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03192
PETER C. ALEXANDERSON
County Executive
Y
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
May 17, 1989
Mr. Scott D. Buckhoiz �_Q'�_g�
574 Waverly Road o0
Yorktown Heights, NY 10598 Re: Renovation - Buckhoiz
Cimarron Road
(T) PV - TM #58-6-2&1.1
Dear Mr. Buckhoiz:
ENID L. CARRUTH, M.P.H.
Public Health Director
JOHN KARELL Jr., P.E.
Director
I have received and reviewed the plans for the proposed addition on the above
mentioned residence.
The plans indicate that the renovation will be combining two existing bedrooms
to make one master bedroom and combining an existing bedroom and bathroom to make
one large bathroom. The proposed renovation is not considered by this Department
to be an additional bedroom, or will it result in a potential increase in occupancy.
A review of the survey indicates that sufficient area exists to expand or repair
the -sawage di-ap? sal system, .should it become, neressary in the future. -: Therefore, _ ..
_._.•.., the plans for-the' above mentioned ^ additionaa ee °'approved with rde-iotiowing°
1) The number of bedrooms be reduced by two.
2) Plumbing facilities be updated or converted with water saving
devices (i.e. low flush toilets of 3 gallons or flow restrictors
for faucets,, shower head etc.)
If you have any questions concerning this matter, please contact me at your convenience.
LCW : j r
Very truly yours,
C - +4-- �
Lawrence C. Werper
Assistant Public Health Engineer
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IRV.SEVELOWITZ I F I
- Code Enforcement O_frxrzr,__.., -
JOHN ALLEN TOWN OF PUTNAM. VALLEY
Deputy Zoning Inspector BUILDING AND ZONING DEPARTMENT
DOREEN C. PIACENTE
Clerk of the Building Dept
Town Hall
Putnam Valley, N.Y. 10579
(945) 526-2377
(845) 526-8806 (fax)
March 5, 2007
County of Putnam
Department of Health
9 3
I Geneva Road
Brewster, N.Y. 10509
Attention: Michael Budzinski
f1j,
Re:, TM 72.447
75 Cimarron Road
Owner — Cabot
C/o Valley View Management Coro.
Dear Mr. Budzinski:
Enclosed please find the proposed subdivision next to Vineyard Trail (not an
official Town road) located in the Town of Putnam Valley. The proposed well (see
presently before the planning Board. As you can see on the attached, this new well is
also located downhill from the proposed SSTS system..
Please contact, me regarding this well permit.
Very truly yours,
IRV SEVI�LL40TZ
Code Enforcement Officer
l IAA 7
PUTNAM.COUNTY.•DEPARTMENT OF HEALTH .
DIVISION `OF ENVIRONMENTAL HEALTH SERVICES
Ifil'TlQ zmp �'ONS I3UGT e? ut!AT R -VYEI l.� r
please print or type.
Well Location
Street Address: Town/Village: Tax Map # .
L C � 1�,�j',.. �h�Cl Map Block. Lot(s)
Well Owner:
Name:
Address: Y `;'
Phone #:
aL,�" oc~k; KRuAk-
..fib .f� °X loz CvAkmA ALLEY I.�S 9 "`g't5
26 -U9s6
Use of Well:
Residential _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 gpm # People Served Est. of Daily usagel gal.
Replace Existing Supply Test/Observation . Additional Supply
Reason for Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
F. , o(.1 G 1i
for Drilling
Well Type
_LDrilled Driven Gravel Other
Is well site subject to flooding? ....................................................... ............................... Yes _ No
Is well located in a realty subdivision? ........................................... ............................... Yes No
Name of subdivision Lot No.
Water Well.Contractor: t,1 c,R h I�,,� R n rt. t n pt Address:
Is Public Water. Supply available on site? ............... ti. a................................................. Yes _ No�_
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well. location & sources of contamination to be provided on separate sheet/plan.
Date: b -ttO A i\ 2 u o-+ . Applicant Signature:
I' ...- .. ...__ -..._ �- '.. R .. ... ,.... - ._•�..�r ........ --w.� ���:. . - :r . ...rte .... .... . -...._ .... �. .I
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 Departmel
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 Iteration :of the a roved plan requires a
new permit. Well to be constructed by a water well driller certified by Putnam ounty.
Date of Issue ' Permit Is s Offic' I:
Date of Expiration Title:
Permit is Non -Trans ra e
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owne ,/ Orange copy - Well driller
Form WP -97
Rev. 3/06
.��iL: ,.:.�
~���`�
SHERLITA AMLER, MD, MS, FAAP
Commissioner of Health
_. _..`. LORETTA NIOCKI kl, RN;
Associate Commissioner of Health
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Alexander Kaspar
PO Box 702
Putnam Valley, NY 10579
February 15, 2007
Dear Mr. Kaspar:
R ®BERT .D. B®NDI
County Executive
Director of Environmental Health
Re: Proposed Well Kaspar
Vineyard Trail
(T) Putnam Valley
A field inspection was conducted at the above referenced lot by Brian Stevens and
Mitchell Lee, Public Health Technicians. The application to drill a new well is approved
with the following stipulations:
1. The well is to be drilled 75 feet from the property line as depicted on the enclosed
maps.
2. 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.
cc: file
Sincerely,
�-W b - L
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
GVA PUTNAM COUNTY DEPARTMENT OF HEALTH
11 ASS DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUd -rA WATER WELL
- -�
please print or typePHD:=Permit# IMF
Well Location
Street Address: Town/Village: Tax Map #
V G i �CT�� ' I� l L 4� 1 P'� Ei� V iNL.`�
1 �t
Map Z Block Lot(s)
Well Owner:
Name:
Address: 61,
Phone #:
AisoA ask.. 0%ok-
l4k 'Tu- mAkt-� V* NLLk__ Cs 4
�Lt5PI -ors1,
Use of Well:
Residential _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 gpm # People Served Est. of Daily usage
gal.
Replace Existing Supply Test/Observation Additional Supply
Reason for Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
V 'S LL'_ : � � t,i 6„ �C`.i� �-nt tL_ ~NI' -1 i`i u p6J zLLi r\i Cr
for Drilling
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? ....................................................... ............................... Yes —No
Is well located in a realty subdivision? ........................................... ............................... Yes
Not�
Name of subdivision Lot No.
Water Well Contractor:_ Address:
Is Public Water Supply available on site ? ...............NI °.................. ............................... Yes —No
Name of Public Water Supply: Town/Village
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate sheet/plan.
App! !cant .Signature:
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 Countv 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 Iteration of the a roved plan requires a
new permit. Well to be constructed by a water well driller certified by Putnam ounty
Date of Issue % , d� Permit Iss n Offi '
Date of Expiration Title:
Permit is Non -Trans erab e
White copy - HD file; Yellow copy - Building Inspector; Pink copy - OwneV Orange copy - Well driller
Form WP -97
Rev. 3/06
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