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03724
PFTFR C..ALEY.ANDEASCN-
County Executive
DEPARTMENT OF HEALTH
Division Of Environmental Health Services
110 Old Route Six Center, Carmel, New York 10512
(914) 225 -0310
November 14, 1990
Sylvan Joseph Architects
170 East Post Road /2nd floor
White Plains, New York 10601
Re: Proposed Addition
Sa.rna /Eisen; Dring Lane
TM # 68- 3 -8 &9, (T) PV
Dear Mr. Dallessandro:
JOHN KARELL Jr., P.E., M.S.
Public Health Director
I have received and reviewed the plans for the proposed addition to the above
mentioned residence.
The plans indicate the residence will be totally renovated according to the
attached plans.
The survey indicates that sufficient area exists to expand or repair the
sewage disposal system, should it become necessary in the future. 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 4 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 Putnam Valley.
If you have any questions, please contact me at your convenience.
Very truly yours,
William Hedges
WH:cj Assistant Public Health Engineer
cc: BI (T) PV
Sylvan Joseph Architects, A.U.
White Plains, N.Y. 10601
914- 946 -7766
Re: Sarna /Eigen Residence
Dring Lane, Putnam Valley, NY
Sheet 68, Block 1, Lots 8 & 9
Owner: Judith Ann Eigen
Mr. William Hedges
Public Health Sanitarian
110 Old Rt. 6 Center
Carmel, NY 10512
Dear Mr. Hedges:
We enclose the following:
One (1) copy of Existing First and Second Floor plans.
One (1) set of Proposed Site Plan, First and Second Floor plans,
Drawings T, A -2; and A -3.
One (1) copy of Survey, indicating approximate location of well, and
septic field.
For your use in preparing a Preliminary Report analyzing the adequacy
of the site in regards to the proposed addition as it pertains to the
well and septic system.
As discussed over the phone, the Town of Putnam Valley Zoning Board
of Appeals requested this preliminary Report from your office prior to
c- onsidering :granting a Variance. The November'; "bZ:onzr_g Paard..of :Appeals -
•,fil ng• "Teadl ne -' s November 15, 19.90. I would greatly appreciate your
issuing this report prior to the deadline date.
Thank you for your cooperation. If you should have any questions, please
give me a call.
Sincerely,
Tony Dallessandro
Sent by: Mail Project Architect
November 2, 1990
TD:ah
cc: Morris Sarna /Judy Eigen
FAX
(914) 946 -6250
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
., .. ��'PT�ICA' N:_. TO... CONSTRUCT ,A::'WA:TIl:-- W.E ;L1i_._......
PCHD PERMIT
WELL LOCATION
reet Add
^02r-7tAe-
s T V
_9=wx�
Tax Grid Number
/V— - 6 7
WELL OWNER
Nam
Mailing Address
GTrivate
O Public
USE OF WELL
1 - primary
2- secondary
�GLRESIDE:NTIAL
0 BUSINESS
D INDUSTRIAL
OPUBLIC SUPPLY
O FARM
0 INSTITUTIONAL
❑AIR /COND /HEAT PUMP 0ABANDONED
O TEST /OBSERVATION O OTHER (specify
O STAND -BY 0
AMOUNT OF USE.
YIELD SOUGHT
S gpm /# PEOPLE
SERVED --- /EST. OF DAILY USAGE q0gal
REASON FOR
DRILLING
❑ REPLACE EXISTING
O NEW SUPPLY (NEW.
SUPPLY O TEST /OBSERVATION
DWELLING) 0 DEEPEN
LQ ADDITIONAL SUPPLY
EXISTING WELL
DETAILED
REASON FOR
DRILLING
WELL TYPE
EDRILLED
DRIVEN
ODUG
GRAVEL
0 OTHER
IS WELL SITE SUBJECT TO FLOODING? YES ___Z _NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION:
Lot No.
WATER WELL CONTRACTOR: Name!
Address:
IS PUBLIC WATER SUPPLY AVAIhABLE TO SITE: YES _NO �S
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
_._ DISTANCE TO PROPERTY FROM NEAREST WATER ._MAIN
LOCATION SKETCH & SOURCES OF' CONTAMINATION
�j (ION SEPARATE SHEET
(date')
PROVIDED irk
(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 contained on this
property and in such a manner as not to degrade or otherwise contaminate �- groundwater.
Date of Issue• i 19�
Date of Expiration 19 Y� Permit Issuing Official
Permit is Non - Transferrable White copy: HD File Pink copy: Owner
3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller
DEPARTMENT OF HEALTH
Division of Environmental Health Services
4 Geneva Road, Brewster, New York 10509
(914) 278 -6130
AP-PLICA ION TO CONSTRUCT "A.WA'T`ER A.0 .
PCHD PERMIT #_ L)
WELL LOCATION
S eet Ad ss
lage ity� Tax
Grid Number
WELL OWNER
N� - /?
Gs�
Ma ing
Address
SrPrivate
O Public
USE OF WELL
1 - primary
2 - secondary
RESIDENTIAL
® BUSINESS
® INDUSTRIAL
PUBLIC SUPPLY O AIR /COND /HEAT PUMP
O FARM O TEST /OBSERVATION
b INSTITUTIONAL O STAND -BY
D ABANDONED
O OTHER,(s0ecify
O
AMOUNT OF USE
YIELD SOUGHT �)/ gpm /#
® REPLACE EXISTING SUPPLY
0 NEW SUPPLY NEW DWELLING
PEOPLE SERVED -- " /EST. OF DAILY USAGE
❑ TEST /OBSERVATION Q. ADDITIONAL SUPPLY
13 DEEPEN EXISTING WELL
REASON FOR
DRILLING
DETAILED
REASON FOR
DRILLING
4-
WELL TYPE
101DR14ED
D
DRIVEN
®DUG
®
GRAVEL
® OTHER
IS WELL SITE SUBJECT TO FLOODING? YES NO
IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: p�nr- ,••A..
Lot No.
WATER WELL CONTRACTOR: Name
y Add
IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _�NO
NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY
DISTANCE- TO- TROPERT`1 - ^ FROM. NEAREST WATER MAIN: -
LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED
I ®ON SEPARATE SHEET
(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 such a manner as not to degrade or otherwise contaminate surface or groundwater.
Date of Issue:
Date of Expiration
19
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
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REVISIONS
SPECIAL DISTRICT INFORMATION
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FOR ASSESSMENT PURPOSES ONLY
NOT TO BE USED FOR CONVEYANCES
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