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02761
ALLEN BEALS, M.D., J.D. MARYELLEN ODLI,
Camnmissioner ofHealth o.
�c. Coudty Execative
ROBERT MORRIS, P.E.
Director ofEnvirnnmmW Health
DEPARTMENT OF HEALTH~ . � ... � - .~ ... _ ....... .
1 Geneva Road, Brewster, New York 10509
Telephone: (845) 808 -1390; Fax: (845) 278 -7921
April 26, 2013
Robert Mann
315 East 86" Street
Apt 16 LE
New York, NY 10028
Re: Addition — A — 023 -11
No Increase in Number of Bedrooms
40 Cold Spring Road
(T) Putnam Valley, T.M. 62.4-27
Dear Mr. Mann:
This Department has received and reviewed the plans for the proposed addition to the above
mentioned residence. The proposal for the addition has been approved as per plans bearing the
approval stamp from this Department dated April 26, 2013. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Drpai' ie
2.
3.
4
W
The area-of the existing sewage disposal system and its expansion area must be
maintained.
All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc ...
This Department recommends you contact your local Building Department to ensure
setbacks and other current codes can be met.
The approval is for proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
This approval is valid for two (2) years and expires on April 26, 2015.
Any permits or variances required under the jurisdiction of the Town of Putnam Valley are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext. 43261
Respectfully,
Gene D. Reed ,
Senior Engineering Aide
GDR:cw
cc: BI (T) Putnam Valley
J•
1
) 80
ADDITION APPLICATION RESIDENTIAL ONLY
STREET -ft C0_ 4MA6 gQ6D TOWN Rgp u/ TTAX MAP # ( Z 01 . 27
A
NAME %QW1&1- A4AtJM PRONE 7-1g• q a� •'76D* PCITD# It— I 6,S-1 D
MAILING
ADDRESS SIS EMW
DESCRIPTION OF
ADDITION
NUMBER OF EXISTING BEDROOMS _ _ 3 PROP(
(FROM CERT. OF OCCUPANCY OR CERTIFICATIQ
"Any addition which is considered a bedroom requires formal approval
a Professional Engineer or Registered Architect in accordance with appli
Sanitary Code.
Please submit this form and the following to Putnam County
Brewster, NY 10509, Phone: (845) 278 -6130.
1. Certified check or money order for $100.00.
. 2. -... Sketches -of existip?g floor plan (dravm n Ito scale -all Iii
shown and dimensioned and use of each room specif
HA -1)
3. Two sets of proposed floor plans (drawn to scale A
* Non - professional sketches are acceptable and prefe
HA -1)
4. Copy of survey showing all well and septic locations
of your knowledge. Include date of installation knov
questions.
5. Copy of Certificate of Occupancy from the Town or
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
s.
mr_ j � looms
mac 1 S Am6'
;D # OF BEDROOMS 3 /
FROM BUILDING INSPECTOR)
clans (Construction permit) prepared by
e sections of the Putnam County
Dept., 1 Geneva Rd,
area - including basement, to be
(See Section 3.c of Bulletin0
name, street and tax map #)
1. (See Section 3.d of Bulletin
the subject property to the best
Contact this office with any
from the .Building
r
`r
Town Legal Bedroom Count & Proposed Addition Status
Re: 'i M4121J (Owner's Name)
Tax Map # 6 Z 01 - 2 A-
Address: 40 GOLD ZrMW& "A-D
Town: e VrAJA -M VA lAZi
Year Built: IOQ6
According to records maintained by the Town, the above noted dwelling,
is L in compliance with Town Code.
Is not in compliance with Town Code.
L
The Legal Bedroom Count is: "f
This in has been obtained from:
Certificate of Occupancy:
Other:
The plans for the proposed addition are considered:
New Construction i
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
r'
uil ing Inspector Date
6.
i
r
SHZRL TA AN MM MD, M3, FAAP
Commissioner of Health
PE
Director ofEnvironmmtal Health .
