Loading...
HomeMy WebLinkAbout18114-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19670 Date JANUARY 22, 1991 THIS CERTIFIES that the building NEW DWELLING Location of Property 935 POND AVE. & 70 PARK AVE. SOUTHOLD, N.Y. House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 1 Lot 2.14 Subdivision LONG POND ESTS. Filed Map No. 8037 Lot No. 17 conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 4, 1989 pursuant to which Building Permit No. 18114-Z dated MAY 12, 1989 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ATTACHED GARAGE AS APPLIED FOR. The certificate is issued to JAMES R. & ELLEN M. NEESE (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL 89-SO-64- 10/9/1990 UNDERWRITERS CERTIFICATE N0. N-161068- NOV. 15, 1990 PLUMBERS CERTIFICATION DATED 12/12/90 - A. GIULIANI PLUMBING Buil g Inspector Rev. 1/81 ;FO;s~ xo s TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL j% COMPLETION OF THE WORK AUTHORIZED) Dote ~..z..........., 19..~.. 0 N°- 18~.1.~ Z U Permission is hereby granted to: 1: 4? ~:rr.~.....4:~::...1.-~.:~..:....l.l.`.?:7.)......... to . ...........................~.........~.....~-~,~..j. o~a4., ...........................p..........~.................................................Q..........Q...................~ of premises located at .t..7~..~....~.4~1k~..~4:!~':?.. ~.....70.~°~5~...~X:...~r?:.....~:?:~:S:CiC.Y~-!~1.~..v. County Tox Map No. 1000 Section .....Q.S~a...... Block .......~..0.......gqLot No....s~.:.~.......... pursuant to application doted I9•~•1••. and approved by the Building Inspector, v Fee $..~"~~s~ ~ r ..e(. ~M'. Building Inspector Rev. 6/30/80 D ~ Form No. 6 0~ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL BLDG. DEPT. 765-1602 TowN of sou-r~o~.D APPLICATION FOR CERTIFICATE OF OCCUPANCY ' This application must be filled in by typewriter OR ink and submitted to the building inspector with the fallowing: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. k. Sworn statement from plumber certifying that the solder used in system contains less than 2/1D of 17 lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer ' responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. ~ 3. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and , unusual natural or topographic features. ' 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory huilding $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Upuatad Certificate of Uccupancy - $50.00 • 5, Temporary Certificate of Occupancy - Residential $15.800, Commercial $15.00 Date ...~~.y.G~.i.~.l~ :.ca Construction....»...... O(l~d Or'P/re-existing Building :.~caclon of Property....