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03536
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
WELL COMPLETION REPORT
Well Location Street Address: Town/Village: Tax Map # GPS
410 46.6Z I
299 Barger Street Putnam Valley Map 74. Block -1. Lot(sr10.2 073047.8131
Well Owner: Name: Address:
Ralph Adorno, Jr., 103 Bryant Pond Road, Putnam Valley, NY 10579
Use of Well:- X Residential Public Supply Air cond/heat pump _Irrigation
1- Primary Business Farm Test/monitoring —Other(specify)
2-Secondary Industrial Institutional Standby
Drilling Equipment X Rotary _Cable percussion _)XCompressed air percussion Other(specify)
Well Typd —Screened Open end casing X Open hole in bedrock -Other
Total Length 40 ft. Materials: X Steel Plastic Other
Casing Details Length below. grade Wit. Joints: Welded X Threaded Other
Diameter 6 in ' . Seal: X Cement grout Bentonite Other.
Weight per foot 19 lb/ft Drive shoe: X Yes No Liner: —Yes —XNo
Diameter in Slot Size Length (ft) Deptto Screen (ft Develo ped?
Screen Details First I _Yes _No
Second I Hours
Well Yield Test Bailed X Pumped X Compressed Air Hours 6 lYield 25 gpm
Depth Date Measure from an surface-static (specify ft Dunng yte ld test (ft) Depth of completed well In ft.
201 240' 300'
Well Log Depth From Surface Well Diameter
If more detailed ft. ft. Water Bearing in Formation Description
land.surface in in;.�E. }r
_ information informafion-.. 10' Drill 3
X aad. boUl
descriptions or Hit `rock at 10'
sieve analyses 10 40 Drillina in rock. set casi re. grouted
are available, 40 300 Drilling in rock granite
please attach.
If yield was tested Feet PUMP/Storage Tank Information
& j0dtrog)�,Kr Minute
at different depths Pump Type sub Capacity_ 20M
during drilling Depth 260' Model BF20
list: Voltage 230 HP 2
ITank Type WX203 Volume 32 gallons
IPR
401 Y 1!
Dzit6.'.,WelF, drbip fiN Driller Certificate N State '�N'
e e ' Date of 0
A
8:.
D
2-
m
'Installer
Certificate
p.
IV
WeII7�Driller Name Addte'ts": �
4:
'N 'VP�' —
,Brewster
p; Installer ' ':!'N `&Add
All
Cg
509
4:11'Ttitjidffi'!!Ave s,
Zo,
NOTE: Exact Location of well with distances to at least two permanent landmarks to be provide on a Aparate sheetiplan.
White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WC-97
Rev. 3/06
CERTIFICATE OF CONSTRUCTION C FOR WAGE TREATMENT
PCH D CONSTRUCTION PERMIT #_
Located at 999 25AR(9ER 6LrReeT To or Village Pure" Auz. j 1.
Owner /Applicant Name RALPH ADOR&P Tax Map Block �.. Lot io- z
Formerly
Subdivision Name kJ11PJF (r. '4tJO&VO
Subd. Lot # Z
Mailing Address 99 �1:g SMEET , FU a pJ�V V r-1! , � �/ Zip ®�
Date Construction Permit Issued by PCHD Q-5 /Og'Aun
Separate Sewerage System built by ® LH ADORO Address SAME
Consisting of 1 Gallon Septic Tank and Y00 4'.F. ®1✓ 114 && &mrw Nc
'PIPE PE !tJ 2q " CRZAV04, 9 A1F-NQ4FS
Other Requirements: 0 — ,Zq of *8*A /K 12th fJ
Wa1g SUMRy:
Public Supply From.
Address
®n:G Private Supply Drilled by Address
-)6ifl i'o?r sracdreol'.s.,ornpT : ei#: W:_. �.
Number of Bedrooms i/ Has garbage grinder been instatl�l�� NO
y- —
I certify that the system(s), as listed, serving the above premises
built plans (copies of which are attached), in accordance with the
plans and the standards, rules and regulations of the Putnam Coi
Date: Certified by
Address
(Design Professional)
,fn l . - - ® it /, .
as shown on the as-
inRit and approved
(-E V R.A.
:.License'# b
6z9- 8®
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 are subject to modification or change when, in the judgment of the Public Health Director, such
revocation, modification or change is necessary.
B Title: - Date:
t
41/tcopy - HD File; Yellow copy - Building nspector; Pink copy - Owner; Orange copy - Design Professional
Form CC -97
PUTNAM COUNTY DEPARTMENT :OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
..� ta�r'?�efX4l�Rry ai l�.K� 6, a�aS9�.,W,O
.i:•t � c lvl a:. d�+.. —•r- —• n wF .:�T i. L?? .45
WELL COMPLETION REPORT.
WeII Location :::'
Streef Address:`
Town7Village.:
z
'�rin V11
Tax.Map #
Ma . Bfock Lot s'
p 74 ~. :(
GPS
°
Well Owner.,:.'.
Name: Address:
RaI a t A dion. ... ''Jr .. i Q1 Rryqtit P... .= PP m `IAxIj e : W1 1177
Use of Well:.
1- Primary
2- Secondary
Q Residential _Public Supply Air cond /heat pump _Irrigation
�y Business Farm Test /monitoring _Other(specify)
Industrial. Institutional Standby
Drilling Equipment
v` Rotary _Cable percussion _Compressed air percussion Other(specify)
Well Type
Screened _Open end casing X Open hole in bedrock _Other
Casing Details
Total Length Zto ' ft.
Length below grade got.
Diameter 6 in.
Weight per foot _1�_olb/ft
Materials: __Steel. .'Plastic Other
Joints: Welded Threaded Other
Seal: - Cement grout Ben.tonite Other
Drive shoe: v Yes _ No
Liner: _Yes V No
Screen Details
Diameter (in) 'Slot
Size
Length (ft)
.26 pt to Screen ft
Develo ed?
First
_Yes o
_N
Hours
Second
Well Yield Test
_Bailed yPumped Compressed' Air
Hours
Yield gpm'
- -- - -- - - °- --- -_.
Depth Date
easurefronriand• surface• static-( specifyft }------- '------------- - - - - --
2
During' yied- test(ft)'•----- :_---- '- - - - - --
240.1
Depth.o completed. we - m.ft.._..__ ;.
Well Log
if more detailed
information
descriptions_or
sieve analyses
are available,
please attach.
Depth From Surface
Water Bearing
Well Diameter
in
. Formation Description
ft.
ft.
Land surface
a r ,.i
.d w e
_ � - ...,
f,_n... -
nr j 1 j n g.
In
nr; n , ; „
1r -„
If yield was tested
at different depths
during drilling
list:
Feet
Gallons Per Minute
Pump /Storage Tank Information
Pump Type _,,T Capacity. r,
Depth ,)6() t Model - -m
Voltage ?•Rn _ HP ? _
Tank Type ;tint•?i-) Volume 'A?. ,-Ali nq.
date weu completed
Wel[ Driller PC Certificate #
Pump Enstaller.;PC,}G0'0icp 4".0 D2
WeII DrtllerName Address p ,, r,,k9; -, R�
J
�.d �VG3 � �3i17 � i.i �F'.� �V�i �i GYY� I'��� �� �.•li'
�.�• � a ��� . � � :� �; � > r . ,�h . �'.',�'+ � ,:t� ,,.a;:�,Y.�i.�
tN w a r.G
al. at ,I
1 {l 1
t
R T � i C7 L A'�a fK Irhll �1 �ii.:'^ �If
'� x�a, R.s�.:;J :,�;► . '� �11.''v'�(' :�a�'4..r!:�
Pum Installer Name S Address a r'I� z qF #u, hRt
P hI �V p'9l
50t,'�p�k�,'.
.�y'/4! -tg. �Gr'S. L: '...a6inv '�, a �'�'', r1:eZ•./�yu. i'
5,!X
6�,.11�,iyC.'•nK.:tyi iraN
u'mp Iii IQ ! gyp fill,
14 i� Cif i1J�i
i' -'.:. '.W' i..�d 'iF.. :.:1�•�RIW..W n� ,.!1�9.fh6'V�II.'�
NOTE: Exact Location of well with distances to at least two permanent landmarks to be provided�6n a g a�afe sheet/plari.
White copy: HD File; (Yellow copy - Building Inspector• Pink copy -.Owner; Orange copy - Well driller
Form WC -97
Rev. 3106
Public Health Director
Associate Public Health Director
Director of Pahe& Servkes
DEPARTMENT OF BEAL,TH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
Nuning services (845)279-6558 WIC (845) 278.6678 1:ax (645) 278 - 6085
Early btervention/Preschool (845) 278 - 6014 Fox (945) 278.6648
E911 ADDRESS YE1tIFICATION FORM
Ralph Arno
�D�JNERS NAME- Ralph
TAX MAP DER: Section: 74.009 Mock: 19 Lot: 10.2
1-911 ADDRESS: 299 Barger Street
Putnam Malley _._.. _ __ -._ . _ - -- -.__ -.
