL OWNER NAME_ ADDRESS: f �sT + - V� Z d 4 njT Cy p PfiIVATE ❑PUBLIC USE OF WELL 1 - primary 2 - secondary SIOENTIAL ❑ PUBLIC SUPPLY ❑ AIRICONO. /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT gpm.INO. PEOPLE SERVED —4a---1 EST. OF DAILY USAGE gal. REASON FOR DRILLING 9kW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH _ ft. STATIC WATER LEVEL ::2k ft- DATE MEASURED J DRILLING EQUIPMENT ❑ ROTARY ❑ COIjIIPRESSED AIR PERCUSSION p DUG ❑.WELL POINT ABLE PERCUSSION ❑ OTHER (specify): WELL TYPE ❑ SCREENED PEN END CASING .❑ OPEN HOLE IN BEDROCK ❑ OTHER CASING TOTAL LENGTH 3:� fL MATERIALS: ® EEL ❑ P LASTIC ❑OTHER LENGTH.BELOW GRADE ft. JOINTS: -O ,WELDED 04READED - -❑ OTHER DETAILS DIAMETER _C_ in. SEAL: MENT GROUT ❑ BENTONITE ❑ OTHER WEIGHT PER FOOT j (b. /ft- DRIVE SHOE S ❑ NO UNER: O YES SCREEN DETAILS _ DIAMETER (in) 'SLOT SIZE LENGTH EPTH TO SCREEN (ft) DEVELOPED? ❑ YES ONO HOURS SECOND GRAVEL PAC YES O 0 a�u€t SIZE . D—�-1, OF PACK in. DEPTH tL e�r� DEPTH It. WELL YIELD TEST It detailed min ? P P 9 METHOD: METHOD: O PUMPED tests we one is in- COY PRESSED AIR for n attached? �- BAILED ❑OTHER t ❑ NO WELL LOG it more detailed d formation descriptions or sieve analyses are available, lease attach. DEPTH AHEM SURFACE water Bear- ing Dia- Dia- Deter FORMATION DESCRIPTION CODE. ft ft WELL DEPTH ft. DURATION hr. min. DRAWOOWN It. YIELD gpm. Land Ce T? c( ' ), /1 WATER (b,. t6R TEMP. QUALITY ❑ CLOUDY HARDNESS O COLORED ANALYZED ?_ ,45, YES ❑ NO ANALYSIS ATTACHED? S O NO STORAGE, TANK: TYPE,G _U'2=4;�� f,l CAPACITY - I GAL. ELI WELL DRILLER NAME 1!! 4 lolc, GI ADDRESS x 3 /,' stcr < O j PUMP INFORMATION / .. TYPE C (l CAPACITY L� z'x / MAKER - <.) [L- DEPTH MODEL 4 � VTAGE �HP 0 Yorktown Medical Laboratory, Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovarii M. T. (ASCP) A Dennis Malanchuk PO Box 313 Croton Falls, NY 10519 L -I J LAB y Date Taken: 10 _� r�� Time: !�, t'11 Date Rc' d : 2�(' -d Time: Date Reported: OCT. 23 0 1999 Collected By: Dennis Malanchuk Referred By: Sample Location: t ) e 'dam ) 4. [ Or, WU n \,c) a(( ' L L a -r Phone # Phone .# — I Sample Type: Repeat Test? (check one) LABORATORY REPORT ON THE QUALITY OF WATER y INORGANIC 'NON-METALS (mg /L) MICROBIOLOGICAL (CFU /100mL) Acidity _ Alkalinity _ Chloride Detergents, MBAS _ Hardness, Total _ Nitrogen, Ammonia _ Nitrogen, :Nitrate Phosphate, Total Sulfate _ Sulfide — Sulfite METALS (mk /L) Copper Iron Lead Manganese ;Mercury Sodium Zinc MISCELLANEOUS _ pH (units) _ Color (units) _ Odor (TON) Turbidity (NTU) GENERAL BACTERIA _ Standard Plate Count (CFU /1.OmL) MEMBRANE FILTRATION TECHNIQUE Total Coliform < Fecal Coliform -F -ecal Streptococcus MOST PROBABLE-NU MBER TECHNIQUE Total Coliform Index Fecal Coliform Index KEY FOR TERIMI ,,iOLOGY N/A = Not Applicable LT = Less Than. (C ) GT = .Greater Than ( >) TNTC= Too numerous To Count CON = Confluent (= T ?NTC) NR = :Non- reactive REMARKS /COMMENTS (For Lab Use) Potable _ Non- Lot-able STP INF _ STP EFF , Other: Sample Status: (check each) Outgoing _ HNO3 HC1 H2SO4 NaOH ZnOAc Na2S203. Other: Incoming LE 4 °C GT 4 °C _ pH LE 2 pH GE 9 DH GE 12 Other: THESE RESULTS INDICATE THAT THE WATER SAMPLE ( AS) (WASN'T) (N /A) OF A SATISFACTORY SANITARY QUALITY ACCORDING TO THE YORK STATE DRINKING WATER 'STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTI THESE RESULTS INDICATE THAT THE WATER SAMPLE (DID) (DIDN'T) (N /A MEET THE SATISFACTORY CHnCA Q )LITY . ST ANDARDS OF THE NEW YORK STA E D �NKING WATER CODES, FOR THE 1 TESTED, AT THE TIME OF COLLECTION. Lx/ `--kA 2 /86(Rvsd7 /87)RWE Albert H. Padovani, M.T. (ASCP), Director rat= V nIn z� -`- �v ZA ON NL ER /l - n s per ar- O ed DLE- _ Da -c--- c= plzcanant L. y bra: e7:=-'r cr_ t�s*1 ]5' fres SLS a _, E_ 1f0 ft_ f_z. at- C:L a/ e ant'- •1.000 1,25 � b- E=_::t? C t=--k C. ! °J' m iL' iT 1 iCLT= =t_CLl G_ ►" QQa hc ^- cr cls : -ncut W-i 2r! 14 1 =_ GT Q5Q tc_' J e_ Prct= ce! ti f.c •:amt L C. Dist =`rcZr. ri� = =T ~ == _mil`.