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HomeMy WebLinkAbout0660DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.10 -1 -3 BOX 8 11..1 {r' 1 ` #r X0 r FA 11..1 7 (( PUTNAM COUNTY DEPARTIKENT OF HEALTH 'b >Ea�eerMu ;n Rev 3/ 86 ` Division of Environmental Health Services, '.Camel,. N.Y 10512 �at Provide ft. Y P.CH . D' Permit N-- --�� -� .310 CERT[F7CATE O,F.CONS CTION'COMPLIANCE -FOR SEWAGE'DISPOSAi SYSTEM T e Pattrson Deacon,$mitli'Hill''Rd: TaiMap '72 V2� Loth Town or e Located st Block Sm h, WOOOdds. 'i,En Owner %applicant Name 'r (! . H ^me S , TtfC Formerly R FT'a Ckjb]gn Subdivisiou NameDit acOn -.: adv. MaWngAddrese X10 -BOX 260L; Mi 1 Ave_ r Zip. .10.541 Date Permitlssued .Mahopac DEW Construction Cor 'Address to Pond Rd, S ` -O tnei l le, NY 12582 Separate Sewerage System built by , R P. Coneieting of 1000 Galion Sepdc Tank and 429 ' x24" 'w xl 8�� Dean la al a . Water'Supply Public Supply From Address X private Snpply.'DrWed by �A.. Hyatt & Sons Add;easltte ',311, Pat•.t.er "son, NY. 12563__ gug a MO du l a r Has. troslou 'Control Been Completed? A G r_o ^r i is r e d P Number of Bedrooms Th r64 - ;, Hue Ga>• 4a Griuc er Been Installed? NQ Other,Regairemente � ^° - I cerbify that'the'system(s) "as,�listed serving the above premises were constiuctea essential,ly_as shown on the plans of the.cbmpleted work C 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 bepartment,of Health. ;15 June.:1987 ce ►dried by � p.E._X_ a.A. Oats - . Address`.. — License,No._?99(1Fi' Any .pers6n• occupying premises served by the above, systems) $hill,piomptly,t.aka such action as may be becetsary to secure the correction of any unsanitary conditions' resorting. from such uiage. ,Approval of the. separate, sews age :sy trim (hall become null,and void ri aoon'aa a pub ;n sanitary /ewer becomes available and the approval of the'privste water supply.shall-become null and; void, when a public water supply becomes available. Such approvals are sutyect';tTo' modification 'or Change when, 'in the `Judgment. of the'Commissionor of Health, iueh .revooatton, modlfiutlon or change Is neeessa►y. Date , Title /1 1'+� ®OIi. �A1RT1T TTT AI.T TTTATT a ��W tij�4 DEPARTMENT OF HEALTH Division Of Environmental Health Services PUTNAM COUNTY DEPARTMENT OF HEALTH office Use Only r WELL LOCATION STREET ADDRESS: wNiYtl ! t Y TAX GRID Nu ea- C,© Slniik R "/ 3; `�-- WELL OWNER NAME: ADDRESS: C * C tom, e5 _T/b C o 0 Oox 330 �a%o' �. O PUBIiCE USE OF WELL 1- primary 2 - secondary VRESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /COND. /HEAT PUMP 0-ABANDONED ❑ BUSINESS ❑ FARM ❑ TEST /OBSERVATION ❑ OTHER (specify) ❑ INDUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY ❑ MOUNT OF USE YIELD SOUGHT --- 5— gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE � 00 gal. REASON FOR DRILLING VNEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION ❑ REPLACE EXISTING SUPPLY ❑ DEEPEN EXISTING WELL DEPTH DATA WELL DEPTH _____�._�_ ft. rl STATIC WATER LEVEL � ft. DATE MEASURED