._ . -. . _TOE: ...- - _._.._._..- - -- - -- -- - ^....... - . -_ ... ... _.
AUTHORIZED TOWN OFFICIAL:
DATE:
�y �t
The Putnam County Department of Health will not issue a Certificate of construction Compliance
unless the above form is completed, i.e., a legal E911 address is assigned by an authorized town
official. This form is to be submitted with the application for a Certficatc of Construction
Compliance.
(E911ver&m)
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health,
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
February 16, 2010
Keith Staudohar
Timothy Cronin, PE
The Lindy Building, Ste 200
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Staudohar:
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Construction Compliance — Adorno
299 Barger Street
(T) Putnam Valley, TM # 74. -1 -10.2
This office has received and reviewed the most recent set of plans for the above - mentioned project. We
would like to offer the following comments for your review and consideration.
1. Based on field inspection and subsequent conversations with this Department, revised SSTS
plans were to be submitted since the SSTS was not constructed according to the approved
plans _.._ ....
. . _.. _... "2. Th: ;; -fiii•s ch�'was approxiciiately i:1; trot`3: "a� shown in "Cne a pfiovec iizri "' "
3. The length of laterals shown on the as -built plans is not consistent with the field notes of this
Department.
4. A topographic survey of the existing conditions was to be submitted per discussions with this
Department during the field inspection.
This office will continue its review upon consideration of the above- mentioned comments. Please feel
free to contact me at ext. 43157 if any questions arise.
JSP /kly
Very truly yours,
VJeph S. Paravati, Jr., PE
Assistant Public Health Engineer
Environmental Health (845)278 -6130 Fax (845)278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
l.�
SHERLITA AMLER, MIS, MS, FAAP
Commissioner of Health
M LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
September 30, 2009
Timothy Cronin, PE
Cronin Engineering
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Cronin:
ROBERT J. BONDI
County Executive
.. _ , . . • . >: , ....ems ,. �... • - ;:�.
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
Re: Field Inspection — Adorno
Bryant Pond Road & Barger St.
(T) Putnam Valley, TM # 74.4-10
An open work inspection was conducted on 9/29/09. The following comments need to be
addressed.
1. The SSTS is not installed in accordance with the approved plans.
2. All existing and proposed laterals need to maintain ten feet from the top edge of fill.
3. -It appears the house elevation has changed from what was approved.
- _ .4. .Tbe.septic. ta_r_k a nd iAipiSr rsee to_ be exposed fo.�ir�spection.
5. The fill pad side slope has not been constructed on a 3 on 1 slope.
6. Impervious soil has not been installed on the fill side slope.
7. A bedroom count needs to be performed by this Department. The house was locked upon
inspection.
Due to alterations of the site and septic system design this Department requires the submission of
revised plans showing all site conditions as they now exist.
If you have any further questions, please contact me at (845) 278 -6130, ext. 43261.
Sincerely,
Gene D. Reed
Sr. Environmental Health Engineering Aide
GDR:kIy
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 22.5 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention/ Preschool (845) 228 -2847 Fax (845) 225 -1580
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
October 7, 2009
Timothy Cronin, PE
Cronin Engineering
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Cronin:
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
ROBERT J. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental- Health
Re: Field Inspection — Adorno
Bryant Pond Road & Barger St.
(T) Putnam Valley, TM # 74.-1 -10
A reinspection was conducted on October 1, 2009. The following comments need to be
addressed.
1. The SSTS is not installed in accordance with the approved plans.
2. All existing and proposed laterals need to maintain ten feet from the top edge of fill.
3. It appears the house elevation has changed from what was approved.
4. The fill pad side slope has not been constructed on a 3 on 1 slope.
5-.-; -1uip6rV'-1ous-`soi1l has °nol been ° installed -or, tie Egli -sides slo e. °° -
6. The house was not constructed in accordance with floor plans approved by this
Department revised plans need to be submitted for' review showing the actual layout.
Due to unauthorized alterations of the site and septic system design, this Department requires the
submission of revised plans showing all site conditions as they now exist.
If you have any further questions, please contact me at (845) 278 -6130, ext. 43261
GDR:lm
Sincerely,
'egg. 1-�)' ce-4
Gene D. Reed
Sr. Environmental Health Engineering Aide
Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
MEMORY TRANSMISSION REPORT
.:;�� - - -, �:. �1;�,�===-- •�"�:<.s €i== �D =o-o9 11:2aHl�' = :.�: -:� -..-.�.� ..� :::�.: -._ . , ... <- _ .___.."
TEL NUMBER 8452787921
NAME ENVIRONMENTAL HEALTH
FILE NUMBER 455
DATE SEP -30 11:23AM
TO 819147363693
DOCUMENT PAGES 001
START TIME SEP -30 11:23AM
END TIME SEP -30 11:24AM
SENT PAGES 001
STATUS OK
FILE NUMBER : 455 ** SUCCESSFUL TX NOT ICE * **
Cp
SII- IlY�Il27LIITA A1vIlLD =72, Nom, 1vIlS, F'AA� 4 a IlZOIIi�1Ei'rt' �_ SoNIIDa
" Commissioner ofHao/th � � Cortnsy EYecutiva
x. <mm -rm& mc x zm.- fliII., n-ra. hasty �W O Ili�]SFIIiT mcmi iAS, pm:
Assocloitl Commission¢!' ofFleoith Director 0jrH—I. —& sal lNeq/th
dEPAR -r61i aN-r CJF HaA.L -rH
1 Caeneva Road. Brewster, New York 10509
September 30, 2009
Timothy Cronin, PE
Cronin E'.ngineering
_..... . �._ "••^2 Sohn 1'J -alsla 131v.d_ -
.' - -,. .,. ._ -�rechdlcil:, ^�2 � 1G555. .. ..... .... _ _ '�` -�rr ,� �- _,:..- .:,.:. _ -.• ::._ �.:.... .Q. - ..-_., .. �..... ,._ .. .... - "
Re: Field Inspection — ,kcic>
Bryant Pond Road 8c Sarger St_
(T) Putnam Valley, TM 0 74. -1 -10
Dear Mr_ Cronin:
An open work Inspection was conducted on 9/29/09_ The following comments need to be
addressed.
1. The SSTS is not installed in accordance witty the approved plans.
2_ All existing and proposed laterals need to maintain ten feet from the top edge, of fill.
3_ It appears the house elevation has changed from what was approved.
4. The septic tank and piping need to be exposed for inspection.
5- The fill pad side slope has not been constructed on a 3 on 1 slope_
6_ Impervious soil has not been installed on the fill side slope_
7_ A bedroom count needs to be performed by this Department_ The house was locked upon
inspection.
Duc to alterations of the site and septic system design this Department requires the submission of
revised plans showing all site conditions as they now exist -
it you have any further questions, please contact me at (845) 278 -6130, ext. 43261_
Sincerely,
Gcne D. Reed
Sr_ Environmental k4ealth Engineering A3dc
GDR:I�ly Environmental Mealtli (845) 278 -6730 Fax (845)1:Z-78-79:21
Water Supply Section (845) 225 -5186 Pax (845) 225 -5418
Nursing Sery Ices (8453278-6:559 P— (845) 278 -6026
Mursing klome Cara I=ax (843) 278 -6085 WIIC (845) 278 -6678
ruarly aatarvention / 1Prescho l (845) 228 -2847 F— (845) 225 -1580
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
fORkttA MbL NAR " "f, N; MSN "
Associate Commissioner of Health
September 30, 2009
Timothy Cronin, PE
Cronin Engineering
2 John Walsh Blvd.
Peekskill, NY 10566
Dear Mr. Cronin:
ROBERT J. BONDI
County Executive
. >'�...,. �. . _ �- ROBERT `MORRIS, :PE' •�:: •'< ° .._ ,J
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road. Brewster, New York 10509
Re: Field Inspection — Adorno
Bryant Pond Road & Barger St.
(T) Putnam Valley, TM # 74. -1 -10
An open work inspection was conducted on 9/29/09. The following comments need to. be
addressed.
1. The SSTS is not installed in accordance "with the approved plans.
2. All existing and proposed laterals need to maintain ten feet from the top edge of fill.
3. It appears the house elevation has changed from what was approved.
4. The septi tank - and piping need to be exposed, for inspection.
_3 'The till pad side slope liasnof Henn const`ruc.ted•on a 3 on 1 slope.•-
6. Impervious soil has not been installed on the fill side slope.
7. A bedroom count needs to be performed by this Department. The house was locked upon
inspection.
Due to alterations of the site and septic system design this Department requires the submission of
revised plans showing all site conditions as they now exist.
If you have any further questions, please contact me at (845) 278 -6130, ext. 43261.
