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Home My WebLink About3816DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.12 -2 -7 BOX 30 03816 J `, ■, ' 6 �' �I wo J is �.T IS 'i i '1 1 � � - ' ele . . .. I ,. . , . ` 03816 PETER C. ALEXANDERSON County Executive May 3, 1988 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. James Maybury 4 South Street Putnam Valley, New York 10579 Re: Maybury South Street Lake Oscawana (T) Putnam Valley Dear Mr. Maybury: ENID L.:CARRUTH, M.P.H. r.... Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director Review of an application to construct a well for potable water supply purposes to serve the above - captioned property has been completed. Such review indicates as follows: 1. The lot is presently supplied with summer water from a community public water supply. 2. The proposed well on your lot is located approximately 75 feet from the existing sewage disposal system located across South Street and 100 feet from the existing sewage disposal system on your lot which consists of a seepage pit. One hundred and one hundred and fifty feet respectively is required. Recognizing the above, your application for a permit to construct a well on this property is hereby denied. f you have any questions, feel free to contact me at Ext. 304. Al t ry tru ry o , v,�J ohr Kar li, Jr., P.E. Director, Environmental Health Services JK:pt cc:R. Jones, Pres. BOH JK File OF INTENTION TO rill SUPPLIED BY NEW YORK STATE ELECTRIC & GAS CORPORATION TO MULTIPLE DWELLING ON November 30, 1988 ACCOUNT NUMBER 71- 110 -17- 119007 -18 NAME Eileen Lierman ADDRESS South Street, Putnam Valley, NY AMOUNT DUE $687.71 You are hereby notified that the service account for this dwelling is past due. Landlords, and Public Agencies may avoid discontinuance of service by payment of the full amount due before the date shown above. Pay - ment may be made by mail or in person to the local office of NEW YORK STATE ELECTRIC & GAS CORPORATION. All payments must be identified with the account number. Tenants may avoid discontinuance of service by making full payment of current billings in accordance with procedures filed with the public service commission. Payments by tenants to a utility company may be offset against rent as provided for in section 235(a) of the New York real property law. Any questions respecting this notice, or the amount of current billings, should be directed to D_C. Farrell at the office listed below. Willful defacement, mutilation or removal of this notice prior to the date shown above is unlawful and is punishable by fine. - Posted Nov. 1, 1988 as required by Section 116 of the Public Service Law, State of New York. Copy to Owner; Health Officer and Director of Social Services; Ranking County and City, Village, or Town Official. NEW YORK STATE ELECTRIC & GAS CORP. Brewster, NY 914 - 279 -8051 ADDRESS TELEPHONE NO. CO - IOA 1i 79 .�t DEPARTMENT OF HEALTH ?` Division of Environmental Health Services,~ ;OUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 APPLICATION T T A. ER PCHD PE'f2MIT #_ IS WELL'SITE SUBJECT TO FLOODING ?_ YES NO SUBDIVISION ?Lot ;No j•'7 ;�I' R' A REALTY SUBDIVISION. NAME OF IF WELL IS LOCATED IN , 31 7, WATER W TRAC ELL - CONTOR': :Nam`e ,Address: IS.-PUBLIC WATER SUPPLY: AVAILABLE TO SITE YES // NO NAME OF PUBLIC WATER SUPPLY: T OWN /VIL /CITY jAV,& 5 Z�G�� DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:. 4. LOCATION SKETCH't SOURCES OF CONTAMINATION PROVIDED�/ QON. REAR-OF THIS APPLICATION L:JVN SEPARATE SHEET 3 % -i (date) (si nature) PERMIT TO CONSTRUCT A WATER WELL This permit t'o 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- :;:'n_`' <..a.ccordance 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,.; Date of Issuer. 19 Permit ssui ng - -,., ffi ci a Date of Expiration: 19 Permit is Non-Transferrable Wh te copy: H.D: File; Yellow copy: Building Inspector Pink Copy: Owner 2 87 Y:.: Orange copy: Well Driller Street Address Town/Village/City Tax Grid. Number WELL LOCATION So kle � �1 ✓ z�� IIS' -2 -- Name Mailing Address rivate WELL OWNER /�.9a/' ' '/L r1 _ cl�dG % O'Public USE OF WELL RESIDENTIAL D PUBLIC SUPPLY Q AIR /C'OND/HEAT PUMP O ABANDONED 1 - primary 0 BUSINESS O:FARM O TEST /0�5ERVATION [].OTHER (specify 2 - secondary O,INDUSTRI'AL b INSTITUTIONAL O STAND -BY .• 3 AMOUNT. OF USE YIELD SOUGHT gpm74� PEOPLE SERVED /EST. OF ,DAI'LY .USAGE. gal ...1... REASON FOR .`:. NEW .;SUPPLY '. O, PROVIDE, ADDITIONAL SUPPL OT :OBSERVATION' DRILLING O REPLACE :EXISTING SUPPLY O DEEPEN EXISTING-WELL DETAILED REASON FOR DRILLING WELL TYPE DDRILLED DRIVEN ° QDUG QGRAVEL 0 OTHER IS WELL'SITE SUBJECT TO FLOODING ?_ YES NO SUBDIVISION ?Lot ;No j•'7 ;�I' R' A REALTY SUBDIVISION. NAME OF IF WELL IS LOCATED IN , 31 7, WATER W TRAC ELL - CONTOR': :Nam`e ,Address: IS.-PUBLIC WATER SUPPLY: AVAILABLE TO SITE YES // NO NAME OF PUBLIC WATER SUPPLY: T OWN /VIL /CITY jAV,& 5 Z�G�� DISTANCE TO PROPERTY FROM NEAREST WATER MAIN:. 4. LOCATION SKETCH't SOURCES OF CONTAMINATION PROVIDED�/ QON. REAR-OF THIS APPLICATION L:JVN SEPARATE SHEET 3 % -i (date) (si nature) PERMIT TO CONSTRUCT A WATER WELL This permit t'o 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- :;:'n_`' <..a.ccordance 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,.; Date of Issuer. 