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DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.66 -2 -78 BOX 31 1�1.. I I ;, . kv. 16 '�ti I {`'Y 0� I I' 1 ■ ��i� � T ■ 1�1.. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 % APPLiCATT I `3' °�OON STRiJGT =A- WATER- -W'ELL (j . q8' PCHD PERMIT WELL LOCATION Street Ad s To V 11 e C y Tax Grid Number WELL OWNER Name Mailing Address rivate O Public USIZ OF WELL 1 primary - secondary 'Ai4IDINTIAL O PUBLIC SUPPLY 0 BUSINESS O FARM 0 INDUSTRIAL U NSTITUTIONAL ❑ AIR /COND /HEAT PUMP O TEST /OBSERVATION O STAND -BY O ABANDONED O OTHER (specify, O .AMOUNT OF USE YIELD SOUGHT, gpm /# PEOPLE ,t SERVED 3rs /EST. OF DAILY USAGEa Sal REASON FOR DRILLING ❑ REPLACE EXIST ;NG SUPPLY O TEST /OBSERVATION M ADDITIONAL SUPPLY O NEW SUPPLY NEW DWELLING 0 DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE LLED ODRIVEN ODUG DGRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES / NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: oP s f` Lot No. IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: Sz> YES NO v 10S"7,71 f7� Ii NAME OF PUBLIC WATER SUPPLY: � �� y� s �� TOWN /VIL /CITY D, TSTAN CE TQ.PROPERTY JROM NEAREST WATER MAIN_ LOCATION SKET &H & SOURCES OF CONTAMINATION PROVIDED O ON SEPARATE SHEET 1� 4 (date) , . PERMIT TO CONSTRUCT A WATER WELL �S E� This permit to construct one water well as set forth above is granted under the,,pr'ovisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt -y (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 -e_� �esurface or groundwater. Date of Issue: /"�� Date of Expiration 9 'Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy:.Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller �_% w DEPARTMENT OF BEEALTH Division of Environmental Health Services 4 .Geneva Road -Brewster, New York 10509 Tel. (914) 278-6130 -Fax (914) 278-7921 Joel Greenberg Two Muscoot North RFD #2 Mahopac NY 10541 Dear Mr. Greenberg: BRUCE R FOLEY,,, 'Public' Health `Director December 1, 1998 Re: Well Permit Parish House, Temple Israel Lake Drive, Lake Peekskill (T) Putnam Valley, TM# 83.66 -3 -78 I have reviewed the well permit submitted by Anderson's Well Drilling. Our files indicate that the well permit was originally granted by a variance through the Board of Health on July 15, 1991. The well permit is approved with the following conditions: The well must be double cased. Z. �Ultfa- vi6let disinfection equipment must b6 lnsfall- i�d"and "utilized on-a daily-6asis. ` 3. Upon drilling the well, a 24 hour pump test must be conducted to include monitoring of the water levels in the two closest wells. a. Please indicate which adjacent wells are going to be monitored during the 24 -hour pump test on the submitted plan. b. The procedures for the 24 -hour yield test are to be contained in a single document. As a minimum, the above should specify how the water levels in the wells will be measured, the frequency of measurements in both the test well and observation wells, duration of stabilized drawdown, recovery measurements, and monitoring background data on observation wells at least 24 hours prior to yield test. C. A copy of the yield test procedure is to be submitted to Mr. Marvin O'Dell, Town of Putnam Valley, for his review and /or comments. d. The testing procedure is to identify the water quality analyses to be performed. e. The testing procedure is to indicate that all homeowners having observation wells are to be notified at minimum of 72 hours before the beginning of testing. .. ..� ` �c.�-- 4,.,r..:�.,.:E.�'�a;�iu,. o�•�. &7.�e"el. �1%b...FZ. CCL'?.:...: ay.. �i9.�:. .;�. .r- ::i,:�::r�;.�,r,:.. _- :4:.... ,.,,... —. . ���...: a- _ . ar r .. r :,; If you have any questions concerning these conditions, please contact me at your convince. Very truly yours, William Hedges Senior Public Health Sanitarian WH:tn cc: M. O'Dell, BI (T) Putnam Valley a I ` -.-� .I :.'. Jn+.>� i;'��t: '„,, "va- +w''1'jl. c•::.'6•.�M.` iii =•: rr�f i .i'"-s^.� ,. .r I�. o.,l�" ..',a•v:i]Y"� "pa+..�:w._.... -.w w.wi i ♦ p �• ate,.. .P �+ jr AP ro rl ADL 00 o cc eel U Oil 4. pr' Of I by )'Y' en ' r rr £ZN X I �M9 a :er m d 1 WZ •• `Ifi 1 j 1 .Q'. m' 2 0' . 1Z e J LL �" {� e - - -_•' ° -- o�i: ^� -. _ w i �- - = N V W o6 .J. : - -�'- -o NNf• � 1� H � �j W W fZ e 11 W 113 CC •- - j iii x� �� . —��.. ,•t� =� Nr f.�Nr�• W �o, 4� aw -'^ . x d J :- e ll= • ?J`, !! NW • WZ Z,;. WU o uo �_ , � ~� _. -- �' �•`_..� -Bra_ ° If Z E� 'y,: NV YQOI Oa of :fir ��. .: ". t g .. =; ,::.�,�_ j _� �'.— •9Z - -s �. ' . 1 g ` I *oil SIP 'p w 1:11 fl, " Wr ado • �1 fl 2�p= • I I J "1 l /� rh t 1 CL dI J AN ^ e►t21. 41011 - IlJ C Z£ — >'1 �.77,17 7 4 I. — DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New .York 10509 (914) 278 -6130 �.n� .•�- :x�PPI;I`C!e�"!'�fl�y �:,iE�•�C�1tTSTRliCT:A - �3r'�TE'k�•;•WEL�.P•:•.Q K'',y •. a. � 4w.. -a - .•o. -in: Q,..; PCHD PERMIT #I J- 4_-p,6 WELL LOCATION /Street Address To Village C�xy Tax Grid Number ,G. n /e e / 47e 4 ' 1Lr 3. <vf -;?--7d WELL OWNER Name Mail1l,n Address .; iSVto G� �y,�,� t L/j(& . iJ� ,0 rs .&e 44-e-` Private O Public E OF WELL primary 2- secondary (RESIDENTIAL O PUBLIC SUPPLY 0 BUSINESS 0 FARM 0 INDUSTRIAL O INSTITUTIONAL 0 AIR /COND /HEAT PUMP 0 TEST /OBSERVATION 0 STAND -BY 0 ABANDONED 0 OTHER (specify, O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE___gal 0 REPLACE EXISTING SUPPLY O TEST /OBSERVATION GIADDITIONAL SUPPLY ®•NEW SUPPLY NEW DWELLING 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE DRILLED DRIVEN DUG [:] GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: /110 Lot No. WATER WELL CONTRACTOR: Name �y���s� �' -Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAHE OF PUBLIC WATER SUPPLY: IVN TOWN /VIL /CITY DIS.T IRCE TO PROPERTY FROM NEAREST WATER MAIN: .. a..... � «.a .. .._'�..w � - _..T -. _. - ... ms.µ. - .:�rdp' o r.Ww ..4. o.b >•..�... .�_i i. .��_.iL 4.•_ LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED []ON SEPARATE SHEET (date) I� / lure) / e/ 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 drill operations be contained on this property and in suc a anner as not to degrade or oth wi a contam' to surface or groundwater. Date of Issue: 19 Date of Expiratio mF 19 Perifft Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller 6 � E•v..r n,:.:�= .ieiv �•�- ,yrs:. de=w. 'e•'�e ��= �"..q,K. �'..�. v''�'Qi. '± "'�d•.a_ TLS. ?.'mL�au Vti" :-'7"�' VI'i .BR�r •11. �•f C'S�i i.i{': :�•6c+. .-'p may. cy. •I Acting Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 1. August 9, 1996 Joel Greenberg Two Muscoot North Mahopac, NY 10541 Re: Well Permit Parish House, Temple Israel Lake Drive, Lake Peekskill Dear Mr. Greenberg: A water well application was submitted on August 5, 1996 and approved on August 9, 1996. Please find attached the letter to you from William Hedges, Public Health Sanitarian, dated December 30, 1991 that outlines the conditions of the above captioned proposed well permit. Be advised, that all the conditions stated in this letter must still be satisfied. In addition, the well location must be staked prior to drilling by a licensed surveyor due to the proximity to the propety line. This letter is also to serve as a notification that well permits are issued for one year increments after which time the permit can be revised to meet changing codes or site conditions or denied based on the same. .. .,, {� _. .... _ _ .. ... �. - .."ice.: {S - ...• � _ ••Y. .-..... .. q.. •�.w• .s'. -o ..... o ... v. .�., .. ..�q vvo -x-.. ».¢, .. n-e. +. .... :. r - S ^ ---.+. � •w--• �....- o..... .......:'�+Aa .. :,�, . mm crr .. _�„ . ... aro ,.- w• ' .... ..M,;r Ve truly yours, Robert Morris, P. E. Public Health Engineer RMJP Pk F .r.' ^�•.:. a :.a i•:4o +6�1 '1n:.iv r:.��,'r.• .� .�a�n °..V ... ..��� JOHN KAREII Jr., P.E., M.S. %s•::. �'�:: <.,. �:y: ,B "tom vos'a�Z!':'rPUuliG Ns'S(3�.5CilJ= .tAF;� « %r.. ty:G.i�.� DEPARTMENT OF HEALTH Division Of Environmental Health, Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 December 30, 199' Joel Greenberg Two Muscoot North RFD #2 Mahopac, NY 10541 Re: Well permit Parish House, Temple Israel Lake Drive, Lake Peekskill (T) PV TM #83.66 -2 -78 Dear Joel: I have reviewed the well permit submitted by Anderson's Well Drilling. Our files indicate that the well permit was originally granted by a Variance through the Board of Health on July 15, 1991. The variance was granted with the following conditions: 1. The well must be double cased. 2. Ultra violet disinfection equipment must be installed and utilized on a daily basis. 3. Upon drilling the well, a 24 hour pump test must be conducted to include monitoring of the water levels in the two closest wells. a. Please indicate which adjacent wells are going to be monitored during the 24 -hour pump test on the submitted plan. b. The procedures for the 24 -hour yield test are to be contained in a single ii�, "" sh im" . . Jd .: er,-i t o e �_ r.:_ �v..el,s. ice. ,y. �i tiY tb Via. p. ..:_ .., the wells will be measured, the frequency of measurements in both the test well and observation wells, duration of stabilized drawdown, recovery measurements, and monitoring background data on observation wells at least 24 hours prior to yield test. c. A copy of the yield test procedure is to be submitted to Mr. Marvin O'Dell, Town of Putnam Valley, for his review and /or comments. d. The testing procedure is to identify the water quality analyses to be performed. e. The testing procedure is to indicate that all homeowners having observation wells are to be notified at minimum of 72 hours before the beginning of testing. