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HomeMy WebLinkAbout3771DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83. -1 -11 BOX 29 9 No I I �� : .. of ML I I Bps 9 ..R r* � k.6 F. 9 It IF 03771 6 P,..UTNAM COUNTY. DEPARTMENT OF HEALTH DIViC ION OF ENVIRONMENTAL HEALTH SERVICES ""APPLICATION TO CONSTRUCT. A WATI W LL Iplels rint or type PCHD Permit # •� :,I! We c ' • " L treet Address: Town/Village Tax Grid # 3 3 6� LlWff i K-A Al V Ate'? Map S 3 Block I Lot (s) Well Owner: Name: Address: �• Cf�Gi�� 1� Coeftk U_" Rn 4k.KAW((4 C-T- OU30 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 S_ gpm # People Served 1 Est. of Daily Usage LS gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) _� Deepen Existing Well Detailed Reason 1.J F_ LL 04' L Ftso k WOrU- for Drilling 0 f�QP.4 b Lj o —So r.ti aoo' Ora e'k,, Well Type Drilled Driven I 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: "f-U- PR«uuE, Address: 4kt y_ %1- (4�NRlit JA 7 Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to e prided on separate sheet/plan. t� 1r �±' o Mae, .6 tc- Loaf .-. �Ag i_iicant_Signat� ?r _ _ �,: �... .4� . Mae, 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 Department. During all well drilling operations, the applicant and/or 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 water well drille cert' i by P tnam County. Date of Issue (Z t t )of Permit Issuing fficial: Date of Expiration ! I p c�3 Title: Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller K PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO �;.. CO. N_ . S- TRU .. �T .� A WATER iE P� WELL D I G�o Well Location: St St eet Ad� dress: Town/Vil e Tax Grid�7# LQ 6 &T— 6((-66&T— l W r Map Block Lot(s) Well Owner: Name: T, CA Address: fIRk-' 6 JE FcQ-11b (46 tcj� cr- oG Use of Well: l/ 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 r f —gal. Reason for Replace Existing Supply Observation Additional Supply Drilling New Supply (new dwelling) pen Existing Well Detailed Reason W ft_L b 11 c S O 0,T— Wo C Kf4a In[ t Kee A, PA11e76-tJ R kL. ! fl �- r-u k. a t f, dJ AKn, for Drilling Well Type =Drilled 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: dk1Q a rah �J &N- POULL(J(,Address: Is Public Water Supply available to site? ............................... ............................... Name of Public Water Supply: ' Town/Village Yes No Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:. �8 ` 2dz,, Applicant Signatur n 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 Department. During all well drilling operations, the applicant and/or 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 water well driller cert.4ied Putnam County. Date of Issue IZ i t o Permit Issuing fficial: Date of Expiration l Z: o o Title: Permit is Non- Transferra e White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 r30 - r cis .' _. • :�_ . -� _..��. -...n BRUCE R. FOLEY Public Health Director . r LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services 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 (845) 278 - 6014 Fax (845) 278 - 6648 December 13, 2001 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Mr. T. Cabot 10 Copper Beech Road Greenwich, Ct. 06830 Re: Well Permit Application for Cabot 33 Gilbert Lane, (T) Putnam Valley TM# 81-1 -11 Dear Mr. Cabot: This Department has approved the well permit for a well at the above referenced property to deepen the existing supply. Please be advised that if site conditions and/or site plans change and/or are revised, thereby - compromising the minimum required separation distances, siting approval of the well must be re- .. -• approvedty ihis, Department y - - - - -- The above well to be drilled will be required to be sampled for the parameters listed in Table 1 of Bulletin ST -19, Putnam County Health Department Policies and Procedures (attached). All necessary Town permits for the installation of the well are required to be issued prior to well construction. Upon completion, it shall be required that the well driller submit a Well Completion Report along with water quality analysis within 30 days of completion to this office. Should you have any questions, please feel free to contact the writer at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj cc: T/Putnam Valley Building Inspector 0 - r cis .' _. • :�_ . -� _..