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Home My WebLink About2904DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 62.15 -1 -23 BOX 24 y rm 1 t T " ' 1 1 ' 1 ' ' X6 : r IN me IN 1 ' i � � T R I ' 02904 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 October 29, 1991 Manuel & Edna Rivas 33 Hill Road Putnam Valley, NY 10579 Dear Hr. & Mrs. Rivas: JOHN KAHELL Jr., P.E., M.S. Public Health Director Re: Proposed addition - Rivas, ?fill Road TM #62.15 -1 -23 (new) (T) Putnam Valley I have received and reviewed the plans for the proposed addition to the above mentioned residence. Ihe� plans indicate. that - a 12' x 24' Great room will be added 'to the existing residence. The addition represents an increase of approximately 15%. Therefore, based on the information submitted, the above mentioned 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 replaced or updated with water saving devices,.i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of If you have any questions, please contact me at your convenience. Very truly yours,- _...... _..... William Hedges Sr. Public Health Sanitarian WH/jp cc: BI (T) Putnam Valley SITE PERS( DATE TYPE FACILITY It e, S i d en.ce- PROPOSED INSTALLER PHONE Proposal (include sketch locating all adjacent wells): NOTE: Repair must be in same location and of same type as original sewage disposal system. Different location may require submittal of proposal from licensed professional engineer or registered architect. Proposal approved Proposal Disapproved Inspector's Signature & Title Date roposal approved with the following conditions: 1. Procurement of any Town permit, if applicable. 2. Submission of as built repair sketch.in duplicate showing: a. Owner ° s name.. b. Site Street Name, Town and Tax Map number. c. Location of installed components tied to two fixed points (e.g.,house corners). d. System description (e.g., 1250 gal. concrete septic tank, three precast 61 diam. x 61 deep drywells surrounded by one foot + gravel). e. Installer's name and number. 3. System repair to be performed in accordance with the above proposal and conditions. ovr:er -:agree SIGNATURE TITLE DATE OXM: %A be MID); YeUcw (Tom HI); Pink (kl3l.iam t) WL� (L� C-L-0 S L-7 -r G (Loo �j L-06 �-3 potl"Rm VA � rce n�� F 1 W L �l Z 5 -r 1� ((ts cuosefl L- I v 1 N � (Lobm t A -n4- k a-c P L- iq c ,;: o 0 --r Nt � (?-,p V-D - ED — MARVIN O'DELL Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT Robert (Norris Dept. of Env. health 110 Old Route 6 Carmel, N.Y. 10512 October 23, 1987 Re: CALABRESE - Mill Road TM#48 -8 -5 TOWN HALL PUTNAM VALLEY, N.Y. (914) 526 2377 Dear Mr. Morris: The proposed well shown on sketch drawing submitted conforms to the requirements of separation between any SSD system and, therefore, would be approved by this Department for construction. Upon completion, a copy of well drillers log and water analysis report shall be submitted to the Building Department by the owner before the well is put in service. Very truly yours, f MARVIN O'DELL Building Inspector MO'D:es wq COUNTY DEPARTMENT OF HEALTH Division of Environmental Health Services CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT # LL LOC TION o VC." e, `�` re Address F\",,�t'3 ,a A T wn Village City Tax Grid Number N -n'a a xdl aw WELL OWNER a^ -Name �C� �s Mailin Address r� Private "a V74 . 7 1(0 rSe.,%.J /0V710Public USE OF WELL 1 - primary 2 - secondary X RESIDENTIAL ElBUSINESS 1) INDUSTRIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUAP 13 ABANDONED O FARM O TEST /OBSERVATION O OTHER (specify b INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE gal REASON FOR DRILLING JWNEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION OREPLACE EXISTING SUPPLY 0DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING dYj LV� -tV O Ser 'I WELL TYPE ®DRILLED DRIVEN ODUG ®GRAVEL ® OTHER IS- WELL STTE SUBJECT TO FLOODING? YES _ _NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: tott QNoe-,Z- C. Lot No .;�, // WATER WELL CONTRACTOR: Name Address IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: 1l3h LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED O ON REAR OF THIS APPLICATION O ON SEPA SH (date) (s gnature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of 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 s.hall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form prov' by the Putnam County Health Department. 