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jp cc: M. O'Dell, 8I (T) PV Mr. Joel Greenberg Two MUScoot North RFD 02 Mahopac MY 10641. . ,. R. 1 ,iCM MARgll Jr.. P.B.. M.S. Public Hoolth obmtw MPARTMENT OF HEALTH Division Of Enviromxnental Health services Ge w.va Road, Brewster, New York 10509 (914) 278 -6110 May 21, 1992 RE: Well Permit for Temple Israel (T) Putnam Valley Dear Mr. Greenberg: This Department has received and reviewed your submission dated May 15, 1992 regarding the above - referenced project and the following comments are offered for your consideration. 1. Please indicate which adjacent wells are going to be monitored during the 24 -hour pump test on the submitted plan. a- :..,.. ::The-procedures.. for - the .24- -h0Ur yield test are to be contained in a single document "AS wi n imam, t�,e, abc t� "�5h iufidr`.s 5 .c:1 f � >1i2+�air e ode �r levve�l : i:r}' : rt� both wells will be messured, the frequency of measurements in both the test` well and observation wells, duration of stabilized drawdoan, recovery measurements, and monitoring background data on observation wells at leas 24 hours prior to yield test. 3. A copy of the yield test procedure is to be submitted to Mr. Marvin O'Dell, Town of Putnam Valley, for his review and /or comments. 4. The testing procedure is to identify the water quality analyses to be performed. 5, The testing procedure is to indicate that all homeowners having observation wells are to be notified a minimum of 72 hours before the beginning of testing. upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. Vq.ry truly y urs, -- A/1 % ohn Kareil, Jr., P.E. r Public Health Director JK: mk ,ia" SsC :�. n' '� . - 4 `�': d�•;wa rM•:� ,e,. +,w •�»iui"�.�;- : � :_.,G .. .. ',^ ... � ..• AR1#ITtCT • Ydwb ai.'AN)`iIER .• wig.' st.. _ � 2:oV>11$•:'vr °. \fit v' „'::� .gib 1r W0 WUSCOOT NORTH, RFD #3 WA010aAC, NEW YORK 10_'"1 914 ■630.6603. • FAX 914.626 -2801 May 15, 1992 John Karell, Jr., P.E., M.S. Department of- Health Division of Environmental Health Services Route 312 Terravest Office Park Brewster, New York 10509 Re: Well Permit for Temple Israel, Lake Drive, Lake Peekskill, 10537, Town of Putnam valley T.M. w 110 -1 -24 (Old) # 83.66 -2-78 (New) Dear Mr. Karell, Enclosed please find appliction for a well permit for the above captioned property. Condition #1 of the variance granted on July 15, 1991 i.e. "A 24 hour pump test will be conducted to determine _:. .:.. ► yi•E3c ' -and, tie, a-f-fe_ ct� If - a.t�y•�� on..- two ad ja,cen_t• we�lls_:.�” will be accomplished a s f llows • �• ��� Once the well is drilled, a 24 hour pump test will be conducted and at the same time, if consent is granted by the property owners to the north and-south, their wells will be monitored during the 24 hour pump test, every 60 minutes, to determine, what if any affect the drilling will have on each of these two adjacent wells. The results will be forward to you for review prior to the connection of the well to the house. Norman Andersen, the well driller, has indicated that as soon as the permit 'is issued, he will drill the well. r-y trul JO:s EnC4 S, rg 0 ■Rk%.'N ru • uwWWc . NUN ITNWAW %A a I Uk N&U, It ARK + 91.1 -ilfi -4746 - ° = -- f- - = = =- - - -- P. 3 D710ARTNENT 'OF HEALTH DivioAon of Invfroamental Realty ServiceG . .,. .... ,,,_._:..... d 'UI;D' flt "OEIT.E � - c.S,.$zr�:L • .,::- �n 'CAR4 .._ _.i�r.1.. . 10541T .• 14) Z 2CEN -TiAt' ; APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT 0 IIaR+ SeTaet Addr'eG® Tvwn Viglae City Tan Grad�her p'o V PEEESKXLLI N 110- 3 66-2 - Lb O AR Mme Hall .nc� Address I DTiTM '1 TAE ISRAEL OF LK. PEEIU41=, Y P ILL, N.Y. 10537 PPflvaQe ® pub.1Ic USE OF MLL x ° pgu $ o ocac�on+�gry ORESIDLNTIAL 9 OUSINESS 0 INDUSTRIAL, 13PUBLIC SUPPLY 0 PAM 0 INSTITUTIONAL t3AIR /COLD /HFAT PUMP OTEST /OBSERVATION ® STAND-BY $ ABAND=0 13 O7%ZR (opeel2g [t MOUNT OF USE YIELD SOUGHT �5 � O 01 B�t DREPLACE EXISTING SUPPLY 0 TEST /OBSERVATION ADDITIONAL, SUPPLY PL ® G WELL R2ASOR1 FOR DRILLING DETAILED REASON FOR ORTY.LYN� YEAR ROUND USE OF =SE ML% TYPE DRILLED ODRIVEN ODUC []GRAVEL YS LI LL SITE SUBJECT TO FL.00DYNG? ' YES Y NO 27 YML.L IS LOCATED IN A REALTY SUBDIVISIOW, ATE OF SUBDIVISION: LARE PEMQR= Lot V0.3&'1_55 g 56 UAT21a MLL CONTRACTOR: Name NORMAN ANDERSM AddresaOARGER ST. NYMM VWXYo YS ?0LBC UATER SUPPLY AVAILABLE TO SITE: YES X -NO S CNLY TOWN-/. ,Sts a erp y��y!C� YIYiS -V3" �'ii SL "Yi/3'l I'm 3i3S �bO :- :I wv.1:?.' ii•'"..;.ii% z�. .,.. -. .x. ... w. ,.:. .6O N. DIS700 TO PAOPERTY FROM NEAREST WATER MAIN N/A LOCATION SV.ZTCR 6 SOURCES OF CONTAMINATION PROV ED QON SEPARATE SHEET 5159 (data) *iatu 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 Department attached to this permit. 3. Submit a Wall Completion Report on a form requirements of the Putnam County Health provided by the Putnam County Health Department. During all well drilling operations, the applicant shall -take app$opriate 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 lee'ue: 19 Date of Expiration 19 Permit is Won - Transferrable, White l Yello Permit Issuing Official copy: HD file Pink copy: Oun. Orange copy: X16 3 ,tea BOARD OF HEALTH July 15, 1991 Attendees: Sara McGlinchy, President, Dr. Michael Schoolman, Dr. Anthony Cassamassima, Gregory Quinn, Arthur McCormick, DVM, Donna Bernard, Dr. Paul Lebvohl, Dr. Charles Block Health Department Attendees: John Karell, Jr., P.E., Public Health Dir. Loretta Molinari, Dir. of Patient Services Dr. Henry Kamin Absent: Dr. Daniel Doyle Meeting called to order at 7:40 P.M. Motion to accept minutes of June 17, 1991 made by Sara McGlinchy. Sara McGlinchy abstains, all else in favor. Minutes accepted. - •'1' w0 • .,�.;,• cep..:. �. .., .�.. o. .�. a-: ..�.. �, - --V•A RI -ANGE - HEARING. _. _. � a • �. � _.., ._ . Temple Israel Parish House Lake Drive East (T)Putnam Valley Joel Greenburg was present to represent the Parish House for variance. The Parish House is approximately 3/4 mile from the Temple and has been there for many years, being used seasonally, June through October. It is now proposed to be used on a year round basis, and the owners wish to drill the well to service the parish house. The distance from the existing septic system on the temple property is approximately 90', and the distance to the existing system on Argyle St. is approximately 80'. Adjacent property owner, Jacqueline Windisch - Shayer was present to discuss concerns that she has regarding her water. Mrs. Windisch- Shayer stated that her water is contaminated and there is poor water pressure. She wanted to know if her pressure would be lowered. She indicated to the Board that her well was approximately 100' deep. Mr. Greenburg explained to the Board the changes between this application and the previous application 3 -4 years ago. Mr. Karell indicated that Mr. Windisch - Shayer's water will be tested if this variance is approved. "M t'T.•. _`r• ..� ...� ,.. -., a.r �....! .vt -a^ � yr. ow r ..., -; Dr. Schoolman makes a motion to vote in favor of accepting the application with conditions as.follows: #1 hat the Health Department require that upon the drilling of the dell, a 24 hour pump test be conducted to include monitoring of the water levels in the two closest wells. # ` ='That this variance is granted based upon demonstration by the Temple of a hardship and therefore this variance is only applicable to the use of the building on this property as a parish house for the Temple and that any other use of this property, i.e., its sale to a private party, voids the variance. =7�hat the well be double cased.. f44'.'' hat ultra - violet disinfection equipment be installed and utilized on a daily basis. PRELIMINARY VARIANCE DISCUSSION REA, Patterson Building Addition This request is for an existing house in Putnam Lake. The well is 35'- 40' from the existing septic and well.- An addition is proposed as shown on the attached map. The dwelling is 675 sq.ft., and the proposed addition is 850 sq.ft.. The house is currently a two bedroom and the addition is for two bedrooms and a clameroom,a :hr:_Karell considers the gameroom to be an expansion bedroom, and -~" °advises`tha tier xit suif anctiiei�: �e�7.: maintain the 100' separation distance, and also room enough to expand the septic system. The owners claim monetary hardship as the reason they cannot drill a new well. The Board asked that the architect come to the next meeting and that a map to scale be provided. OLD BUSINESS HacKenzie's Tattoo Studio - Robert Kevin MacKenzie, the owner of the tattoo studio was present to demonstrate to the Board procedures used in tattooing. Hr. MacKenzie has complied with the requirements set forth previously by Robert Sager of the Health Department. Hr. MacKenzie demonstrated to the Board how he operates the equipment and all of his sterilization procedures, and he answered the Board's various questions. The Board was satisfied with this demonstration and a motion was made by Dr. :Schoolman to monitor tattoo parlors on a case by case basis and not to adapt regulations specific to tattoo parlors. Seconded by Dr. Lebwohl. All in favor. Jr { 4 { t i ( 1� 1 .4f ` 7� BRUCE R. FOLEY, R.S. 4 Acting Public Health Director • '.s ^�"•FR:,�"'.�.;�bo " :tC _. a. .' - <_, 2. Ls .ra -. -. .��� � ••i�.- `riR;.�"'f >a{:a`r',..: i .� ..• ,r�i:ia�i:a.*v.: +:�:: DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 PROCEDURE FOR NEW WELL PERMIT APPLICATIONS 1. Well permit application is to be submitted along with fee, if required. 2. Locations of all sources of possible contamination within 200 feet of the proposed well location are to be shown on a plan or tax map. 3. Contiguous neighbor notification is required. 