Loading...
HomeMy WebLinkAbout29313-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: 2-30012 Date: 03/08/04 THIS CERTIFIES that the building ACCESSORY .Location of Property: 72.5 GRANGE RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) `County Tax Map No. 473889 Section 75 Block 4 Lot 18 . :Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 18, 2003 pursuant to which Building Permit No. 29313-Z dated APRIL 21, 2003 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 ACCESSORY INGROUND SWIMMING POOL WITH FENCE TO CODE AS APPLIED FOR. The certificate is issued to JEFFERY T & LAUREN M STANDISH (OWNER) of the aforesaid building. SUFFOLK. COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ 75224C 05/14/03 PLUMBERS CERTIFICATION DATED N/A Authorized Signat e Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT No. 29313 Z Date APRIL 21, 2003 Permission is hereby granted to: JEFFERY T STANDISH 725 GRANGE ROAD SOUTHOLD,NY 11971 for CONSTRUCTION OF AN IN-GROUND SWIMMING POOL AS APPLIED FOR at premises located at 725 GRANGE RD SOUTH/PEC County Tax Map No. 473889 Section 075 Block 0004 ]Lot No. 018 pursuant to application dated APRIL 18, 2003 and approved by the Building Inspector to expire on OCTOBER 21, 200 Fee $ 150 . 00 rizedd Signature ORIGINAL Rev. 5/8/02 nn tt 7y�( rl L^J Form No.6 i'�'N lS TOWN OF SOUTHOLD d BUILDING DEPARTMENT 81 OG D-` TOWN HALL T l C7 ^+ T t D —�- 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 installations from Board of Fire Underwriters. 4. Swam stafetuent from plumber certifying that the solder used in system contains less than 2110 of 1%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. B. For existing buildings(prior to April 9,1957)non-conforming uses,or buildings and"pre-enisting"land uses: 1. Accurate survey of property showing all property lines,streets,building and unusual natural or topographic a features. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupancy is denied,the Building Inspector shall state the reasons therefor in writing to the applicant. C. 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 building$25.00,Businesses$50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00, 3. Copy of Certificate of Occupancy-$25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. Q�f h I 1 rl of)q New.Construction: ✓ Old or Pre-existing Building: (check one) Location of Property: ° House No. Street Hamlet Owner or Owners of Property: �Q4e)f q <k L('_l -0(l Suffolk County Tax Map Not 000, Section J Block Lot Subdivision Filed Map. Lot: Permit No. g 3) 3 Date of Permit. Applicant: J e- 4 "1 I S+a..rYi5h Health Dept.Approval: ' Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ — v i 41#fcannature >.' y ... h+ �dr.A � `^�3rv.�stiv , - .R't ;d '�'�'; ;;`�' v1\ , n' � Y.A 4 ;Y .,n�fi u� ,S n 7�._y / w k r y 2f, 4 li, I = � i, _ a 1 Nils' t''"Nn{="�nr, �w :,t= "n 'i47i• "'':i�-' "t nN 1,•n rm i11EF�un1 rl 1 u Itn -ym, Ylkr: .1n1 r3 -�lniA, ,:nn nn r.r n,u � y 1slectrcallnspection Certificate 1. Issue Date Electrical,Inspection Service,Inc Application Number . „ 1 — av 05/14/2003 375.Dunton Avenue 75224C East Patchogue,New York 11772 (631)2W-6642 ^ ' - issued To: Jeff&Lauren Standish - ;' z _ Street: 725-Grange Road - Wage: Southold Zip: 1:1971 Town: Southold ' Section: 75 Block:4 Lot: 18 G Contractor: T. Raynor Electric Lic.# 1805.-E Was examined and found to be in compliance with,the National Electrical Code: - ❑ Commercial ❑ NYDefects O-Pool ❑ 1stFloor El Indoor ❑ Basement ❑ HotTub X❑ Residential ❑ Det Garage ❑ Attic ❑ 2nd Floor (] Outdoor ❑ Addition ❑ Survey — = switches Receptacles Fixtures GFI Heaters A/C Fans N 2 1 1 1 1 r Dishwasher Washer/Amps Dryer/Amps Oven Range/Amps Microwaves Furnace Oil Gas Circulators Smoke Detector Bell Transformer Meter Amps Phase UG/OH Jacuzzi Television CO Detector ' w Bldg. Permit- Other ermitOther Equipment 1-Pool Panel 1-Time Clock 1-Motor Hu90 S. Surdi President Rough Inspection: 05/13/2003 . .. - Inspector Ed Scavelli =� ' ". Final Inspection:. 