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HomeMy WebLinkAbout4089DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.72 -1 -35 BOX 31 1� 1:• 11 r �' I - 1� 1:• p� e, .. V11Y .. .. TTtF1 ?. CONSULTING ENGINEERS 1065 SPILLWAY ROAD SHRUB OAK, N. Y. 10588 (914) 245 -6320; Fax (914) 245 -6335 Vincent A. Ettari, P.E. Licensed Professional Engr. June 2, 1995 Putnam County Department of Health Division of-Environmental Health Services 4 Geneva Ro d Brewster- - ,--New York 10509 Attention: Larry Werper, P.E. Re: WELL PERMIT, 7 PLEASANT ROAD PUTNAM VALLEY, NEW YORK - TM 83.72 -1 -35 Dear Mr. Werper:. In accordance with our several telephone conversations with respect to the above referenced site I am, at this time, submitting this report to you for your review. Also accompanying this report are the plans and application required for the project. The site, which is located at 7 Pleasant Road in the Town of Putnam Valley, is presently owned by Mr. Charles Fowler. The dwelling on this site is currently supplied with water by both a summer municipal water supply and an individual well. The sewage flows from the dwelling are dispersed into the subsurface waters by way of an on -site septic system. The existing well was drilled subject to a permit issued by your Department on October 17, 1988, a copy of which is attached at the end of this report. That permit was issued with several qualifications, among which that the current connection to the 1 v - rundYci pa3 ter `syai eit; be - nidiifita,ir ed "arid' Lha . `tile 'vigil -be• -dd b16 cased. Additionally, periodic bacterial analyses were required to ensure that the well water remained in a potable condition. Shortly 'thereafter, Norman Anderson, Inc. was retained by Mr. Fowler for the purpose of drilling the well. His bill (a copy of which is attached to this report) indicates that the well was double cased and had a yield of 8 gallons per minute. There is no indication as to whether Mr. Anderson conducted a nitrate analysis as per the permit letter of October 17,_ Moreover, the record is silent concerning the installation of a grit /particle filter or an ultra violet light disinfection system. To the best of our knowledge, such items were not installed. This fact is significant as will be discussed later in this report. Recently, your Department revoked the above referenced permit, despite the fact that the ,.well had..already _been_ drilled. _... . As I understand the matter, two separate site plans had been submitted to your Department for the placement of this well on Mr. Fowler's property. `While one of the plans showed the well in the front left corner of the property, the other drawing, apparently, showed the well in the rear left corner of the site, which is where the well was ultimately drilled. Moreover, it is my understanding, based upon our telephone conversations, that s �eral:�a�'a�r- i,ances .��shouldha�been� obtained �befor- e {theAperm.t .a is�_s`ueWhle �I am in ,ag,re�._ ementy :wyouon`this3 rpoint,Pl ti° ..4 fl that it rs .unfa.rto pna- lei =zeMr. Fowl.er�foran�ove �ght on the�Jpart•of . ;yourDepartmeri.' . In either case, the permit, 2 h Za ��,:::;.=..: �. �,::.:_• ��.. p. p��re, �: t. l�;:-. �,. „...wa,�. °._;4- •r��ok��d.:..:; - �. Su. l�sequ• ee' t-°- �tE::.: �h. a. t;.... �r•• ec +o.c.�•t�i�.on�.,,:..,��.:.�:. «- .:..