4. Feasibility of well location is to be confirmed by a representative of this Department. 5. If the proposed well is within 15 feet of the property line the approved well location is to be staked by a licensed surveyor. If the proposed well location is within 100 feet of any source of contamination the well location is to be staked by a Licensed Engineer, Registered Architect or Land Surveyor prior to drilling. 6. As built and well log to be submitted no later than 30 days after completion, by permittee. ,. r v . .. .. �. _s..y_ -..rte .,,..• .. ...,. 0. - .. -sc .. ... .. �.... �.• ..J "..a. BRF /RM /jp August 1995 A, BRUCE R. FOLEY, R.S. DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 August 9, 1996 Joel Greenberg Two Muscoot North Mahopac, NY 10541 Re: Well Permit Parish House, Temple Israel Lake Drive, Lake Peekskill Dear Mr. Greenberg: A water well application was submitted on August 5, 1996 and approved on August 9, 1996. Please find attached the letter to you from William Hedges, Public Health Sanitarian, dated December 30, 1991 that outlines the conditions of the above captioned proposed well permit. Be advised, that all the conditions stated in this letter must still be satisfied. In addition, the well location must be staked prior to drilling by a licensed surveyor due to the proximity to the propety line. This letter is also to serve as a notification that well permits are issued for one year increments after which time the permit can be revised to meet changing codes or site conditions or denied based on the same. trf* yours, Robert Morris, P. E. Public Health Engineer RXV.lp . Y P.- 01 -08 - 5OPM FROMi 914 5M 1:265 JO 5289363 APP I ", �P VA Section, BIOCk Lot Tax NmIlber MILLI-':�: VkRI'z' ",-tSAL 5" tion, di:--w sal SYS aq �;- as z4m on Wit th e ack'- m -"ft"y Ole 09 -oval of the 3a or any to operate p-operly is ing of the lxildi.nq iitiliz Putnayc, County syalcem tx,) operate -Oms 0.i..�,'�i. Ile bullainc, katili!%ing -00 , - - , '. c -,- - .- rev. 9185 mk " N /"zf ;�41;j.ration Nam (if coii-) r-�!16-r-ms 4-11' 16. PPS C ®G CAW .< v4 rr:.,.,'. }. "x .:5:•- .j -- . ., :.. .. .. .L�1t:o V� -'A9 c'�; - - � � _��y r'',- �ft� -•-• 6� JOHN KARELL Jr., P.E., M.S. Public Health Director DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 December 30, 199' Joel Greenberg Two Muscoot North RFD #2 Mahopac, NY 10541 Re: Well permit Parish House, Temple Israel Lake Drive, Lake Peekskill (T) PV TM #83.66 -2 -78 Dear Joel: I have reviewed the well-permit submitted by Anderson's Well Drilling. Our files indicate that the well permit was originally granted by a Variance through the Board of Health on July 15, 1991. The variance was granted with the following conditions: 1. The well must be double cased. 2. Ultra violet disinfection equipment must be installed and utilized on a.daily basis. 3. Upon drilling the well, a.24 hour pump test must be conducted to include monitoring of the water levels in the two closest wells. a. Please indicate which adjacent wells are going to be monitored during the 24 -hour pump test on the submitted plan. b. The procedures for the 24 -hour yield test are to be contained in a single :•.. document..;....As:. a minimum, the .above should- specify „hoer the water, J�vels in ...... he `we�l j -- l-T-be -measured, the 'Tfrequen"cy-- of"fiea�uren�ents i_ri -bot-'n' °1 he _ test well and observation wells, duration of stabilized drawdown, recovery measurements, and monitoring background data on observation wells at least 24 hours prior to yield test. c. A copy of the yield test procedure is to be submitted to Mr. Marvin .O'Dell, Town of Putnam Valley, for his review and /or comments. d. The testing procedure is to identify the water quality analyses to be performed. e. The testing procedure is to indicate that all homeowners having observation wells are to be notified at minimum of 72 hours before the beginning of testing. Upon completion of the above, this Department will continue its review. Kindly advise us if there are any questions. WH /jp cc: M. O'Dell, BI (T) PV Very truly yours, William Hedges Sr. Public Health Sanitarian Mr. Joel Greenberg Two Muscoot North RFD #2 Mahopac NY 10541 Dear Mr. Greenberg: .DEPARTMENT OF HEALTH Division Of Environmental Health Services JOHN KARELL Jr., P.E., M.S. Public Health Director Geneva Road, Brewster, New York 10509 (914) 278 -6130 May 21,' 1992 RE: Well Permit for Temple Israel (T) Putnam Valley This Department has received and reviewed your submission dated May 15, 1992 regarding the above - referenced project and the following.comments are offered for your consideration. 1. 2. 3. 4. Please indicate which adjacent wells are going to be monitored during the 24 -hour pump test on the submitted plan. The procedures for the 24 -hour yield test are to be contained in a single document. As a minimum; the above should specify how the water levels in the wells will be measured, the frequency of measurements in both the test well and observation wells, duration of stabilized drawdown, recovery measurements, and monitoring background data on observation wells at lease; 74 ho(,,rs.. pr.1.o -r to yield. tgct,,, ; .. _ ... � ... .. ... .. A copy of the yield test procedure is to be submitted to Mr. Marvin O'Dell, Town of Putnam Valley, for his review and /or comments. The testing procedure is to identify the water quality analyses to be performed. 5. The testing procedure is to indicate that all homeowners having observation wells are to be notified a minimum of 72 hours before the beginning of testing. Upon completion of the above; this Department will continue its review. Kindly advise us if there are any questions. V7ry truly y urs, ohn Karell, Jr., P.E. Public Health Director JK:mk cc: M. O'Dell, BI (T) PV _ ..,.•• - : _ : - ,;_. -..-. ,� .�,- =:�, Uwe tic aisceew NORIM, RIM #2 WAHOmAcC, NIE'W WORK 00!540 904 -628 -6603 o (FA)X 904 -628 -2807 May 15, 1992 John Karell, Jr., P.E., M.S. Department of Health . Division of Environmental Health Services Route 312 Terravest Office Park Brewster, New York 10509 Re: Well Permit for Temple Israel, Lake Drive, Lake Peekskill, 10537, -Town of Putnam Valley T.M. # 110 -1 -24 (Old) # 83.66 -2 -78 (New) Dear Mr. Karell, __Encl.o.se.d_..please._ f.ind applict.i_on_ -f -or. a_we.1.1- - p-ermit__..._. for the above captioned property. Condition #1 of the variance granted on July 15', 1991 i.e. "A 24 hour pump test will be conducted to determine well yield and the affect, if any, on,t._wo adjacent wells." '.. � .' .. 1. .. . s_ .. ... _. .. __.�.... i31 -be �aecomplished as�fllo� =s �_ :....._,e:..e....... =� .._._ w..�.. ._.._ .- .....�. .,_�... Once the well is drilled, a 24 hour pump test will be conducted and at the same time, if consent is granted by the property owners to the north and south, their wells will be monitored during the 24 hour pump test, every 60 minutes, to determine, what if any affect the drilling will have on each of these two adjacent wells. The results will be forward to you for review prior to the connection of the well to the house. Norman Andersen, the well driller, has indicated that as soon as the permit is issued, he will drill the well. ery trulyjypurs, 1 Gree,,dberg JG:s Enc/ 'ffOWN RQ.ANN[ER o RQJIFbAW VAQ.Q_Q=W, RIEW WORK a 904 -326 -3740 DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 ApPY�ICA°!'I(7N V0 tONSTRUC& _A� WATER WELL Arun VVVMTM 4 WELL LOCATION Street Address PARISH 0 DR., Town/Village/City Tax Grid Number PUT. VAI LAKE P EKSKILL N.Y. 110 -1 -24 OLD 83.66-2 - WELL OWNER Name Mailing Address LAKE DRIVE WPrivate TEMPLE ISRAEL OF LK. PEEKSKILL, LAKE PEEKSKILL, N.Y. 10537 0 Public USE OF WELL 1 - primary 2- secondary QIRESIDENTIAL 0 BUSINESS 13 INDUSTRIAL O PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP 0 ABANDONED 0 FARM 0 TEST /OBSERVATION 0 OTHER (specify U INSTITUTIONAL 0 STAND -BY Q AMOUNT OF USE YIELD SOUGHT 5 gpm /# 13 REPLACE EXISTING SUPPLY DNEW SUPPLY NEW DWELLING PEOPLE SERVED 4 /EST. OF DAILY USAGE 30al E3 TEST /OBSERVATION 12 ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR 'DRILLING YEAR ROUND USE OF HOUSE WELL TYPE ©DRILLED DRIVEN EIDUG OGRAVEL OTHER LE IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: LAKE PEEKSKILL Lot .No. 54, 55 & 56 WATER - WELL - CONTRACTOR: Name NORMAN ANDERSON. - Address, -MGM ST., PUTNAM VALLEY; M17 rr.r. , IS PUBLIC'WATER SUPPLY AVAILABLE TO SITE: YES X NO SUMMER ONLY NAME OF PUBLIC WATER SUPPLY: LAKE PEEKSKILL TOWN /VIL /CITY PUTNAM VALLEY D_UTAN.CE .TO _ ePOPERTY . FROM-5E.-ST- WATER LOCATION SKETCH & SOURCES OF CONTAMINATION DON SEPARATE SHEET 5/15/92 (date) sianatu PERMIT TO CONSTRUCT A WATER W'RLL 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 Permit is Non - Transferrable 3/89 19 19 Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller .. �• 11iiAr Vii'J��'d✓''DELL •-• -� � _ . .._ ., Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT July 23, 1991 Putnam County Dept. of Health Div. of Env. Health Services 110 Old Route Six Center Carmel, N.Y. 10512 Atto John Karell, Jr., Dir. Re:, Variance Well Temple Israel Lake Peekskill (New #83066 -2 -78) Dear John: PUT NAM VALLEY, N.Y. (914) 526 2377 Lake Drive TM #110 -1 -24 Pursuant to our phone conversation this morning whereby .you advised that a Variance has been granted for a new water well on the above noted property., I am requesting. copies pf..:ai�.:appr.ova:1:_hP fcYYrsadgd �to this �fz°c�e %..._.._ .__.