Robert Mann
315 East 86h Street
Apt 16 LE
New York, NY 10028
Dear Mr. Mann:
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Office (845) 808 -1390 March 14; 2011
Fax (845) 278 -7921 or (845) 808 -1937
Re: Addition- A -023 -11
PAUL ELDRI DGE
County F"cudve
No Increase in Number of Bedrooms
40 Cold Spring Road
(T) Putnam Valley, T.M. 62. -1 -27
I have received and reviewed the plans for the proposed addition to the above - mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp from this Department dated March 14, 2011. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at three without prior approval by this
Department.
2. The area of the existing sewage disposal system and its expansion area must be
maintained.
3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
MLiVtJ, LVJLL1CtVLS 1V1 i./hV Y ✓Vl I1cCL4J G11K 1GL{.LVVW ytL.
4. This Department recommends you contact your local Building Department to ensure
setbacks and other current codes can be met.
5. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals
Any other permits or variances required are the responsibility of the applicant and the
jurisdiction of the Town of Putnam Valley.
If you have any questions, please contact me at (845) 808 -1390, ext. 43261.
Sincerely,
s�
Gene D. Reed
Senior Engineering Aide
GDR:cw
cc: BI, (T) Putnam Valley
SHERLITA AMLER, MD, MS, FAAP
_._ .... Ccr;rtissicner cf F'edl:h:
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
Kevin Molnar
34 Hiawatha Road
Putnam Valley, NY 10579
Dear Mr. Molnar:
ROBERT J. BONDI
ROBERT MORRIS, PE
Director of Environmental Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
April 26, 2007
Re: Addition — Approval — Mann, A- 076 -07
No Increases in Number of Bedrooms
40 Cold Spring Road
(T) Putnam Valley, TM # 62.4-27
I have received and reviewed the plans for the proposed addition to the above mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp from the Department dated April 26, 2007. The addition is approved with the following
conditions:
L. The total number of bedrooms must remain at three without prior approval by this
department.
2. The area of `he existing sewage disposal system, and its expansion area, must be
._ -. "'___ ... -. . _.._.. -•iiiiiiIuxiYi�:.4: _... __ _ .- . .-... � _ __ ..._.._.. -�.. _. _.:...�.. .__ _ . �..... : ... �_.. ._ '° - - --. � .. _ .. -
3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
4. The approval is for the proposed changes only. This approval does not validate any -
construction shown as existing that has not obtained proper approvals.
Any permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Vallev
If you, have any questions, please contact me at your convenience.
LCW:kly
cc: BI (T) Putnam Valley
Sincerely,
Lawrence C. V erper
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.- WIC (845) 278 -6678
Nursing Home Care Fax (845) 278 -6085
Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648
uot ul utl /e:/up uu/Lu/nb utr/
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L -MANN RgSID'ENCE ` -DEMOLITION PLAN:
75 NORTH CENTRAL AVENUE, SUITE 1 305 40 COLD SPRING ROAD FIRST FLOOR LEVEL
ELMSFORD, NY 10523 1
Id—br. IdNekWbr.
VAir.rQIA9.41(]Qnn /FAX 914.251-0990 PUTNAM VALLEY. NY KEM Rn I 3ACSONLOTM
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Marl 1 11 10:22a P•1
'11-03-11 10:08 FROM- T-982 P0202/0002 F-241
Town Legal B94—room Count A PrueHed Addidep Status
Re: MWO (Owner's Name)
'Tax Map
Address. 40 -Ae&2 4MAJ& g4d&
Tow, VVrvAfA yhdAgy
Year Built:
According to records maintained by the Town, the above noted dwelling,
is Vw compliance with Town Code.
Is not in compliance with Town Code.
The Legal Bedroom Count is.-
This information has been obtained from,
Other•*
The plane for the proposed addition are considered;
NewCoostmetfon
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
4?;�,
Date
f��
CRO&g Spector
MA IJO
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IV -73
?'7 3
....... . .....
77
''CRONIN 39 Aflo Lane
ENGINEERING P.E., tic. CortlandS Manor; NY 10567
fn'
..Professional-En !neerinm&Cransultinq_� {a 1ya�.j�5-3�6q.F qI.A .6
L369
February 25'2011,
Gene Reed ' •.