DRILLING EQUIPMENT ❑ ROTARY &(COMPRESSED AIR PERCUSSION ❑ DUG. ❑ WELL POINT ❑ CABLE PERCUSSION O OTHER (specify): WELL TYPE ❑ SCREENED ❑ OPEN END CASING. OPEN HOLE IN BEDROCK ❑ OTHER CASING DETAILS TOTAL LENGTH —23— tL MATERIALS: 9STEEL ❑ PLASTIC O OTHER LENGTH .BELOW GRADE_ fL JOINTS: ❑ WELDED 9THREADED O OTHER DIAMETER in. SEAL: 16 CEMENT GROUT ❑ BENTONITE ❑OTHER WEIGHT PER FOOT Ib. /fL I DRIVE SHOE: ES ❑ NO UNEA:0 YES NO SCREEN DIAMETER (in) 'SLOT SIZE LENGTH (ft) ' DEPTH TO SCREEN (it) DEVELOPED? DETAILS FIRST O YES ONO HOURS SECOND GRAVEL PACK ❑ YES ❑ NO GRAVEL SIZE DIAMETER OF PACK in. TOP DEPTH ft. BOTTOM OEM It. WELL YIELD TEST If detailed pumping p p 9 MgHOO: O PUMPED tests were done is in- COMPRESSED AIR , formation attached? O BAILED O OTHER i O YES ❑ NO It more detailed formation descriptions or sieve analyses LOG are available. please attach. DEPTH FROM SURFACE water Bear- 1n9 Well Dia' mete FORMATION DESCRIPTION rams, ft. ft. WELL DEPTH ft. DURATION hr. min. DRAWOOWN It. YIELD 9Cm Land surface 3 ©e f WATER ❑ CLEAR TEMP. QUALITY ❑ CLOUDY HARDNESS ❑ COLORED ANALYZED? OYES ONO ANALYSIS ATTACHED? O YES O NO STORAGE TANK: TYPE CAPACITY GAL. WELL DRILLER NAME yL S�%S OAT aOORESS SlGriltTURE IQ 71YI � ' f �yjG� l' PUMP INFORMATION TYPE CAPACITY MAFKER DEPTH ODEL VOLTAGE HP I[ s Yorktpwn* Medi cal Inc. 321 Kear Street Yorktown Heights, N. Y. 10598 (914) 245 -3203 Director: Albert H. Padovani M. T. (ASM `32.004786 LAB # I Collection _Station Used: Carmel _ Peekskill _ Mt. Kisco _ New City Date Taken: 1-2 Date Received: -/7 T_ , Date Reported: Collected. B y : /,)hl-)/F 11!%Pl.�e � 30 Referred By: /d��/ Sample Source: / X ✓�7i�1 �'ic9 /v/ _j L ' Y — 17� ' — AsoA.J LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER GENERAL BACTERIA L/ Standard Plate Count per 1.0 ml (Agar plate @ 35 °C) MEMBRANE FILTRATION TECHNIQUE (MFT) Total Coliform per 100 ml Fecal Coliform ner 100 ml _ Fecal .Streptococcus per 100 ml MOST PROBABLE NUMBER TECHNIQUE (MPN) Total Coliform: MPN Index ner 100 ml Fecal Coliform: MPN Index per 100 ml OTHER ANALYSES THESE RESULTS INDICATE THAT THE WATER SAMPL (WAS) (WAS NOT) (NOT APPLICABLE) OF A SATISFACTORY SANITARY QUALITY ACCORDING NEW YORK STATE DRINKING WATER STANDARDS, FOR THE PARAMETERS TESTED, AT THE TIME OF COLLECTION. Albert H. Padovani, M.T. (ASCP), Director ' ELA° #10323 LEGEND RDS = Recommend Disinfect- ing Water Source TNTC Too Numerous To Count CONF = Confluent < = Less Than > =. Greater Than II. IV. V. VI. 1 CATION APPENDIX C !1 p FINAL SITE INSPECTION Date pectea by OWNER TM # OR SUBDIVISION LOT # 10 COMMENTS SEWAGE DISPOSAL AREA a. SDS area located as per a2proved plans b. Fill section - Date of placement 2:1 barrier_ LGTH WIDTH AVG.DPTH x c. Natural soil not stripped, d. Stone, brush, etc., greater than 15' from SDS area. e. 100 ft. from water course /wetlands. SEWAGE DISPOSAL SYSTEK..-- --•- -...