44 Da' ate of Issue: If �... 19d hermit Issuing Official Date of Expiration: //4 19 c� White copy: H.D. File Permit is Non - Transferrable Yellow copy: Building Inspector Pink Copy: Owner 287 Oranae coov: WP-11 nrillar. PUTNAM YAW rz- MARVIN O'DELL Inspector • TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT" October 23, 1987... Robert Morris s =; Dept. of Env. health 110 Old Route 6 Carmel, N.Y. 10512 TOVW HALL PUTNAM VALLEY, N.Y. (914) 526 2377 Re: CALABRESE - Mill Road TM��4� -8 -5 r Thar_ [N The proposed well shown on sketch drawing submitted conforms to the requirements of separation between any SSD system and, therefore, would be approved by this Department for construction. Upon completion, a copy of well drillers log and water analysis report shall be submitted to the Building Department by the owner before the well is put in service. Very truly yours, f �"C MARVIN O'DELL Building Inspector MOT: es PETER C. ALEXANDERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 October 26, 1987 Mr. Pierce P.O. Box 5 Putnam Valley, New York 10579 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Re: Proposed Well Brattman - Putnam Valley Mill Road #W- 142 -87 Dear Mr. Pierce: Please find enclosed your application to construct a water well. This application must be submitted to Putnam Valley's Building Inspector, Marvin Odell, prior to the review by this Department. Only after Mr. Odell's written comments are received by this office can the approval process continue. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Very-,truly yours, Robert Morris Sr: Environmental Health Technician RM:jt Encl: cc: RM File JK 4740 Iselin Avenue Bronx, New York 10463 February 2, 1988 Mr. John Karell, Jr. P.E. Department of Health 110 Old Route Six Center Carmel , New York 10512 Dear John, Enclosed please find the map for location of the well. According to Mr. Anderson I could save between $1000 -$2000 dollars if it would be possible to put the well near the other side, somewhere near the red X. If the well-. can•'be placed in this location, Mr. Anderson could easily back his truck into position. Thank you in advance for your kind consideration. I will call you in a few days. v i., PETER C. ALEXANDERSON County Executive'' . DEPARTMENT OF HEALTH JOHN SIMMONS, M.D. Deputy Commissioner Division Of Environmental Health Services November 9, 1987 Jack Brattman 4740 Iselin Ave. Bronx,, NY 10471 Re: Well Permit # W- 142 =87 Mill Road, Putnam Valley Dear Sir: Forwarded herewith is a permit to drill a -wel -1 on the above capti one d"' priip =-E - erty for potable purposes. You will note that the permit is to drill the well only and is issued for one year. Approval to place the well in service will be granted upon receipt of the following: 1., Well Completion Report for the new well. 2. Result of Bacteriological Analysis. 3. Information as to the depth of the old well. If you have any questions, please contact me at 225 -0310, ext. 304. Very truly y rs, L� /hKarel 1 , Jr. , P. E. Director Environmental Health Services JK: cj 110 OLD ROUTE SIX CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 PUTNAM COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Cmirnissioner of Health - FIELD ACTIVITY REPORT - ADDRESS No. Street MAILING ADDRESS -T U Town 61)4.� TM No. Ccopliance Cmplaint Comp Final P.O. Box Post Office Zip Code Group Illness ; o, • . PERSON IN CHARGE OR INTERVIEWED Name and Title '. DATE - T- W— FACILITY..,, .... TIME ARRIVED 1 �v TIME LEFT l r 2 ci INSPECTOR: ui- itt;re any °T: PERSON IN CHARGE OR INTERVIEWED I acknowledge this Field Activity Report. SIGNATURE° 6/86 TITLE: TELEPHONE:v