`' f E_Mr - -,c to V— =-t D� st=rc= C---Er' tc c__t— _ -. v— Sic=_ cf C= c:� tT t C- e=: ic-H • jl 1 a—= r i /c. -Tn n F =st Let c-= IV . E_-- -^,,_c - V- T'`-- a. WEL 11 C. C__!lc Is" _ Yes crcce= -V c=cLt= ' h. = ' ices r.. —� _i 1 V J--=c�; - c_ ?_I pi.ces f =L—S -. with i-IS -ce cf pct ta±ns stcr_e_= < -i C_` rlc to =E C "._ ; _ i. _ LT -=?.1 C'_�_C cl:t =a? l crct -2 - =^ Sc C_r.t0 Er_G. G-= C=-cT== ETlrV t!:=n C:1L4 crc= _- 1 C?"C "; ? C=_ cn s i cces CrH:E t=^_ � s �q- 3a Ll y9 �I 8 3( s r S3 P 1 / ; (o ,e/ _Cnw v (` ,kk MOL/t ✓✓✓�c�c -� we�°o6'ce Mailing Address L Z S r/? 70iVI41Y AV-r . Town . zip /f-ATo A Bantling .Type teKJ �i��l/G't� Lot Area , � �a,I/.h�t►!' FID Sectlon=0nly Depth Voltune Number of Bedrooms / Design Flow G P D �w PCHD NoHHcaddii Is Required When Fill Is completed Separate Sewerage System to consist of'/-7' Gall n Septic Took and To be constructed by %�i7;•rt`�1 / /—,l%_ Addre.e . . Water Supply: Public Supply From Address or: Private Supply DrWed by - _Address Other ReaWrements I represent that I. am. wholly and completely responsible ,for the design�'and loci above described will be constructed as,shown on the approved:amendmont then County .Department of, Health.: and that on completion,th'eroof a ,1Certif� cat be submitted to the Department, and a written guarantee wili_beYurnishei plate in good operating condition any part of said sewagedisposal: ,systen ance, of the approval of the Certificate of Construction Cornphanc will be located as shown on the approved plan and that said well wil o ins County "Dart ` ant .of .Health. Date �' Sig .d ion' or the proposed fystem(s) ; '1) that the separate' sewage disposal system to and in accordance with the standards, rules an rego a ions.o e Putnam bf Constiuctlon Compliance -satisfactory to the Commissioner of Healthwill the owner, his succassors,_helrs or assigns by the builder, thet'said builder .Will during the period of'two (2) y 'mmediately following the date of -this issu- orgi 1 iystem or any repairs er o; 2) that the drilled well described' above in C o1 Ce ith t e st daf , �r U1es a IOf15 of -the Putnam _P E. n R.A. — APPROVED FO CONSTRUCTION This approval^�expues two Yeais, from they date is d unless. construction 0 the building has been undertaken and is revocablo for rA se or may bo amentled. or modified when con'sidere na ry by t Commissioner f h. Any change or siteration of constr ction requires a, ne per ' ! Appygied for disposal of domeriic-sa ' r.y age, an va p only, .. Rev. 6 ��/j� Title 1/87 Oat BV_ By- , REVIEW SHEET - CONSTRUCTION PERMIT DATE BY: +oration) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth s/s SUBDIVISION Perc` (3) Fill cd House Plans - Two sets Well permit; PWS letter ariance Request Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REJQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump'pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep results. Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc ,& Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown'& Detailed House - No. of Bedrooms Wells &•SSDS's Win 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L.., Driveway, Large Trees,Top of fil 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 1001 to Stream, Watercourse, Lake (Inc. expan 15' to Drains-Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercours 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' fran Foundation; 50' to well 15' Well to PL Z e� Emu IF provided 4 trench _. ..