•.,.:_;�•. Mr. Fowler attended several meetings with your Department. It is my understanding that he was informed at the last meeting he attended that your.Department was now requiring him to retain the services of a Licensed Professional Engineer to prepare all of the documents necessary to secure a new permit for the well. To that end, this firm has been retained by Mr. Fowler. As of today, June 2, 1995,(K 1 which now services Mr. Fowler's dwelling has been in�exstence -for over:6.5: years During- „� thatp_er—od of�ti�me-at R1eas4t~�one bacteria test :ways �conduc_ted'on- -t'he. weK . That—�tsest was taken ,on . May. 2-f” , 1 °9'9 '2 ' by the e =- Home Buyers L:ns,pectiori'-'Servrc (-The dl o ,'that I .tes �ih'ich- ar•e,- a- tt-ac�hed--to zt�h-is repor:t,n, >s;how :t-ha�t:° -no bacte it a w_e_�e p es.erit —` n th el ter ate that timea This^ f mri als.o- conducteda_ bacteria testorr. t, 7ter from AMr;_-Fowle:r s we11'.' Th=at. --` 'es = was= -n , taken "on ,.May, 2'6, 1995,° and also. showed`—tha -t no batter, a are preseffV7- n the welll water Y. Since the uTt3a viole light disinfection system was -;rie eer i- nstal]:ed> these tests were definitely conducted on "fresh" water from the well. Based on the negative results of both tests, it is apparent that the well has not been subject to any contamination since it was first drilled over 6.5 years ago. This fact is significant since it establishes the evidential basis for the issuance of variances with respect to the location of the well. The site plan, as prepared for Mr. Fowler by this firm, shows that several septic systems are within the drainage zone of influence of the well. The current codes'of the New York 3 K.'1 h . .;- °.;..... e. mar U �ySg:5.��rt foot offset— d- ista- neefromMr- .Eowl:er' S well; ;though it could be construed °has l'ay_ingfin - a_drect line; of drainage to.. ;the_:w.ell Howeve,r,,. =Nir. 'Foialer'�sdwel- 1irngli:es' b.eetween;fth�s sepatics stem a_nd It-l%e we_1.1 Consequently, any subsurface septic waters from this system which were moving through the soils toward the well would be intercepted and diverted by Mr. Fowler's dwelling. Therefore, in the opinion of this firm, Mr. Fowler's house blocks the direct drainage of septic effluent from this system and, therefore, interrupts any direct line of drainage that might have existed between this system and the well. Therefore, under this argument, it is the position of this firm that the septic system on this property is not in a direct line of drainage to the well. Finally, part of the site designatedcas: 8_3 2 1c284cou_.l -b construed��a;s la�,yi�ng�in a°�,dir =ect, lei e fcdrain ,rage- .��_,to..��thP well': - However.c there yj aretwo dwellings which �s'erve, `'to tcu off "ariy' s, ubsurf�ace flows from �th�.s s�- i�te--�F�irst; �rther =e� isv��ther- .__d_�well ";ng on�. 8,3,,.72 1 (29:_:732 ) Second, t-herers Mr.Eowl :e.r'.sdwellri_g1. Urifortunat:e y - c� 'th.er are no.�r ce ords -�'on ale 13th_= �a'h °e Town -of Eutna Vm alley nor�t?he Co tnu y of Putnam w.kt rh eg ra d�..to :the septic Ff'ac�li�t=ies on 1 -ot 83= 72 8 Therefore, it is very possible that the septic system servicing this site does not lay at all in the theoretical direct line of drainage to Mr. Fowler's well. Unfortunately, this can not be determined with certainty at this time without excavating the septic facilities on that site. However, since the subsurface sewerage flows would be cut off by 5 of - t*1-7ii��i-�-'-�-'L-i:r-fil-',- that the direct line of drainage from this lot is interrupted anyway, and that this lot is, therefore, not in a