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Home My WebLink About3933DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.50 -1 -46 BOX 30 03933 _ . PETER, C— ALEXANDERSON. — County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 January 2, '1 Michael Taylor 193 Tanglewyle Road lake Peekskill, NY 10537 Re: Proposed well Taylor, Northway Road . Lake Peekskill, NY TM #r80 -3 -10 Dear Mr. Taylor: -,JOHN. KAAELL i7 a R :: :;- Director I have reviewed the proposed well location and inspected the proposed site. The proposed individual water supply is not approvable for the following reasons. 1. The proposed well site is 75 feet from the sewage disposal system to the west. 2. The proposed well is 80 feet from the sewage disposal system serving your residence. 100' minimum is required. Based on the information submitted, the application to construct any individual �..1!atex - su pP y.. 1 f s. denied. . ., ... As requested, the procedure for applying for a hardship variance to the Board of Health is enclosed. If you have any questions please contact me at your convenience. WH /jp cc: BI (T) PV I Very truly yours, William Hedges Sr. Public Sanitarian e Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT TOWN HALL (914) 526 2377 DEPARTMENT,OF HEALTH. 'Division of Environ ntal Health Seivices 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A WATER WELL R PCHD PERMIT WELL LOCATION Street Address Ab' Town/Village/City Tax Grid Number 14 '�PeL "Pu4 -n m V J 80 -3- 10 WELL OWNER WELL Name ` '-i M ' ling s 3 w ee NA, VpeySKkj1 OPrivate O Public SE OF WELL - primary 2- secondary O RE$I ENTIAL 0 BUSINESS 0 INDUSTRIAL Q PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 FARM O TEST /OBSERVATION b INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify, O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED oZ 3 /EST. OF DAILY USAGE__gal E3 REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 13-ADDITIONAL SUPPLY VNEW.SUPPLY .N w DWELLING) O DEEPEN EXI TING WELL REASON FOR DRILLING DETAILED REASON FOR 'DRILLING WELL TYPE CffDRILLED DRIVEN ODUG [:]GRAVEL a OTHER IS WELL SITE SUBJECT'TO FLOODING? YES NO IF.WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUB SION: Lot No. WATER WELL CONTRACTOR: Name 0. t e' ° Tess: %jk � ('0j rw-A_k . IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO StlUti at�P R...� v NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY \"y- r,,,y M VARtV - DISTi3OCE TO'PROPERTY VRO:4 NEAREST-WeATER'-MAIN. LOCATION SKETCH & SOURCES OF CONTAMINATION OON SEPARATE SHEET (date) PROVIDED (sig ature) 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 thirt;! (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: 19 Date of Expiration 19 Permit is Non - Transferrable 3/89 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller ' " ""-,*,, _-1,,`.*_`_�, I.- ---I,- __ _11--.1 --:,,-.,- - - _11 ... v , , i-, - ; ,., � I ��: :` 1� - - 1, ,_ " I � . ,-,,, � �, ,11'..". , ,�:,, ,� ,�-A-,.- ,' :_ , _,�: . 11. - - , , ": "', _.- -[:.. ,"I ,� ., :_ � _; �, _ � � . . . .. . . , ..". 7,-��,.-,,,,,Z,�,,_-,�� ,: i, ,__ "j.'i, .,. I L�-�;. -_ � L� - "" - ,; ��,,;�� ; ,,,.�:t '7'�,::,:,��.:�r.��,,i;��,��,*".� 1. :1 I " -, ,,� I.. , - . ;,.�,Wm ' " ""-,*,, _-1,,`.*_`_�, I.- ---I,- __ _11--.1 --:,,-.,- - - _11 ... v , , i-, - ; ,., � I ��: :` 1� - - 1, ,_ " I � . ,-,,, � �, ,11'..". , ,�:,, ,� ,�-A-,.- ,' :_ , _,�: . 11. - - , , ": "', _.- -[:.. ,"I ,� ., :_ � _; �, _ � � . . . .. . . , ..". 7,-��,.-,,,,,Z,�,,_-,�� ,: i, ,__ "j.'i, .,. I L�-�;. -_ � L� - "" - ,; ��,,;�� ; ,,,.�:t '7'�,::,:,��.:�r.��,,i;��,��,*".� S (VISION NAME ................. IER. BETIC .R.E .... ... S.ELNA-'- SOLED ... .......... .. . ...... ... ..... ................................. Diinension 'of., Building�:", d is USE CONST. ROOFING AND I Family Wood Wood Shingle Paved: 2 Family Steel Asb. Shingle Dirt . le Log Cabin Brick Tile Oiled Bungalow I: Concrete, Metal Swamq Apartment Stone Brook! Store FNDTNS. 