~~..C.Q~;(..h.~S-), Q ~44~1......... House No. Street Hamlet 7nwcr or Owners of Property. ~~1i ~err>.~. ~:..:Y. ;n,{~,~-'>,f';~, County Tax Map No 1000, Section..i,~.~l?.......Block.....~..........Lot,~;,~ ! Subdivision.~,))~2.~~:...:.~.......~......q.I'iled Map.~~~~~....Lot............':........ ?crmit No.,.l}~,,~,~,,,,,Date Of Permit..~~.8 J........Applicant.~~(.~~~•~..Y~.:.~~1~.'.~~...... ficalth Dept. Approval ..........................Underwriters Approval................. ; ~ . Tanning Board Approval tequest for: Temporary Certificate........... Final Certicate........... 'ee Submitted: $ .~t~~ \ - . a~.y?~3o C0 ~'q6~d APPLICANT TEL. 765-1802 F p5~~ COG TOWN OF SOUTHOLI3 . ~~,v=' 'M1` y` OFFICE OF BUILDING INSPECTOR c z P.O. BOX 728 g TOWN HALL ~ ' ~ O~~Ol r;~ ~~~t- SOUTHOLD, N.Y. 11971 wx C E R T I F I C A T I O N ~~~6c ..........,~,,..«u . Date j~( Building Permit\No. III Owner Iy Cj(, (please print) e Plumber~~ ~ t ~(pU 1 ~~iGv~~ (please print) e':'~. I certify that the solder used in the water supply system contains less than 2/10 of 1~ lead. .N (plumber's signature) Sworn to before me this _ ~,.~-'day of ~i lli C. ~ ~ ~ 19~. Notary Public Notary Public, /`~-G.ourity ROSTANTIA.IfRUK Mobry PubBa, StaLa of Nsw YG/ No. 4687298 ~uelHied Ir Suffolk Cou [Farm azptras Mmcfr39, 39.~~~-~ FORM NO. 3 TOWN OF SOUTHOLD BULLDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL - Date ,DECEMBER 26 . . . 19.90. . To .,JAMES R. NEESE P.O. BO% 126-1625 OARLAWN AVE. SOUTROLD, NEW YORK 11971 PLEASE TAKE NOTICE that your application dated MAY. 19 89.. . for permit to CONSTRUCT A ONE FAMILY DWELLING „ at Location of Property 935 POND AVE. 6 70 PARR AVE. SOUTHOLD, NEW YgRR House No. Street Hamlet County Tax Map No. 1000 Section 56 Block 1 Lot 2.14 LONG POND ESTS. 8037 17 Subdivision Filed Map No. Lot No. . is returned herewith and disc roved on the followin BULK AREA S PARKING PP g grounds ARTICLE III SEC. 100-32. INSUFFICIENT FRONT YARD SETBACK. ACTION REQIIIRED BY ZONING BOARD OF APPEALS. ui ding Inspector RV 1/80 .rr7,~, ' TEL. ?GS-180? ~~FFOt.K~~<` To~rrr oI~ SOUT'~OI,D v .~,M271w `'~y ~ 0PI'1CE ()E ESUILDING INSPECTOR gyp l .o. uox CP ~f~'+`+ ~n a~ ~ ~ TOIVNlIALL ~ ~ SOUTIiOi_D, N.Y. 11971 y~~l. ~1 r~0 November 27, 1990 James fi Ellen Neese Box 176 Southold, Nev Yorlc 11971 'I'o 19hcm This; May Concertt, Pte arc unable r.o complete your Certificate of Occupancy because of the folloc~ing reasons. An application for Certificate of Occupancy is not nn fil.c. CENCLOSED) /-~ao Underarritcrs Certificate on file. /~'hc nc~c;>•: i:: nut on file.) $25.00 / No llea].th Dept. Approval on file. No final