__.. _..._ •� As this non - conforming property is similar in description with many within our Lake Peekskill District, much concern has been expressed regarding same. Again copies.of all transcripts, proposed well site location and or other documents related to reaching a decision allowing a new water well is requested. As I expressed in our phone conversation, there is concern that the Town was not made aware that a variance was being sought on this property especially considering your memorandum dated May 28, 1987 (copy attached). Yours truly, MARVIN 0 DEL Building & Zoning Inspector MO °Does enco cc: Town Board & James Gordon, County Legislature 41r.- DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Date July 15, 1991 Applicant Temple Isreal Name Address Lake Drive, Lake Peekskill Property Street Location Lake.Drive Tax Map Designation 110-1-24 Municipality Putnam'Valley Variance.Request 80. Feet well t1o. SSDS JOHN KARELL Jr., P.E., M.S. Public Health Director Approved X Denied Conditions/Rem4rks: See attached minutes, July 15, 1991 Board of Health Meeting President, Board of Health 8/91 July 25, 1991 DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Marvin O'Dell Building Inspector Town of Putnam Valley Town Hall Oscawana Lake Road Putnam Valley, New York 10579 Re: Variance Well Permit Temple Isreal Lake Peekskill TM 110 -1 -24 Dear Mr. O'Dell: JOHN KARELL Jr., RE., M.S. Public Health Director Re eipiE -o- your -le nt -ems .aa;*:ed - July�2B.;. ...1 91' xel ti�re -to� tf3e taptioned °va'ri�nc��`-= request is hereby acknowledged. As we discussed last week, the Board-of Health, on July 18, 1991 considered and approved with certain conditions the request for a variance from certain well to septic system restrictive distances. The variance request presentation was made by Joel Greenberg.. It is noted that a similar variance request was considered and denied by the Board at their November 30, 1987 meeting. At that time, the proposed well to septic system distance was 70 feet. The variance request at this time was based upon relocating the well slightly farther away from the septic system on the Temple property to provide an 80 foot separation distance to the closest well. Relative to your reference to my May 28, 1987 memorandum, please be advised that the purpose of the procedures contained therein is to obtain your input and comments, basically relative to any information you may have relative to the location of adjacent wells and septic systems. You are referred to your letter dated September 9, 1987, copy attached, which addresses this concern and basically confirms the locations of those facilities as shown by Mr. Greenberg, to be 70 feet from the original well location. The new well location is 10 feet farther away from that septic since it is proposed to be drilled 5 feet from the property line. �.�:.�� :Lv .. rYfr .. :C• —' r.. .. .. . � r h � . . .. ♦ 1 _ .i �:rw'�..T .. ��.r fir. r .. O eT r••- .P, r . P.r� C! •.�� . b er ..r7. �'.y't �' \` -'.1.. i � �P��� -2- In any case, this proposal will not be approved for construction by the writer until such time as Mr. Greenberg submits a well testing proposal as requested by the Board. If you have any new information bearing on this application, specifically with regard to the separation distances between wells and septic system, please. provide same to my office without delay. I will not issue the approval until I hear from you. If the information significantly alters the proposal, the matter will be remanded back to the Board. Concerning the conditions upon which this approval was granted, please be advised as follows: 1. A-24 hour pump test will be conducted to determine well yield and the affect., if any, on two adjacent wells. 2. The approval to drill and use the well will be to the Temple only and will not run "with the land." This condition will be required to be placed in the deed to the property. 3. The well will be double cased. 4. Ultraviolet disinfection will be provided. Copies of all related documentation are attached as you requested. you have an,-y,, 'questions concerning this matter, contact me at my Est. 324. ry tru 4you , hn Kare11 Jr., .E. ublic Health Director JK:pt cc:Sara Koshofer, Supervisor, Town of Putnam Valley Jim Gordon, Putnam County Legislator Joel Greenberg, R.A. Attachment Y - July 25, 1991 -u . DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six . Center, Carmel, New York 10512 (914) 225 -0310 Marvin O'Dell Building Inspector Town of Putnam Valley Town Hall Oscawana Lake Road Putnam Valley, New York Dear Mr. O'Dell: 10579 Re: Variance Well Permit Temple Isreal Lake Peekskill TM 110 -1 -24 JOHN KARELL Jr., P.E., M.S. Public Health Director Receipt of.- o r..12 t�xA a,tF� ".?u?y 991 •relative- �c.tze--cap,�ivneti iariaUUF- -_ request is hereby acknowledged. As we discussed last week, the Board of Health, on July 18, 1991 considered and approved with certain conditions the request for a variance from certain well to septic system restrictive distances. The variance request presentation was made by Joel Greenberg.. It is noted that a similar variance request was considered and denied by the Board at their November 30, 1987 meeting. At that time, the proposed well to septic system distance was 70 feet. The variance request at this time was based upon relocating the well slightly farther away from the septic system on the Temple property to provide an 80 foot separation distance to the closest well. Relative to your reference to my May 28, 1987 memorandum, please be advised that the purpose of the procedures contained therein is to obtain your input and comments, basically relative to any information you may have relative to the location of adjacent wells and septic systems. You are referred to your letter dated September 9, 1987, copy attached, which addresses this concern and basically confirms the locations of those facilities as shown by Mr. Greenberg, to be 70 feet from the original well location. The new well location is 10 feet farther away from that septic since it is proposed to be drilled 5 feet from the property line. r � -2- In any case, this proposal will not be approved for construction by the writer until such time as Mr. Greenberg submits a well testing proposal as requested by the Board. If you have any new information bearing on this application, specifically with regard to the separation distances between wells and septic system, please provide same to my office without delay. I will not issue the approval until I hear from you. If the information significantly alters the proposal, the matter will be remanded back to the Board. Concerning the conditions upon which this approval was granted, please be advised as follows: 1. A 24 hour pump test will be conducted to determine well yield and the affect, if any�on two adjacent wells. 2. The approval to drill and use the well will be to the Temple only and will not run "with the land." This condition will be required to be placed in the deed to the property. 3. The well will be double cased. 4. Ultraviolet disinfection will be provided. Copies of all related documentation are.attached as you requested....-.. If you have any questions concerning this matter, contact me at my Ext. 324. ry tru 4your , hn Karell, Jr., E. ublic Health Director JK:pt cc:Sara Koshofer, Supervisor, Town of Putnam Valley Jim Gordon, Putnam County Legislator Joel Greenberg, R.A. Attachment # r MARVIN O'DELL Inspector TOWN OF PUTNAM VALLEY - BUILDING, ZONING, AND SANITARY DEPARTMENT September 9, 1987 Robert Morris Dept. of Environmental Health 110 Old Route 6 Carmel, N.Y. 10512 Dear Mr. Morris: I- T0WR,HALL-.- P U N A M' VALLEY, 'N.Y. (914) 526 2377 Re: Proposed Well Temple Israel - TM#110-1-24 Pursuant to a review of the above noted property on August 19, 1987 with Mr. Joel Greenberg, the following was observed: The proposed well site location is not more than seventy _feet separated-from adihcent-sub-s.urface-disposal._. .- systems. MO'D: es cc: Joel Greenberg Very truly yours, MARVIN O'DELL Building Inspector JOEL CAIVRENCE GREENCERG AftCN11ECT - TOi/'N nIAFwNER - - �.. ..;;•�,c:�- -���i'1E�$i3i� ®31'1' �IiDEtlii,- ItF® if3 . -• . � • - � ... MA1161PAC, NEW YORK 10541 s14 =6111 -6613 • FAX 91.1- 628 -2807 MAY 19, 1991 JOHN KARELL, JR., P.E., M.S. AND MEMBERS OF THE BOARD OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD ROUTE SIX CENTER CARMEL, NEW YORK 10512 RE! PROPOSED WELL FOR TEMPLE ISRAEL PARISH HOUSE, LAKE DRIVE EAST, TOWN OF PUTNAM VALLEY, LAKE PEEKSKILL, NEW YORK 10537 OLD T.M. # 110 -1 -24 NEW T.M. # 83.66 -2 -78 DEAR MR. KARELL AND MEMBERS OF THE BOARD, tEMPLE ISRAEL, WHICH AS BEEN IN EXISTENCE SINCE 1946 AS A SEASONAL HOUSE OF WORSHIP, IS PLANNING TO CONDUCT RELIGIOUS SERVICES ON A YEAR ROUND BASIS. AT THE PRESENT TIME, THE PARISH HOUSE WHERE THE RABBI RESIDES, I$ CONNECTED TO THE LAKE PEEKSKILL WATER SYSTEM WHICH OPERATES FROM . APRIL 15 UNTIL NOV01 RER ,15: _.:. _ . ._ .:. _ .. __ = • _ ._ A REQUEST FOR A VARIANCE TO DRILL A WELL WAS DENIED BY YOUR BOARD SEVERAL YEARS AGO. A REVIEW OF THE MINUTES, HOWEVER, DOES NOT INDICATE THE REASONS FOR THE DENIAL. ON BEHALF OF MY CLIENT, I RESPECTFULLY REQUEST RECONSIDERATION FOR THE VARIANCE. THE ATTACHED DRAWING SHOWS THE EXISTING WELLS AND SEWAGE DISPOSAL SYSTEMS OF THE SURROUNDING PROPERTIES AND THE SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY IN QUESTION. PLEASE NOTE THAT I HAVE CHANGED THE LOCATION OF THE WELL IN ORDER TO PROVIDE GREATER DISTANCE TO BOTH THE PARISH HOUSE SEPTIC SYSTEM AND THE SEPTIC SYSTEM ON THE PROPERTY TO THE EAST. NEW DISTANCES WILL BE AS FOLLOWS: It 80 FEET FROM THE PROPOSED WELL TO THE EXISTING•SEPTIC SYSTEM ON THE PROPERTY TO THE EAST WITH THE PROPOSED WELL BEING AT A HIGHER ELEVATION. 