Assistant-Public.Health Engineer
Putnam County Department of Health
4 Geneva Road ;
Brewster, NY. 10509
RE: •Robert Mann • .
'Addition Permit. .: .
,,.Town of Putnam. Valley
Sent °via first class mall
t
D mat'Mr Reed:-,..,' ;
Find. enclosed the following information for the:adddion permit:
A. Two copies:of the existing floor plans' plans.'::''
,2. Two copies of the,proposed floor.plans. -
3 Application fee of $100:' ,
4 Copy of Repair Permit R- 165 -10 with the site. plan.
5 . Copy of original Addition Permit A 076 -07 ;
6 Copy of the Town of Putnam Valley.property,card =
T. Two copies of the Addition Permit application,. signed by the Town:•Building Inspector.:
iS iv=�tn'r�rv�iiti� a v wti.. • .hn .a. .e. r s.r+�es 1 .nn nil c_ ma_ n4„ n! t+
fl
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�,�, •Y � "` •� ^- p�-G"'^^ ^'1` Of �hi CnSSt.riy�'Jlq...� -. �!� .iw.....• f`.�....:.•I. s,�3 :�fl t'r'..: _S
existing house.. The Applicant received a Repair Permit and subsequently installed thesystem last,fall.:The
pump and electrical still need to be finalized
....The existing'house contains three bedrooms and 1,128 square feet of livable space'and the"proposed structure
contains 1,675 square feet, less than•. 50% increase (48 %) in livable area and three bedrooms.
trust the foregoing will meet with your approval: Should you have any questions or require additional
0,00
infomiation,'please contact me at the above number.'-Thank you for your time and consideration in this matter.
Res e Ily submitted,,
eith S a ohar, -
PUTNAM COUNTY HEALTH DEPARTMENT
DIVISION OF ENVIRONMENTAL HEALTH SERVICES t ;f
PROP ®SAL FOR SEACE TREATMENT SYSTEM REPAIR r r
YES
NO
Internal Use Only
PERMIT-#
K – J; 5 — / C,
❑
Q
Repair Permit issued in last 5 years
I?SL
Not in Watershed
❑ .
[W
Repair within Boyd's Corners, W. Branch or Croton Falls Res.
Delegated
❑
L
Repair within 200 ft. of a watercourse or DEC mapped wetland
❑
Joint Review
SITE LOCATION 40 ColD -e P lj,,rGt ra��, TOWN R j �� . TM #
OWNER'S NAME 144Pg, &&r A6400 PHONE # 20- . q39. -740o
MAILING ADDRESS 40 g) spitio, e, rumb
APPLICANT
Name & Relationship (i.e., owner, tenant, contractor)
DATE 0* . 10, I D FACILITY TYPE fi 0.0 S PCHD COMPLAINT #
PROPOSED INSTALLER ek)jdpv��au,� PHONE #PP.•t•
ADDRESS x.33 r`° ,,. ;0j5 D _ REGISTRATION /LICENSE # I
PL rA)AM VA" Ey My 105"19
Proposal (include a separate sketch locating the house, property lines, all adjacent wells within 200
feet of repair and the location of existing and proposed system)
NOTE: The Department may require submittal of proposal from licensed professional depending on the
nature and extent of the repair.
1, as owner,algree to the conditions stated on this form
SIGNATURE " �� - TITLE t kjjjtcA. DATE 6-7. L4. I
(owner)
I; the septic insta!!cr,�agree .to corrmly_with the.conditions:of this permit for the.septic.syste_ . repair
SIGNATURE ' � -� TITLE c)WMeA. DATE .tDi•�I 10
(installer)
Proposal appr ed^wit �e following conditions:
1. Procurement of any Town Permit, if applicable.
2. Submission of as built repair sketch by the septic system installer within 30 days of the repair, in duplicate showing:
a. Owner's name, Site Street Name, Town and Tax Map number
b. Location of installed components tied to two fixed points
c. System description (e.g., 1250 gal. Concrete septic tank, etc.)
d. Installers' name and.'phone number
3. System repair to be performed in accordance with the above proposal and conditions
4. The proposed SSTS repair is considered a best fit design and there is no guarantee'io the duration At which the
completed SSTS repair will function.