-.. - a. Septic tank size 1_,.00Q_) 1,250:,. b. Septic tank installed level z c. 10' minimum from foundation d. No 90° bends, cleanout within 10 ft. of 450 bend e. DISTRIBUTION BOX 1. All outlets at same elevation - water tested n 2. Protected below frost 3..Minimurn -2 ft-original- soil between box and trenches v I Lill P f. JUNCTION BOX -" ro 1 set ,gy g. TRENCHES 1. Length required - �-�'� Length installed a . 2. Distance to watercourse measured. ft. 3. Installed according to' plan 4. Distance center to center yk I 5. Slope of trench acceptable 1/16 - 1/32 " /foot. o. 6. 10 feet fran property line - 20 feet - foundations 7. Depth of trench < 30 inches from surface j + 8. Roan allowed for expansion, 50% 9. Size of gravel 3/4 - 1 " diameter 10. Depth of gravel in trench 12" minimum 11: P5-e- ends capped h. PUMP OR DOSE SYSTEMS 1. Size of 2. Oyerflow reffik 3. Al! r seal/ dio 4. P=p Basil, ccessible manhole to grade 5. First '� -fled 6. Cycle w-ftnessed'by Health Department estimated flow per)cygle HOUSE a. House located per approved plans. b. Number of bedroans ' VE I,L a. Well located as_per approved plans b. Distance fran SDS area measured ) ft. c. Casing 18" above grade. d. Surface drainage around well acceptable. OVERALL WORKMASHIP a. Boxes properly grouted b. All pipes partially backfilled c. All pipes flush with inside of box d. Backfill material contains stones < 4" in diameter e. Curtain drain installed according to plan f. Curtain drain outfall rotected & dir.to exist.watercours 9. Footing drains discharge away from SDS area h. Surface water rotection adequate i. Errosion contro i provid ed on slopes greater than 15 %. 10 77 PUTNAW. COUNTY -DEPARTMEN T ENGINEER TO PROVIDE I- bE PERMIT I ON CERT I CJ M A CEO Division 'of'Envikonhenta Hailth Seryices; C 4rM e W i,E RM IT' .CONSTRUCTION 'PERMIT FOR. SEWAGE ,DISPOSAL -SYSTEM. T. 'Patterson Town or Village V Located at n ea66n Rini t-h Hill Rohd ock' - -3 -5 Tax.,Nlap� 2 z 2, Lot Subdivis Ion— .Ve3cd'n Smith. Woods subd. Lot, E Re I newil, ❑ Rill . i.ibn kS. 0.1 2327 C & C Homes, Inc. RD 10-Box 266A, .Miller . Ave DatsW e os:pNYl 10541 owner/Address Building Type, Modular One Acre + 11 Se tio Lot Area F1, c n only ,.Q. Numbdr of Bedrooms I '- Th r-,p A Design Flow G/P/n 00 - - ------- P.C. D. Notification . 1 . Requi're d .Separate Sewerage 'Systein * to consist of 1 nnn Gal. Septic tank and -42CP x .24" -widp t-rPnchp-s To be constructed by Address r. Water Supply: Public Supply From X Private. Supply to be drilled. by Address Other Requirements NOne I represent that I am wholly and completely risponsibie for,thi design and ioCation of the proposed sys , tem(s); 1) that the separate sewage, disposal. system above described. . will'be':656'itructedis sh*6wnbn the appr6ved'ai�heridmehiltiere to and in,kc,oidanci with the standards, rules and regulations of, the Putnam County 'Deparirnent'-Of Health, acid that on co'm plot ion. thereof a, ofponitruciion; Compliance" satisfactory to the Commissioner of Healthwill en, t hii' Department, 'and a written guaran ee w the owner, his successors, ssigns by the builder. that said bull er will be submitted