7: 90 FEET FROM THE PROPOSED WELL TO THE EXISTING SEPTIC SYSTEM FOR THE PARISH HOUSE WITH THE PROPOSED i WELL BEING AT A HIGHER ELEVATION. TOWN 1'IANNER • I'VINAM VAIIEV, NEW YORK • 914 -526 -3740 W`µgV�gYGABW�Q.VD MY �V/Y �[RU(J ®(�r �5U c I�A% 9a4- 623 -:28®7 AS NOTED ON THE ATTACHED DRAWING, THE PROPOSED WELL IS AT A HIGHER ELEVATION THAN ALL THE SURROUNDING SEPTIC SYSTEMS. 10 ADDITIONo MY CLIENT WILL PROVIDE THE FOLLOWING: ga DOUBLE CASING 2a ULTRA — VIOLET SYSTEM 3a LAB TEST OF WATER AS REQUIRED BY HEALTH DEPARTMENT I BELIEVE THIS REQUEST, AS MODIFIED FROM THE PREVIOUS REQUEST, WILL PROVIDE A SAFE WATER SUPPLY FOR THE RABBI AND HIS WIFE. TO THE BEST OF MY KNOWLEDGE, THERE IS NO RECORD OF ANY POLLUTED WELLS OR LEACHING SEPTIC OVOTEMS ON ANY OF THE ADJACENT PROPERTIES. I LOOK FORWARD TO FAVORABLE CONSIDERATION OF THIS REQUEST AXD WILL BE HAPPY TO MEET WITH YOU AT YOUR CONVENIENCE. P '90%'N MaAabIElk ° HJUNAW TAIL91W, N[E%' ?i*QDRM o qu- g26D- -3dya® June 21, 1991 Neighbor's Name Dear Sir: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Re: Variance Request - Well Permit Name: Temple Isreal Lake Drive (T) Putnam Valley Tax Map 110 -1 -24 JOHN KARELL Jr., P.E., M.S. Public Health Director Please be advised that a request for a variance from provisions of the Putnam County Sanitary Code relative to the construction of a sewage system and well proposed for the captioned.property will be heard by the Putnam County Board of Health..on July--15,. 19991 ..at 7:30 P..M. -located.. at 110 Old Route, 6.A. Boces Complex, - Carme3,' New 'York.—'"' _ _ .......:.. _. _ .. If you have any questions, concerns or information which may bear on our' deliberations, you may appear at this meeting to contact the writer at Ext. 304. Because scheduling sometimes are modified at a late date, if you are planning to attend this meeting, you should contact the Department on the day of the meeting to assure that this item is still on the agenda. f John Kardll -, Jr.', ?.E. Public Health Director JK:pt cc:JK File PETER' C. ALEXANOERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 BOARD OF HEALTH VARIANCE REQUESTS NEIGHBOR NOTIFICATION. Beginning January 1, 1989 appeals (petitions) requests to the Board of Health for a variance from provisions of the Putnam County Sanitary Code will not be heard by the Board until such time as the Director of Environmental Health Services of the Department of Health is provided with proof that notification_ of the date of the variance hearing was made to all property owners contiguous to the property in questions. A location map with contiguous properties shown along with the property owners name and Tax Map # must also be provided to the Department. Notification shall mean receipt by each contiguous property owner of a copy .o_f :.the_attached n6tificatt 6n_'f r�> a oni g. with a 'copy of <.the, lit6st-- site plan. Proof of receipt of notice by contiguous property owners can include either of the following: 1. Copies of registered mail receipts 2. Copies of the notification form signed by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to the meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result in the Board delaying action *on the request until proper notice is executed. The proof of notice shall be submitted to the Director of the Division of Environmental Health Services on or before 2 PM. on the day of the hearing. JK:pt 9/89 ENID L. CARRUTH. M.P.H. Public Health Director JOHN KARELL Jr.. P.E. Director BOARD OF HEALTH Procedure for Variance. Request Pursuant to the provisions -of Article III Section 2, (b) an application for the . installation of an individual sewage disposal system that has been denied by the Director may be reviewed by the Putnam County Board of Health who may reverse the decision based upon proof of hardship and with concurrence of the Director that the proposed sewage disposal system will not create a health hazard by its use. Individuals wishing to make application to the Board of Health for a variance must submit a letter to the Board President, Sara McGlinchy, Putnam County Department of Health, 110 Old Route '6, Carmel, New York 10512, which application - must include: 1. In a letter (14 copies) a) Formally request a variance b) Fully describe the variance requested c) Discuss the hardship that will be experienced should the variance not be granted 2. Provide 14 sets of plans- 3. Submit a letter from the local Town Building Department that the property in question is a legal building lot. The Board of Health will not consider variance requests for property that is not a legal building lot from a Town Zoning standpoint. _...._. _ John Rarell,Jr., P.E. Public Health Director JK:pt 9/90 v. - -- .. .�. _ ... .•� -. - -_ :.. t.. ..]p: .r_ I.. v P .. .J -. .. c.. `.hr *F. .0 p' K - •�. K' _ .. r .. � - ..n '•��1: .r. a v- .- •.- ..r-•. •:'., ...:.. :-. j ... ` .. PETER C. ALEXANDERSON ®� JOHN SIMMONS. M.D. County Executive ��ij YO� Deputy Commissioner DEPARTMENT OF HEALTH JOHN KARELL. Jr., P.E. Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 December 1,, 1987 Temple Israel Lake Drive Lake Peekskill,, New York 10579 Res Proposed well.constzuction Lake Drive Lake Peekskill (T) Putnam Valley Application W 98 87 Gentlemen: You are hereby advised that your request for a variance from provisior of the required 100 foot separation distance between your'proposed well and the sewage disposal system on your property and adjacent properties has been considered by the Board of Health on November 30,, 1987 and denied, _. _ : _.,. _ ,.._ r ... �aVl✓iy truly urso f Ray Jon sj r� 1 President Board of Health RJ/jP cc: Building Inspector (T) Putnam Valley Joel Greenberg JR File PETER C. ALEXANDERSON County Executive November 7, 1987 Temple Israel Lake Drive Lake Peekskill, Dear Mr. Israel j I DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 N. Y. 10579 Re: Proposed well construction Lake Drive Lake Peekskill (T) Putnam Valley Application W -57 -87 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. . Director Review of an application to construct a well for potable water supply purposed to serve the above captioned property has been completed. Review indicates as follows: 1. The lot is presently supplied by the Lake Peekskill Water Works with. summer water.- 2. The proposed well is located approximately 70 feet from the existing sewage disposal system on this lot and on a neighboring lot. Recognizing the above, and that a minimum separation distance of 100 feet is required between a sewage disposal system and a well, your application for a permit to construct a well on this property is hereby DENIED. Pursuant to the request of your architect, Mr. Greenberg, this matter has been placed on the agenda for the Board of Health meeting on November 16, 1987 for a variance from the minimum well to sewage system separation distance. V �"y truly yours, John Karelll(,, Jr., P.E. Director, Environmental Health Services JK:pt cc:JK 1 1!111 � v� Op irA 011 (L w del LIP-0 o 4 > Q aac aQ z"i 16 off or CC, 9Z tee MIA 'CO5 42, "1 L,— 1 10, to- 1 t o 3i • — �_ __ _____ ,p_ ut 4 Q%D fit g5 10 l 6 0 i'ii of C4 U)IJ ` j'r Q�1 N. j''Al'��t� ot,� , i N l a - -z— fit It 7,17 7 L • Olp --71 w Oro o 4 > Q aac aQ z"i 16 i (77 G . ' -,1 RAAAVIW �66EOC Inspector TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT September 9, 1987 Robert Morris Dept. of Environmental Health 110 Old Route 6 Carmel, N.Y. 10512 PUTNAM VALLEY, N.Y. (914) 526 2377 Re: Proposed Well Temple Israel - TMI/110-1-24 Dear Mr. Morris: .Pursuant to a review of the above noted property on August 19, 1987 with Mr. Joel Greenberg, the following was observed: The proposed well site location is not more than seventy .-(.70.'.). feet separated from adjyppnt-aub-surface -disposal.-.- Very truly yours, MARVIN 0 1 DELL Building Inspector M0'D:es cc.: Joel Greenberg JoFt 1AAIMENCE GREENCERG AItC111tECT - TOWN (MANNER AlU�C�lIl► 1L�; NORlfQI ::ItF� ;.Y�,- ,:.�..,:�:,'��:; :.. .: ...,..- . _ . .. •, + MAHUhAC, NEW YORK 10341 SU;918-661J • FAX 914- 628 -2807 MAY 14, 1991 JOHN KARELL, JR., P.E., M.S. AND MEMBERS OF THE BOARD OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD ROUTE SIX CENTER CARMEL, NEW YORK 10512 RE! PROPOSED WELL FOR TEMPLE ISRAEL PARISH HOUSE, LAKE DRIVE EAST, TOWN OF PUTNAM VALLEY, LAKE PEEKSKILL, NEW YORK 10537 OLD T.M. 4 110 -1 -24 NEW T.M. N 83.66 -2 -78 DEAR MR. KARELL AND'MEMBERS OF THE BOARD, TEMPLE ISRAEL, -WHICH AS-BEEN IN EXISTENCE SINCE 1946 AS A SEASONAL HOUSE OF WORSHIP, IS PLANNING TO CONDUCT RELIGIOUS SERVICES ON A YEAR ROUND BASIS. AT THE PRESENT TIME, THE PARISH HOUSE WHERE THE RABBI RESIDES, 23 CONNECTED TO THE LAKE PEEKSKILL WATER SYSTEM WHICH OPERATES FROM APRIL 15 UNTIL NOVEMBER 15 ` A REQUEST FOR A VARIANCE TO DRILL A WELL WAS DENIED BY YOUR BOARD SEVERAL YEARS AGO. A REVIEW OF THE MINUTES, HOWEVER, DOES NOT INDICATE THE REASONS FOR THE DENIAL. ON BEHALF OF MY CLIENT, I RESPECTFULLY REQUEST RECONSIDERATION FOR THE VARIANCE. THE ATTACHED DRAWING SHOWS THE EXISTING WELLS AND SEWAGE DISPOSAL SYSTEMS OF THE SURROUNDING PROPERTIES AND THE SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY IN QUESTION. PLEASE NOTE THAT I HAVE CHANGED THE LOCATION OF THE WELL IN ORDER TO PROVIDE GREATER DISTANCE TO BOTH THE PARISH HOUSE SEPTIC SYSTEM AND THE SEPTIC SYSTEM ON THE PROPERTY TO THE EAST. NEW DISTANCES WILL BE AS FOLLOWS: 1a 80 FEET FROM THE PROPOSED WELL TO THE EXISTING SEPTIC SYSTEM ON THE PROPERTY TO THE EAST WITH THE PROPOSED WELL BEING AT A HIGHER ELEVATION. 