HomeMy WebLinkAbout3246DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
73. -1 -37
BOX 26
' - �
- L Fr le
94 Leir♦ � 6, is
r 1_6 I j
We
P
03246
MARVIN ODELL
Bldg. Inspector
JOHN MAHONEY
Deputy Zoning Inspector
TOWN OF PUT.NAM VALLEY
BUILDING, ZONING, AND SANITARY DEPARTMENT
Mr. Robert Morris
Putnam County Department of Health
Division of Envir. Health Services
4 Geneva Road
Brewster, N.Y. 10509
Dear Mr. Morris:
April 21, 1994
RE: Proposed Water Well (Medla)
TM #73.-1 -37
356 0scawana Lake Road
TOWN- HALL..,-.- -_=
PUTNAM VALLEY,
(914) 526 2377
BETTE STOCKINGER
Bldg Dept Clerk
I have reviewed the proposal for the construction of a water well on the
above-noted property.
This proposal on a parcel of thirty-six (36) plus acres would be in com-
Dliance with regulations as proposed.
7 -
Yours truly,
Marvin 0 D e 11r,
Building and Zoning Inspector
M0'D/fh
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
yAPPLICATION TO CONSTRUCT A WATER WELL Y
PCHD
PERMIT #
WELL LOCATION
Street Address
0 9•� "Ke- RP
Town Vill ge City Tax Grid Number
a�94K A LLe
WELL OWNER
Name
Mailing
os� +
Address / IRPrivate
V O Public
USE 0 LL
1 - rimar
2 secondary
G-Eg-SIDENTIAL
0 BUSINESS
0 INDUSTRIAL
O PUBLIC SUPPLY O AIR /COND /HEAT P Q O ABANDONED
O FARM O TEST /OBSERVATION O OTHER (specify,
O INSTITUTIONAL O STAND -BY
AMOUNT OF USE
YIELD SOUGHT gpm /#
"PLACE EXISTING SUPPLY
0 NEW SUPPLY NEW DWELLING
PEOPLE SERVED _ /EST. OF DAILY USAGEi`,gal
O TEST/ OBSERVATION 13 ADDITIONAL SUPPLY
® DEEPEN EXISTING WELL
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
r Ally- p
WELL TYPE
RDRILLED
DRIVEN
®DUG
GRAVEL.
0
OTHER
IS WELL SITE SUBJECT TO FLOODING? YES ✓ NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name S d Address - -PU A& ho IIA LL 2L
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
•_.D °iSi�i►rCE '1G °PTcGrEiiIY •r`x0"rt "��rtiFeisS-WEii -i•'Yi °iiAi�i ": _•:,m,.�. _....' • •-.- • °.Q..��._a....._ ..> ..... __..;.a _ _,a _.: . _ __ ...a
LOCATION SKETCH& SOURCES OF CONTAMINATION PROVIDED
[JON SEPARATE SHEET �7
` (date) ��� signature)
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 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 attached to this permit.
3. Submit a Well Completion Report on a form provided by the Putnam County Health Department.
During all well drilling operations, the applicant shall take appropriate action to assure that
any and all water or waste products from such well drilling operations be contained on this
property and in suc a manner as not to degrade or otherw a contaminate surface or groundwater.
Date of Issue: 19 11/ n
Date of Expiration 19� Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
Air
3 -2 A C _
i
NI/
36
IL
13 AC.
584
A, 60(s)
AL
t
c!
70"
9
3
37 AL
AC.
4.77
CAL.
5
36. �'Z C. CAL. AL 576.27
'q
Cl 40
e 41.11
ci 0 a Zjjo
64.
41.12 64AW
0.0 AC 4G. - _ ._.
438,78 /.1} �
1(l CHERRY t4 7 1
zoa.
.91
AL
ev
185.00 00
ta .0
10
8/00 AL
too. - Z81.13
01.0 41.13 9.0
28.71 AC. AL
IL
A'� CAD
ra
-5A9.AB
484.34 73. 32. 45
PD
4.78 AC.
309-08
44 Lp
--1
co
0
.50
158-23
AC.
LO
cm 43
cd
0
22.53 AC.
42
a.
. 187.
'A 86
n txe� ._ ... `rte ,.- - ,..,� ,. .. _ .... .. --- -� 2 � 2P
CP
C 871.40 182
(S)
COS 651.76 7
..7
28
* fj 0 /
. Ac iO A 6 5'
Sf;