to 6e" D furn heirs or'a d -st' :j6 place in good. operiting:;conditiori-any part of; said - sewage :disposal '-sy e 'dUring Ahiperi6d of-two (2) years Immidlately'f6ilowino thodate of the Issu- 'arici ofihe approval of'tho:teiiiflcaite o - i Constitictio . n 'Co"'m"pli'a"n"ce' of:ih--e'6rig'iniI systalm' or any''rp - thereto) 2),that the drilled well above ove plan standards, ow appr" d and that said well will �-in'$611�d' 'in "iccoi nc d s, rules and regul will be located,is sii' n -on the 6 e with the repairs R onts of. the Putnam County Depirtment.'of' Health. I Date March '7.,1986 signed ' P Et. L�L R.A. 10'�'] 2 No. 29206 Ad,drii,iss RID I F i S i dar-"e .4 License APPROVED F R CONSTRUCTIOW This approval expire! revocable.for use , or dedor m6diiied'when c4 requires a err9l for disposal of-domest D uction of the building has been undertaken and is Health. Any Change or aitgation of construction Wy —only. Title DEPARTMENT OF HEALTH _., Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914)225- 3641, APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT WELL LOCATION Street Address C.. -yl�.. �* \.._. `�:J '4 `..7 +1 ('`t_\ _:�'\ . Town/Village/City Tax Grid Number i� '\ i � ��. 4: l 1�. `t f •R..'[ 1�,. •:.i 1 u � `.� .�� WELL OWNER N e Address UPrivate 0 Public USE OF WELL 1 -primary 2- secondary MIRESIDENTIAL 0 0 BUSINESS O 0 INDUSTRIAL 0 PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP FARM O TEST /OBSERVATION INSTITUTIONAL 0 STAND -BY 0 ABANDONED ❑ OTHER (specify, D AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING NEW SUPPLY OREPLACE EXISTING []PROVIDE ADDITIONAL SUPPLY SUPPLY ❑DEEPEN EXISTING WELL 0 TEST /OBSERVATION. DETAILED REASON FOR DRILLING C*� Q, \X —o t' \e - r, -0 �.Q.. > �;�, A;`�; `'a _� ' t \ � is Non - Transferrable WELL TYPE LUDRILLED ® DRIVEN DUG ® GRAVEL OTHER, IS WELL. SITE SUBJECT TO FLOODING? YES'F NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: +� A Lot No. WATER WELL CONTRACTOR: Name Lea �;\ '� Address: ;' '��? 7,ic ? .. 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 [-]ON REAR OF THIS APPLICATION []ON SEPARATEISHEET 14AK /OZ (date) (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. 2. 3. Date of Date of Permit 8/86 Pump the well until the water is clear. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. Submit a Well Completion Report on a form provided by the Putnam County. Health Department. Expiration: �'� /,�� 19 U, Permit Issuing Official is Non - Transferrable PUTNAM COUNTY DEPARTMENT OF HEALTH = DIVISION OF ENVIRONMENTAL HEALTH SERVICES INDIVIDUAL ,TER SUPPLY & SUBSURFACE SEWAGE DISPOSAL SYSTEMS . C(C' LOS (Name of Owner) COMMENTS REVIEW SHEET - CONSTRUCTION PERMIT DATE REVIEWED: 3 Q BY: (Street Location) YES NO DOCL]MENrS Permit Application Corporate Resolution Plans - Three sets ;l Engineers Authorization Design Data Sheet (DDS) Deep Hole Log ✓ Consistent Perc Results (3) 30" Perc Hole Other House Plans - Two sets If PWS - Letter Variance Request REQUIRED DETAILS ON PLANS Sewage System