5. No completed work is to be backfilled until authorization to do so has been obtained from the Department.
INTERNAL USE ONLY
Proposal Approved /} Lj Proposal Denied
.A'1f .rte . _ �'1� ��" � /,s'�._•..,.., .� �. .. •!b<�" � .'k� ��a•��
re
is in complia
COPIES: PCHD; Owner; Installer
PC -RP 99ML
IIIe� 1,41
Date `
applicable codes Yes ❑
/ :7— / d1 //
Expiration Date
No
Rev. 2/07
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RJ STAHL AiiCHI i EC;T PC; ° *"
75 NORTH CENTRAL AVENUE, SUITE 305 1VlAN 1ESIDENCE DEMOLITION PLAN: AD=101
m ELMSFORD, NY 10523 40 COLD SPRING ROAD FIRST FLOOR LEVEL
VOICE 914.251.0900 / FAX 914.251.0990 PLITNAM VALLEY, NY KBA °j ys�im0 er �°s °"`99.07.09 0903
a
Blank
Page
_Gene Reed
•.4�i .w. - • a .� r K" 2: "4,". `- ,. .. :... —_ _- �. • -- l.s-n -• ._w� n- �t..Y.• .. ... v� > -;a s.�t ..., �.... .a... . • .. .. .� .ww _a..:. .. •.... -I_�.. -. ... __�. C' _.� J.`.'.l ._... o. I w- en .w
From: Keith Staudohar [keith @croninengineering.net]
Sent: Thursday, March 10, 2011 9:40 AM
To: Gene Reed
Subject: mann - addition permit
Gene,
Any word on the addition permit application for Robert Mann?
Thanks
Keith Staudohar
Cronin Engineering, P.E., P.C.
39 Arlo Lane, Cortlandt Manor, NY 10567
P: (914)736 -3664 F: (914)736 -3693
AA s' '?-"'RONIN
ENGINEERING P.E.yPC.
Professional Engineering & Consi.lting
39 Arlo Lane Cortlandt Manor, NY 10567
3/11/2011
Blank Pagel of 2
Gone Reed _
From: Gene Reed
Sent: Friday, March 11, 20119:27 AM
To: 'Keith Staudohar
Subject: FW: mann - addition permit
Dear Mr. Staudohar
I started the review yesterday. An important piece of information is missing. The Building Dept. did not
complete the legal bedroom count form
In regards to new construction or teardown / rebuild. We need this information prior to making a
determination.
Please let me know if you want us to mail the form back to you, or however you want to handle this.
Also, the plans are not to scale making it difficult to scale measurements, However I will scale things up on
the copy machine in order to
Continue the review.
At this time I will continue the review today and await the above requested information.
Sincerely
Gene D. Reed
Gene D. Reed
Sr. Engineering Aide
Putnam County Department of Health
Division of Environmental Health Services
1 Geneva Road
Brewster. NY 10509
gene,reed@- putnamcountyny.gov
3/11/2011
c._. b
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845)278-6130 Fax(845)278-7921
Nursing Services (845)278-6558 WIC (845)278-6678 Fax(845)278-6085
Early Intervention/Preschool (845)278-6014 Fax (845) 278 - 6648
ROBERT J. BONDI
County
PROPOSED ADDITION APPLICATION (RESIDENTIAL. ONLY)
STREF,T 4o c4:01� -3W -146, lyb TOWN \./AVArf TAX MAP #
V-�►1 �I 6- M o I�hgp. _
NAME FV9- ►yp,,e0f M*-J4 PHONE `1I -`� 17_,05( (pPCHD #
MAILING ADDRESS. -34 I Vl OrOOT4P hX0Q , PU WPO \lAW16-f rJ'f 10 1
DESCRIPTION OF ADDITION nO` fTiot4 o'F O- Zait4& '%YW TJIP� IAIJp
°✓4o'j o T fbl�- 114 Or 99'" r'ooz�'
NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS
(FROM CERTIFICATE OF OCCUPANCY OR
CERTIFICATION FROM BUILDING INSPECTOR)
*Any addition which is considered a bedroom requires formal approval of plans (Construction
Permit) prepared by a Professional Engineer or Registered Architect in accordance with
applicable sections of the Putnam County Sanitary Code.