insl~~r_ct:ion ha:: been made. Please contact: our office on this matter. Thank you for your cooperation. IAc.ildinq Pcrtni.Y. i! 1 8 _I 1 4_ Z I lluilc3ir _ Dupt. r, k'x/~/ tlo Plumber :;older Certificate on file. ' ( al.l permits involving plumbing being iasucd after April 1,19A4 ) N0~ BEFORE CERTIFICATE OF OCCUPANCY CAN BE ISSUED, LETTER REQUIRED FROM ARCHITECT OR ENGINEER PERTAINING TO INSULATION OF FLOOR. ~f J 0 V~ t ' x. ~ .4 : qy a ~ Vq` ~4: ;s(. t ...o , ~ m..,~ ~ a• ~ 'b °f. w~'" m c ~ eg zyy.fc. rv } ea e,~ r . 'F~ 3z 4i Y. a :4~SYa - ~a.'.5%.'+.l.wW. ree uau'C.sa mxa'....: .mh*kAJ.W.Ak 2.. ",Y.:zubx i>m. r.+.t .ue !..S¢4~ ri..v .mow x., w. a __a, .a.a .ar.. r2*. de+a+mue.b w ;IeLD I;. ~ :iU;; ~~u„;E ~ ccdKMEHrs s ~ H ~{1~ _ H T. rOUIJDATION__.. (1st) ~ c FOUNDATIOW (2nd) ~ m ~ c z ~ o ~ ROUGH FRAME & /,~7 l PLUMBING ' q~/ . Q~ 3. GtiL~ ~ _ ` ` ~ IIJSULATIOft PER N. Y. s y ~ 4 STATE ENERGY CODE ~ _ s ~ ~ ~ 4 . ?te7a r m ~ ` H FIiJAL Ry ADDITIOfJAL COMMENTS: ~ x S /v / ' k c ..0 r H ~ ~ A "1 1 H `~A O O 1 / ~ oG } .,D r ~ ~ 0 v t m 6, ~o H ~~i~~ 765-1802 BuaD~NG DEPT. INSPECTION (]FOUNDATION 1ST [ ] ROUGH PLBG. ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ INAL REMARKS: ~~C vC./ h G I DATE a~ Q INSPECTOR F 7 ~ll ~ ~~.1802 BUILDING DEPT. IN~PECTI®N [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN ULATION [ ]FRAMING [ /F~IN~AL REMARKS: _~_~~~/~~~G~-r~'~-~ r` z DATE ~ INSPECTOR 1 ail ~ 7~-18®2 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST ( ] ROUGH PLBG. [ ] FOUNDATION 2ND INSULATION [ ]FRAMING [ ]FINAL REMARKS: '~-~r~~'~'~ .~.bL~ DATE ~ ~ © INSPECTO / 765.18®2 ~ r BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [RAMING [ ]FINAL REMARKS: -c,~~,,G;,asw ~`i. _o ~ z - Esc-. ~ - _ a ~ DATE ( INSPECTOR ' - C~~~ 765-1802 BUILDING DEPT. INSPECTI N [ ] FOUNDATION 1ST [ _ ROUGH PLBG. [ ] FOUNDATION 2ND INSULA^~TION [ ]FRAMING [ ]FINAL REMARKS: ~ ~U°~--~' DATE ~ ~ INSPECTO 1~~~ ~ ~ 765-1802 ~~?ti2~'"`""~ ti~ BUILDING DEPT. 1 NSPECTION [ ] (FOUNDATION iST ROUGH PLBG. FOUNDATION 2ND [ ]INSULATION [~RAMING [ ]FINAL ~T ~ " inY/1~ L r' "4 /V y /t.y~ ~ # ` DATE l ~ ~ 1 NSPECTO 765-1802 BUILDING DEPT. INSPECTt~N [ ]FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION ZND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: ~ DATE lG~ ~ INSPECTOR 1 (~I 65-1802 ILDING DEPT. IN~PECTI®N [ FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ }FINAL i REMARKS: Q~~ . A-e.t.w~n ~ ~lr~.. DATE ~ INSPECTOR _ ,1~~~~ yr. / 765-1802 BUILDING DEPT. INSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING [ ]FINAL REMARKS: L-~a'~-r-~ ~ DATE ~ l O INSPECTOR BOARD OF HEALTH a~r~r 3 SETS OF •PLANS t• ~ ~r1~ ` FORM NO. 1 SURVEY V '•KK ~F # ~i BUILD NGD PARTMENT SErTIC FORM _~rd:~:::: TOWN HALL BL~7G. OkNT. SOUTHOLD, N.Y. 11971 NOTIFY 7~ Sr ~ r TOWN OF SOUi'IIOLC~ ~ TEL.: 765-1802 CALL 7a S . ~,..,~.,~.a. MAIL T0: Examined ~ , 19~~I. Approved 1 a- , 19 ~9. Permit No. ry(~e- (•~"t Disapproved a/c D 1~ tJ ~.