�.� ft. Pare - 7� IIIMI� �p NEI DATE BY: +oration) DOCUMENTS Permit Application Corporate Resolution Plans - Three sets Engineers Authorization Design Data Sheet (DDS) Deep Hole Log Consistent Perc Results Perc Hole Depth s/s SUBDIVISION Perc` (3) Fill cd House Plans - Two sets Well permit; PWS letter ariance Request Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same REJQUIRED DETAILS ON PLANS Sewage System Plan - (north arrow) Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or J Box;Trench /Gallery; Pump'pit details Septic Tank - Size, Detail Well Detail, Service Line if over Construction Notes Design Data: perc and deep results. Two -Foot Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter,Curtain Drains (discharge OK) Perc ,& Deep Holes Located Representative of primary and expansion Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown'& Detailed House - No. of Bedrooms Wells &•SSDS's Win 200 ft. of Proposed Systems Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer - 1 /4 " /ft. 4 "0; Type pipe No Bends; Max. Bends 45° w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L.., Driveway, Large Trees,Top of fil 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 1001 to Stream, Watercourse, Lake (Inc. expan 15' to Drains-Curtain, Leader, Footing 351to catch basin,stormdrain,piped watercours 10' to Water Line (pits -201) 50' intermittent drainage course Septic Tanks 10' fran Foundation; 50' to well 15' Well to PL Z 'y PUTNAM COUNTY DEPARTML'1VT OF .HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES,,,,, COUN'T'Y OFFICE BUILDING, CARMEL, N. Y. t�,912 DESIGN DATA Slfi&T- SEPARATE SEWAGE DISPOSAL SYSTEM 9 FµI-I%gNO. UwndrGR�1/a/cf11Zc"s7A >� /rt//G Address _ Co2tsa�VAcr� 4 ttL Co N Located at (Streat)ridi t �� Sec._�l� L31ocLot Z.� ( ca a nearer cross s ree o1 Mwiicipality TT Q�LIT.I Watershed' TC)k SOIL PERCOI. MON TEST DATA REQUIRED TO BL SUBMITTED WITH APPLICATIONS 4 NoWiti : -1) 'rests to be repeated at same depth until approximat-el equal soil r1►tefl ELM) obtained at each percolation test hole. All data to be submitted for rev i vw . '-kith measurements to be mr0e from top of hole. Tii1 o Numl -er CLACK TIME PERCOLATION PERCOLATION -'furl Elapse No. Time Start -Stop Min. Depth to.Water From Ground Start Inches Surface Stop Inches Water Eavel in Inches Drop in Inches Soil Rate Min. /in drop �� .. r r 2 3:10- -7 3.35 -. :00� . .,.. . _. ..: 4.; ;, %+,'ter• 1 � ' V7 2 .3 07 3:a9 a� �a oZ� `��• -x.33 ._ 3. 3:30 3•. 5a. c�oZ o�� a� 3.. ~1 33 4 NoWiti : -1) 'rests to be repeated at same depth until approximat-el equal soil r1►tefl ELM) obtained at each percolation test hole. All data to be submitted for rev i vw . '-kith measurements to be mr0e from top of hole. 6 TEST PIT DATA N.EXI UlRED TO BE SLJBMI1I1'10 WITS APPLICA`1'I.ON DE3CRIPTION OF' SOILS ENCOUNTERED IN TEST HOLES DE PM, HOLE NO.— HOLE N 0. HOLE N O. G.L. 6fI 12" 18" 24" 30" Addrdsa- ae New R. C1011 11::r4 TH13 .SPACE FOR USE BY REALTH DEPARTMENT ONLY: �Uti ��' ua4,�a� i Soil RaL A proved 5q. Pt/Wl. Checked by """' Date t� V r •, ,. ,SEp 2 C Vic. . ASP NAM CO N�U� �� PUTNAM.COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services AFFIDAVIT — CORPORATE OWNER APPLICATION• FOR PERMIT APPLICATION SUBMITTED TO PUTNAM COUNTY HEALTH DEPARTMENT TO: Commissioner of Health In the matter of application for: Cornwall Hill Estates, Inc. I, _ Kenneth Emerson represent that I am an officer or-employee of the corporation.and am authorized to act for Cornwall Hill Estates, Inc. (Name of Corporation) having offices at. 223 Katonah Avenue Katonah, N.Y. 10536 Whose officers are: President: Edward H. Emerson, 223 Katonah Ave., Katonah., N.Y. 10536 (Name and Address) Vice — President: Kenneth Emerson & Martin Diano, 223 Katonah. Ave., Katonah,N,.Y.. (Name and Address) Secretary:-, Janet G. Mastropietro, 223 Katonah Ave., Katonah,. N.Y:.. 