r » Please submit this form and the following to Putnam County Health Department, :4 Geneva
.�r�a:�� BTPa' Etter, :tiPxt� V'Or4 1 C1S(1Q��n�"JnN_i "4. <� 78 /3'I ZI'i .
for $ 100.00
2. Sketches of existing floor plan (drawn to scale, all living area including basement).
* Non - professional sketches are acceptable.
3. Two sets of proposed floor plan (drawn to scale, with name, street, and tax map #.
* Non- professional sketches are acceptable.
4. Copy of survey showing well and septic location, to the best of your knowledge.
Include date of installation if known. Label all wells and septic systems within 200
feet of the property line. Contact this office with any questions.
5. Copy of Certificate of Occupancy from the Town of Certification from the Building
Department with legal bedroom count of dwelling..
OFFICE USE
ommen s
....,.r-- .....- a_�.�ddrtion enovat� io form.. �... v... a,,.....,. a�... �...., �.. �.-,-.-.... r�.. �.>. �fl.>. �. m..... ���..,..,.,, �,--._,..... �.. K�...�...,......�.- .,...,�.a...
LORETTA MOLINARI
Public Health Director
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921
!Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085
Early Intervention/Preschool (845) 278 6014 Fax (845) 278 - 6648
Date: 4 fj b
Putnam County Department of Health
1 Geneva Road
Brewster, New York 10509
Residence
Tax Map #
1:-4—rK AAA VALA-
Town
To Whom it May Concern:
According to records maintained by the Town, the above noted dwelling:
IS v
ROBERT J. BONDI
County Executive
-"10 fYtl1.� -..
_.- .....� _a plja� with Town�Code. and the total number of bedrooms on records is
This information has been obtained from:
CERTIFICATE OF OCCUPANCY:
ASSESSORS RECORD: I /
OTHER:
Ruilding4nspeetor-
Addition co form
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SI-HERL.ITA AML,ER, MD, MS, FAAP
Commissioner of Health
L ORE'I A MOL.INARI, RN, MSN
Associate Commissioner of Health
Kevin Molnar
34 Hiawatha Road
Putnam Valley, NY 10579
Dear Mr. Molnar:
DEPARTMENT OF HEALTH
ROBERT J. BONDI
_Gnunty Frerutivll.
ROBERT MORRIS, PE
Director of Environmental Health
1 Geneva Road, Brewster, New York 10509
April 26, 2007
Re: Addition — Approval — Mann, A- 076 -07
No Increases in Number of Bedrooms
40 Cold Spring Road -
(T) Putnam Valley, TM # 62.4-27
I have received and reviewed the plans for the proposed addition to the above mentioned
residence. The proposal for the addition has been approved as per plans bearing the approval
stamp from the Department dated April 26, 2007. The addition is approved with the following
conditions:
1. The total number of bedrooms must remain at three without prior approval by this
department.
2. The area of `he existing sewage disposal system, and its expansion area, must be
3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc.
4. The approval is for the proposed changes only. This approval does not validate any
construction shown as existing that has not obtained proper approvals.
Any permits or variances required are the responsibility of the applicant and the jurisdiction of
the Town of Putnam Vallev
If you have'any questions, please contact me at your convenience.
Sincerely,
Lawrence C. erper
Public Health Engineer
LCW:kly
cc: BI (T) Putnam Valley
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
Pd
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION -TQ C. N TI�i�C
WELL..
m'. � .:_..- ....�.�.•...,...,...�.�•: a' c.. wwy._...rM•�.;e•e,�JI:;-� --..�. - T A...W...A►.TER;
please print or type PCHD Perm �....�_
-.i... ..�••.. /t'.b!.0. ? -.. ,YC,Y..V �✓. �...� -..-.- •- _..yK:.•�"c�..✓M��4 t'y�' .,.�•`•r ...i
^ ' it # (�
Well Location:
Street Address: Town/Village Tax Grid #
Map6'.Z Block Lot(s);? --7
Well Owner:
Name:
Address:, o n IJY AJY /00
Use of Well:
Residential - Public Supply Air /Cond/Heat Pump Irrigation
�4rimary
Business Farm Test/Monitoring Other (specify)
2- secondary
Industrial Institutional Standby
Amount of Use
Yield Sought ,' gpm # People Served 3 : ,S"'tst. of Daily Usage dal.