Sincerely,
M���L �\ - M, �
Gene D. Reed
Sr. Environmental Health Engineering Aide
GDR:kly
Environmental Health (845)278-61'30 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026
Nursing Home Care Fax (845) 278 -6085 WIC (845) 278 -6678
Early Intervention / Preschool (845) 228 -2847 Fax (845) 225 -1580
Page 1 of 1
Joseph EP aravatu
From: Joseph Paravati
Sent: Wednesday, February 03, 2010 2:45 PM
T ®. 'Keith Staudohar
Subject: Adomo as -built
Keith,
I'll be sending a formal comment letter but for now, here are the unofficial comments:
1. What happened to the revised plans that were supposed to be submitted?
2. The fill slope is 1:1, not 3 :1.
3. The as -built shown doesn't reflect what Gene saw out in the field (length of laterals shown not consistent with field notes)
4. A survey with topography of the existing conditions was required (agreed to in field),
Joe
Joseph S. Paravati, Jr., P.E.
Assistant Public Health Engineer
Putnam County.Department of Health
1 Geneva Road
Brewster NY 10509
845 -278 -6130 x43157
joseph.paravati@putnamcountyny.gov
I
2/16/2010
PUTNAM COUNTY :DEPARTMENT OF 'HEALTH
'n"rrQTn?J O XTXrrDnX7N"?trr AT HEALTH SERVICES
FINAL SITE INSPECTION
Date:
7P
StreetLocation 73c .PQe'r 0
Town. — ?c/r,,J,4 A
TM -4 7V , 1-4Q `4
SiibdivisionLot* p-
-
-System Area
a. STS area located.,as -Per! r.bv p
.4p ed.-Plans .......... ............
b. Fill: section - :date ofplacement
3:1,bamer. � Lgth. 'Width -Avg.,Dpth
c.' Natural soilnot. stripped .......................................................
d. Stone :brush, . etc.; :greater than .15': from :STS :area..........
.,e. 100'.from water tourse/wetlands .....................................
,IL Sewage, System
a. -Sgptictank-size-1,0.0.0..*.. ...... I; 250 .. ..... o ther...
..............
b. 'Septicii3&mstalleflevel ...... .......... ............... �;.s.4.............�
c. 10',M1' iimum from foundation .......... ...............................
d. Distribution Box
1-., All outlets at same elevation -water tested.... *.....
2. :Protectedibelow-frost., .................................................
3. ..Mhimum,2 R.-Ofiginal.-soil between box & trenches
e. Jundion�,Box piopefly;set .........................................
6. 'Ifrenches
1. Length-required ..Length installed
2. Distancelo watercourse measured -t- 1,o ,' Ft..........
I Instill6da6cording-to plan .................................
4 Slope of trench acceptablPI/16 -1/32"/foot ............. .
-5. . 10 h. from property -he - 20 ft:- .foundations...:......
6.. lbepth,of trench <30. inches from surfice ...................
7...R.00m.Allow,ed:fbr expansion, 100% ....................
8. Size'ofgravel 3/4 - 1W diameter clean ...........
..--D
ep% o fivax%7eljn-txench,12" MMMUM ...
10. Pipe . ends..capped_.._..._
g. Pump or:Dos6d7Sy.st6ms
1. 'Size of pump chamber ................................................
2. Overflow' tink ........... I ............. : .....................................
3 Ala -,visual/kidio :1; ..;_.. - ,. . " ...
rra,, .......... * .......
4. Pu easily.accessible, manhole to grade #de ...........
5. First box baffied .........................................................
6- Cycle witnessed by H.D. estimated flow/cycle ...........
III. Housei/%Hdifig
a. -House locatedger.approved plans ......................................
b. Number of be ooms ................ ; ...... .................
IV. Well
Well located as.per approved plans. ...... .. ........................
b. 'Distance from STS area measured ft...........
c. Casing. 18",above grade ................................................
d.. , -Surface.drainage around well . acceptable .......................
V. Overall Workinanghiv .
a.. Boxes properly groutedt, .........
b. All pipes partially backfilled ................................ ...........
c. * All,pipes:flugh:with inside of box ............
d. .,Backfdl material contains stones <4" diameter ..............
e. Curtain drain & standpipes installed according to plan.:
f. Curtain drain outfall -protected & dir.to*exist watercours(
g. Footing drains discharge away from STS area ................
h- Surface water protection adequate... ..:_ : ..........................
i. Erosion control provided ............................................... ; .
5)-VF.e_
.w .. ".eCl P:-fi .l yA. • r.i�G y n•: :v .r t'�::' %" V. < .... 1 v1 tin -• ! . �.ri w •:.,.v'a¢;4 rpm aM. ?*'j `Pr'. O '•.�
SITE INSPECTION FOR FILL M.
Date:
Inspect edly;
Fill Pad Depth Required Dep
Run -of -Bank Fill Quality c
i�
Slope from Top to Toe
Impervious Layer Installed
MEMORY TRAIVISMI SS ION REPORT
TIME MAY -04 -2010 04:08PM
TEL NUMBER 8452787921
NAME ENVIRONMENTAL HEALTH
FILE NUMBER : 710
DATE : MAY -04 02:30PM
TO : 86282807
DOCUMENT PAGES . 001
START TIME : MAY -04 02:30PM
END TIME : MAY -04 02:31PM
SENT PAGES . 001
STATUS : OK
FILE NUMBER 710 * ** SUCCESSFUL TX NOT ICE * **
c
S1merl$2a - &mm1ec, MID, MS. 3FjkA.'TE' Jr. ]BojmeIll
.. '.••- �•�•-- .�rii+ir�a�oirar of ri�f+fln' ..,_•. .:.� ."--: '-,.. ,a .. _ ..- .. ta. - a _ _ _ _ _ ,__.. __. +C;:,rr•rry Fa..curh•a '. . • .. -.
II201D ert lri ®rTflS, ]f �' rj.� .�
�[racror ofEm,ironm¢ntrs[ Koalth ly
begs erat ®fHealtia
I C3eneva Road, Brewster, NY 10509
May 4, 2010
Joel Greenberg, R_A.
2 Muscoot North
Mahopac, NY 10541
Re: Proposed SSTS – Simon
Pudding Street, Putnam Valley, NY
TM 0 41.10 -2 -69
Dear Mr. Greenberg,
This deparir*+ent has received an application for the above refcrenced parcel. It is
apparent that the vacant lot is substandard for the conslr ction o£an SSTS by today's current
code. However, since the lot is part, of Roaring Brook Lake Subdivision, the lot is considered
approvable.
The application will be reviewed and denied for the items t11at do not meet code and then
waivers toI those code items Can be requested. Once all cornrnents are addressed, the application
will be presented before the waiver co**un ttee for review of the waiver items_
Please contact us with any questions.
. 'Sincerely, .
Joseph S. Paravati Jr., P.E.
' Environmental Eagiaeer
JP /jmg
Zmv6rom —u¢a1 ffimLatb (845) 278 -6130 Fax 0845.) 278 -7921
Wmxoa S –:X.RW Soctioa (845) 225 -5186 Fox (845.).225 -5418
M--l.0 S--ic C845) 278 -6558 Fax (8453 L78 -6026
M—m Lomv / .ffiomme Care Agsmey (845) 278 -6085 IWIIC (84S) 778 -6678
Zm. th I[m¢¢wen¢lom / IPre chID of (845) 228 -2847 Fax (845) 225 -1580
YML ENVIRONMENTAL SERVICES
321 Kear Street
Yorktown Heights, N.Y. 10598
(,914) 245 -2800
Al'�iert .H :..patio -Tani —irector ....,;,.. ... . ... .:._ ...
LAB #: 1.000059 CLIENT #: 61756 NON STAT PROC PAGE: 1 of 2
ADORNO, RALPH DATE /TIME TAKEN: 01/06/10 09:00
299 BARGER STREET DATE /TIME RECD: 01/07/10 03:00
PUTNAM VALLEY, NY 10579 REPORT DATE: 01/13/10
PHONE: (914)- 403 -6366
SAMPLING SITE: 299 BARGER ST, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE
KITCHEN TAP PRESERVATIVES: NONE
COL'D BY: RALPH ADORNO TEMPERATURE..: < 4C
NOTES...: COLIFORM METH: MF
--- ------------------- -- - - - - -- --------------------------------- - - - - --
DATE
FLAG PROCEDURE
RESULT
PUTNAM
CNTY PROFILE
01/07/10
MF T. COLIFORM
ABSENT
%100 ML
01/08/10
LEAD (IMS)
5.1
ppb
01/13/10,
NITRATE NITROG
0.96
MG /L
01/08/10
NITRITE NITROG
<0..01
MG /L
01/12/10
IRON (Fe)
<0.060
MG /L
01/12/10
MANGANESE (Mn)
<0.010
MG /L
01/13/1'0
SODIUM (Na)
3.69
MG /L
01/07/10
pH
6.4
UNITS
01/12/10
HARDNESS,TOTAL
60.0
MG /L
01/12/10
ALKALINITY (AS
36.0
MG /L
01/08/10
TURBIDITY (TUR
0.7
NTU
COMMENTS:
MFTC Coliform = This result indicates that
(was), (was not) of a satisfactory sanitary
(as), (was
York State and EPA federal drinking
this parameter. This comment applies to the
only.
Fe /Mn If both iron and manganese are present, the
combined shall not exceed 0.5 mg /L.