Plan Sewage System Hydraulic Profile - Gravity Flow Fill Profile & Dimensions - Volume D or #=:Rex;Trench/ , Septic Tank - Size, Detail ✓' Well Detail, Service Line if over Construction Notes Design Data. Two- Foot.Contours Existing & Proposed Driveway & Slopes Cut Footing /Gutter Curtain Drains Perc & Deep Holes Located LZ Representative of Sewage & Expansion Area Expansion Area;shown;gravity flow,suff. size If Pumped Pit & D Box Shown & Detailed House - No. of Bedroans " Wells & SSDS's w /in 200 ft. of Property Located ✓, Property Metes & Bounds House Setback Necessary (Tight lot) House Sewer -t 4 "0; Type pipe No Max: Ba ds 450 w /cleanout SEPARATION DISTANCES SPECIFIED ON PLAN Fields 10' to P.L., Driveway, Large Trees 20' to Foundation Walls 100' to Well; 200' in D.L.O.D, 150' pits 100' to Stream, Watercourse, Lake (inc. expan) 15' to Drains- Cartain,Storm,Leader,Footing 25' to Catch Basin 10' to Water Line (pits -201) Septic Tanks 10' from Foundation 50' to Well 15' Well to PL GENERAL, Legal Subdivision Subdivision Approval Checked Ex- approval SSDS Adj. Lots Checked Wetland (Town /DEC Permit R & D) Data On DDS Plans & Permit Same 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: I, C. represent that I am. an officer or employee of the corporation and am authorized to act for (Name of Corporation) CJO having offices at 7 10 Whose officers are: 6o1, O-Cc/k ,41lLL64 A Af President: VAVID�I�!i'L� (Name and Address) �%idN'lt1ac'pt GT Vice — President: (Name and Address) C.&vr6 .D , Secretary: /r7, C C�'�C '`. 6�?Filfio�°r �t g (Name and Address) /fi t{ � &A-u'b �� Treasurer: 1 4" /,.:�/e_r_yC__ i'y1�4- rfa�►yaE, /zl�j� ®s"�% (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 4LUUa 19 ) Title: M°�.. Notar Public CHRISTINE J. BROWNE Notary Public, State of New York No. 60- 5488000 Dualifled in Westchester Cott Certificate Fired in New York Co Commsssrbn EXPI -es Match 30, 198 Uri11 U 1986 8/ 84 Couj "Y . �( Tag Corperate Seal PUINAM COUNTY.. DEPARTMENT OF HEALTH .. DIVISION OF ENVIRONMENTAL HEALTH SERVICES DESIGN DATA SHEET- SUBSUFACE SEWAGE DISPOSAL SYSTEM FILE NO. Owner Hawes, 1"c. Address pgdeoh Located at ( Street) Fd i r Sec. `(F1 7 L Block Z- . Lot (indicate nearest cross street) tv,, e as s 4 �4. Municipality ea -f +g srs o h Watershed .. cr-o+b ,, h� �.# �B�A SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH APPLICATIONS Date of , Pre- Soaking /8 �_ Date of Percolation Test 5- F� HOLE NUMBER CLACK TIME PERCOLATION PERCOLATION Run Elapse Depth to Water From Water Level No. Time Ground Surface In Inches 'Soil Rate Start-'Stop Min. Start Stop Drop In , .. Min/In Drop Inches Inches Inches l 130 5` X329 24 24 Z' 3 2 132 1401 3 4?. 4 1449 i Sid 4-7 9 1( 308 1330 Zz Z� 3 2 13 0 ('30 Z 3130- 14f �L 4 1 14x4 l 1 s i3 4 y 17 3_ K 4�! ,K 5 . ...., NOTES: 1. Tests to be repeated at same depth until approximately equal soil rates are obtained" at• each percolation' test hole. A11 data to be •suhni:ttbd for review. 