05/13/2003 _ Inspector. Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials. ' '" St Ilia11 + I�IY ; 1�1� !9N !Iigll'9iu !Iry •.Ililll Al 11'nu ' 1 IYit. .px1 .iN� 1�1, - IIY — l,�p� q�Yi - I eP mN, .c-:.•• �•'�;a„`�•'�s11,�-,'kr1 `�"'�'�?�"1�1�'�'r1 '���d4.1`�� r1�1� 1.1�'��:4^;h��;iv;;'�: y�+a,• x .:titu vx. .1:.;�;'�'w uN• b 1. tk l t... a dye b't {fr� �,w:^ �l•-•`:[ :$+:;,ay.'re.C,f.•.'S',�.R}�'i4y,SY`'J�/�.SiF }�•'xti<3 .:YS• .SyF •.:11! 4{:.i�y'•:Ye:� ..n �'•�-$./Yf:2�*'•u,�{��ry :•.e}:+:i{.r?h.'i� fs,RJ' is?1,.,r a.: 'Sry...�.:er. NEW YORK STATE INSURANCE FUND 199 CHURCH STREET N^W ;YORK N.Y. 10007-1100 i-$�8-997.-386'3 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE $WIN TECH POOL SERVICE INC POLICY NUMBER .461 MILLER PLACE RD Z 868 072-0 MILLER PLACE NY 11764 DATE 12/10/2042 CERTIFICATE NUMBER 80-277 PERtf3b CCJitERED SY t191S C K Alf 2{2 :fJ99 POLICYHOLDER, CERTIFICATE HOLDER SWIM TECH POOL SERVICE INC TOWN OF SOUTHOLD 467 MILLER PLACE RD BUILDING DEPARTMENT MILLER PLACE NY 11764 TOWN HALL SOUTHOLD NY 11971 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER POLICY NO. 868 072-0 UNTIL 2/28/2004 , COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORK- ERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 2/28/2004 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. ME STATE /INSURANCE FUND U-26.3 DIRECTOR, INSURANCE FUND UNDERWRITING �a� ACORD. CERTIFICATE OF LIABILITY INSURANCE swOPIDi' D o iz�03 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS LPON THE CERTIFICATE %'-Soc-.Dte.3, Inc. ! HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXT=NO OR 2067 J:rc:.:r:[.o '_Urrpike ALTER THE COVERAGE AFFORDED BY THE POLICIES B_LOW. ..Commack NY 11725 Phone: 631-864-1111 Fax:631-864-8274 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Worcester Insurance Company 647 INSURER B: Swim Tech Pool Ser ices,2nc. INSURER c: 467 Miller Place Road. INSURER D: Miller Place NY 11764 INSURER E: COVERAGES':. THE POLICIES OF INSURANCELISTED SELOW.HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED-NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED.BY THE POLICIES DESCRIBED HEREIN IB SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH ---.POLICY EFFECTIVE CY EXPIRATION 1'... Ty ..,, i:,V 'iJ' ':Y M:MHPN DATE MM/DO :DATE(MMIDDrM LIMITS .. 'li.•' .Y EACH'OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY .MPA2S4396 02/01/03 02/01/04 PREMISEs(Eaoccureda) $100,000. I ' CLAIMS MADE.®bCCUR MEDEXP(Anyoneperson) $5,000 PERSONAL&,ADVINJURY $.1,000,000 GENERALAGGREGATE $2,000,000 GEN(AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP{OP ADD $"L,OAO,QOO' POLICY ECT LOC AUTOMOBILE LIABILITY f OM13IINNM SINGLE LIMB $ 1,000,000 A X A14YAUTO BA2S4396 02/01/03 02/01/04 "N ALL OWNEDAUTOS BODILY INJURY $ SCHEDULED AUTOS (Perpersan) -HIREDAUTOS BODILYINJURY NCNAWNEDAUTOS (Peraccident) $ rip-150,000 PROPERTYDAMAGE X UIS-1,000,000 (PeracddeM). '$ GARAGE LIABILNY 'AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EA ACC $ AUTO ONLY: ADD $ EXCESSIUMBRELLA LIABILITY EACHOCCURRENCE 'I$. OCCURCLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORXERSCOMPENSATION AND: TORY LIMITS ER-i EMPLOYERS%LIABLiTY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED?, E.L.DISEASE-EA EMPLOYEEJI S '.l'yes,de=ibe under SPECIAL PROVISIONS below EL DISEASE-POLICY LIMIT '$ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED SYENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER - CANCELLATION TOSOUTB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 15 DAYS WRITTEN Town of Southold NOTICE TO THE CERTIFICATE HOLDER NA D TO THE LEFT,BUT FAIL R TO DO SO SHALL n Building Department IMPOSE NO OBLIGATION ORLIABILrno r Du THE. Town Hall REPRESENTATIVES. Southold NY 11971 AUTHORIZED REPRESENTATIVE Ba atta Associates Inc_ ACORD 25(2001108) ©ACORD CORPORATION 1988 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. i [ ] FOUNDATION 2ND [ ] INSULATION a [ ] FRAMING [ ] F AL ] FIREPLACE & CHIMNEY [ IRE SAFETY INSPECTION REMARKS. � l2 � DATE C INSPECT 765.1802 BUILDING DEPT. INSPECTION k [ ] FOUNDATION IST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] [NSU IOM FRAMING [ AL FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: l Iq 1 i DATES INSPECT 77i 'w FIELD INSPECTION REPORT DATE I COMMENTS C3i FOUNDATION(1ST) FOUNDATION(2ND) � " 1 ROUGE[FRAMING& PLUMBING y a r ; INSULATION PER N.Y. "3 STATE ENERGY CODE FINAL t CA i ADDITIONAL COMMENTS z Z m ( ice ' i O x., d ro H TOWN OtiOUT11OLD BUILDING PERNIIT APPLICATION CHEMIST BUILDING DEPAI�,TMENT Do you have.or need the following,before applying? TOWN HALL Board of Health: SOUTHOLD,NY 11971 3 sets ofBuiilding Plans TEL: (631) '765-1802 Planning Board approval FAX: (6311)765-9502 Survey PERMIT NO. ( �_ Check Septic Form N.Y.S.D.E.C. Trustees Examined ` � 20 Contact: Approved,20 Mail to: Disapproved a c l.m . t _ Phone: Expiration 20 Buildi pector APPLICATION FOR BUILDING PERMIT Date 4 t Q(t I ) �O 2003 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 ureas, and waterways. 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 issue a Building Permit to the applicant. Such a 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 what so ever until the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize,in writing,the extension of the permit for an addition six months.Thereafter, a new permit shall be required. APPLICATION IS 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 tocomply with all applicable laws, ordinances,building code,housing code, and regulations,and to admit authorized inspectors on premises and in building for necessary inspections. (Signature of applicant or name,if a corporation) (Mailing address of applicant) 5LAD tm 'lcc-py maltwp(ate 6% t 7(g Y State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Lameo ner of premiseoe1)a A L�U �'G Yl �a art d L S h• (As on the tax roll or latest deed) is a corporation, signatLRof duly autho ' ed officer � aerie and title of corporate officer) uilders License No. lumbers License No. lectricians License No.-i-S 0 e t: ther Trade's License No. Location of land on which proed work will be done: 7.z5 Crna — l-Dc� � 1C� House Number J Street L t� Hamlet County Tax Map No. 1000 Section -75 Block—'L4 Lot Subdivision Filed Map No. Lot (Name) ry 2. ,tafe existmguse'and occupancy ofp�n�ses and inter ded use'and occupancy of proposed construction:, a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work:(check which applicable): New Building Addition Alteration Repair Removal Demolition Other Worker t tYlrrt¢, Pg c( escr'pfion) 4. Estimated Costq ),OGc - co Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units Number of dwelling units on each floor If,garage, number of cars 6. If business, commercial or,mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height Number of Stories jDimensions of same structure with alterations or additions Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front Rear - Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12.Does proposed construction