NORMAL - RANGE
ABSENT
0 -15 ppb
0 - 10
1.0 MG /L
0 -0.3 mg /l
0 -0.3 mg /l
N/A
6.5 -8.5
N/A
N/A
0 -5 NTU
METHOD
SM 18 -20 92222
SM 18 -19 3113B
SM18- 20450ONO3
SM18- 20450ONO2
SM 18 -20 3111B
SM 18 -20 31113
SM 18 -20 3111B
SM16 -20 4500HB
SM 18 -20 2340C
SM 18 -20 2320B
SM 18 (2130B)
the water
quality according to
water standard for
Total Coliform test
it total value
Na No limits for Sodium are proscribed. Suggested guidelines state
that for people on a sodium restricted diet,the water should
contain no more than 20 mg /L of Sodium. For those on a
moderately restricted diet, a maximum of 270 mg /L of Sodium
is suggested.
pH pH SCALE IN WATER RANGES FROM 1 -14. MEASUREMENT OF pH IS ONE OF
THE IMPORTANT AND FREQUENTLY USED TESTS IN WATER CHEMISTRY.
WATER WITH A LOW pH MIGHT BE CORROSIVE TO METAL PIPES AND
FIXTURES. THE NORMAL RANGE OF pH IS 6.5 TO 8.5.
YML ENVIRONMENTAL SERVICES
321 Kear Street
Yorktown Heights, N.Y. 10598
LAB #: 1.000059 CLIENT #: 61756
ADORNO, RALPH
299 BARGER STREET
PUTNAM VALLEY, NY 10579
NON STAT PROC PAGE: 2 of 2
DATE /TIME TAKEN: 01/06/10 09:00
DATE /TIME REC'D: 01/07/10 03:00
REPORT DATE: 01/13/10
PHONE: (914)- 403 -6366
SAMPLING SITE: 299 BARGER ST, PUTNAM VALLEY, NY SAMPLE TYPE..: POTABLE
: KITCHEN TAP PRESERVATIVES: NONE
COLD BY: RALPH ADORNO TEMPERATURE..: < 4C
NOTES....: COLIFORM METH: MF
------------------------- - -- - -- ---------- ----------------------- - - - ---
DATE FLAG PROCEDURE
RESULT NORMAL - RANGE METHOD
Hd TOTAL HARDNESS IS DEFINED AS THE SUM OF THE CALCIUM & MAGNESIUM
CONCENTRATION, BOTH EXPRESSED AS CALCIUM CARBONATE, IN MG /L. THE
HARDNESS MAY RANGE FROM 0 TO HUNDREDS OF MG /L, DEPENDS ON THE
SOURCE AND TREATMENT TO WHICH THE WATER HAS BEEN SUBJECTED.
SOFT WATER: 0 -70 MG /L VERY HARD WATER: ABOVE 300 MG /L
MODERATELY HARD WATER: 70 -140 MG/L' MG /L = MILLIGRAM PER LITER
HARD WATER: 140 -300 MG /L (1 grain /gallon = 17.2 MG /L)
THE ABOVE TEST PROCEDURES MEET ALL REQUIREMENTS OF NELAC,
AND RELATE ONLY THEESE pS/AMPLES RECEIVED BY THE LAB
SUBMITTED BY: OL/uw'�'j f/
Albert . Padovani, M.T.(ASCP)
Director
ELAP# 10323
PUTNAM COUNTY DEPARTMENT OF HEALTH
_ DIVISION OF ENVIRON� !IENT'A_L T. EALTH SERVICES.
'�C• r - "•`'i.- :. f.: .. -._ —. C:.a �l�: :.t, .._ ;. r. .. e r _. ...-'+ .. �,_ rt •+ r.. .. ♦ � � .. .. .
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM
Ralph Adorno
Owner or Purchaser of Building
Ralph Adorno
Building Constructed by
299 Barger Street
Location - Street
Single Family Residence
Building Type
74 1 10.2
Tax Map Block Lot
Putnam Valley
Town/Village
Adorno
Subdivision Name
2
Subdivision Lot #
I represent that I am wholly and completely responsible for the location, workmanship, material,
construction and drainage of the sewage treatment system serving the above - described property, and
that is 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 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
The undersigned further agrees to accept as conclusive the determination of the Public Health 1
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 Day Of 2010 Signature:
Title:
General Contractor (Owner) - Signature
Corporation Name (if corporation)
Address:
State Zip
Corporation Name (if corporation)
Address:
State Zip
Form GS -97
'11 C1.ISIO .. FENVIRONME T-; _ HEALTH -►DER `2'_ICES.
GUARANTEE OF SUBSURFACE SEWAGE TREATMENT SYSTEM[
Ra0ph Ad®rn® 74 1 10.2
Owner or Purchaser of Building
Ralph A ®rna
Building Constructed by
299 Barger Street
Location - Street
Single Family Residence
Tax Map Block Lot
Putnam Valley
Town/Village
Ad®rna
Subdivision Name
KI
Building'Type Subdivision Lot #
I represent that I am wholly and completely responsible for the location, workmanship, material,
construction and drainage of the sewage treatment system serving the above - described property, and
that is 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 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
sYsYeM.
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 OZ Day 01 earZoIC
General Contractor (Owner) - Signature
Corporation Name (if corporation)
Address:
State Zip
Signatur
Title:
Corporation Name (if corporation)
Address:
State
Zip
Form GS -97
KEEPING r
ROOM J
I
GRAND ROOM
0 O O O
FOYER
DINING
ROOM L J
FIRST FLOOR
AS -BUILT LAYOUT
SCALE: %8" = V
BATH I �
W
WALK -LV
CLOSET
MASTER
d `4
A
4
I� ,I
II ,�
OPEN
TO
BELOW
SECOND FLOOR
AS -BUILT LAYOUT
SCALE: %8" = 1
NOTE
WALLS ARE SHOWN IN THEIR APPROXIMATE
LOCATIONS ONLY FOR SCHEMATIC PURPOSES.
GARAGE
A
,e
�r
PTO.
Tc > 44op — " ?M. ?.A &
-rte
._t
?gzl-
NOTE
is �-
141ALLSAlR:7— SHOMV IN THEIR APPROXIMA TE
LOCATION'S ONLY FOR SCHEMATIC PURPOSES.
l 4SEET
s
AS-BUILT IA YOUT
SCALE: Ys" = ? '
JUupff-,Wop11No -
299 B"GER ST.
PUN" VALLEY, NY10979
05 -19 -2010
UNTY-DEPARTMENT OF H A L I`
SIO , OF ENVIRONMENTAL HEALTH SERVICE
CONSTRUCTION PERMIT FOR SEWAGE TREATIbMNT SYSTEM
PERMIT # 'P V— Oq —0 9
Located at BRYANT POND ROAD & BARGER STREET
Town or Village PUTNAM VALLEY
Subdivision name JUNE F. ADORNO Subd. Lot # 2 Tax Map 74 Block 1. Lot to
Date Subdivision Approved NOVEMBER 27, 2006 Renewal Revision
Owner /Applicant Name JUNE F. ADORRNO
Date of Previous Approval
Mailing Address 558 PEEKSKILL HOLLOW ROAD. PUTNAM VALLEY. NEW YORK Zip 10579
Amount of Fee Enclosed $400
Building Type SINGLE FAMILY RES Lot Area 3.000 Ac No. of BedrooMS 4 Design Flow GPD 200
Fill Section Only Depth Volume
PCHD NOTIFICATION IS REQUIRED WHEN FILL IS ®1ViPLE ED
Separate Sewerage, Systtm to consist of 1250 gallon-septic tank and 400 L.F. OF
4" DIA. PERFORATED PVC IN 24" TRENCH FILLED WITH 3/4" TO 1 -1/2" WASHED GRAVEL.
Other Requirements: 2411 BANKRUN
To be constructed by TO BE DETERMINED Address
Water Sunnlw Public Supply From Address
_ nr Miw Supply Drilled -by_TO BE -DE-Ic;R1d1:NED- _ - __ -__ p -�� Addmss
II represent that II am wholly and completely responsible for the design and location of the proposed system(s) and that the
se®aratsewage treatment system described above will be constructed as shown on the approved amendment thereto and in
accordance with the les and regulations of the Putnam County Department of Health, and that on completion
thereof a "Corti 4te a ' n Compliance" satisfactory to the Public Health Director will be submitted to the
Department, d,�a,wi iltr .ff ee 'I] be furnished the owner, his successors, heirs or assigns by the builder, that said
builder will ace goo „ atitlg �Sn ition any part of said sewage treatment system during the period of two (2) years
imrnediatelysfgllp�wiof tFfe ' s ce of the approval of the Certificate of Construction Compliance of the original
system or y r °;eit4n a j 0
LU
Signed: `` 9&0 �`/ P.E. R.A. Date 03 P$
Address OFES'`O% License # 062980
APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the
sewage treatment system has been completed and inspected by the PCHD and is revocable for cause or may be amended or
modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires
a new permit. Approved for discharge of domestic sanitary sewage only. l
By: �= Title: °`��� Date: c�" �/ 5?