��. -...n BRUCE R. FOLEY Public Health Director . r LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services 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 (845) 278 - 6014 Fax (845) 278 - 6648 December 13, 2001 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Mr. T. Cabot 10 Copper Beech Road Greenwich, Ct. 06830 Re: Well Permit Application for Cabot 33 Gilbert Lane, (T) Putnam Valley TM# 81-1 -11 Dear Mr. Cabot: This Department has approved the well permit for a well at the above referenced property to deepen the existing supply. Please be advised that if site conditions and/or site plans change and/or are revised, thereby - compromising the minimum required separation distances, siting approval of the well must be re- .. -• approvedty ihis, Department y - - - - -- The above well to be drilled will be required to be sampled for the parameters listed in Table 1 of Bulletin ST -19, Putnam County Health Department Policies and Procedures (attached). All necessary Town permits for the installation of the well are required to be issued prior to well construction. Upon completion, it shall be required that the well driller submit a Well Completion Report along with water quality analysis within 30 days of completion to this office. Should you have any questions, please feel free to contact the writer at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj cc: T/Putnam Valley Building Inspector BRUCE R FOLEY Public Health Director DEPARTMENT OF IMALTH 1 Geneva Road Brewster, New York 10509 0 LORETTA MOLINARI R.N., M.S.N. Associate Public.. Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 218 - 6678 Fax (845) 278'- 6085'. Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Disinfection of Well The following procedure should be used after completion of a new drilled well, the repair or renovation of any well, or when any well tests unsatisfactory for bacteria. 1. For each 50 foot depth, mix one quart of plain laundry bleach containing 5'/.% chlorine in.5 gallons of water. 2. Pour the solution into the well Run a hose from an outside faucet into the well, then start the pump. (This pulls the disinfecting solution into the storage tank faster.) 3. Allow water to flow from each tap until a chlorine odor is detected. Where possible, remove the plug on top of the pressure tank and allow the solution to ,fill the tank completely, then turn off the pump. 4. Allow the solution to remain in the system for at least 8 hours or preferably overnight 5. Drain the pressure tank and replace the plug. 966 he pump and allow water-to-flow-to -' waste from each tap until the chlorine odor disappears. To avoid disruption to the septic tank process, discharge of the chlorine solution in the system should be done by taking a garden hose and attaching it to the valve at the bottom of the water storage tank (Usually in the basement). The valve should then be turned on and the water should be discharged out onto the ground in the yard. When most of the storage tank water has been flushed, check the odor of the water coming out of the hose. When the chlorine smell has nearly disappeared, open up other faucets in the house for 15 minutes or until the smell of chlorine is not detected. 6. Use the water normally except for drinking and cooking purposes for one week. Collect a sample of water in a laboratory container for bacteria analysis. Any NYS DOH Certified ELAP Laboratory (Environmental Laboratory Approval Program) can be used for the analysis. It is also of equal importance that you retest 7 -10 days after disinfection for coliform bacteria. If there is no problem with contamination, the water test after 10 days will remain good if the disinfection was done properly. 