-'~f~~`.! y, ~ ;jL% ~c. a-i•. (Building Inspector) Tfy N SOUTHOLO gyn. APPLICATION FOR BUILDING PERMIT Date 15 . INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupant;-.q shall have been granted by the Building Inspector. APPLICATION I5 HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary ' spections. (5iggatur~ applica , or name, if a corporavon) I~~.~dKl~af 14a~S ~~K7,A'~'JAt~~. ~z'>.t.HR~R,.N.-?~•. (Mailing address of applicant) 11~1'7C ti . State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises . • F' (a~"~~e tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title ofacorprorate officer) Builder's License No...~~%~'.4? ..;!'1.~ • Plumber's License No. ra.e a~/~/•"•p,~• . Electrician's License No. .t7~.o Other Trade's License No . . 1. Location of land on which proposed work will be done. ...a.~s• . ~.lJ"~~rJ'..~ . ~....7~ .~ta.hXc•~s • , • House Number Street B Hamlet County Tax Map No. 1000 Section Block Lot ~ ~ ~a3.7. Subdivision ,~^/G..Y~©Nt~ . ~.~`.i •A'.T~~ • • • • • • • • • Filed Map No. Lot ...f. ~ • • • • . (Name) 2. State existing use and occupancy of pr'e/miles and intended use and occupancy of proposed construction: a. Existing use and occupancy • • • • • • ~7 .Q b. Intended use and occupancy ! P~~~~~ • • •~~~~•i~~• j .s!I!1 i~'L, , , . ~4.?~//1~C., ..(o.'D.`~ ~ 1 Nature of work (check which applicable): New Building , Addition Alteration . Repair oval Demolition , Oth r Work , . description) Estimated Cost ..,....~~Q..?~ ~ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor . . If garage.nurriberofcars 7 Heim ttsions oting stru Nur d occupancy, specify nature and extent of each ty a of use . . 6. If b'smess, conunercral or mix cs, if any: Front Rear Depth ~L • • . , • , nbcrofStorics.... Dimensions of same structure ~t+ith alterations or additions: Front Rear . I Depth ........:..........',...height Number of~Stories . ' S. Dime ~p a new construction: Front Rear ....lA$........ Depth , , , . f Heigh umber of Stories . , a. . 4 9. Size of lot: Front ....~°~°2 Rear ~(aC~,~ •j~epth o1.~7.8~ 1 f • ~ ~ ~ • • 10. Date of Purchase . I • • • • • • • • • • • • • • • • ........Name of Former Owner 1!VI~h1..,~4Nfa .~OR~.... . 1 1. Zone or use district in which premises are situated . 