White copy - HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Design Professional
Form CP -97
'09 -09 -28 14:14 FROM- T -559 P0001/0001 F -713
` ,tiv►- CCrvv%k 4e -0 firm
.r c .n i . :F'r. J .•i. �-�8: •� '.f` .y r .wr.: ]. .♦ Ci. •'. t.. ... _ w .. ... .. .. � � .. � .. �•.. i• •� .
PUTNAM`CO`UNTY'D�:PAYtT1VIkNT O AjA'U)a
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
ATTENTION
N :_ i 1 u
REQUEST FOR FINAL INSPECTION
All information must be fully completed prior to any
inspections being'made.
PCHD Construction Permit #
Located. r�-s c..A,�-
Owner /Applicant flame: -3 u
Formerly- - ---
—O`F-
in D
GENIE
For: pill
Trenches
AT bO ?v k-'AfAVA V_
TM I!t Block j Lot 110
- Subdivision Name: --�'
Subdivision Tot #
Is system fill completed? Date: ---�
Is system complete? '\/e $ Date: `� �� °
Is system constructed as'per plans? 1`l 0 ,
Is well drilled? $ Date.
Is well located as per plans? O&vn.
Are erosion control measures in place?
I certify that the system(s), as listed, at the above
and verified their completion in accordance
approved plans and the Standards, Rules and
Ch'... :...,v :.... _ .� ... , ._.
Date: Certified by:
Address:. 2,
L L I tU.
and I have inspected
truction Permit and
iunty Department of
PE, RA
Lic. # O ( 2--
Comments: yy } ( e
�- may,.. �•c - t..-eA^. kA o Ct 1 -�^-Q S'7 01.
.i �-„►
Form FIR 99
QA ct'�
C. cx--d -0 c-
. ... _ .. • please prinAPPLICATION TO COX' STRUCT.A WATER WELL'
t or type PCHD Permit # w
WeR Location:
Street Address: TownNillage Tax Grid #
BRYANT POND ROAD
& BARG ER STREET PUTNAM VALLEY Map 74 Block 1 Lot(s) to
RG
WeR Owner:
Name:.
Address:
JUNE F. ADORNO
558 PEEKSKILL HOLLOW ROAD; PUTNAM VALLEY, NY 10579
Use of Well:
4F Residential Public Supply Air /Cond/Heat Pump Irrigation
I- primary
Business Farm Test/Monitoring Other (specify)
2- secondary
Industrial Institutional Standby
Amount of Use
Yield Sought s gpm 0 People Served 5 Est. of Daily Usage 800 gal.
Reason for
Replace Existing Supply Test/Observation Additional Supply
Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
CONSTRUCTION OF NEW RESIDENCE
for Drilling
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? ...................................... . .................. ........................ Yes No
Is well located in a realty subdivision? .............................. .... ............................... Yes No
Name of subdivision JUNE F . ADORNO Lot No. 2
Yljater tl1/ell Contractor: TO BE DETERMINED Address: N/A
Water
Is Public Water Supply available to site? .................................. ............................... Yes No
Name of Public Water Supply: N/A Town Village N/A
Distance to property from nearest water main: N/A
Proposed well location & sources of contamination to be provided on separate sheet/plan.
Date. .03 o°�iz� ►� _ ApniiG�ir►t Si�nsic�rs:: �-- _- -.-a --
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the
Putnam County Sanitary Code and 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 or their designated
representative 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. 3) Submit a Well Completion Report on a form
provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or
well driller shall take appropriate action to assure that any and all water and 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.
APPROVED.FOR CONSTRUCTION: This approval expires two years from the date issued unless
construction of the well'has been completed and inspected by the PCHD and is revocable for cause or may be
amended or modified when considered necessary by the Public Health Director. Any revision or alteration
of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam
County. . ::�
Date of Issue �' a - Permit Issuing Official:
Date of Expiration Title:
Permit is Noim -Trans erraable
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - well driller
Form WP -97
'k • -`;.I'k
Main Floor
..... . ...... . ..
PUTNAM COUNTY DEPARTMENT OF HEALTH
PI/- ID 9 -0;7
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY.
BF-DROOMS
ALL SUBSEQUENT REVISION /ALTERATIONS TO 'THESE HOUSE
PLANS MUST BE SU THE PCDOH FOR APPROVAL
IGNATWE & TITLE DATE
df id-m fh m- e s - ource
M
DECK
mm
KITCHEN'
STOR.
JTOR, ---------------
LIBRARY KEEPING ROOMY'
138X -13'-I0r IMPRNiN� ROOM
- i -
3(r4r X 12`-0'
1 70v X
BUFFET
ru
3CARGARAGE' C4
21'-4"X 25'-4' dn.
FOYER
13'-0* X g-r
P
U
4 C) U) A)0
VOR.yA -jr Po��
P V
;2 0
DINING ROOM
13'-4*X 15'-10'
,-y
GRAND ROOM
17-8- X 15--4-
----------
-----------
COVERED PORCH
COPYRICHU, `5 777--M, RMAE
. .. ......... ........ ... ..... ....... . . ............... ... .... .. . . . ..................... ....... . ... . .. ........ . ...... . .............
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Order online or call now to purchase your dream home plan! 1.800-447-0027
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: ........ . .... .. .................. . ... . ........ .
3275 West Ina Road, Suite 260, Tucson, AZ 85741 www.dreamhorriesouroe.com
A, -46
dream home source
............. . ...... . . ...... ......... . ..... . ....... ..... ... .. ... .......... ......... ..... ......... .. ..........
Second Floor Plan #40029
........... .. . . .............. . ............. ... ... ..
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FOYER
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PUTNAM COUNTY DEPARTMENT D[ HEALTH
P )/.-. (
HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY.
BEDROOMS
ALL SUBSEQUENT REVIS1ON/ALTERATI0f%!S TO THEsE HOUSE
PLANS MUST BE SUBMITTED TO THE PCO01H FOR A[PPROVAL
C- rA10 �z
SIGNATURE & TITLE 6ATE
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COPYRIGHT +fli 2005. DREAM HOME SOURCE. INC.
....... ...... . .. . ........ ....
...... ........ . ..... ........ ....... . ............. . ................... .. ...... . ........... ............ ... .. . . ...................... .... . . ..... ................
Z- RiMM N7;::;::P
......... .
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=.-M nl ':u w . . .. ....
............ . .. ..... . ..... ........ .. : .... ................. ...... ............................. ........... .. .. . ... . ...... ........ . . . ........... ...
............. ....... . ........... . ....... ............... .. ... ..... ............ ... . ................... ...
3275 West Ina Road, Suite 260, Tucson, AZ 65741 www.d°eamhomesource.com
LETTER OF TRANSMIT'TQL
CRON& ENGINEERING
The Lindy Building; Suite 200
2 John Walsh Boulevard
Peekskill, NY 10566
914 - 736 -3664 Fax 914 - 736 -3693
Lawrence C. Werper
Public Health Engineer
Putnam County Department of Health
1 Geneva Road
Brewster, N.Y. 10509
RE: SSTS Plan for
June F. Adorno
Tax Map Sec: 74 Block: 1 Lot: 10
Bryant Pond Road and Barger Street, Putnam Valley
THESE ARE TRANSMITTED as checked below:
...... _....... .... _ _, ✓ '. iT'Y�t ♦ wl4.p.``,
Apri12'i' 2007'
X FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY
Dear Mr. Werper,
In reference to the above mentioned project please find the following:
1.) Four revised copies of Subsurface Sewage Treatment System Plan
Tlii plans hav6 been revised to'reflect your comment 46ibir dated Apr1 1_17, 2067, which includes
the following:
1.) Erosion control has been altered so as not to be placed perpendicular to contours
2.) Erosion control for the proposed well is now shown
3.) Minimum pitch of 2.0% on the cast iron pipe to septic tank is now stated
4.) Slope is now 3:1 to grade for the proposed fill
5.) Fill notes are now on plan
6.) Detail has been revised to show clay barrier keyed into virgin soil appropriately
7.) Well now has dimensions to property line
8.) The house basement plans were unattainable. The plans submitted previously
were obtained from dream homeso u rce.com, which does not currently have
basement plans available.
Please review at your earliest convenience. Thank you for your assistance in this matter.
Respec bmitted,
Li
James W. Teed
Project Engineer
SHERLITA AIr LER, MD, MS, FAAF
Commissioner of Health
1 LORE -'1 T M0LIlq-ARI,: RN; M! N'.. r ...
Associate Commissioner of Health
April 17, 2007
Cronin Engineering
The Lindy Building, Suite 200
2 John Walsh Blvd.
Peekskill, NY 10566
Attn: James W. Teed
Dear Mr. Teed:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
ROBERT .1. BONDI
County Executive
ROBERT MORRIS, PE
Director of Environmental Health
Re: Adorno, PV -09 -07
Bryant Pond Road & Barger Street
(T) Putnam Valley, TM # 74.4-10
This office has received and reviewed the most recent set of plans for the above - mentioned
project. We would like to offer the following comments for your review and consideration.