7. Should the bacteria re -test fail; contact a well driller or this department at 845 -278 -6130 for further assistance. r � NYS CERTIFIED LABORATORIES FOR DRINKING WATER AND WASTE WATER ANALYSIS IN PUTNAM COUNTY AREA AQUA ENVIRONMENTAL LAB 56 Church Hill Road Newtown, CT 06470 (203) 270 -9973 DUTCHESS COUNTY HEALTH DEPARTNIENT LABORATORY 387 Main Mall Poughkeepsie, NY 12601 (914) 486 -3411 NORTHEAST LABORATORY OF DANBURY 39 Mill Plain Road Danbury, CT 06811 .(203) 748- 7903.. SEVERN TRENT ENVIROTEST LABORATORIES 315 Fullerton Avenue Newbutgh, NY 12550 (914)562 -0890 WESTCHESTER COUNTY LABORATORIES AND RESEARCH 2 Dana Road Valhalla, NY 10595 " Att: Jerry Babski (914) 593 -5590 . YORKTOWN MEDICAL LABORATORY, INC. 321 Kear Street Yorktown Heights, NY 10598 Att: Albert Padovani (914) 245 -3203 certlab.wpd ► 'b ..18 .. v-.\,` .•:. ?v.`k.x:C \ \ \ \ \ }:T::k \:v::\: :: C,\\ �\.\ , ^. \.:•: \�..,?, \1ti, \;;.}:; },:?: \: \nv . \. \�.;.'�':�^�+� ?' VT.'M1�\ �•^\ ��� \ \:"LC ?n'h.:�:t::..- ..1..:. -\: Avh\ \: \N•'.:: \::.t}:::a:J »:.....:vv v.v.;: ?. ::. ::�5 \T::.v. -wiv: �•. • :v \ : vvj� .h`Y.v`. ` \� \ \ \�\ vv. \vv +'v: ^'• ?.v.: ?:.v..x; •: i;•i ?kv? tic ??}:b:::?n: ?A�i�v: \?::::: v .. ..tin?.:�C�. Lh�v *��`�� ♦ v .�� v J .E :.v:•v ^::Lti�.•tii \i ?: <:S::L}•.'v Q: ?iC \•? ' v\:•:•: C: wi�??.ti^:: v:: iU:: Y.. j;? i:'': i• ^.:, }:i; }::ii::i?.::'i�:v.::" .... ... \:;h•::::•.::i:h..::' ^..1A-. �4�\:•: �•?C. \:.:..�:..: CONTAMINANT MCL (1)(4)(5) Coliform bacteria Any positive result is unsatisfactory -Lead 0.015 mg/l (15 ug/1) Nitrates 10 mg/1 as N Nitrites 1 mg/l as N Iron 0.3 mg/1 Manganese 0.3 mg/1 Iron plus manganese 0.5 mg/1 Sodium No designated limit (2) pH No designated limit Hardness No designated limit Alkalinity No designated limit Turbidity 5 NTU (3) NOTES: (1) Maximum contaminant level.' (2) Water containing more than 20 mg/1 of sodium should not be used for drinking by people on severely restricted sodium diets. Water containing more than 270 mg/1 of sodium should not be used by people on moderately restricted sodium diets. (3) NTU means Nephelometric Turbidity Units. (4) mg/1 means milligram per liter. (5) ug/1 means microgram per liter. b. A Well Completion Report signed by the well driller, including the results of at least a 6 -hour pump test (See Appendix K). A minimum well yield of 5 gpm is required. For yields less than 5 gpm see Appendix F for procedures on performing a 24 -hour well pumping test. The results of the 24 -hour pump test are to be submitted .to the Department for review and a determination will be made regarding utilization of the well for supplying potable water to the dwelling. If the new well is found acceptable, 00 � ' s 'lip 0 oil YOU t •v. e� l� - Syr _: 1.; :r u � s '� yam, �� �y' .:.;: �4 ````.• � ,� ' � � �^`ti.:;\ Cori 14 jug rQ Y • y y t, � `� v n 2 O V 0 .. , ... .. . t� � • .tea..+.... t �`� y� a . � r� - r yx on . `._ ���.%�\ � � +�'}� A a� a •�i yiF�'r�d�.F'`�' t *.[ k Cv't^ �' � � 3 -, -, 7 �.1 r• -t Y r �'zd r("" J.d. `T"`4 c?:t �v rY s �.. 4L. . Y s � -.� Y >ry, � cam:. >.yyy+ '1 a ti �i tY �zz t S tc f t u ri- 3 (' f-T S l �'�'+5� Z��1 �.,t+%'1'k�F �y�:. ,•1:'VVYlJC -..: 6Wx `�' �' �*k .t'f G< ' �` 4• i />+,r xi 4 �t�'y i Y _ s.F .._ ` t y L Y �a'"l., -f:'. ♦ !} .A .K> �' wC'" �'y � � '•sus. �.n� ',� � _ z J`,.�p . •'� .' YP � - rte_ �� `��' k t rt j a', \ t lO i �.. 50 / Ito AC. CAL AL l 51 r 76 AC. CAL 19 (1 _ I 83.08 ^rtAl ��• l Y l y j• tt OJk / 58.16 AG CAI. /999""" 239.28 At CAL 3 Q M a f 4C,47-4 <. j a4 6 1� _ j 796 AC 4! 0 15 5 14 6.66 At q 3.46 `�M 16 p � •17 8.79 AC. 178 : I.x X .0 «ab . _ J a 8.29 Z� .� 83.50 83.49 -� .24 83.58 83.57 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 December 13, 2001 Mr. T. Cabot 10 Copper Beech Road Greenwich, Ct. 06830 Re: Well Permit Application for Cabot 33 Gilbert Lane, (T) Putnam Valley TM# 81-1 -11 Dear Mr. Cabot: This Department has approved the well permit for a well at the above referenced property to deepen the existing supply. Please be advised that if site conditions and/or site plans change and/or are revised, thereby compromising the minimum required separation distances, siting approval of the well must be re- approved by this Department. - _. ......., ._.. w ._ .... ._ , The above well to be drilled will be required