7: 90 FEET FROM THE PROPOSED WELL TO THE EXISTING SEPTIC SYSTEM FOR THE PARISH HOUSE WITH THE PROPOSED WELL BEING AT A HIGHER ELEVATION. TOWN PLANNER • 110NAM VAIIEV, NEW YORK • 914 -326 -3740 30ft LAWRENCE GREENBE G ARTH@ tuff - -90%'M m- AmEEIR � WAROMAC, R4 [E'W TOER M 80540 AS NOTED ON THE ATTACHED DRAWING, THE PROPOSED WELL IS AT A HIGHER ELEVATION THAN ALL THE SURROUNDING SEPTIC SYSTEMS. IIN ADDITION, MY CLIENT BILL PROVIDE THE FOLLOWING: 16 DOUBLE CASING 28 ULTRA — VIOLET SYSTEM 3a LAB TEST OF WATER AS REQUIRED BY HEALTH.DEPARTMENT I BELIEVE THIS REQUEST, AS MODIFIED FROM THE PREVIOUS AEQUEST,.WILL PROVIDE A SAFE WATER SUPPLY FOR THE RABBI AND HIS WIFE. TO THE BEST OF MY KNOWLEDGE, THERE IS NO RECORD OF ANY POLLUTED WELLS OR LEACHING SEPTIC MTEMS ON ANY OF THE ADJACENT PROPERTIES. II LOOK FORWARD TO FAVORABLE CONSIDERATION OF THIS REQUEST AND WILL BE HAPPY TO MEET WITH YOU AT YOUR CONVENIENCE. $, aSTW. �J E G,.. '90%'N GlIL NNIE(R o Q'03NAW VAULEE ', RIEW )YOR s o June 21, 1991 Neighbor's Name Dear Sir: DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Re: Variance Request - Well Permit Name: Temple Isreal Lake Drive (T) Putnam Valley Tax Map 110-1-24 JOHN KARELL Jr., RE, M.S. Public Health Director Please be advised that a request for a variance from provisions of the Putnam County Sanitary Code relative to the construction of a sewage system and well proposed for the captioned property will be heard by the Putnam County Board of ___Health -on July,.:!.5.,.1991. at .7:3.0.,P.M.. located At. 13.0-Old -Route -6,...Baces. Complex,, 4- Carme , ew or If you have any questions, concerns or information which may bear on our deliberations, you may appear at this meeting to contact the writer at Ext. 304. Because scheduling sometimes are modified at a late date, if you are planning to attend this meeting, you.should contact the Department on the day of the meeting to assure th.3tt this item is still on the agenda. Public Health Director JK:pt cc: JK File 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 BOARD OF HEALTH VARIANCE REQUESTS NEIGHBOR NOTIFICATION Beginning January 1, 1989 appeals (petitions) requests to the Board of Health for a variance from provisions of the Putnam County Sanitary Code will not be heard by the Board until such time as the Director of Environmental Health Services of the Department of Health is provided with proof that notification of the date of the variance hearing was made to all property owners contiguous to the property in questions. A location map with contiguous properties shown along with the property owners name and Tax Map # must also be provided to the Department. Notification shall mean receipt by each contiguous property owner of a _....... ..copy._Qf :the_. attar -hed notificat _6b fern_ .along, With ...a:;'Cr +.per.- of..the. latest site plan. Proof of receipt of notice by contiguous property owners can include either of the following: 1. Copies of registered mail receipts 2. Copies of the notification form signed by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to tint meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result in the Board delaying action-on the request until proper notice is executed. The proof of notice shall be submitted to the Director of the Division of Environmental Health Services on or before 2 PM. on the day of the hearing. JK:pt 9/89 ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr.. P.E. Director BOARD OF HEALTH_ Procedure for Variance, Request Pursuant to the provisions -of Article III Section 2, (b) an application for the installation of an individual sewage disposal system that has been denied by the Director may be reviewed by the Putnam County Board of Health who may reverse the decision based upon proof of hardship and with concurrence of the Director that the proposed sewage disposal system will not create a health hazard by its use. Individuals wishing to make application to the Board of Health for a variance must submit a letter to the Board President, Sara McGlinchy, Putnam County Department of Health, 110 Old Route 6, Carmel, New York 10512, which application must include: 1. In a letter (14 copies) a) Formally request a variance b) Fully describe the variance requested c) Discuss the hardship that will be experienced should the variance not be granted 2. Provide 14 sets of plans 3. Submit a letter from the local Town Building Department that the property in question is .a legal building lot. The Board of Health will not consider variance requests for property that is not a legal building lot from a Town Zoning standpoint. John Karell,Jr., P.E. Public Health Director JK:pt 9/90 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 Temple Israel Lake Drive Lake Peekskill, New York 10579 Gentlemen: December 1, 1987 JOHN SIMMONS. M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Res Proposed well.construction Lake Drive Lake Peekskill (T) Putnam Valley Application W --5 87 You are hereby advised that your request for a variance from provisior of the required 100 foot separation distance between your proposed well and the sewage disposal system on your property and adjacent properties has been considered by the Board of Health on November 30, 1987 and denied, ._.� _ _._...__...._ ..... _. ..�... w.:._.,..:.. ,..�..� -: .....__ _..__ _ ��7rrry "tniTy- .�,SD... . _ ._... _........ .. _�..__ 41 y'''r- ,���I ••y �i.' � 1, /i/ ` Ray Jones J President- ��'.17, Board. of Health RJ /JP cc: Building Inspector (T) Putnam Valley Joel Greenberg JK File PETER C. ALEXANDERSON County Executive November 7, 1987 Temple Israel Lake Drive Lake Peekskill, Dear Mr. Israel r DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 N. Y. 10579 Re: Proposed well construction Lake Drive Lake Peekskill (T) Putnam Valley Application W -57 -87 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr.. P.E. Director Review of an application to construct a well for potable water supply purposed to serve the above captioned property has been completed. Review indicates as follows: 1. The lot is presently supplied by the Lake Peekskill Water Works with* summer water. 2. The proposed well is located approximately. 70 feet from the existing sewage disposal system on this lot and on a neighboring lot. Recognizing the above, and that a minimum separation distance of 100 feet is required between a sewage disposal system and a well, your application for a permit to construct a well on this property is hereby DENIED. Pursuant to the request of your architect, Mr. Greenberg, this matter has been placed on the agenda for the Board of Health meeting on November 16, 1987 for a variance from the minimum well to sewage system separation distance. V y truly yoursa John Karell, Jr., P.E. Director, . Environmental Health Services JK:pt cc:JK �,�r. PEIEn C. AIEKANDERSOM Calmly ItIOCUING DEI'AK'I*Mf_N'I OF HEALTII Division Of Uvirdiumm(al Ilealth Services JotRJ simmotis. m" Deputy Commissioner JoliN KAMI. Jr. -PE. Memo 110 Old Roule Six Cenler, . Camiel, New York 10511 ' (9 ICI) 115-(1)10 M E M 0 R A DUP T0: Michael Budtinski, Dill Hedges, Bob Morris, Anne Marie Brady FROM :John Karell, Jr,,'P.E. ' V i RE: LAND DEVELOP14ENT APPROVALS DATE:May 20, 1901 Please be advised that new procedures In this program as outlined below are effective innnediately: 1. e 11-- P-eyjal cations - Putnam Valley only. Prior to o e e the a 1 icat_i.nn miffs,l:- h,c..:'f0.)waril o e= .fu:l.ldin ph. -1 n- ¢ct:�r `,Ma�,vI�ii Odel'i fur'.I,iis' CcimutaiiL I,.h.is sliou1d be''9 done by the applicant. , Field work and paper review by the Department should not continence until we have his input. Approvals will not be issued 'untiI we have his written comments. I 2. Correct tax reap numbers must appear on all permits•for proper ; identification. ? 3, Local wetlands - For 'towns that havQ 'local wetlands ordinances, presently Putnam Valley and Carmel approvals from the Town will be required prior to our approval o unless otherwise directed 'by the writer. r c: Chris Johnson e ` '' F w '.se. �. =.r. .� u. ii:- .P. -•�: 'R `.... ;i+ey':n t: �. :.N.: w =•p' 77, � DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 June 21, 1991 Temple Isreal Lake Drive Lake Peekskill, New York Dear Sir: 10579 Re: Variance Request - Well Permit Temple Isreal Lake Drive (T) Putnam Valley Tax Map 110 -1 -24 JOHN KARELL Jr., P.E., M.S. Public Health Director Please be advised that the matter of your request for a variance from certain provisions of the Putnam County Sanitary Code has been placed on the agenda for the next meeting of the Board of Health to be held on July 15, 1991 at 7:30 P.M. located at.110 Old Route 6, Boces Complex. 'You or your representatives must . �.. attend You are referred to the attached "Neighbor Notification" and "Variance Request" procedures which must be satisfied. The materials required in the "Procedure for Variance Request" document must be received in this office by July 8, 1991. i 7 V ' my y r , ohn Karel 'Jr., P.E. Public Health Director JK:pt cc:JK File Joel Greenberg, R.A. D June 21, 1991 Neighbor's Name DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 Re: Variance Request - Well Permit Name: Temple Isreal Lake Drive (T) Putnam Valley Tax Map 110 -1 -24 JOHN KARELL Jr., P.E., M.S. Public Health Director Dear Sir: Please be advised that a request for a variance from provisions of the Putnam County Sanitary Code relative to the construction of a sewage system and well proposed for the captioned property rwi; l be heard by. tyre Putna::C,riur�ty. Eoa�d: of _, . _.: •. .