1. Eros on cont_ rol should -not of be perpendicular to contours...,.. _
- � ` °..._ °'�2: E "rtis %n con�r'oi for "the proposed' well�is not .:h -..:� °.: ✓�.. - . �°- °�-- - ..___�..�;; . :��.�,: �_ .. _.... _ .__
s own on plans
3. Pitch on CIP is not shown on plans. t/
4. Fill should slope 3:1 to grade. 1
5. Fill notes are not shown on plans. ✓
6. The fill clay barrier should be keyed into the virgin soil 6 to 12 inches. r/
7. Well dimensions to the property lines are not shown on plans. ✓
8. House basement plans need to be provided.11/�_
This office will continue its review upon consideration of the above - mentioned comments.
Please feel free to contact me at est. 2163 if any questions arise.
Very truly yours,
Lawrence C. Werper
Public Health Engineer
LCW/kly Environmental Health (845) 278 -6130 Fax (845) 278 -7921
Water Supply Section (845) 225 -5186 Fax (845) 225 -5418
Nursing Services (845) 278 -6558 Fax (845) 278 -6026 WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
fS
••� `/
PUTNAl f COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH
INIDIVIDUA.L WATER SUPPLY & SUBSURFACE SEWAGE TREATMENT SYSTEMS
REVIEW SHEE I+.0 1t Cg%4j.,RUCTI0N-pEir"i ''
;NAME OF OWNER: , If 0 �'U a STREET LOCATION: 06, A )(00-1 J?O
REVIEWED.BY: PIA GR Bo, SRDATE: `6 4 TAX btAP#: (CONIFHUMfM) 7' y � " /0
Y N DOCUME NTS N (REQUIRED DETAILS ON PLANS CONT'DI
C_-) PERMIT APPLICATION
WELL PERMIT OR P WS LETTER
LETTER OF AUTHORIZATION
UUDESIGN DATA SHEET (DDS)
(�L--)CORPORATE RESOLUTION A,-q
CU SHORT EAF
(PLANS -THREE SETS `y
HOUSE PLANS - TWO SETS
C_j( Z-VARIANCE REQUEST
/ SUBDIVISION
U LEGAL SUBDIVISION '
C�SUBDIVISION JP4 CHECKED
Z�CURRTAINDRAJNREQUIRED RC RATE j`-
&L REQUIRED� DEPTH
GENERAL
Y CATER Rq NYC WATERSHED
PLANS SUB5R=D TO DEP
(DELEGATED TO PCHD
- )DEP APPROVAL, IF REQ'D
oF)( )A+EEP TEST HOLES OBSERVED
;TLANDS (TOWN(DEC PERMIT REQ'D ?)
TA ONDDSPLANS & PERNIIT SAME
E 1969 NEIGHBOR NOTIFICATION
TTER,BIJZBA _.
)-YR: A,004
M TESTING LOTS>10 YEARS OLD
/ SEWAGE SYSTEM PLAN- (NORTH ARROW)
SSDS HYDRAULIC PROFILE
GRAVITY FLOW
_}(ICONSTRUCTION NOTES 1 -15 '
�H'1DESIGN DATA: PERC & DEEP RESULTS
VCONTOURS EXISTING & PROPOSED
�j � DRIVEWAY &SLOPES, CUT
�FOO.TING/GUTTER/CURTAIN DRAINS
USDA SOIL TYPE BOUNDARIES
/TITLE BLOCK; OWNERS NAME ADDRESS
TM#, PE/RA; NAME, ADDRESS, PHONE#
DATE OFDRAWING/REVISION
DATUM REFERENCE .
OLJLQCATION OF WATERCOURSES, PONDS
/ LAKES,WETLANDS WITHIN 200' OF P.L.
,(_„)PROPOSED FINISH FLOOR AND
BASEMENT ELEVATIONS
UL--�WELLS & SSDS'S WAN 200' OF SSTS
6i_..) ROPERTY METES & BOUNDS •
)t� EROSION CONTROL FOR:HOUSE, WELL °&
SSTS, EROSION CONTROL NOTE
MI _mli
i7mT)09101/00
CUCU$OUSE SEWER = '1 /.t'�PT 4 "0'; TYPE PIPE. CAST IRON
(,46C__)NO BENDS; MAX BENDS 45' W /CLEANOUT
UCSI �wALs
.U?'E NOT F'• GE) ..
j d''�� FILL SYSTEMS
C__)CU 0' HORIZONTAL; PAST TRENCH SLOPES 3i1'TO GRADE'
C-_-) FILL= SPECS % =FILI; NOTES 1 -5;
FILLPROFIt.E & DIMENSIONS
(FILL IN EXPANSION AREA
FHL GREATER THAN
'UUC:U CLAY BARRIER
(JUFILL'CERTIFICATI TE ,
UCUDEPTH G '
C_ L--)VO LAN FOR R.O.B., UNCLASSIFIED & IMPERVIOUS
CU PARATION DISTANCE FROM'TOE OF SLOPE
TRENCH*'
LF TRENCH PROVIDED 60FT MAX.
PARALLEL TO CONTOURS '
100% EXPANSION PROVIDED
HHI)ETAIL/DUST FREE CRUSHEVSTONE OR WASHED GRAVEL
GEOTEXTIIX COVER.
SEPARATION DISTANCES ON PLAN, FROM'SSTS
(.� 110' TO P.L. DRIVEWAY, LARGE TREES, TOP OF FILL,
,�•--�20' TO FOUNDATION WALLS
100' TO WELL, 200' INDLOD,150' T0, PITS
100' TO STREAM, WATERCOURSE, LAKE•Ctac- ezpaK).
50' TOCATCHBASIN ,35',STORIY_IDRAIN, PIPED WATER
' s- � ,y,)1a'��Q.WATER LIl'I'E (Fits - �0')•` _• : � ...._...- _......_....4.... _ + .
( SST D TERMITTENIT DRAINAGE COURSE
0200'/500' RESERVOIR, ETC. 150' GALLEY SYSTEMS
MIN TO LEDGE QUTCROP
SEPTIC TANK
(�U10' FROM FOUNDA 10IN 50' TO WELL
W
(17, � IMENSIONS TO PROPERTYILINES
(��)LOCATION OF SERVICE CONNECTION
( `CUMIN 15' TO'PROPERTY LINE
L LOPE IN SSTS AREA. :`U (520 %)
U( REGRADED TO 15 %, IF REQUIRED
C._X—)PUMP NOTES .
C_„ (___)DOSE 75% OF PIPE V OSE VOLUME NOTED
((,_)DETAIL FOR MAIN, (PIPE TYPE, ETC.)
UUPI'T AND - OX SHOWN & DETAILED
C_)C. ABOVE ALARM
CURTAIN DRAIN
L_,_?(_iSTANDPIPES, 5' BOTH SIDES
(__,)15' MIN to CD ° °, 25' -3 ° /a, 35'- lal°,100 % -,1%
L _)20' MlN t LSCHARGE/100' with 182 cons day discharge
(_)t' to NON�-PERFORATED PIPE
PUTNAM COUNTY DEPARTMENT OF )EiIlEA11:,TH
_ W SION O)F' ENVIIRONMFle1TA1G If£lE�@11.'�'IH[ S>ERV�dlES_ .
q ..-� >. .:. o u � v' �:T^.. � .. .._. <�.rr^Cro r, _aw .. .r. �. .7 �., t.. +•>. ... o u . E. .X Cw. •..7
APPLICATION FOR APPROVAL OF PLANS FOR
A WASTEWATER TREATMENT SYSTEM
1. Name and address of applicant: JUNE ADORNO
248 OLD CHURCH ROAD
PUTNAM VALLEY, NY 10579
2. Name of Project: ADORNO 3. Location: N' : PUTNAM VALLEY
4. Design Professional: TIMOTHY L. CRONIN III 5. Address: 2 JOHN WALSH BOULEVARD
6. Drainage Basin:
PEEKSKILL HOLLOW BROOK PEEKSKILL, NY 10566
7. Type of Project:
Private/Residential Food Service Commercial
Apartments Institutional Mobile Home Park
Office Building Realty Subdivision Other (specify)
8. Is this project subject to State Environmental Quality Review (SEQR) ? .............. Yes/No NO
Type Status (check one) ...................................... ............................... Type I Exempt
Type II Unlisted
9. Is a Draft Environmental Impact Statement (DEIS) required ? .................... Yes/No NO
10.
11.
12.
13..
14.
15.
16.
17.
18.
19.
20.
21.
22.
24.
25.
26.