to be sampled for the parameters listed in Table 1 of Bulletin ST -19, Putnam County Health Department Policies and Procedures (attached). All necessary Town permits for the installation of the well are required to be issued prior to well construction. Upon completion, it shall be required that the well driller submit a Well Completion Report along with water quality analysis within 30 days of completion to this office. Should you have any questions, please feel free to contact the writer at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj cc: T/Putnam Valley Building Inspector BRUCE R. FOLEY Public Health Director 0 LORETTA MOLINARI R.N., M.S.N. Associate Public.. Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (945)279-6130 fax(945)279-1921 Nursing Services (845) 278 - 6558 VIC (845) 278 - 6678 Fax (845) 278 = 6085 Early Intervention (845)278!.6014 Preschool (945)223-6109 Fax(845)279-6648 Disinfection of Well The following procedure should be used after completion of a new drilled well, the repair or renovation of any well, or when any well tests unsatisfactory for bacteria. 1. For each 50 foot depth, mix one quart of plain laundry bleach containing 5'/.% chlorine in 5 gallons of water. 2. Pour the solution into the well. Run a hose from an outside faucet into the well, then start the pump. (This pulls the disinfecting solution into the storage tank faster.) 3. Allow water to flow from each tap until a chlorine odor is detected. Where possible, remove the plug on top of the pressure tank and allow the solution to fill the tank completely, then turn off the pump. 4. Allow the solution to remain in the system for at least 8 hours or preferably overnight. 5. Drain the pressure tank and replace the plug. Start the pump and allow "water toioR�fo `' "� _ waste from each tap until the chlorine odor disappears. To avoid disruption to the septic tank process, discharge of the chlorine solution in the system should be done by taking a garden hose and attaching it to the valve at the,bottom of the water storage tank (usually in the basement). The valve should then be turned on and. the water should be discharged out onto the ground in the yard. When most of the storage tank water has been flushed, check the odor of the water coming out of the hose. When the chlorine smell has nearly disappeared, open up other faucets in the house for 15 minutes or until the smell of chlorine is not detected. 6. Use the water normally except for drinking and cooking purposes for one week. Collect a sample of water in a laboratory container for bacteria analysis. Any NYS DOH Certified ELAP Laboratory (Environmental Laboratory Approval Program) can be used for the analysis. It is also of equal importance that you retest 7 -10 days after disinfection for coliform bacteria. If there is no problem with contamination, the water test after 10 days will remain good if the disinfection was done properly. 7. Should the bacteria re -test fail; contact a well driller or this department at 845 - 278 -6130 for further assistance. J8 i a•. ;•...... :• v.: r\ ;CSC: \ \C : �..\. ..:•. \:�: •.`�•.:•... \:.a:, : �.,.,. ?�::+ •:..:\ ;., . , \•:.��� � <• �c:. o�y:::•??:• x`:^ � :� :����:...:::�•:.,::.`.\,.. :.: • ?v;• at��;.u•.t• :aa:.v \��. ?::��;•.C. . \ \\ �:ti \ \.r \ \�.; ?♦ \ ?\ A•\+• : ? ?.v \m;::•`x:::i•:�i ?:•:iiii. �? i:??: viv?`:: •`:?::::nt:•::•::: \•: ::: ?ii ?:•: $ ? ?:::v`:..'... :•::': :v. .:.':•� ::::.::::n::.�:t:.... .. .... CONTAMINANT MCL (1)(4)(5) Coliform bacteria Any positive result is unsatisfactory Lead 0.015 mg/l (15 ug/1) Nitrates 10 mg/l as N Nitrites 1 mg/1 as N Iron 03 mg/1 Manganese 0.3 mg/1 Iron plus manganese 0.5 mg/l Sodium No designated limit (2) pH No designated limit Hardness No designated limit Alkalinity No designated limit Turbidity 5 NTU (3) NOTES: (1) Maximum contaminanf level. (2) Water containing more than 20 mg/l of sodium should not be used for drinking by people on severely restricted sodium diets. Water containing more than 270 mg/1 of sodium should not be used by people on moderately restricted sodium diets. (3) NTU means Nephelometric