direct line of drainage to the well. The practical proof of these theoretical discussions is obvious. The well water contains no coliform bacteria. Therefore, septic effluent is not flowing into the well at this time, nor has such effluent flowed into the.well during the last 6.5 years. Consequently, it is the contention of this firm that these test results support and validate our opinion that the septic systems of lots 83.72-1-(36-37) and 83.72-1-28 are not in a direct line of drainage to Mr. Fowler's well. Moreover, the absence of bacteria from the well's water further demonstrates that the septic effluent from the other three systems (namely: 83.72-1-33, 83.72-1-(29-32), and Mr. Fowler's lot) are not flowing into, nor contaminating, Mr. Fowler's well either. Were the well not in existence in excess of 6.5 years, one could argue that there was no rational on which to base the idea that variation from the codes would not result in a detrimental situation. However, we now have 6.5 years of physical proof that variation from the codes did not, in this case, result in a detrimental situation, namely, contamination of Mr. Fowler's well. Therefore,. there remains no compelling reason not to grant any of the variances and interpretations required to allow a new permit to be issued for Mr. Fowler's well. Finally, it should be noted that this f-krm-c-ond-u-c-ted-a S Cp" t7i y-- MA�y-72-6-1 {9.95. ,- R k . ...•! W- .r ..1.» . a.. . pe • -.6' . ,... .. t'y •, n T:. .✓.v., t. N ♦.'.y .. ••�•• ... •... .... .. - . ... a.. 'r.• f: • :P1•:•/. " .- 4. That a determination be made that the septic co system on lot 83.72- 1- (36 -37) is not in a direct line ��$ ° of drainage to Mr. Fowler's well and that, therefore, eoi no variance reduction is needed since this septic system is over 100 feet from Mr. Fowlers well. 5. That a determination be made that any septic facilities located on lot 83.72 -1 -28 are not in a direct line of drainage to Mr. Fowler's well and that, therefore, no variance reduction is needed since that lot is over 100 feet from Mr. Fowler's well. Should these variances not be granted, the hardship that will be incurred by Mr. Fowler is very serious. The dwelling is approximately 40 years old and was constructed as a summer residence. It remained a summer residence up, to 1988, at which time the Putnam County Health Department granted a well permit. Pursuant to that permit, a well was drilled on the property on November 14, 1988. The total cost for that well, with the pertinent plumbing apparatuses, was $5303. Once this well was drilled,.._,the. house. became a permament, "year- round. ",dw.elling,. _ Consequently, the value of the house rose $80,000. That is, its value increased from $40,000 to $120,000 based on an appraisal of the house dated March 21, 1992, a copy of which is attached to this report. In addition, Mr. Fowler has made capital improvements to the structure since it was converted to an year -round house. Those improvements included the installation of Thermo -pane storm windows, the installation of insulation in the exterior walls of the structure, the installation of an electric heating system in the dwelling and the installation of insulation in the attic. The approximate cost of these improvements is $12,500. E:1 U required to keep this existing well not be granted, Mr. Fowler's economic losses and damages would be the total of these three figures, or $97,803. With such a drastic and sudden economic loss, Mr. Fowler would certainly be forced into bankruptcy. mu-s't-bo, Rept-in mind, that s .well w�rthout the benefit of —et I—t-from-tTe- -- - County Ht-ffh per -in -it Th-ere-f a.,-s- �tua'ti on which f—I-�d-f � r - over g h-,tl 7, (5 -ff --X I �=4F,f .of Ve -- o f h "e- Health,.