Has DEIS been completed and found acceptable by Lead Agency ? ............. Yes/No N/A
Name of Lead Agency N/A
Is this project in an area under the control of local planning, zoning, or other officials,
.ordinances? ................................................—.,.................. ..............— .....,...- Yes/No YES
If so, have plans been submitted to such authorities? .. ............................... Yes/No N/A
Has preliminary approval been granted by such authorities? N/A Date granted: N/A
Type of sewage treatment system discharge ........................ surface water groundwater
If surface water discharge, what is the stream class designation? .......................... N/A
Waters index number (surface) ............................................. ............................... N/A
Is project located near a public water supply system? . ............................... Yes/No NO
If yes, name of water supply Distance to water supply N/A
Is project site near a public sewage collection or treatment system? .......... Yes/No NO
Name of sewage system N/A Distance to sewage system N/A
Date test holes observed 06/30/2003 23. Name of Health Inspector JOE PARAVATI
Project design flow (gallons per day) ....... 400 GPD
Is State Pollutant Discharge Elimination system (SPDES) Permit required? ... Yes/No
Has SPDES Application been submitted to local DEC office? ......................... Yes/No
NO
N/A
Rev. 11/02 Form PC -97
Pg. 1 of 2
0
27. Is any portion of this project located within a designated Town or State wetland ?... Yes/No No
..... . a _ r .v -. � .. ,_ ..`: N.. +oa. ...., . +i � .. —� .,... r .. � ....,. ,. � .. , . .— .._ .: fit, ...,. . ,. •fir'„ ..RC�ai :... .i:.5:...+i` .� .. .
28. Wetlands ID number STATE WETLANDT OFF -SITE OL -44
.................................................................. ...............................
29. Is Wetlands Permit required? ...................................... ............................... Yes/No NO
Has application been made to Town or Local DEC ........................... Yes/No N/A
30. Does project require a DEC Stream Disturbance Permit? .... .........................Yes/No NO
31. 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/No No
32. Is project located within 1,000 feet of existing or abandoned landfill, hazardous
waste site, salt stockpile, landfill, sludge disposal site or any other potentially
known source of contamination? ................................... ............................... Yes/NO No
DESCRIBE: BASED ON VISUAL OBSERVATIONS ONLY
33. Is there a local master plan on file with the Town or Village? . ........................Yes/No. YES
34. Are community water and /or sewer facilities planned to be developed within
15 years in or adjacent to project site. Yes/No NO
35. Are any sewage treatment areas in excess of 15% slope? .............................. Yes/NO No
36. Tax Map ID Number .............. ............................... Map 74 Block 1 Lot 10
37. Approved plans are to be returned to ................ Applicant Design Professional
NOTE: All applications for review and approval of a new SSTS to be located within the NYC Watershed shall
be sent to the Department, and need not be sent in duplicate to the DEP, although the project may require DEP
approval of the SSTS prior to final approval by the Department. Projects within the watershed may also require
DEP review and approval of other aspects of a project, such as stormwater plans or the creation of impervious
surfaces, and the project applicant should obtain the appropriate forms for such activities from DEP and submit
those forms to DEP for review and approval.
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 (Form LA -9�'. . F ' omply with this provision may be grounds
for the rejection of any submission. � o � NEW Yp�,
car r L. C- ,
I hereby affirm, under penalty of perjury, t at ' rmatiopn r 4 this form is true to the best of
my knowledge and belief. False statements her, un' jab as a Class A misdemeanor
pursuant to Section 210.45 of the Penal
Lei
SIGNATURES & OFFICIAL TITLES:
TIMOT ••' CROgjT ,6II. i
Mailing Address: ........................... a Jour
PEEKSKILL, I 566
Forth PC -97
'07 -02 -05 14:50 FROM- T -091 P001/001 F -220
PU'TN.AM COUNTY DEPARTMENT OF HEALTH
DMSION OF ENVIRONMENTAL HEALT SERVICES
- I-li Q7lli 'Aif ftbA 1iA'1'`10N ". .
RE: Property., of "_
Located at
TAI
Subdivision of
Block Lot_
Subdivision Lot # Filed Map # / / Date Filed h °'
Gentlemen: ;
This letter is to authorize
a duly licensed Professional Engineer ✓ or Registered Architect to apply for the required
wastewater treatment and/or water supply permits) to serve the above -noted property in accordance
with the standards, rules or regulations as promulgated by the Public Health Director of the Putnam
County Health Department, and to sign all necessary papers on my behalf in connection with this
matter and to supervise the construction of said wastewater treatment and/or water supply systems
in conformity with th icle 145 and/or 147 of the Education Law, the Public Health
Law, and the Put 2- Code.
P.E ., R.A.,
Mailing Address
a
i Z-
7—
.,1111.:._:
F4. -e- kC g i I/
State /4" / °e k zip
.,y
Very truly you
Signed: -
._ ' (O 0 f Property)
R /"elmailing Address:
�6 6' State Zip
Telephone: 9 j`/ - 7 3 ` ` 3 `.l �Z Telephone: J 0� (0 ` Qs
Form LA -97
PART I- PROJECT INFORMA'
617.20
Appendix C
State Environmental Quality Review
SHORT ENVIRONMENTAL ASSESSMENT O
_ SMENT F_ RM
For UNLISTED ACTIONS Unly'_
'ION (To be completed by Applicant or Project sponsor)
SEQR
. . "'.1
1, APPLICANT /SPONSOR
2. PROJECT NAME
June Adomo
Single Family Residence Construction
3, PROJECT LOCATION:
Municipality: Town of Putnam
Valley
County: Putnam County
4. PRECISE LOCATION (Street address
and road intersection , prominent landmarks, etc., or provide map)
Bryant Pond Road and Barger
Street, Tax Map: Sec. 74.00 Block 1 Lot 10
5. IS PROPOSED ACTION:
New ❑ Expansion
❑ Modification /alteration
6. DESCRIBE PROJECT BRIEFLY:
Construct New Single Family
Residence
7. AMOUNT OF LAND AFFECTED:
Initially 3.0 acres I Ultimately 3.0 acres (3.000 acres is size of parcel)
8, WILL PROPOSED ACTION COMPLY WITH EXISTING ZONING OR OTHER EXISTING LAND USE RESTRICTIONS?
Yes ❑ No If No, describe briefly
I
9. WHAT IS PRESENT LAND USE IN VICINITY OF PROJECT?
Residential ❑ Industrial ❑ Commercial ❑ Agriculture ❑ Park/Forest/Open space ❑ Other
Describe: "
10. DOES ACTION INVOLVE A PERMIT APPROVAL, OR FUNDING, NOW OR ULTIMATELY FROM ANY OTHER GOVERNMENTAL
AGENCY Y (FEDERAL, STATE. OR.iIACAQ?
N Yes O No If yes, list agency(s) and permit/approvals'
Surrounding lands are zoned single family residential
11. DOES ANY ASPECT OF THE ACTION HAVE A CURRENTLY VALID PERMIT OR APPROVAL?
l Yes ❑ No If yes, list agency name and permit/approval
PCDH- Realty Subdivision approval
Town of Putnam Valley- Subdivision approval, Building Permit
12, AS A RESULT OF PROPOSED ACTION WILL EXISTING PERMIT /APPROVAL REQUIRE MODIFICATION?
[]Yes §No
I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE
Applicant/sponsor name: Cron' n P.E. P.C. /James W. Teed Date: March 7, 2007
Signature
If action is in the Coastal Area, and you are a state agency, complete the
Coastal Assessment Form before proceeding with this assessment
OVER
1
PART II - ENVIRONMENTAL ASSESSMENT (To be completed by Agency)
A. DOES ACTION EXCEED ANY TYPE I THRESHOLD IN 6 NYCRR, PART 617.127 If yes, coordinate the review process and use
B. WILL ACTION RECEIVE COORDINATED REVIEW AS PROVIDED FOR UNLISTED ACTIONS IN 6 NYCRR, PART 617,67 If No.
a negative declaraatti� may be superseded by another involved agency.
El �d
Yes No
C. COULD ACTION RESULT IN ANY ADVERSE EFFECTS ASSOCIATED WITH THE FOLLOWING: (Answers may be handwritten, if
legible)
C1. Existing air quality, surface or groundwater quality or quantity, noise levels, existing traffic patterns, solid waste production or disposal. potential for
erosion, drainage or flooding problems? Explain briefly:
C2. Aesthetic, agricultural, archaeological, historic, or other natural or cultural resources: or community or neighborhood character? Explain briefly:
Al b
C3. Vegetation or fauna, fish. shellfish or wildlife species, significant habitats, or threatened or endangered species? Explain briefly:
av
C4, A Community's existing plans or goals as officially adopted, or a change in use or intensity of use of land or other natural resources? Explain briefly,
oc/-
05. Growth, Subsequent development, or related activities likely to be induced by the.proposed action? Explain briefly.
AID
C6. Long term, short term, cumulative, or other effects not identified in C1 -05? Explain briefly.
/V-
C7. Other impacts (including changes in use of either quantity or type of energy)? Explain briefly.
ov U
D. WILL THE PROJECT HAVE AN IMPACT ON THE ENVIRONMENTAL CHARACTERISTICS THAT CASUED THE
ESTABLISHMENZ_OF_A CRITICAL ENVIRONMENTAL AREA (CEA)? rl Yes ❑.No. _If Yes, e. xp.lain.briefly _.
