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Home My WebLink About0969DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 25.41 -1 -44 BOX 10 11•.• ly, , Ir 11•.• SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Adam L. Beal P.F. Beal & Sons, Inc. 4 Putnam Avenue Brewster, NY 10509 March 28, 2008 Dear Mr. Beal: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 ROBERT J. BONDI County Executive _ ROBERT MORRIS, PE Director of Environmental Health Re: Proposed Well Fego 11 Ferndale Road (T) Patterson A field inspection was conducted on the above referenced lot by Mitchell Lee, Public Health Technician. The application to drill a new well is approved with the following stipulations: 1. The proposed well is to be constructed with a minimum casing length of 72 feet. - -2: -The proposed well 1_ fo be constructed 5 feet away from the origmarproposea "---- -- -- - location towards the existing shared well in order to achieve a great separation distance from the sub - surface treatment system. 3. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion by the permittee. Please contact me at (845) 225 -5186 ext.2233 if you have any questions. Sincerely, b. Mitchell D. Lee Public Health Technician 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 —NIT PUTNAM COUNTY DEPARTMENT OF HEALTH tl0`�' DIVISION OF ENVIRONMENTAL HEALTH SERVICES . °f' `> ; 3 OZ APPLICATION TO CONSTRUCT A WATER WELL ... please print or type D «gc`s,.,nitl'E a .n. l ... Well Location Street Address: Town/Village: Tax Map # 11 Ferndale Road, Patterson, NY Map25.41 Block -1 Lot(s) Well Owner: Name: Address: Phone #: Anthony Fego 11 Ferndale Road, Patterson, NY 12563 845 - 278 -203 Use of Well: yResidential _Public Supply Air /cond /heat pump _Irrigation 1- Primary Business Farm Test/monitoring —Other(specify) 2- Secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served Est. of Daily usage gal. X Replace Existing Supply Test/Observation Additional Supply Reason for Drillin, New Supply (new dwelling) Deepen Existing Well Detailed Reason Shared for Drilling Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ....................................................... ............................... Yes _ No Nom Is well located in a realty subdivision? ........................................... ............................... Yes _ Name of subdivision Lot No. Water Well Contractor: P. F. Beal & Sons. Inc. Address: 4 Putnam Ave.. Brewster, NY 10_579 Is Public Water Supply available on site? ....................................... ............................... Yes Nom Name of Public Water Supply: TownNillage Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate thee Ian. n �., l 7 /.7�1 /rl7 App. ♦ Cin a°.t::rv• 'wate: - 12/ L / y ^M1'��i�a+it v.yii Adam .Beal PERMIT TO CONSTRUCT A VNA I tK wtLL 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 Departmei 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 Commissioner of Health. Any revision or alter tioAofth ap proved plan requires a new permit. Well to be cons ructed by a water well driller certified by Putnam Co nty. Date of Issue. Permit Issuing fficial: ji X1 Date of Expiration_ Title: 4 1 e 1 4z LK 71 A= - Permit is Non -Tra era e White copy - HD file; Yellow copy - Building Inspector; Pink copy - Ownei X11 )rancbe�iy - Well driller Form WP -97 &- 6A�AorA AN Rev. 3/06 I f • , i I , I. � , I /� i � i • jI ,f I • I , I I / INS I it I / , I i �� i , I I / i I/ I • i i i I f •/ I I ` 1 l� 0• ` j� � , cnf I � j / • I / I ! I / C.,: f I • T Oki • c4k to �� I i /, I� I• � i I �� S I I / f I Of f / of I I I / � I I I • ! /�� / to I I � •� /i� � I i i i i � i i i I f i // Of • f / / I r f � I � ! 