- Dep*ar,,tmbnf,—w�i-t-tf-7,r.,e— d,f' •the m per--ft-:�L=�,--J 0:9:-88',) Therefore, it is requested that the Board take into account these facts and the economic damages that would result if they choose not to grant the required variances and interpretations. Moreover, it is the further request of Mr. Fowler and this firm that the required variances and interpretations, as outlined in this report, be granted as soon as possible. 9 Sincerely Yours, Vincent A. Etta(ri, P.E. .... _ r:. r , PETER C. ALEKANDERSON County Executive Mr. Charles Fowler P.O ' Box 407 Pee-KS 'it i11, Ni Dear Mr. Fowler: ENID L. CARRUTH, M.P.H. Oigecto,. .- JOHN SIMMONS, M.D. Deputy .qQmmissioner JOHN KARELL Jr.. P.E. DEPARTMENT OF HEALTH Director Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512. (914) 225 -0310 October 17, 1988 10537 Re: Individual W.S. Program Pleasant Road (T) Putnam Valley This correspondence is based upon your request for ,a well permit due to your water . quality and quantity concerns, relative to use of the Public Water Supply deriving.its source from Lake Peekskill. Please be advised that your request to drill a well is hereby approved conditional upon the following: 1. That you install and maintain a grit /particle filter and ultra violet light EA-A•J M07' disinfection system to treat the well water. 406 2. 3 4. That you collect a sample for bacteriological analysis on a quarterly basis, bo-V& and collect an initial sample for nitrate analysis. 7w�44J'ev�(� That the well be doubled cased, That the connection to the public water supply be maintained for future use in the event of well contamination or major improvements to the public water system occur. If you have any questions or comments concerning the above, please contact this writer at extension 316. Very truly urs, J mes A. Luke sst.Public Health Engineer JAL /jz • lam Q '� [����(:�.SS{ ' ��Ts''�!�ixu g r t c t. • � �r� i{S� pA'1�iet1.ae3� X34, 1�P .i - ^.,�;,R - Pa •�'t.w�}acY i ,Sw:',r •...€ KE�St £:'tisd�as'"k,...x,P.•r;a t..l to .l si. . :a,f'9.l�lVrnit,d. �.0 BALANCE FORWARD _ 400' @.. $7. ner .foot_ .' - .: -... - ¢: . •. _. _ $' , ;..�8�?0 �.. • °.. 'r:..:: .,::.::.. T.�. „ . ;,� .. ;.;;,. ,•,�:.. p ...: casing @ $8. per foot 168. -- 25' 4" " . & well seal <5�,,.,,r.2�� 150. 135. -- Cement O -- 8 gallons per minute 11/14/88 $ 3253. -- RECEIVED ON ACCOUNT•$ 1000.- - PUMP: ` el�e�trici RUNDFOS 3/4h p 3 wire 230v w /box .pump pitless adapter, well cover 380' SCH809 couplings, hiflex 180' offset 390' wire (10) + offset UF10 torque arrestor, tape, clamps, connectors ` splicers .. ..:.: labor WELL- X -TROL # 250 tank & fittings equivelent to 120 gallons $ .2050. -- -------- - - - - -- $5303. -- TOTAL ----- --- -- - - - - - -- - 1000. -- BALANCE NORMAN, ANDERSON,. INC. VLV P LAST IN COLUMN IN THIS COLUMN :;" `: YML Environmental LAB NUMBER 32 -3255 . f... >; o _ Services :;,••,>` DATE /TIME TAKEN 5- 2'I_�2 --'IPM , ar wAils 321 Ke!s ?