E. IS THERE, OR IS TtRRE LIKELY TO BE, CONTROVERSY RELATED TO POTENTIAL ADVERSE ENVIRONMENTAL IMPACTS?
r-1 V=Q n If Yac Pyninin hrieflv
PART III - DETERMINATION OF SIGNIFICANCE (To be completed by Agency)
INSTRUCTIONS: For each adverse effect identified above, determine whether it is substantial, large, important or otherwise significant. Each effect
should be assessed in connection with its (a) setting (i.e. urban or rural); (b) probability of occurring; (c) duration; (d) irreversibility; (e) geographic
scope; and (f) magnitude. If necessary, add attachments or reference supporting materials. Ensure that explanations contain sufficient detail to show
that all relevant adverse impacts -have been identified and adequately addressed. If question D of Part 11 was checked yes, the determination and
significance must evaluate the potential impact of the proposed action on the environmental characteristics of the CEA.
❑ Check this box if you have identified one or more potentially large or significant adverse impacts which MAY occur. Then proceed
directly to the FULL EAF and /or prepare a positive declaration.
❑Check this box if you have determined, based on the information and analysis above and any supporting documentation, that the
proposed action WILL NOT result in any significant adverse environmental impacts AND provide on attachments as necessary, the
reasons supporting this determination:
IA4
PRA .
Prin or Type NanI6 of Responsible Officer in Lead Agency
Name of Lead Agency
Title of Responsible Officer
re of Responsible Officer in Lead Agency �,/D' ;2 Signature of Preparer (If different from responsible officer)
Date
2
_ PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
DESIGN:DATA�SHFET - SUBSURFACE SEWAGE TREA'TMEY cY.STE ;•I.
Owner JUN(s AV Address 2 3 c+cn e4 rig 0 R;rA;Am Vmj,6 y N.Y-
Located at (Stredt) D _ Tax Map 74 Block _� Lot to oT79
(indicate nearest cross Street)
Municipality. I QjyAM \IA1A54 Drainage Basin �y"-�ku' ff oLidw �t1
SOIL PERCOLATION TEST DATA
Date of Pre - soaking 0b -6 Z'oS Date of Percolation Test 66-63 •oS
Hole No.
Run No.
Time
Start - Stop
Elappse Time
(1I n.)
Depth to Water
From Ground
Surface (Inches)
Start Stop
Water
Level
Dro In
Inc�es
Percolation
Rate
Min/Inch
2
�1 °`�— 11 ��
7
3
i t s 1'ZZ'
'7 I
I
4
11"'5 —W,
0
5
` ?2._ tt40
$
pZ
1
a�- sZ
—1
1 8� Z1
3
-7
I Z
4
5
lLi� _ l Zc.�
8
1
2
.
3
4
5
1. Tests to be repeated at same depth until approximately equal percolation rates are obtained at each
percolation test hole. (i.e. s 1 min for 1 -30 min/inch, < 2 min for 31 -60 min/inch) All data to be
submitted for review.
2. Depth measurements to be made from top of hole.
For, DD -97
J11- - -. b
TEST PIT DATA
DESCRIPTION OF SOILS ENCOUNTERED IN TEST BOLES
4
1.0'
1.5' '
2.0'
2.5'
3.0'
3.5' ,D
4.0'
4.5'
5.0' G o
5.51 V—
Indicate level at which groundwater is encountered yV �� O65VeA
Indicate level at which mottling is observed �vpN
Indicate level to which water level rises after being encountered �v
Deep hole observations made by: G "Mlo eA)6tNM,?-(a4 l PGuH Date -30 03
Design Professional Name: -nmo-twV (, , Uzoai��u �.
Address: Z J04A.) LA At,g4 . &cy® •
Signature:
Design Professional's Seal
LETTER OF IN M I
TTAL
CRONIN ENGINEERING P.E.; P.C.
The Lindy Building; Suite 200
2 John Walsh Boulevard
Peekskill, NY 10566
914 - 736 -3664 Fax 914 - 736 -3693
Joseph S. Paravati, Jr.
Assistant Public Health Engineer
Putnam County Department of Health
1 Geneva Road
Brewster, N.Y. 10509
RE: SSTS Plan for
June F. Adorno
Tax Map Sec: 74 Block: 1 Lot: 10
Bryant Pond Road and Barger Street, Putnam Valley
THESE ARE TRANSMITTED as checked below:
:: Mareh 7, 2007.... cl
X FOR APPROVAL ❑ FOR YOUR USE ❑ AS REQUESTED ❑ FOR REVIEW AND COMMENT X PLEASE REPLY
Dear Mr. Paravati,
_ ct 1 se find the followin
I ce to the above mentioned roie ea
..-,Three copies Construction Permit Application
2.) Letter of Authorization (1 Original)
3.) Application for Approval of Plans for a Wastewater Treatment System
4.) Short Environmental Assessment Form
5.) Design Data Sheet
6.) Four copies of Subsurface Sewage Treatment System Plan
7.) 2 sets of house plans
S.) Three copies Well Permit Applicati
9.) Check for the Application Fee
Please review at your earliest convenience. Thank you for your assistance in this matter.
Respectfully submitted,
es W. Teed
Project Engineer
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Foundation(s): Basement
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Order online or call now to purchase your dream home plan!
1.800-447,0027
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3275 West Ina Road, Suite 260, Tucson, AZ 65741 vv wvv. dream homesou rce. corn
3040 total sqiAare feet
4 bedrooms
3.5 baths
3 car attached garage
72'6" wide x 38'0" deep
Roof height: 33'0"
Main roof pitch: 12112
Exterior wall framing: 2x4
Foundation(s): Basement
Living square feet:
main:
second:
am
Desigrier
This European cottage excels in offering luxury and the most modern amenities.
The foyer opens to an elegant dining room and a sophisticated library with a
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haplac'-1 T hP foe na -ind. Rhei4 .5idi.4" 3y
doors that open onto a covered porch and to the keeping room. The keeping
room
overlooks a rear deck, a morning room and the gourmet kitchen. A three-car
garage with storage completes the first floor. Upstairs, the master suite is a
sumptuous retreat with a raised sitting area, a master bath and walk-in closet.
Bedrooms 2 and 3 share a bath between them, while Bedroom 4 offers its own
I'Gi H T 200, 5 05' 17.A IM HON11 E SCUP ncr. . INC.
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Order online or call now to purchase your dream home plan! 1.800-447-0027
........... . .... .. . . ...... ............ . . ....... ..... .....
3275 West Ina Road, Suite 260, Tucson, AZ 65741
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THE FILL SIDE SLOPE
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EL: 743.9 / pp •' .y .y , , ,� ";,; `y y BANKRUN FILL
/ 4 HOLE JUNCTION I
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SCHED. 40 PIPE
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10,
1250 ON PO � I'I' 111 N�'•�%
q� CONCRETE SEPTIC TANK I
ol
ROOF LEADERS
FOOTING DRAINS
AWAY FROM SSTS 1 T65 � , ( '
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fo g1Ly0
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StRSU-2MACE ERA
AS -BUILT IAYOUT
SCALE: 1 " = 30'
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GENERAL NOTES
1) PARCEL TAX MAP DESIGNATION: SECTION: 74, BLOCKS: 1, LOT: 10.2
3) SURVEY INFORMATION SHOWN HEREON WAS TAKEN FROM A PLAN PREPARED BY DONNELLY LAND SURVEYING, P.C. ENTITLED:
"SUBDIVISION OF PROPERTY PREPARED FOR JUNE F. ADORNO... ". DATED APRIL 16, 2003 WITH REVISIONS THROUGH JANUARY 8,
2010. VERTICAL DATUM IS ASSUMED. P.
4) PREMESIS AS SHOWN ON A MAP WHICH WAS FILED IN THE PUTN AM COUNTY CLERK'S OFFICE ON NOVEMBER 27, 2006 AS FILED
MAP #3035.
5) LOCATION OF ROOF LEADERS, FOOTING DRAINS, DRYWELLS & UTILTIES NOT RELATED TO SSTS & WELL WERE OBTAINED
FROM INFORMATION PROVIDED BY THE CLIENT.
Cas< M
DESCRIPTION
'A
SEPTIC TANK
-
-
23.4
39.7
CENTER
,JUNCTION BOX 1
47.3
50.4
-
-
JUNCTION BOX 2
53.2
55.2
-
-
JUNCTION BOX 3
60.0
60.7
-
-
JUNCTION BOX 4
66.1
65.6
-
-
JUNCTION BOX 5
71.8
71.0
-
-
END TRENCH 1
43.10
62.80
-
-
NORTH
END TRENCH 2
50.2
66.3
-
-
NORTH
END TRENCH 3
59.00
'82.30
-
-
NORTH
END TRENCH 4
80.90
116.40
-
-
NORTH
END TRENCH 5
86.30
120.00
-
-
NORTH
END TRENCH 1
92.70
41.90
-
SOUTH
END TRENCH 2
95.60
47.00
-
-
SOUTH
END TRENCH 3
96.10
51.30
-
-
SOUTH
END TRENCH 4
101.10
58.60
-
-
SOUTH
WELL