violate any zoning law, ordinance or regulation?YES" NO__X 13. Will lot be re graded?YES NO_Will excess fill be removed from premises?YES Y NO_ 14.Names of Owner of premises_� •S_10l.Gi is h Address Phone No. 7Co,5 Name of Architect Address Phone No Name of Contractor5�in�-Tr 6�U Address -t -) Ntwl r" Phone No.C12 mawrPI NY 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale,with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below,must provide topographical data on survey. STATE OF NEW YORK) S: COUNTY OF being duly sworn, deposes and says that(s)he is the applicant (Name of in dual signing contract)above named, (S)He is the Y�LG�GjI (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. S orn to before me ' day of f i I 20 C Notary Public ' Signature of Applicant TINA M.WOOD s Notary Public-State of NeW York No.01W05077029 Qualified in Suffolk County My Commission Expires tj�X/�-A 04lUtl/U3 lUE 07:14 FAA OIU 755 1350 bournol(t Town AccounLln$ 4Juuz � s . 3 o ,.�.. �gg0 LAryg2P Jf 0 OD o AVA_o3y2� �,` OQ A�Eliv 5r .._ A&" w2w 41 v�be s.rx.At�,�•'�/ "'=.�.ti-y,.�`i. '�P !C' em a -,�. APMAIIED AS DATE: S.P.ar Z I FEE: I BY: NOTIlly BUILDING DEPARTMENT T 7857802 SAM TO 4 P FORTH " 1 !--"--- --- -- EI-F PRILLIN,:- 3cP-ads FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE \, ASO I -_ _f'AWFL aTI FFGNC T��Ri FP.YUf•6 G+'> 2. ROUGH - FRAMING APL 3. INSULATION 4. FINAL - CONSTRUCTION MUST -n ����s I L�>n.IG�6J .L�J I�I�ALLIN11Nt>CM % BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF N I VINYL LINC.r2 ----�I-C .I..Ak�I.LT; F�ASE: PLATE YORK STATE. NOT RESPONSIBLE FOR I DESIGN OR CONSTRUCTION ERR RS. FLOOD ZONE — COMPLY COMPLY WITHCHAPER'4G" I_��o I _____ — STEELANGLG !'.°F�"IVG ST,A1,^, FLOOD DAMAGE PREVENTION ___ %L' EL WALL PANtL y SOUTHOLD TOWN CODE. G SAND &4ZVF-KHICLI1, ITfa NIv�JNI' tr CotICRE1"E:. OCCUPANCY OR AC1c11zEc1ArE mIX USE IS UNLAWFUL PLAN ffo WITHOUT CERTIFICATE PO'll" T�' "�' L-E 111 ti T III _Ilu._rll _ 11=ou=i i_ju Im=I r 1n=0 I SIII 1—D- I IF - gun OF OCCUPANCY uN�IsruRP>EP �ARTrI - - TII LOI STFErt -- -1i lll nnlluu UNDERWRITERS CERTIFICATE 1811 r ILII IG�INPd(LGII�II-I 11op =�1 - RVEQmr;o II. ESE LowFoIZ FLAT-FWE.N7' bRIVE IhlTr��H GF:tn.IF.l1� =.1j -_ or DIV INC, NT&AIxp MANDATOpLY Rope rI,0A'f �12" FROM jkAN�>Irl hl -- 5II0I2-T51-EI LAFI r-LF Wit aG6l-n ALL CONSTRUCTION SHALL ` 121' lil�,ul IW MEET THE REQUIREMENTS 0 HE" I lilt,1II CODES OF NEW YORKSTA� '- 11_11 PI \ �:�� JII_IT 1111111 IIII "IMMEDIATELY" ENCLOSE POOL TO CODE UPON COMPLETION q�_G�� _ Iro,-3" BEFORE "WATER" 6 COMPLY WITH ALL CODES OF � NEW YORK STATE &TOWN CODES OW I GE. I AS RE UIRED AND CONDITIONS OF ,VL,SOUTHOLDTOWN ZSA S 8 4 ra' r /1 SOUTHOLD��TgqWNPLANNING BOARD rim3 _ ON + 3" Nt3rE.s SO'JTHOL WNTAUSTEES �- r a'/ .Y.S.nor . �r71V1'NCO 1?oAgv I I LONG I,-TH 15 15 A STAF.ID,r Krw T`I'I''k-la Pot"✓"L. CoN,,;�-rrw6Tt,p -- WIT IN A �HIA ANrl� To Br-_MOUKAD P "11f-H 1 F'I 3 or:'- 3 MINIM�IH WATC12. I FV�L- IN5T.ITUTF.,�5TANID', .��h >�>P L.O�J Tog'➢ �E L I N FR 2. �"AGf 1 �'.'.1. l.Jr:'- � I 3. �"� dfac7�"4 �ba lta Lr. _ I"1A7SIMUMLEN <.T - - I>I�e-P --- q.nNO, SPIAL LOW r-1-10 01"A POOL. IN 4cc.0VPApI `,.-F: W171-1 LIK!t�Fz- MAHILI-r-AG'TLIRrrS 5, WA1r"'rzPI5Nso5At 6%4ALLL- Ih111E t rlowoel .s -'Arr- EG v r y Q FV-OPErRT`I`'IbaLIrLLOCAL cCIT AhIIL) C:h IULTIGhJS , = .=? = 6.IA A4 k5 Ta Pae5iF,j 'tq-,gj No SK I C> TYd>r,,. AkfrAo SLop AWAY FRAM"rH I pclL . B3 n r>Or7rbh� EXCAVATION mw1` , (3G PF_,oPEIZLY GoMPAGTE ) 9pfE P,-O W IM ` 1GGI-IAN IGAL'TAI1lPEF2l r s01 L- IS 1)15TW12-DE'D ST L. FORM C L aW LM- L9! aIa SCALEtAe HvC,rit,D APPROVED BY: DRAWN BY We'114 DATE: REVISED IY 4 I o 11 1/^Jl v I,I bB - �Gt,wLIW:: DRAWING NUMBER