2. Depth measurements to. be made from top of hole. rev. 9/85 G.L. TEST PIT DATA. REQUIRED TO BE SUBMITTED WITH.APPLICATIQN DESCRIPTION-OF SOILS ENCOUNTERID IN TEST HOLES HOLE NO. ( HOLE NO. �. O Soi 1' m V-1 i cS 3. Ld 5 C Q e LogWN 6' 7' 81 Alo Ur4�_e*- OrL!yAttvcl 9' 10' 11' 12' 13' 14' INDICATE LEVEL AT WHICH GROUNDWATER IS ENCOUNTERED INDICATE LEVEL TO WHICH WATER LEVEL RISES AFTER .BEING ENCOUNTERED Ilov►P DEEP HOLE OBSERVATIONS MADE BY: J,{.j, Q, DATE: z,B DESIGN Soil Rate Used IG — Min /1" Drop: S.D. Usable Area Provided DQU' No: of Bedrooms Tker e Septic Tank Capacity n 10 0 gals. Type Absorption Area Provided By L.F. X 24" width tree QRoFESSIOryq� Fy PRENr�.�' /.z Other Name Signature �` • Address JOHN H. PRENTISS, P.E. S 'r /�, NO. 29a R oFTHE STASEO CARMEL, NEH YORK 10512 THIS SPACE FOR USE BY HEALTH DEPARTMENP ONLY: Soil Rate Approved sq.ft /gal. Checked by Date Lod` D N59 .42. 56'k e v�� Or 320.5/ O r /V /f �STO 2y' 010 p� Strobi/ o C D� eto`,� On G \� Y Lot E100% ?� Area = /. 097 ac.=1 Nlf o � S /3° 30' 00 "W o '" 12.47 BGrre/ t / edge of macadam ��O `�& SO4 °- /8' 00 "W pavement fO�e 196. 73 DSO 0I ''I8`%2 wall l / �00& S50° - -4/' 00 "W / /6.90 S5 38 8 ;40 "W. SURVEY i C (), }. OF PROPFRTY Ll OT 9- At I I 1 11 - wl: -- V I KP-L, LA_fc L A; ep I 1611*61 r�-A- 44-1. *TA-L oe 4�J pli 11 it #7' of ''g; I'll I 7./S .1 A/,ee.eYr R111111 mail locafoa oy;. surveyors 5u.r.V8y--.-- mi- — Well -droltors Engindtir'o: meourlome"U.-o- Tank, Doxea, pi4b,'eallortio.s-6 la.i.tirals lo•cofd-d -by-:'.C6ntioct*rl- Me 01th d*jp t Mold Inspection by-. H'atith -dolif do t a:— ZQ=.Al Engsnoer 0 dot. :4L rA?-- This is to certify khat the sewage di , goosal systim Wits certstrui!tedlas NOTE§- ind'icat.c.d-on. this elo and that the systeuil.dsJnwpecce4-byt.tte before it was e - overed 'over-, THe lsyst.trri was constructed 'in accordance mith al-1 standard fu.l:eq,'and .regulations of 6fe P:CAI.D. & the D I'ME N. SJO A r C LOCATION. St:root p JP- .8 D 2 F -7 F ST —Q— r .1 A/,ee.eYr R111111 mail locafoa oy;. surveyors 5u.r.V8y--.-- mi- — Well -droltors Engindtir'o: meourlome"U.-o- Tank, Doxea, pi4b,'eallortio.s-6 la.i.tirals lo•cofd-d -by-:'.C6ntioct*rl- Me 01th d*jp t Mold Inspection by-. H'atith -dolif do t a:— ZQ=.Al Engsnoer 0 dot. :4L rA?-- This is to certify khat the sewage di , goosal systim Wits certstrui!tedlas NOTE§- ind'icat.c.d-on. this elo and that the systeuil.dsJnwpecce4-byt.tte before it was e - overed 'over-, THe lsyst.trri was constructed 'in accordance mith al-1 standard fu.l:eq,'and .regulations of 6fe P:CAI.D. & the IK kmlk�� D I'ME N. SJO A r C LOCATION. St:root A A D A E JP- .8 D 2 F -7 F ST —Q— r A G 8 G a 13 j MQ, if —01 40_�7 -n (2 A K a 71 .4 L A 7 Drouth: C74, IK kmlk�� OWF LOCATION. St:root Tow n -J A, rst6to. ft"U"* 0-mo bestaxt"m or health - 9OBDIVISION- �015 42:0-T M*o pt n In, swmoeo . Block. 0twoved as noted rar correwmanoe wltb* 4➢11-ble Wes =a aWahalone of the Butt der: S-urve y or: Drouth: C74, Date: to: Job N it J 01HN H, P R.:EAIJSS -P-,E,._ 'CONSULTING" : .. E-N 01N WE R 14 G-�70...