2. Does ro osed constructi vto g py~ ' late any zoning law, ordinance or regulation: , . !3Q . I~ 14~ Will lot be re radedp . ......Will excess fill be removed from premises: Name of Owner of remises~.l9~5 °!'~,fJ„~N.. l1(F.~S~. Address OAKSA~+/n/.~~.~'t71ei.OPhone No. ~E~, . ~ Name of Architect ..Address ..........Phone No.. Name of Contractor ZT I. JwGY,K ,~M1;'['~-( , ,Address . .~'PJ~r4M... .Phone No. T.~-.~C?~:. . IS.Is this property located within 300 feet of a tidal wetland? *YES....NO.X.. *If yes, Southold Towp Trustees Permit may be required. " PLOT DIAGRAM Locate clearly and distinctly a1J buildings, whether existing or proposed, and, indicate all set-back dimensions from property lines. Give street and block', number or description according to deed, and show street names and indicate whether interior or corner lot. ~ ~ ~ ~~x fi~ s~, t , r~l r~3' w • ~ - . y~? y~.~..._ ~ , Q. i i ~ ~ ~ ~ , ~ ~ i ~,gKK Ave , STATE OF NEW YORK, CCUNTY OF S.S • • • • ° ' ' ' ' • ' . • • • • • • • • • • • • • • •m • • • • • . • . • being duly sworn, deposes and says that he is the applicant (Name of individual sign g'contract) above named. E{e is the ! . (Contractor, agent, corporate!,officer, etc.) ~ • of said owner or owners, and is'duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this .....day ofl.....~/./~~ , 19,9 Notary Public, ...~~..~.~',k~~.4!4-e:,~.. County NELEN R DE VO ~TNa A707k7A; SuHolki New Ymk • ~--~s<:`:~. t : l ' 1 ` DountYo i . Yar+o Exnirns Msrch 30,19-•Z,L (Signature of applicant) 1 : m'1; "ec j 6,e t3:z 3~9 ~C~ q~ ~ ° v"3 ~ d N ,r~1,,4,~ ~ zs _ ~ u ~~1 ~ l ~ ~i v9 axe @ ~„4 Qt ~ ;~,d 4 " , o ~ , rk s 1 ~ ~ ° ~ ,J ~ o J .a ~ ° W W y. ~q as ~ ~ ~ rp etD o.8 s.? o w `r~ ~ a_ w ~ . 4 w ~ ~ o ~ o ~ ~ ~ ~ ~'0 p to O ~ 0 w ~ z a a o a 0 o p " ~ ~ ~ ~ r 4 h ~ ~J a 4 m ~ ~ ~ ~ 4 V Q ~ ~ -r ~ `~3• i~ ~ ~ U ~ ' Q 6- n4 CiJ O~ a o Q w 4 U W4 W Q ~ /II 4 N r~1 Fi Q ~ v ~ ~ ~ ~ ~ i ~ ~ rm~ U1 ;lJ ~ ~ . ~ 2 ~ d rt ~ v ~ ~ w m. , t.~ r a r c~ z 4 ~ W _ rl N ~"1 V' U1 ~A , r a- t.H o~_..__.m x M ~ l a _ a- ~r J rl W E.. O 4py Ti C£'m o~v" X~~ ~ i n' ~7 0 4 y„ v 4 Q a N ~c~ a~~' ~FF mvmcw 7'~,' ~ ~ iJl ' ~ a 00. c3m~mo mfd st. j,a; Qy"~"", ~ W O IaA 4 ~ ~ 'P. m 'S 'R ~ 9 ~ .p w u ~ ~ It1 ~~.{~~'kS ~s_e2.i, "ar W ~ O Y ~ AN~`i u~_ 's' G^~ ~ryT~~~,, r a W = O' j/) SI d" Vi £ i ~ «vm u a~mi m ° ` ' r °~`4~~~~-„1~~ r ~ W Q ~ ~ J ~ 0 ~ ~ ~ i ~ o ~ ~ ~ m ~ r i u ~ > 9 Z. W w O W d Q \ LL m S~ ~ n G c v: f: 5 -ura~2 w G ~~7 ~ O ~P 2 Q r t.. "i O 0 } ~ ~ ~ ~ Z w°_'y'~ Z to Vr O pC x ` J i „F w>?-x a z r~ a ~ r ut~cr = E.R: 0. r W 4 j Z ~ O Vwi ~ OC ~ F° . i(7 W w a a u O L u O a wti`si~ Q ~ O O .J v ~ Q O Y O ~ ~7 ~ k: z ~"`ar.i ~..~.~~?,.i ~3.