� NY 10598. -• ELAP a10323 (9I4) 245 -2800 � T '- = w 1 DATE REPORTED —f-----RAY 26 1992 Kitchen tap SAMPLING 7 Pleasant Rd, SITE hake Peekskill NY For Lab Use Only Potable — HNO3 _ pH LT 2 _ <4C _ Nonpotable _ COLD BY Nathan Riei " STAT! RESULTS OF WATER TESTING X ANALYTE RESULT UNITS ALKALINITY mg/L AMMONIA n-g/L ARSENIC mg/L CHLORIDE mg/L COLOR Units . CONDUCTIVITY umhos /an COPPER mg/L DETERGENTS mg/L .FLUORIDE _ rrg/L .. HARDNESS mg/L IRON mg/L LEAD mg/L MANGANESE ng/L MERCURY mg/L NITRATE mg/L NITRITE mg/L ODOR TON pH S.U. NaOH — pH GT 9 )� <20 >4C HCl _ Na2SO3 —>.20C. _ H2SO4 _ ZnOAc r. COI,i RM RETx DJ US L7 � ] RESULTS OF WATER TESTING X ANALYTE RESULT UNITS PHOSPHOROUS mg/L SILVER mg/L SODIUM mg /L SULFATE mg/L SULFIDE mg/L SULFITE mg/L TURBIDITY NTU ZINC mg/L SPC per 1.0 mL TOTAL COLIFORM per 100 mL FECAL COLIFORM per 100 mL E. COLI per 100 mL FECAL STREP. per 100 mL These results indicate that the water sample [WAS] [WAS NOT] [NA] of a satisfactory sanitary quality according to the New York State Sanitary Code, for the p a ers tested, at the time of sample collection. These results indicate that the ater m le [WAS] [WAS NOT] a a satisfactory chemical quality according to the New York State Sanitar Co or a parameters tested, at of sample collection. NA = Not Applicable N = Not Present (Negative) SUBMITTED BY: P = Present (Positive) SA = See Attachment(s) ° = Also done because Total Coliform was present Albert H. Pa ovani, M•T, (ASCP) TNTC = Too Numerous To Count Director > = GT = Creater nan < = LT = Less Than YMi FNV7RqNMEmTAi SFRVTCFq 321 Kear Street `. Yorktown Feiyhtg, N.Y. 10591"', (914) 245_2500 Alhe't H, .PAd^vani, T)irerto' ^ |'A8 #: 32.4073R0 CLIFNT Of 2 2 3 .2. K'D. STAr PHD[ PA6E � � ' ~~~~~~~p~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~^~~~~^~~~~~~.-'~~~~~~~~~'^~.... FTTAR7, VINCENT A. ' DArF/TTMQ. TA(�N: 1:? 10652PIU'WAY RD. DA0"�/T7ME MOD: 05/26/9M I3:\ SHRUR OAK, 05/31/0-1 NY 10588 REPORT DATE: ;�/31/9 ! ` PHONE: (914)-245-h320 �.� SAMP( 7NG SrT& 7 F1'EASANT RD K7TCHFm TAP . SAME TYPE..: RQTAB|'E . :' LAKE PEB<g<TLi, NY PRFSFRVATTVFS: NOM:' C � | 'T-i RY: V7NCENT FTTAR} TEwPFRAT||RE.,; < 4C , NOTES,.,; DATE FLAG PROCEDURE RFS|xT mO��N. -�AN�E 05/27/95- MF T. COiIFORM ABSFNT /100 Mi' ABSENT COMMENTS: ' BACT THEM RESULTS 7NMCATF THAT THE WATF (WA2 NOT) OF A � SATTSFACTORY SANTTARy QUALITY A[CORDT (!:;!!!HQ NFW YORK RTATE _ AND FpA FFDERAL DRINK7N6 WATER STANDARDS, FDR THE PARAMETFRS TESTED, AT THE TIME OF COLLECTION. ' SiMMTTTED BY:.__ J�-------------------- A\;ert H. Movani, M.T.(ASCP) Dir+ctor MAP# 10323 ` r Friddle Mao Form 70 10,98 .(12 oh.) _ Lane AppraisaPSss mu. �ll.1 B■ oCtII1ncu Al ADDRAICAI RFPnAT FIIA Mn-2031901C ' MCS, Richardson, TX (211) 690.7183 ! Fanolo- Mai, Form 1004 10,05.1 I t Ilm• • • dNn 1 rl ic 1 1•t.m 1 Imkl ndalon BKEf01 (SH DROSS IHD E D D ESTIMATED REPRODUCTION ODST- NEW-OF IMPRCJEMENTS: V for Freddie Mac or Fannie Mae, •tow only square fool csbrtlalbns and cost approach D«alling 873 Ft. ®895.00 .6 commends In this •Data. 27 X 26 — 702 BSMT 260 —Sq. Fl. a SM.OQ_ 7,800 19 X 9 - 171 "ram - a TOTAL GLA - 873 Special Energy Efficient Items - Porches, Patios, rota. - oarageXotporl Sq. Fl. ® 8 - Total Estimated Cost New ................ • 8 Physical Ex1arMl lFunclionall I Lose THE ESTIMATED LAND VALUE TYPICALLY EXCEEDS 30% OF Depreclalbn 22 •a THE ESTIMATED TOTAL PROPERTY VALUE IN THIS AREA DUE D•ptaclelrod Value of Improvements .......... • e' TO THE DESIRABLITY OF THE AREA COUPLED WITH THE she Imp. 'es is• (drNeway, landscaping, a10.1 • e' LACK OF AVAILABLE BUILDING SITES. .ESTIMATED BITE VALUE ............... 