• Health on July 15, 1991 at 7:30 P.M. located at 110 Old Route 6, Boces Complex, Carmel, New York. If you have any questions, concerns or information which may bear on our deliberations,.you may appear at this meeting to contact the writer at Ext. 304. Because scheduling sometimes are modified at a late dated if you are planning to attend this meeting, you should contact the Department on the day of the meeting to assure th this item is still on the agenda. . V ly urs, John Kar , Jr., ' E. Public Health Directr JK:pt cc:JK File IT.' e,: ".� q , w.tvn[.:«, °.pv_.�.t�.C... , .. ..� J,. ._ � a . •. :e5i P'•'' f .- .... 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 BOARD OF HEALTH VARIANCE REQUESTS NEIGHBOR NOTIFICATION. Beginning January 1, 1989 appeals (petitions) requests to the Board of Health for a variance from provisions of the Putnam County Sanitary Code will not be heard by the Board until such time as the Director of Environmental Health Services of the Department of Health is.provided with proof that notification of the date of the variance hearing was made to all property owners contiguous to the property in questions. A location map with contiguous properties shown along with the property owners name and Tax Map # must also be provided to the Department. ENID L. CARRUTH, M.P.H. Public Health Director JOHN KARELL Jr., P.E. Director - Motif: - cation- .shalL,mean.-receipt by each. contiguous. prop erty ; owner, _o.f -,a„ copy off''- the "attiched' notification- form -along with` a copy "of -the latest site plan. Proof of receipt of notice by contiguous property owners can include either of the following: 1. Copies of registered mail receipts 2. Copies of the notification form signed by the contiguous property owners Notice shall be made at least 7 days prior to the date of the meeting and no earlier than 21 days prior to the meeting. Failure to provide the Board with adequate documentation of the performance of the notice may result in the Board delaying action'on the request until proper notice is executed. The proof of notice shall be submitted to the Director of the Division of Environmental Health Services on or before 2 PM. on the day of the hearing. JK:pt 9/89 BOARD (?F- :-HFA.'.TH Procedure for Variance Request Pursuant to the provisions of Article III Section 2, (b) an application for the installation of an individual sewage disposal system that has been denied by the Director may be reviewed by the Putnam County Board of Health who may reverse the decision based upon proof of hardship and with concurrence of the Director that the proposed sewage disposal system will not create a health hazard by its use. Individuals wishing to make application to the Board of Health for a variance must submit a letter to the Board President, Sara McGlinchy, Putnam County Department of Health, 110 Old Route 6, Carmel, New York 10512, which application must include: 1. In a letter (14 copies) a) Formally request a variance b) Fully describe the variance requested c) Discuss the hardship that will be experienced should the variance not be granted 2. Provide 14 sets of plans 3. Submit a letter from the local Town Building Department that the property in question is a legal building lot. The Board of Health will not consider variance requests for property that is not a legal building lot from a Town Zoning standpoint.- r _.:_ . ::..._... John Karell,Jr., P.E. Public Health Director JK:pt 9/90 1 111• Z \ fH M pro Ov -T- �� .l � N 1. 3 T ` lo. • J .f/ Y W t Ott te_ __6Y any �L !^ I L a� td Y 'J off NMI o ,.1 lh c t & I !L Z 2 M lZ 3do'li� _ _ _1 I4 O W.• • ui Sr � bZ,NX'� 1 .!1 Oz 42 1 W 1 s Iii' ' • •: All. , • NW • I W 1 WV Uas __ i r" If (. lOV Q� Oce of I n-' - - - -- ■a W 11J Jul :� rte N• ti. � I'i, �` - - -� - - :. - •. .. ..._ - ..1.' of, Lz •3 W" All -- - - - - -- p N+l�t'T -_ {�.•1_.... __� - -BZ - -p V' still &'Ott JOEL LAWRENCE GREENEFRG � .. -.- ARCHITECT.- TOWN JP NA R ;_ .. _ _ TWO WUSCOOT NORTH, RFD #2 MAHOPAC, NEW YORK 10341 914- 628 -6613 - FAX 914 -628 -2807 MAY 14, 1991 �p JOHN KARELL, JR.., P.E., M.S. AND MEMBERS OF THE BOARD OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES 110 OLD ROUTE SIX CENTER CARMEL, NEW YORK 10512 RE: PROPOSED WELL FOR TEMPLE ISRAEL PARISH HOUSE, LAKE DRIVE EAST, TOWN OF PUTNAM VALLEY, LAKE PEEKSKILL, NEW YORK 10537 OLD T.M. # 110 -1 -24 NEW T.M. # 83.66 -2 -78 DEAR MR. KARELL AND MEMBERS OF THE BOARD, TEMPLE ISRAEL, WHICH AS BEEN IN EXISTENCE SINCE 1946 AS A SEASONAL HOUSE OF WORSHIP, IS PLANNING TO CONDUCT RELIGIOUS SERVICES ON A YEAR ROUND BASIS. AT THE PRESENT TIME, THE PARISH HOUSE WHERE THE RABBI RESIDES, IS CONNECTED TO THE LAKE PEEKSKILL WATER SYSTEM WHICH QPE.RATE.S FROM :APRI.J�::1':5: TlNmlr:: ,niOVFMBER :1.5..F�.:.. <,.:�:...:.....:`. A REQUEST FOR A VARIANCE TO DRILL A WELL WAS DENIED BY YOUR BOARD SEVERAL YEARS AGO. A REVIEW OF THE MINUTES, HOWEVER, DOES NOT INDICATE THE REASONS FOR THE DENIAL. ON BEHALF . OF MY CLIENT, I RESPECTFULLY REQUEST RECONSIDERATION FOR THE VARIANCE. THE ATTACHED DRAWING SHOWS THE EXISTING WELLS AND SEWAGE DISPOSAL SYSTEMS OF THE SURROUNDING PROPERTIES AND THE SEWAGE DISPOSAL SYSTEM FOR THE PROPERTY IN QUESTION. PLEASE NOTE THAT I HAVE CHANGED THE LOCATION OF THE WELL IN ORDER TO PROVIDE GREATER DISTANCE TO BOTH THE PARISH HOUSE SEPTIC SYSTEM AND THE SEPTIC SYSTEM ON THE PROPERTY TO THE EAST. NEW DISTANCES WILL BE AS FOLLOWS: 1. 80 FEET FROM THE PROPOSED WELL TO THE EXISTING SEPTIC SYSTEM ON THE PROPERTY TO THE EAST WITH THE PROPOSED WELL BEING AT A HIGHER ELEVATION. 2. 90 FEET FROM THE PROPOSED WELL TO THE EXISTING SEPTIC SYSTEM FOR THE PARISH HOUSE WITH THE PROPOSED WELL BEING AT A HIGHER ELEVATION. TOWN PLANNER - PUTNAW VALLEV, NEW YORK - 914 - 326 -3740 1A . c.F..9 ..- —va,,.Y,4 V ECT .. - y0 W.'N P"RNIE R'. .:sdC� r+ -r . e. • e..a _ ; v w ,_ . _... ... c F. rv. ^ -. • @i.. ..w*... �' .. Vv, A.. UW8 WU S CE0ff NO RNUO, ERffO) #B WAN81PAEC, b0 W WORK 005410 904-628-6613 o 9:A% 9041 - 628 -2807 AS NOTED ON THE ATTACHED DRAWING,.THE PROPOSED WELL IS AT A HIGHER ELEVATION THAN ALL THE SURROUNDING SEPTIC SYSTEMS. IN ADDITION, MY CLIENT WILL PROVIDE THE FOLLOWING: 1. DOUBLE CASING 2. ULTRA- VIOLET SYSTEM 3. LAB TEST OF -WATER AS REQUIRED BY HEALTH DEPARTMENT I BELIEVE THIS REQUEST, AS MODIFIED FROM THE PREVIOUS REQUEST, WILL PROVIDE A SAFE WATER SUPPLY FOR THE RABBI AND HIS WIFE. TO THE BEST OF MY KNOWLEDGE, THERE IS NO RECORD OF ANY POLLUTED WELLS OR LEACHING SEPTIC SYSTEMS ON ANY OF THE ADJACENT PROPERTIES. I LOOK FORWARD TO FAVORABLE CONSIDERATION OF THIS REQUEST AND WILL BE HAPPY TO MEET WITH YOU AT YOUR CONVENIENCE. VERY TRULY YOU IJL ST, DOWN PLANNER o NJIMAW © AIL0_EEW, NIEW WORM o 9041 -526- 339410 JOEL LAWRENCE GREENBERG Architect • Town Planner Two Muscoot North • RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 • FAX (914) 628.2807 Town Planner .e Putnam Valley, NY _- ...... .. __ .��-:•�� (914)'• 526�3�40 .. . TO e 1 LTUTEa ofTURSEDUMU > WE ARE SENDING YOU �54 Attached ❑ Under separate cover via the following items: ❑ Shop drawings ;9 Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION — T- HESEµA ,iE TRANSMITTED • as -checked•- beluw:- For approval ❑ Ism ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distributi6n > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ > WE ARE SENDING YOU �54 Attached ❑ Under separate cover via the following items: ❑ Shop drawings ;9 Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION — T- HESEµA ,iE TRANSMITTED • as -checked•- beluw:- For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distributi6n > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOF� BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US -NIX% REMARKS 1 COPY PRODUCT 240.2 ® Inc., Groton, Matt 01471. SIGNED: It enclosures are not as noted, kindly notify 4t P b a i` JOEL, LAWRENCE GREENBERG Architect o Town Planner Two Muscoot North o RFD #2 MAHOPAC, NEW YORK 10541 (914) 628.6613 o FAX (914) 628.2807 • ..s.-,..,, T.C, &�!�n Rla�ne�:- �� •�'�tr�n?.:9lalleY.6.- .:::i;.. _ .._ ,._ (914) 526 -3740 !_1 TO , JT ��l.c.a —� �! ,�/. -!t . / Cdr`— �'� --•.. > WE ARE SENDING YOU Attached ❑ Under separate cover via_ ❑ Shop drawings ;R Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ LIEVUEQ @F UMMSO UR& DATE Joe NO. ATTENTIO RE: � I , A � ' ." ) n e/' m t. �. Q .. � the following items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION a THESE ARE TRANSMITTED as checked below: For approval ❑ Approved as submitted ❑ For your use ❑ Approved as noted > ❑ As requested ❑ Returned for corrections ❑ For review and comment ❑ REMARKS ❑ Resubmit copies for approval • Submit copies for distribution • Return corrected prints ❑ FO� BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US SIGNED: It enclosures are not as noted. kindly notify u at o 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 Temple Israel Lake Drive Lake Peekskill, New York 10579 Gentlemen: December 1, 1987 Z� , JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr„ P.E. Director Re: Proposed well construction Lake Drive Lake Peekskill (T) Putnam. Valley Application W -8-87 J� s You are hereby advised that your request for a variance from provisior of the required 100 foot separation distance between your proposed well and the sewage disposal system on your property and adjacent properties has been considered by the Board of Health on November 30, 1987 and denied. T Very truly urs, Ray Jones President Board. of Health RJ/JP cc: Building Inspector (T) Putnam Valley Joel Greenberg J File PETER C. ALEXANDERSON County Executive November 7, 1987 Temple Israel Lake Drive Lake Peekskill, Dear hr. Israel DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 N. Y. 10579 Re: Proposed well construction Lake Drive Lake Peekskill (T) Putnam Valley Application W -57 -87 JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL, Jr., P.E. Director Review of.an application to construct a well for potable water supply purposed to serve the above captioned property has been completed. Review indicates as follows: 1. The lot is presently supplied by the Lake Peekskill Water Works .,�,_..,.