Turbidity Units. (4) mg/1 means milligram per liter. (5) ug/1 means microgram per liter. b. A Well Completion Report signed by the well driller, including the results of at least a 6 -hour pump test (See Appendix K). A minimum well yield of 5 gpm is required. For yields less than 5 gpm see Appendix F for procedures on performing a 24 -hour well pumping test. The results of the 24 -hour pump test are to be submitted .to the Department for review and a determination will be made regarding utilization of the well for supplying potable water to the dwelling. If the new well is found acceptable, 110 AC. CAL. • u .iii -' i 51 76 AC. CAL. Izz AL 83.08 e 239.28 AC. CAL ° % t IC47 AC. 6 A61 j 796 AC. I c I .. 5 ., 14 e lit 449 lu 666 AC. 3 AC. j� 13 16 I e 1.:1 AC U 2 te9 9 78 IBoMA i,• 8.79 AC. A °C 54 &26 83.50 to aG '1ne23'- 83.49 a ° 83.58 a Fa WCE R. FOLEY "M r6d -LORMA -MOLLNARI—RIB:, .X Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH I Geneva Road Brewster, New York 10509 E.aviroameaul Health (914)278-6130 Fax(914)27i-7921 Nursing Senices (914)278-6SS9 Far (914)279-608S Earl} Intervention (914)279-6014 Far (914)278-6(A8 WIC (914) 279 - 6679 Fax (9141) 273 - 6035 NEIGHBOR NOTIFICATION N APPLICATIONS FOR WELL PEMMITS Applications to the Department of Health for Well Per6ts will not be reviewed until such time as the Director of Environmental Health Services of the D.-partment of Health is provided with proof that notification, of the application for construction was made to all property owners within 200 feet of the proposed well location. A location map (a tax map would suffice) with all properties shown within 200 feet of the proposed well location must also be provided to the Department. An example location map is attached. Not fication sh,01 mean receipt by each property owner of a copy of the attached notification form along with a copy of the latest site plan. Proof of receipt of notice by property following.,.. -owners can include either of the follo rig..,- 1. Copies of registered mail receipts. (Return receipts) 2. Copies of the notification form signed by the contiguous property owners. Falbire to provide the Department with adequate documentation of the performance of the notice will result in our delaying, action on the application until proper notice is executed. Transmittal of this notification should be sent to the all property owners withi 20DO fset of the proposed well location, by the applicant or well driller. A format of this notificatio, for is attached for your use. BP,F/%Wtn August, 1999 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 December 13, 2001 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Mr. T. Cabot 10 Copper Beech Road Greenwich, Ct. 06830 Re: Well Permit Application for Cabot 33 Gilbert Lane, (T) Putnam Valley TM# 81-1 -11 Dear Mr. Cabot: This Department has approved the well permit for a well at the above referenced property to deepen the existing supply. Please be advised that if site conditions and/or site plans change and/or are revised, thereby compromising the, minimum required separation distances, siting approval of the well must be re- approved by this Department. The above well to be drilled will be required to be sampled for the parameters listed in Table 1 of Bulletin ST -19, Putnam County Health Department Policies and Procedures (attached). All necessary Town permits for the installation of the well are required to be issued prior to well construction. Upon completion, it shall be required that the well driller submit a Well Completion Report along with water quality analysis within 30 days of completion to this office. Should you have any questions, please feel free to contact the writer at ext. 2157. Very truly yours, Adam B. Stiebeling Assistant Public Health Engineer ABS:cj cc: T/Putnam Valley Building Inspector BRUCE R FOLEY Public Health Director DEPARTMENT, OF HEALTH 1 Geneva Road Brewster, New York 10504 LORETTA MOLINARI RN, M.S.N. Associate Public-Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 -1421 Nursing Services (845) 278 - 6558 WIC (845) 218 - 6678 Fvc (945) 278 - 6085 Early Intervention (845) 278 - 6014 Preschool (845) 228 - 6108 Fax (845) 278 - 6648 Disinfection of Well The following procedure should be used after completion of a new drilled well, the repair or renovation of any well, or when any well tests unsatisfactory for bacteria. 