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V 13 9. ct \4 C)Q,�e C'I C i- 1p e r n A C,� le Q 00 v C., etc 1) S Ll a'A vy C..., opso v C., etc 1) S Ll a'A a ' i ap ; �: �;• ?;4:i , -•.°, rte;• I I I � I I C• i �';'• ;•e � �. � 3r••• ;'i $� €�� "O• 'w a •.,a•; �,� "--,;. •: e Nm O N N fa m �o Z� m g ° r_ z D Z D o se z 6a Ai a 6 ye C, S <4 I �I a SRI a ' i ap ; �: �;• ?;4:i , -•.°, rte;• I I I � I I C• i �';'• ;•e � �. � 3r••• ;'i $� €�� "O• 'w a •.,a•; �,� "--,;. •: e Nm O N N fa m �o Z� m g ° r_ z D Z D o se z 6a Ai a 6 ye C, S <4 I �I / � ♦ � �'� � i o � i �' i i i i � y e i. a ortr • , o , / / ° • / i � � ♦ li o,� OF ,• a ,, IF f / o� �j s •��i � e o �� e ! !i s , s ' /. , , a �� • e e ' ' ° 4f � �� p w. a '! e o • � j s ! i � ; 49 op • i , �Cs; • Lo • ti j • ; / } I� � / e • � a I p r' i i , :. �' , � `�� `: ��,5"•j a TJ�;t, _ , � � � A of I o e i 'i � , t i • e • / I i I' e /� / � ' I e • i / i / / I e l , I I 11 , i I /• o • e ♦ p , I o f , , ,f I• Ilb• , � 0 I • i/ p • I I' i / .i � � � � • i o � � o / i I f i t e e e o i • o '� e i o � e � /, i p o I • � 0 ® e s o i i' / 0 o s • ♦ e ♦ e e i I i • • j I of ® � � ,o• � eo • o o • • � j I / e e / I•e i i� o o eq o • s a i i ; +• ® / ! • I • I • i / � e e e s 1 / � � Cyndi From: Fego, Anthony [FegoA @diviinvest.com] , -_ __ _._.. _ - - Sent: Monday, January 21, 2008 5:54 PM To: Cyndi Subjept: RE: 025041.pdf - Adobe Acrobat Standard Thanks Cyndi. A very small portion of our property (the corners of lots 3206 and 3207) cross into CT. Property # 40, 42, 51, 52, 53 are all in the undeveloped land in the woods beside our house. It will probably be important for Adam to also know that property #49 is the older gentlemen (Gus) that is to the left as you are coming down my driveway. Property #45 is the neighbor that I share a well with. His septic should fall in lot 3178. Thanks Again, Anthony From: Cyndi [mailto:adcyh @comcast.net] Sent: Sunday, January 20, 2008 9:50 PM To: Fego, Anthony Subject: RE: 025041.pdf - Adobe Acrobat Standard You're NOT a pest! I'll give it to Adam. But #44 is in the middle of the street? I thought you guys paid CT taxes... From: Fego, Anthony [mailto:FegoA @divinvest.com] Sent: Sunday, January 20, 2008 9:19 PM To: Cyndi Subject: FW: 025041.pdf - Adobe Acrobat Standard Hello Cyndi. Sorry to be a pest, but would you mind passing this on to Adam for me. He has been working with the Putnam County Health Dept to get a permit for our well and need a tax map of my property and surrounding properties. I received the attached from the town of Patterson. I hope this is what they needed. My property is #44. Thanks, Anthony From: Donna DiPippo [mailto :assessors @pattersonny.org] Sent: Friday, January 18, 2008 12:38 PM To: Fego, Anthony Subject: 025041.pdf - Adobe Acrobat Standard CONFIDENTIALITY NOTICE ---------------- - - - - -- This transmission is intended for the sole use of the individual and/or entity to whom it is addressed, and may contain information and/or attachments that are privileged, confidential and exempt from disclosure under applicable law. If the reader of this transmission is not the intended recipient, you are hereby notified that any disclosure, dissemination, distribution, duplication or the taking of any action in reliance on the contents of this transmission by someone other than the intended addressee or its designated agent is strictly prohibited. If your receipt of this transmission is in error, please notify the sender by replying immediately to this transmission and destroying the transmission. For your protection, do not include Social Security numbers, passwords or other non - public and personal information in your email. Thank you 2/5/2008 t G TI N--,) L-Ul- V ) Ll u Vz- C> Ll u Vz- e. eq-