10536,:.:::. (Name and Address) Treasurer: Lynne Diano, 223 Katonah Ave., Katonah, N.Y.' 10536 (Name and Address) and that I am and will be individually responsible for any.and_ all acts:of. the.- corporation with respect to the approval requested and all subsequent, acts relating thereto. Sworn to before me this % day Signed: of 19 Notary Public .LIONEL WEINSTEIN Notary Public, Stato of Now YOM No. 60-4199160 QUaRfied in Westchwler CdOntp, l� Crnrnisslotr Expires tharctt 30, 1$ / 8/84 Title: Vice President Corporate Seal 1, DEPARTMENT OF HEALTH Division of Environmental Health.rvigej 5 == TWO COUNTY CENTER - CARMEL, N.Y. 10512 (91471.: =5225 -3641 APPLICATION TO CONSTRUCT A WATtR WEL-No" PERMIT # WELL LOCATION Street Address T® own /Village /Cites :: ; Tax Grid Number • rte? WELL OWNER Name Address Private Ve :y, ❑ Public USE OF WELL primary 2 - secondary J9 RESIDENTIAL ❑ PUBLIC SUPPLY Q AIR /COND /HEAT PUMP ❑ ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify ❑ INDUSTRIAL b INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT S'_ gpm /# PEOPLE SERVED -.'�_/EST. OF DAILY USAGE e gal REASON FOR DRILLING A NEW SUPPLY OREPLACE EXISTING O PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION SUPPLY ❑DEEPEN EXISTING WELL DETAILED REASON.FOR DRILLING WELL TYPE DRILLED DRIVEN ®DUG ® GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES /( NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: C L)/� Lot No. -WATER CONTRACTOR.: Name _.._71' A2. Address IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: %J%� TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED- E]ON REAR OF THIS APPLICATION 0 PA E SH T (date) (sign`ture) PERMIT TO CONSTRUCT A WATER WELL L c AIX 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 2. Disinfect the County Health 3. Submit a Well Health De Date of Issue: Date of Expiration: until the water is clear. well in accordance with the requirements of the Putnam Department attached to this permit. ompletion Report on a form pro ide by the Putnam Count t. 1 19 erm t Iss MOfa Permit is Non - Transferrable ,'f S GAP. RE51t�eNl� �✓�PTIG ANK--) 0 q Ju N0r10N Oak (-rye-) 2 0e44TIr —f THAT THC, SWAG 5�,Y,r�'Tr,M WA-5-1 GONyTRVGTrW A9 aW THt�;' fl AEI AN 12 THAT THr✓ !AV WtI WCGTEt2 0Y MP. ItFagO- re vYEt2 • 'I'He� r7'{ -.Tf ENI WA9 I'Ei IN A6601f-0AIQ6r, KITH A 11 If�1' `l t� -MATE✓ MftltrMe T ru Gnaw GU Wi Gy LC llai L:uCii vt iic�1 L1- 01vision of Environmental Health Servicw, Approved as noted for conformance with applicable Hules and Regulations of the Putn ty Health Department.. '�2T1At11ra r& Ti'Flo dote r FIROJCCT CORNWALL 1411-L ,E37A7rC3 c ol-? /V vv A 4. c JIIGG ROAD p11 T rE.QS0,v iuEw YoR/r KNWAIA, PfWM - 60KI0. yo MARINE MII L ANV INK 240 NOK-rl -+ ANX- NeW �oGNEw�, ew �{oK RANDOLPH W. LAURENT ASSOCIATES, P.C. .) t -r1i FIF IE. LLD D`R)1 V; - NtbV Yiii'k �jti3• CONSULTING SITE ENGINEERS A�5 ° E5U I Vr ?SAN LOT I J � AS SHOWN DA i2 22 8�l jR;iNN q' &A%7 '1T �h N � as � 0�0 L /ycF y "yoc.i/� Pvc @ z �I ? 0 F/L )9/2: i^ 30• 62 6 1-,: {✓ Ll.v PvC 6 to% �7Yi? 0 GOKNVALA, A5 I E 5G,Q -I, E ; A!5- O,11LT DIM>%N51ON GNART N 0 A 15 N° A i 13.5' IZ 113.5 �0.5� 2 'IT o' 0' 13 10.{.0` 3 �I0.0' 35.0' 1�1' 1010.5' 7B•5� 4 80.0" 22 D' 1 10-f-0 5 -7 0.0 21.0' Igo 101.0' 15 -0' to X07.5 22.x✓" 1-7 q �FQ S' 33.5' 20 00.0' 7-7.0' 10 q3.5. 3�.0' 21 62.0' &0.5' I �-r Gc Pc AI OF N. Vp� N PR