= a~ r r 0 i W v x o ~ a~ ti4 .3 r r a w i u' ~ WOOin ~a2tW uid ~O~'. ~ ~ p r aw`=~ w~»~ W jw Oa a O ~ t.3.,i,~ ~NV~ Inw~O~ i:~ : r~;r ~-~tt O O 1 z m.- ~ ,:M3 i ~ a w Y c:~ t~. t ~ i z ; ut: ~ 3 N ^ ~ T..°._. I , M y ~~'i ~ Y j%~ ;~.5 ~krln~`.s'j lrT s~ Ps'c`jt W~ W W / ,rr;~ j ~ J~ ' t' jai'"` i ix ~sy u ~ ~L}i ~ M~ y ~ t t;., N ~"l "ei~ , ~.~.i~"11~1Y~`1 ~~`i~: j4~s' .j ~4f;i i~4:_'ti~,j Ci.1 a' ~ ~ f.' _°t~. 1~~ _ ~ ~ d C) 4 4' ~ - y ~ N ~ ~ ~ }F. ~J 4 t- ~ ~ - sv d f y j t 1 t i t ~ ~ 'Ci}9 'rJ~Jd " k 3tiiX?Ct:.~f~71d ~ i I i , ' S ~ ~ r 41.+ ~ I s ~a z, ~ ~ ! i f ~ ~ ' ` (.tea- l ,c~i ~ 2~ ~ cud ~ ~ ~ ~ ~ ~,3 k '~1 ~'3 ~ a`~ ~ ~ ~ ~ ~ a l ti-0~ ~ y/'~~ F ~ L f_ fl LMA ~ ~ - j_ - ~ _ -(C7bU?~! ~,t,'4+Tt i?Scl ,{.rV li:,'~1 7,l~Sb':M . :f K_,J._ ~.'x t ~ ~ 1 '.i•. l: Y. H: ( ~ _ u . ~ ( ~ ~ ~ S~fAT~f~i~-Qi WlTE1V'r a y, TtiE WI1TEli<?dllTLY AND>!k'MillrFiE WEPOrrAL . ~ r ~ ~ ~ srss7Elle5 iOlt THIS M6iEfiDENGC .WI4.6 N.7r? ~,~0 265 t ! --i ~ONiQRM TO THE 9TANiYAI~t#~ Ot` tip ' ____-___~-----.-r_-___ W C7 f,L1!'f~1C t~1,. tt~X1,TH SIERYItlE. ~ . f ~~~t~,. I nwk ~ r~rrt~cu.tc CquwTV rimer,, Nt~tw~: 7 ~ @2 „+-=;,t;. ~~J~'' f( ` ~f~r•YI~~.,~Si POR A~?rRilii 1171Rt Q* . ~ , ~ ~ t ~ ~ ~ ~ ;17. ; ~ ~ ~CA~ 50 = k s. `rem. w?r~ta~Ea w ' ~ ~ S~'v era. W ` ' Q•[~P~ .tc . rtA~x s - o C° a A~ e3 ± / 4rsT. s~cT. e~+c tai.. 2 ~ t,Ct'' ~ b'IiF Rs - ~ ~ ~ ~ COUNTY DEPARTMENT OF HEAIiM SERVIC~2 „~,ifJrt~i:'tF~ 1$7! ~ :.:z~ ~ ~ w f ~ ~s ~ sn~st.E~FA~ur ow~tuNO o~xr i • OA~CT,~a ta_~1_ M.S. Ili. ND...~9- S~ -F'~/ 3 f}~ND 9q ~4EtJUE: ~ 7b~-9725 ~r tas~wt3t. iMe Ia!MaEe dr0osal alto an11t supply taeili9es NrIN1 _ , ( keiMisn iuve been inipged pY this DepartaNRt and/af Dtft3: L. NrA e~~ nari 11 p~ief Ut Bureau of Wastewater ManaBenw~d °r ag Ng„,r~,x ssaa 1 f'A~c:i~ $ ~1~S:.IZ[.dx`rl,j•:,1 AreE:k c°,~°rrEfiatw„trvrrrr, iha i n ~ °OS b^3rinp r ra{ ' A Am~tt L A' V 7 0 3 s h l( ~ . e`n~-' •c y ` ~S rte, he cnnsw'areC ~.1_(Ki1~N~.C~1r~(:^:~?~P~APr.3Fi~}I1Y~F~i''{?I'..+ ~.:Y'i~. i. im' ,~ror Guarcnt r. v h r or h It run i"f.E~'#?.......?1u 7~l i.. ~.~'it„[' f ~ ~e~~... l~ i:l.l n.i 1'~:~"' ~r~ y.,.""7 cnry ro m rtn `m r n .e ::ur., .d _ v ~ me - .i °n h s yr : zo ~-°~B1 r }~rJ r; ~`.i~ ~ a13.~;;:!e; ~Sa+iTrl..E~/A'('i4Ad~ tt~'FFk "rti'At;,~~14 .F`EI~i:, E,; ,'i~nw~i~~"~~ ~n~~""' • l~Y V~~ ~tSl.'Vf ~I~r mil' ' _ _ ~ in he 3."Ct7LE t~R: 7't?.E~C7AU53: ~ ~ a the anc tr,;,i- 1 ~r Yr_t{~~ r^1~~i1 tution Gumactxs nrg not trans"rnrahlg ~2.YfL~~~4V ~VIG--. amaswr%tiruuturamasubse7uem I Cif,', LG `~1.Y N1AP ,SNtE~tRft_Y -,hi1~4~~ayq, ~ ' ' r`" r rs ~ti: ~ ,'r ~ £ ,..r V Y ' y ° a -,tt,M~IE 23~i ~r~ ,14 " is zpe J~a tr~fi'~+ai4sc rebrW aQ .Mib -