19 Permit ssui ng - -,., ffi ci a Date of Expiration: 19 Permit is Non-Transferrable Wh te copy: H.D: File; Yellow copy: Building Inspector Pink Copy: Owner 2 87 Y:.: Orange copy: Well Driller i ......:.......... .... .. _ .. . �� pS ,. � �(� .. �. ,, -�.. 11 91 SIIERLITA AMLER, MD, ISIS, FAAP __.Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health R®HERT .B. H®NDI _- County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Mr. McDonald Hurtault 4 South Street Putnam Valley, NY 10579 February 8, 2007 Dear Mr. Hurtault: ROBERT MORRIS, PE Director of Environmental Health Re: Proposed Well Hurtault 4 South Street (T) Putnam Valley A field inspection was conducted on the above referenced lot by Brian Stevens and Mitchell Lee, Public Health Technicians. The application to replace the existing well is approved with the following stipulations: 1. The well is to be constructed with a casing of a minimum length of 72 feet. 2. The well is to be located 20 feet off of the southwest corner of the house as depicted in the enclosed map. 3. 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, 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 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES - ARPLICAT -ION. TQ! _CO1VS'!'>lZTJCT:, ,V �4' IEI,I:.:: please print or type PCHD Permit W Location: Street Address: Town/Village Tax Grid # Pf-- � u S� r � S re e i iJi` � ✓� j / � Map ?3. i L lock Z Lot(s) Well Owner: Name: Address: M,c Dc" 0 %�TAa ` Soul'd4 Sl-re ✓MfPY N`t I'V-V 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 Usages gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well 5 4h19 Detailed Reason t-V ca., -� ?,�., w¢; ,QQ o�.� & et- l J, for Drilling Well Type Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No y Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. _ Water Well Contractor: /JaA,# -t P,-,- j/-e, da -,.sue. Address: 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 be provided on se arate sheet/plan. Dw..:.._ Ayphc&t 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 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 certified by Putnam County. Date of Issue '2 --1-'0 Permit Date of Expiration' - --7 Title: _ Permit is Non - Transferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - C4 copy - Well driller Form WP -97 P't'. all Ott Lo h OT house, i ' v ' ., ._ L/-"b7 _. ...... ........ �..... i ... t . `.... ! I . W h r•� _ S C �. A kc �qv7 :fir_', � � ^, � [ /in\ � •1 /'•1 1 �� f S t .. .. i .. .�i S , SHERLITA AMLER, MD, MS, FAAP r'o. misesioner of Health. LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Mr. Hurtault 4 South Street Putnam Valley, NY 10579 January 30, 2007 Dear Mr. Hurtault, ROBERT J.. BONDI County Executive ROBERT MORRIS, PE Director of Environmental Health Re: Proposed Well: Hurtault 4 South Street (T) Putnam Valley I have received a well permit application (WP -97), for the above referenced location. Comments are offered as follows: 1. The $200.00 application fee must be paid for by certified check or money order. You personal check is being returned with this mailing. l; Please provide the correct Tax Map, Block and Lot information for your parcel. If there are any questions please contact me at (845) 278 -6130 ext. 2235. Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. cc: file Very trply yours, Brian R. Stevens 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 �4 South Street, Putnam Valley NY 10579 January 27, 2007 The Board Of Health 1 Geneva Road Brewster NY 10509 Permission to build well I bought the residence at 4 south street almost 2 year ago. It was then in was informed that there was a shared well, which was being shared with the owner who own the building at 8 south street. My numerous attempts to meet Ms Myers has been unsuccessful. In September of 05, I had no water and all my attempts to get to My Myers went unanswered. I finally had to call your department the board of health and the NYSEC the electrical company severing the area to find her for me and thus get the matter resolved. A year and a half later I am again at that same situation. I claim hardship, I can't go through that any more and as we saw yesterday it happened on the coldest day. Here I am without water and heat for most of the day. I hope you give this request this matter you urgent attention. I thank you. C........ .. McDonald Hurtault {r j "�J f O 2f:� C PUTNAM COUNTY HEALTH DEPARLMENT DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Commissioner of Health - FIELD ACTIVITY REPORT - ADDRESS J 0 (-) & /CJ-, a �- own T-M No. MAILING ADDRESS P.O. Box Post Office Zip Code 001 a, PERSON IN CHARGE OR INTERVIEWED Name and Title DATE c� TYPE FACILITY TIME ARRIVED TIME LEFT 0 Sheet ( of % INSPECTION Orig. Routine Orig. Complain Orig. Request Compliance Complaint Comp _ Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other t Explain INSPECTOR: ture and PERSON IN CHARGE OR INTERVIEWED: I acknowledge this Field AcFivity Report. 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