40,000 (11 leaseheW, show only leasaheW value.) y° +s VALUE Yes No (Not Requited by Fuddle Mac and Parente Mu) YDoes HUDNA standuds7 ❑ Yee ❑ No Consuuelbor Warrant Y Name of Warranty Program properly conform to applicable property tl No, expleDl: Wunrcy Oovar•pe Expires NIA Thhya undmIdnwd has rrocBsO three ream sales of proDerlles moll ekntlar yard Drodmal� to *etre. and her i onslderrod Inds! In the market anaNsls The dnarlplbn dchat rotlecUnG market react n to thou hems of • W vu ion el sere 1 subject and eompua le prova11le. S a flgrybad Yem N IM ' lose as a adjustment, eompFuable pr pally M wperbr lo, o more favorable Then, the aub)rod pro ally, • mDlw (•► djustmerc le made, thus wdueko IM Indio toe , o1 wbl•el• tl a pour Bem In Ihi comparable b lZubr to• or Ws favorable than, the sub; of properly a plus (H adjustment b made, thus YkuuDp 1� Indicated vahhNN o� IM do e jest. ` ITEM SUBJECT NO, I COMPARABLE NO, 2 COMPARABLE NO. 3 23 CHESTER PL 7 PLEASANT 19 SPRUCE ST. 28 PINE ST, Address > ftw to 1AKE PEEKS. 'a price ..`s: K "Wo, 124.902 Y . 6 Ice rose Lly. Art* 1 k:: 9Aa K. S C ADJUSTMENTS E 41,111 Adlualment I DESCRIPTION Bales or FDMneing `2 NONE NONE NONE Orinceartions a KNOWN 10-91 KNOWN KNOWN 10-91 10-91 AC/A1.1G. 7, G AVERAGE AVERAGE AVERAGE I 5 Ouralky of Construction y, Q VFAAaE Above or•d. 1 Room Count 3 to Lkkw Area • Basement • Finished Room. arim atmod, PARTIAL PARTIAL ER -6.000 NONE +3,000 PARTIAL UNFINISHED -UNFINISHED NONE 1 CAR GAR -3,000 NONE Porches, Path. NONE LM ITS, PATIO LAKE ITS, -3,000 DECK 1AKE RTS, -3,000 PNONE t BpacW Ena,gy Elficlant "cook NONE NONE NONE s Flosolmorriel NONE 1 FIREPLAC -2.000 1 FIREPLAC -2.000 NONE Oth er (..g. kitchen STANDARD STANDARD STANDARD STANDARD + _ 11,700 ♦ _ _ Indicated Valve SO' , ac x'.2u n e: 0 0 . Comments on Bales Comparison: Q 0 TRANSACTIONS WITHIN CLOSE SUBJECT INDICATED VALUE BY SALES COMPARISON APPROACH ............................................ t - >s1 INDICATED VALUE BY INCOME APPROACH (If Applicable) Estimated Market Rant x Gross Rent Muh[pBer • 8 ` u ®' ❑ 1 paDS, atlaratbro; Inspections or conditions peNd below completion par plans and specifications, This appraisal is made a W •uD eel to the re sCommerce and Conditions of AppralesC THIS APPRAISAL IS HOE "AS $ S r r { Final Reconciliation: S BEING PIACED ON THE DIRECT SAUS COMPARISON APPROACH TO VALUE, N €< THE COST APPROAGH SUPPORTS To THE JACK OF SUFFICIENT SIMILAR 0 EA S 'q This appraisal Is baud upon the above requkromercs, the csnldkalbn, corcNtord and hmking conditions, and Market Value definition that are staled In FmHA, HUD 8fbr VA Instructions.' 8 Freddie Mac Form 439 (Rev. 7,88) frannis More Form 10040 (Rev. 7,98) filed *On c0erc A 18 ® attached. { .�. I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE SUBJECT PROPERTY AS CA 0 10� to be i 0 3: 1 (We) sort : the to the best of my oar knowledge and belief the facts and data used here a true a rrecq that I (we) personally Inspected the subject properly, both WWa and old rid M • an axlerbr IneFaclbn of as comparable ..les trees In this pat that I (we) have no undisclosed Werest, present of plospeclWa Ihegln. Apprabyp) I N T R Review Appraiser SIGNATURE D1WyNol .14422Ikab4l NAME F.D{I•AAIi, ,r•. FERRARONFy NAI �_IM _Ropt(y:.�� «. MCS, Richardson, TX (211) 690.7183 ! Fanolo- Mai, Form 1004 10,05.1 J � DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARNEL, N.Y. 10512 (914) 225 -0310 APPLICATION'TO CONSTRUCT A WATER WELL PCHD PERMIT #_ IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL: S LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L tctE s i� Lot No. A f�-►�� .