'INTERIOR ILake P. IStore & Apt. Stone Rooms Dam s Store & Office Concrete Apt. Rooms Sw. Ppols Office Blocks Apt. Ten. -9burls Gas Station Brick Attic .Open Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns I BASEMENT Wood X Front Shacki; FFull Part Brick X Side Cotta;ss Brick Van. X Rear Bungalows Z-- Cement Floor Log X* Encl. Electric Finished Shingle misc. phone Garage B. In.- Comp. Plot Plan Furnace Field Stone Driveway ................................. Diinension 'of., Building�:", d is �ih:j'4,i�-. .a•1`_• 4+"'�s... . �..� '�. 'ki' v. .r�: d ' Q: � u •p F.x +t - .� •�,. ' ..f. �, .,j'd;i , ,�Igbi`[fli }. °r* -S -..i.t � t sh `^ tt 5 - _ ..rs: - :.�[.. r`�.sT. ` ,:is,•Oi' ?` r•.. •i o- 'W s7- �`.7": t: _^ t R-• ,�., .[ c- ' K'' t '% :•!l .Y if -:f: •r ... ..t ... •�.�^ ^,... s f .1 �'` -`.. •°rlyu st:,:i n, �� ,as ?�L.,'±�,>.- 1+ y �._a.. ten, .cg'es•!y:r` - !'.. '�Z.i:iy; '. "b -.... �t1� '.1 _.r - -� .: i.:•, -.-, ,.. z. j �S 45 ,t 1. r yi :ePy ;:- S Y - �' - .1.. Zone.- District. R L ;PE R��A:��r��, r t a r Application is :hereby "made for { R�NFMA I Permit iWork °'to start, co I r .,.':::: t_ ,... : i i t raliL�:x �•-'"t;' a,� �aL+ r, s .1.7."3 >` (.a �, s t3� t i 1 .,nx.,4 4r l�fc �>(fiySFc�� '� �:> §J` •�. 4• 9r 7t-rs...:; Description 999 ..y .� :. .Y.:: ,E b3 . �..: t 9P Sr, ;: L ?• F �5 %:. �,> l 1J.. { wY'a�`:� s, ....r .r _ ,' , i• .';1. y'� O ',s err .:.w. v " �' i 3 `,:� r t fi 'Yp Location of `.Premiset, Street or Road ;:N n tLUaGf • $U. 3 = :10 3 e h j ! , =: -::. :..,!.; .;� ,t �.'•. s:, y -:, ..., .`t � d�v�.: a .:'` i r * �t�j� SEC: BLOCK = LOT " FRONTAGE sDepth va ACRES {other' description) or-nu rrlber' of square SUBDIVISION -NAME ` "Lake:, - eel2df2i.tt .OWNER Sea-tAice "S Se.ema Soled ADD ss Z c�,P,2ace Ave, ` Monz, Ny 1 0467 Dimension. of Building Well Description .Additional Information i This application must.be accompanied by_a.copy.of,surveyor's map. and complete plans, specifications and.all information required by. the Zoning Ordinance: and Sani tary.Code of.the Town of. Putnam ':.Valley' when requested, by: inspector.': I t. 'K r USE • CONST. ROOFING LAND., 1 Family Wood Wood Shingle Paved 2 Family Steel Asb.. Shingle Dirt i Log Cabin Brick: Tile. ' Oiled.' Bungalow Concrete. Metal > :': Swamp Apartment Stone Brook.: Store FNDTNS. INTERIOR'' : Lake ,F: Store & Apt. Stone Rooms Dams ' Store & Office Concrete Apt. Rooms Sw. Pools' Office Blocks Apt.'.. Ten. Courts'' . Gas Station Brick Attic Open Garage Piers Attic Finished . OTHER BLDGS. EXT. WALLS- PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement Floor. Log X Encl. Electric Finished Shingle MISC. Phone Garage B. In Comp.'``" Plot Plan Furnace • Field Stone Driveway ' Well Description .Additional Information i This application must.be accompanied by_a.copy.of,surveyor's map. and complete plans, specifications and.all information required by. the Zoning Ordinance: and Sani tary.Code of.the Town of. Putnam ':.Valley' when requested, by: inspector.': I t. 'K r -Vol - mll�* t ` v : eIl. *x.OTS.',.;r:r z x v� LA - ._...____...: .. '--- -- =- -. - _ y � S f ?�� roc ''/ ._ - E•45,!�C'_ ._ _ . y,r ?��`' -` �--� —e _ Sr.�4t�. , � •sue'. °gs iJ - s - _ ,, 'w V �, a�,t, ri � ',�"Ccc'r`�:.'. r h t �.n�f^� s.�,^P' nl^�n > �x• ''fit ��.4 �3 ��.r�'w.. +¢' }, � r r"x &"'�� ''� n,� `�,-'L vx f x �1� (s.v� •'• �, 3 „ye Y �, a � �. - ,� �e, � � � r*` r„ � �' x ,,' �, + � a a � t wT: ' � ;`e. {' � f-�� iF"�; � � i L j �f �+.:. �fi '��4Y �i %,�>•�� C 4 h 4. y 4 - 0...21 Y /F`tti ,r �: � y. u^'�r•+�.5 F n-ro k .:..gyp, r x: s S'^�-- _`, -�._�' - to4nri'•n s� $ 1 ' ' 111 - # k r� woov i .__ _. -.: .p�:rrw aae. __ t j.:�_ - `�=-- .e:��.�.a.. •a. ...- ,..,...5 -L... "' '�:"_e`_••° ._.._'�° ._ �4'.• =r_ .._ tr mo. {,_ ... t` lip i 1 - pNp1. EN66Y�p•• - � rx ` .�'IQ' 4F� <� JUQY E .. T.r2AN �G1At��rc.ZLI c w, _ . MPROVlOBY aDRAWNBN Jsn.