Reason for
eplace Existing Supply Test/Observation Additional Supply
Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
o� `U,v X3.0 ,�, •v �• _P ;- .e �., :.;.- '� ���.A
for Drilling
Well Type
r 5 > illed Driven Gravel Other
Is well site subject to flooding? ................................................. ............................... Yes No
........ ...... ............................ Yes .rte. No •:.
Is well located in a realty subdivision? fit..? G c. °" °� �-
Name of subdivision Lot No.
Water Well Contractor: >�/�? Address:
Is Public Water Supply available to site? ..... .........................: ............................... Yes No
Name of Public Water Supply: ,��. TownNillage
Distance to property from nearest water main:. /V //Al-
Proposed well location &- saurq-es of contamination be Dr-0- ded�onse aratersheet/pl .
.
} I� `'
a ,. _t_Signatur� �: ->--- .� _ ,. - • -- ' -
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well as set forth above, is granted under provisions of Article 10 01 the r'
Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code androvided
that within thirty (3 0) days of the completion of water well construction, the applicant or their designated -;J,--)
representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance wiN the ,,
requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a farm
provided by the Putnam County Health Department. During all well drilling operations, the applicaiA and�t
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 wa r well driller certified by Putnam
County.
Date of Issue 7 Z7 I� Permit Issui ffici
Date of Expiration 3M Lob Title:
Permit is Non-Transferrable IJ
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Olange copy - Well driller
Form WP -97
kfL (4 z
SHERLITA AMLER, MD, MS, FAAP
ommssivrer of
LORETTA MOLINARI, RN, MSN
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Mr. Robert Mann
85 John Street
Apt. #6F
New York, New York 10038
July 27, 2006
Dear Mr. Mann:
ROBER�T J. BONDI
r
Re: Proposed Well Mann
40 Cold Spring Road
(T) Putnam Valley
A field inspection was conducted on the above referenced lot by Brian Stevens, Public
Health Technician. The application to replace the existing well is approved with the
0
following stipulation:
- 1. A i sni;i2'•l ^n we' ilsg &pth of 75 feet is rcgaircd..
Please be aware that this Department must be notified if there is any deviation from the
proposed location.
A Well Completion Report (WC -97) shall be submitted no later than 30 days after the
well completion by the permittee.
Please contact the writer at (845) 225 -5186 ext.2235 if you have any questions.
cc: file
Sincerely,
Brian R. Stevens
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
g .1%
17 July 2006
Brian Stevens
Putnam County Health Department
Water Supply Section
1 Geneva Road
Brewster, NY 10,509
By Fax: 845- 225 -5418 (3 pages including this cover)
Hear Brian,
Attached please find survey indicating previous proposed site for well and survey
indicating new or current site, located 29 feet further up the incline behind my house.
Please contact me if you have any questions.
Thank you,
c�-
Robert Mann -
40 Cold Spring Road
Putnam Valley, NY 10580
T_ -
M: 646- 942 -7630
0
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FROM : ROBERT MANN GALLERY PHONE NO. 12129892947 Jul. 17 2006 11:12AM P2
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FROM ROBERT MANN GALLERY
18 July 2006
PHONE NO. : 12129892947 Jul. 18 2006 11:00AM PI
Brian Stevens
Putnam County Health Department
Water Supply Section
I Geneva Road
Brewster, NY 10-"
By Fax: 845-225-5418 (2 pages including this cover)
Dear Brian,
Attached please rind a letter from my neighbor, Michael Thorpy at 44 Cold Spring Road,
granting permission to cross his property for the purpose of drilling a well.