1. For each 50 foot depth, mix one quart of plain laundry bleach containing 5'/.% chlorine in 5 gallons of water. 2. Pour the solution into the well. Run a hose from an outside faucet into the well, then start the pump. (This pulls the disinfecting solution into the storage tank faster.) 3. Allow water to flow from each tap until a chlorine odor is detected. Where possible, remove the plug on top of the pressure tank and allow the. solution to fill the tank completely, then turn off the pump. 4. Allow the solution to remain in the system for at least 8 hours or preferably overnight. 5. -Drain the pressure tank and replace the plug..-Start the'pump 'a'ri'&'aUow v,-ater to-file-w- 4 -6- waste from each tap until the chlorine odor disappears. To avoid disruption to the septic tank process, discharge of the chlorine solution in the system should be done by taking a garden hose and attaching it to the valve at the bottom of the water storage tank (usually in the basement). The valve should then be turned on and the water should be discharged out onto the ground in the yard. When most of the storage tank water has been flushed, check the odor of the water coming out of the hose. When the chlorine smell has nearly disappeared, open up other faucets in the house for 15 minutes or until the smell of chlorine is not detected. 6. Use the water normally except for drinking and cooking purposes for one week. Collect a sample of water in a laboratory container for bacteria analysis. Any NYS DOH Certified ELAP Laboratory (Environmental Laboratory Approval Program) can be used for the analysis. It is also of equal importance that you retest 7 -10 dates, after disinfection for coliform bacteria. If there is no problem with contamination, the water test after 10 days will remain good if the disinfection was done properly. 7. Should the bacteria retest fail; contact a well driller or this department at 845 - 278 -6130 for further assistance. 18 .CONTAMINANT MCL (1)(4)(5) Coliform bacteria Any positive result is unsatisfactory N0.015 mg/l (15 ug/1) tes 10 mg/1 as N tes 1 mg/1 as N Iron 0.3 mg/1 Manganese Iron plus manganese _ Cnr�inm 0.3 mg/l 0.5 mg/1 No desianated limit (2) pH No designated limit Hardness No designated limit Alkalinity No designated limit Turbidity 5 NTU (3) N0'E5: (1) - Maxmium (2) Water containing more than 20 mg/1 of sodium should not be used for drinking by people on severely restricted sodium diets. Water containing more than 270 mg/1 of sodium should not be used by people on moderately restricted sodium diets. (3) NTU means Nephelometric Turbidity Units. (4) mg/1 means milligram per liter. (5) ug/1 means microgram per liter. b. A Well Completion Report signed by the well driller, including the results of at least a 6 -hour pump test (See Appendix K). A minimum well yield of 5 gpm is required. For yields less than 5 gpm see Appendix F for procedures on performing a 24 -hour well pumping test. The results of the 24 -hour pump test are to be submitted to the Department for review and a determination will be made regarding utilization of the well for supplying potable water to the dwelling. If the new well is found acceptable, 00. • �.i+ r�-v+. ... w�.. �csF ..�i x - --, .-. -. p.'<'�- �.'\.i - /�. -':: ..- .��e�rr'or: .. � . / � �Y�r �,� ;y � !� 'i /°'�. a�.: o_. v � \ r � 1 a /• 50 t mod' / 10 A& i — , � .: r r .. .. b�, i.:. . wr •o. � . Sv�. - •r ..e .�-.. � ,. C&,...... .., R, r : i .. - .;.. �• — . ..r ... :.n , t 2. f 9� 51 . a 9 + 76 AC. CAL '' • 3 -1 - h ` \ �• P/0 8( • - -- - - -- -- - - -- ,�.--- ��;g7 - -- j a AL ,. Q ,''t't • 83.08 86 a + �' N • 58.16 AC. CAI— Dom AC. CAI. � 7 L. lr'� j 796 At S a1 ~o 15 ' i4 Je 1_; Ix 6.66 AC MG a i'' K k :6 J `✓ �` AC I� 12 13 -I.n ACS 83. 8 79 Ac. Lx At u �— „ 3.7e L 3 �L54 AC. 8.26 83.50 ��� ti. - r 83.49 K •24_ 83.57 83.58, - r � l