�,< ..:- i��th�-- •�a,ammt�r-- va*er. -- - r_.___._._...__«. r .,... T �._, ...._.._.. _:...........,..�Y- :.::.__..._� ... .__ ___ ...:...._. 2. The proposed well is located approximately 70 feet from the existing sewage disposal system on this lot and on a neighboring lot. Recognizing the above, and that a minimum separation distance of 100 feet is required between a sewage disposal system and a well, your application for a permit to construct a well on this property is hereby DENIED. Pursuant to the request of your architect, Mr. Greenberg, this matter has been placed on the agenda for the Board of Health meeting on November 16, 1987 for a variance from the minimum well to sewage system separation distance. r V y Truly yours, r John Karell, Jr., P.E. Director, Environmental Health Services JK :pt cc:JK Q 0 I 112 I 00 '40 04 .Pd. Of CIO so- "to ss -,Axis J4 IL 00 J, {I LJLr nr\ I I V ILI V I yr (- UAL 1 r"1 ' • t� .II i ivlslon Of Environmental H%a Services ./ TWO COUNTY ,',CENTER CARMEL, N.Y.. 10512 (914) 225-3641 r. STRUCt 21 1 ....- - ;..... 6 R LL� T 'WATER �3E`� 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 Anderson Address: Barger St. Putnam dl ey, NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:. _ YES x NO Summer Only NAME OF PUBLIC -WATER SUPPLY:LR'. Peeksk i l l TOFU /V /G DISTANCE TO PROPERTY FROM'NEAREST WATER.-MAIN'.. LOCATION�SKETCH &~ SOURCES OF CONTAMINATION,. 10124186 (date) .� aidlim u PERMIT TO•CONSTRUCT A WATER WELL This permit to construct one water well asset forth above is granted under the prolisions 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. Date of Issue: 19 t>t • _T . Permit Issuing Official Permit•:is .Non- Transferrable J SIRkti AUDRESS. IUWN /YILLA6ULIIT tax CRW NUM6EA. WELL LOCATION Lake Dr. Lake Peekskill, N.Y. 10537 WELL OWNER NAME.. AODRESS3000 Bronx ar Temple, Israel o Lk. Peekskill c/o A. Perlo Bronx,NY 2 pgiVATC 02UoLIC ,TELL -91 RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR /CONO. /HEAT PUMP ❑ ABANDONED 1 - rim r ❑ BUSINESS O FARM ❑ TEST /OB'SERVATION O OTHER (specify) 2 - secondary ❑ JNOUSTRIAL ❑ INSTITUTIONAL ❑ STAND -BY O MOUNT OF-USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED / EST. OF DAILY USAGE oil. REASON FOR [2 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION O.RILL(NG -❑ aEPL.ACE EXISTING: SUPPLY ❑ DEEPEN EXISTING WELL WELL TYPE ❑x DRILLED DRIVEN DUG GRAVEL 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 Anderson Address: Barger St. Putnam dl ey, NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE:. _ YES x NO Summer Only NAME OF PUBLIC -WATER SUPPLY:LR'. Peeksk i l l TOFU /V /G DISTANCE TO PROPERTY FROM'NEAREST WATER.-MAIN'.. LOCATION�SKETCH &~ SOURCES OF CONTAMINATION,. 10124186 (date) .� aidlim u PERMIT TO•CONSTRUCT A WATER WELL This permit to construct one water well asset forth above is granted under the prolisions 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. Date of Issue: 19 t>t • _T . Permit Issuing Official Permit•:is .Non- Transferrable J i • Division Of Environmental HoaA Services . TWO COUNTY CENTER - CARMEL, N.Y. • 10512 (914) 225 -3641 APPLICATION TO CONSTRUCT A WATER WELL �J c a 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 Anderson Address: Barger. St. Putnam alley, NY IS PUBLIC WATER SUPPLY AVAILABLE.TO SITE:, _ YES x NO Summer Only NAME OF . PUBLIC • WATER SUPPLY :Lko Peekskill TOW11 /V /C- DISTANCE TO 'PROPERTY ROM -14-EAREST WATER••.MAIN F - LOCATION SKETCH & SOURCES OF CONTAMINATION � - 10124186 (date) (s u e) _ : - PERMIT ' TO CONSTRUCT A WATER WELL This permit to constacuct -one water well 'as set forth above is granted under the prolisions 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: to Pump the well until the water is clear. 2e 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. Date of Issues Permit is.Non- Transferrable 19 Permit'Issuing Official . D r sUWNiVILLAGULAIT 1AX Viu NumutA. WELL LOCATION Lake Dr. Lake Peekskill 9 N.Y. 10537 (�-- NAME. • AooaESS3000 Bronx PaFF T. PSIVATE WELL OWNER Temple', Israel of Lk. Peekskill c/o A. Perlof Bronx,NY O PUBLIC "ELL Z RESIDENTIAL O PUBLIC SUPPLY ❑ _AIR /CONO. /HEAT PUMP ❑ ABANDONED 1 - rim r O BUSINESS O FARM ❑ TEST /09SERVATION D OTHER (specify). 2- secondary O INDUSTRIAL O INSTITUTIONAL O STANO -BY O AMOUNT OF-USE YIELD SOUGHT gpm.1NO. PEOPLE SERVED / EST. OF DAILY USAGE gal. REASON FOR Q NEW SUPPLY &PROVIDE ADDITIONAL SUPPLY ❑ TEST /OBSERVATION DRILLING O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL--- - WELL TYPE Q DRILLED DRIVEN DUG GRAVEL 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 Anderson Address: Barger. St. Putnam alley, NY IS PUBLIC WATER SUPPLY AVAILABLE.TO SITE:, _ YES x NO Summer Only NAME OF . PUBLIC • WATER SUPPLY :Lko Peekskill TOW11 /V /C- DISTANCE TO 'PROPERTY ROM -14-EAREST WATER••.MAIN F - LOCATION SKETCH & SOURCES OF CONTAMINATION � - 10124186 (date) (s u e) _ : - PERMIT ' TO CONSTRUCT A WATER WELL This permit to constacuct -one water well 'as set forth above is granted under the prolisions 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: to Pump the well until the water is clear. 2e 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. Date of Issues Permit is.Non- Transferrable 19 Permit'Issuing Official . D r bivision Of Environmental Huh Services TWO COUNTY CENTER - CARMEL, N.Y..10512 (914) 22.5-3641 . 4..APPLICATI STRUCT A WATER WELL WELL LOCATION skucl Auofius. Lake Dr. Lake WWNiVILLA —10 T IAA 6AiO NUAI6ER. Peekskill, N.Y. 10537 WELLOWNER NAME.. AooRESS3000 Bronx ParK F. Temple, IsrQel o Lk. Peeks ill- c o A. Per ZO Bronx. PNY ppSIVATE OPUSLIC ,TELL -91 RESIDENTIAL ❑ PUBLIC SUPPLY ❑ AIR/COND./HEAT PUMP ❑ ABANDONED 1 - rim r C) BUSINESS ❑FARM 11 TEST / OYSERVATION ❑OTHER (specify) . 2 - secondary ❑ JNOUSTRIAL ❑ INSTITUTIONAL, ❑ STAND -BY Cl MOUNT OF-USE .YIELD SOUGHT gpm. /NO. PEOPLE SERVED / EST. OF DAILY USAGE ail. REASON FOR f3 NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY ❑TEST /OBSERVATION DRILLING ❑ gEPLACE EXISTING SUPPLY ... ....❑ DEEPEN EXISTING--WELL-.-- - .W, ELL TYPE Qx DRILLED DRIVEN Q DUG GRAVEL 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 Anderson Address. Barger St . Putnam a ley, NY IS PUBLIC MATER SUPPLY AVAILABLE TO SITE: _ YES x NO Summer Only NAME OF PUBLIC-WATER SUPPLY:Lk. Peekskill TOFn /V /G DISTANCE TO . PROPERTY:... FROM,_ NEAREST WATER. -MAIN •.. t:......._:' ..:< °: " .. LOCATION- SKETCH & . SOURCES OF CONTAMINATION.. 10124186 (date) (s ure) . -& • PERMIT'.. TO CONSTRUCT A WATER WELL ' This permit to construct one water well 'as set forth above is granted under the proYisions 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. Date of Issue• Permit.:is .Non - Transferrable 19 est Permit Issuing Official . • = ; Division 01 Environmental H I h Services . TWO COUNTY CENTER - CARMEL, N.Y. • 10512 (914) 225 -3641 - APPLICATION TO CONSTRUCT- A WATER WELL 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 'Anderson Address: Barger St. Putnam. Val ley, NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: _ YES x :NO Summer Only NAME OF PUBLIC -WATER SUPPLY:Lko Peekskill TOW-N/V /C DISTANCE -.TO -. PROPERTY F12OM ; :N- F4REST • .._r _fie... - -. -. v. -- .r^L'l ..Q ._M t.s— - .+[..•._... .. r•. .. ,... •- .•..•- -. _a .. .. —. -1...� +. v- -!•r — ..`. _LOCATION SKETCH &-SOURCES OF CONTMINATION. 10124186 , � (date) (s ure) ..&, , _ :�� . PERMIT TO.CONSTRUCT A WATER WELL •` This permit to construct -one water well •as •set forth above is granted under the prol'isions 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: to 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 permito 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue. Permit is.Non- Transferrable 19_r c Permit Issuing Official . SIRU a iuwnwiva�t�ulr - IAZ GRW NUMBER. WELL LOCATION Lake Dr. Lake Peekskill, N.Y. 10537 #0 NAME. • Ao0aESs.3000 Bronx ar (� pgIVaTE WELL OWNER Temple, Isr�ce 1 o Lk. Peekskill c/o Aa Perlo Bronx NY 0 PUBLIC 1l RESIbENTIAI. C1 PUBLIC SUPPLY Q SIR /COND. /HEAT PUMP ❑ ABANDONED =&ELL 0 BUSINESS O .FARM ❑ TEST / OBSERVATION ❑ OTHER (specify) 2 - secondary 0 INDUSTRIAL ❑ INSTITUTIONAL O STAND -BY ❑ MOUNT OF-USE YIELD SOUGHT gpm. /N0. PEOPLE SERVED. / EST. OF DAILY USAGE gel. REASON FOR M NEW SUPPLY ❑ PROVIDE ADDITIONAL SUPPLY O TEST /OBSERVATION DRILLING. O BEPI.ACE EXISTING SUPPLY O, DEEPEN EXISTING - WELL-.--.. WELL TYPE ❑x DRILLED DRIVEN • DUG GRAVEL OT':ER 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 'Anderson Address: Barger St. Putnam. Val ley, NY IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: _ YES x :NO Summer Only NAME OF PUBLIC -WATER SUPPLY:Lko Peekskill TOW-N/V /C DISTANCE -.TO -. PROPERTY F12OM ; :N- F4REST • .._r _fie... - -. -. v. -- .r^L'l ..Q ._M t.s— - .+[..•._... .. r•. .. ,... •- .•..•- -. _a .. .. —. -1...� +. v- -!•r — ..`. _LOCATION SKETCH &-SOURCES OF CONTMINATION. 10124186 , � (date) (s ure) ..&, , _ :�� . PERMIT TO.CONSTRUCT A WATER WELL •` This permit to construct -one water well •as •set forth above is granted under the prol'isions 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: to 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 permito 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue. Permit is.Non- Transferrable 19_r c Permit Issuing Official .