Sincerely,
Robert Mann
40 Cold Spring, Road
Putnam Valley, NY 10580
W: 212-!989-76M-..—
'M-' 646- 942 763O
FROM ROBERT MANN GALLERY PHONE NO. : 12129892947 Jul. 18 2006 1t:01AM P2
I � .51 4vjIU5 U1 I U3
14chael Thorpy
44 cold Spdas Road
pmam vauey 10579
July 13*, 2006
M, Robeft Mangy, 40 Cold Spring Road, PuV=Y2110Y
This serves to allow contractors to aoss my pm" for the pwpm of rewhing the
Mum propexty for the purpse of ddUi09 it Wat'Ot Well.
Nfichael Thorpy
'FROM ROBERT MANN GALLERY PHONE NO. : 12129892947 Mar. 23 2004 01:18PM P1
23 March 2004
Brian R. Stevens
Putnam County Department'of Health
1 Geneva Road
Brewster, New York 10509
Fax: 845-279 -3578
Number of pages (2)
Dear Brian,
As per your request I am attaching a copy of the original Deed of Purchase for the house in
Putnam Valley where we are applying to drill a well. As t mentioned, since my family purchased
this house in 1958, we have been getting our water from our neighbor's well. Our neighbor,
William Gruen, is 86 years old and has indicated that he may sell his property sometime in the
near future, Not knowing who the next homeowner will be and if they will allow us to continue to
use their well, it seems imperative that we areate.our own water source.
Please feel free to contact me with any questions you may have
Thanks for your help on this matter.
Sincerely,
Robert Dann
_...,. ld`So�nci::Pac
--- Putnam Valley, NY 10579
Work: 212 -989 -7600
Home, 716 -796 -7691
Mobile-, 646 -942 -7630
FROM : ROBERT MANN GALLERY PHONE NO. : 12129892947 Mar. 23 2004 01:19PM P2
$talc of NEW YORK
"to at PUTNA14 � 00-,
of^October•, «�.. nineteen+ hundred and '..Fifty— eight.. ..;.... : -..,. ,. _.
before me came WYLLIAM LAWSON PHYPE,
to me known and known to me to be the Individual described in, and who executed, the foregoing in.
atrument, and acknowledged to me that he executed the me.
NCti17 : �'!'' i y •,...'...[ New Yet%
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it+:'• tic 2�p d
Camm;����r . :3 H,orod 60.1
On the day of JJJ nineteen hundred and
before me came the subscribing
witness to the foregoing instrument, with whom I am personally acquainted, who, being by me duly
awarn, did depose and say that he resides in
that he knows
to be the individual described in, and who
executed the foregoing instrument; that he, said subscribing witness; was present. and saw
eseoute the same; and that be, said witness, at the same time subscribed h name at witness thereto.
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40 COLD SPRING ROAD PUTNAM VALLEY, NY 10579
TAX M�kP NO. 62-1-27
DRAWING ISSUES
FEBRUARY 03,2D07 OWNER REVIEW (SD)
MARCH 05, 2007 OWNER REVIEW (SD)
APRIL 09, 2007 PUTNAM COUNTY DEPARTMENT OF
HEALTH REVIEW
DRAWING LIST
•A-001
COVER SHEET
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AS -BUILT PHOTOGRAPH(S)
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AS -BUILT PLAN(S): CRAWL SPACE FLOUR LEVEL
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PROPOSED PLAN(Sy. SECOND FLOOR I'E \fEL
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PV PERMIT NO. 2007-40
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HOUSE PLANS APPROVED FOR BEDROOM COUNT ONLY.
BEDROOMS THESE HOUSE
ALL p UST BE SUBMITTED TO THE PCDOHOFOR APPROVAL
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PUTNAM COUNTY DEPA THE �F HEALTH
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HOUSE PLANS APPROVXFOR BEO COUNT ONLY.
-? BQROOMS
ALL SUBSEQUENT REVISIOWALTERATIONS TO THESE HOUSE
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SISNATURE IS TITLE DATE
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SIGNATURE & TITLE
-1-.,..-.-.,.-..- -.4- -11 _ - .DATE.
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DEPARTMENT OF HEALTH
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