� �_ WATER WELL CONTRACTOR: Name blvk 4w I�i✓ eZS'D­1 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: V7 YES NO sk m ON /7 NAME OF PUBLIC WATER SUPPLY: G,E . A a J /c ��f TOWN /VIL /CITY A.74W,1 7n DISTANCE TO -RROPERTY•11ROM -NE ?.REST WATE° - - -- z 7 LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET dat) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within 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.iike 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 Issuing Official Permit is Non - Transferrable White copy: HD File 3/89 . Yellow copy: Bldg. Insp. Pink copy: Owner Orange copy: Well Driller Street Address Town Village Cit Tax Grid Number WELL LOCATION WELL OWNER Fame Ma ling Address' :9WAA A�c e-/cs � rivate O Public C_h4Ale- USE OF WELL RESIDENTIAL O PUBLIC SUPPLY ❑ AIR /COND /HEAT PUMP o ABANDONED 1 - primary O BUSINESS O FARM ❑ TEST /OBSERVATION O OTHER (specify 2 - secondary 0 INDUSTRIAL t]INSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm/ 4E PEOPLE SERVED /EST . OF DAILY USAGE o D gal, 0 REPLACE EXISTING SUPPLY ❑ TEST /OBSERVATION ADDITIONAL SUPPLY REASON FOR DRILLING ❑ NEW SUPPLY NEW DWELLING O DEEPEN EXISTING WELL DETAILED e i c s wr �.✓ 3 tea, e REASON FOR o G iv DRILLING WELL '•. TYPE 57DRILLED []DRIVEN ODUG a GRAVEL 0 OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL: S LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: L tctE s i� Lot No. A f�-►�� .� �_ WATER WELL CONTRACTOR: Name blvk 4w I�i✓ eZS'D­1 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: V7 YES NO sk m ON /7 NAME OF PUBLIC WATER SUPPLY: G,E . A a J /c ��f TOWN /VIL /CITY A.74W,1 7n DISTANCE TO -RROPERTY•11ROM -NE ?.REST WATE° - - -- z 7 LOCATION SKETCH SOURCES OF CONTAMINATION PROVIDED ON SEPARATE SHEET dat) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within 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.iike 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 Issuing Official Permit is Non - Transferrable White copy: HD File 3/89 . Yellow copy: Bldg. Insp. Pink copy: Owner Orange copy: Well Driller a ... ,:- .,r . ,_. - '- PU'$NAI�! COUNTY `HEALTH - _- - ::�. . "_ +. :a <�... . _. �.- .., • ..-: __ .. �,•'* -•• DEPARTNIEI� F DIVISION OF ENVIROIAL HEALTH SERVICES John M. Simons, M.D. Deputy Commissioner of Health FAM� , - FIELD ACTIVITY REPORT - /C TM No. MAILING ADDRESS P.O. Box Post Office Zip Code l• zoP'�� D'DDI• Name and Title DATE �� TYPE FACILITY TIME ARRIVED ®o TIME LEFT ®o FINDINGS: Sheet of Orig. Routine Orig. Complain Orig. Request Compliance Complaint Comp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other Explain � -... ....... .. .. c .- u.. -..._ �.+....,. .. ... .. ... .o ..�-., o a .. _._.. ..: a -..- .�_� ..-.. .. ... o.a .-w• ..- .-._ -. '.. .., - e ..... *. _r.s .o Signature and PERSON IN CHARGE OR 6/86 6 Report. SIGNATURE: TELEPHONE: ,.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 October 17, 1988 Frank Fowler 386 Main Street Ridgefield, Connecticut 06877 Re: Individual W.S. Program Pleasant Road (T) Putnam Valley Dear Mr. Fowler: ENID L. CARRUTH, M.P.H. Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director This correspondence is based upon your request for a well permit due to your water .quality and quantity concerns.relative to use of the Public Water.Supply deriving'its source from Lake Peekskill. Please be advised that your request to.drill a well is hereby approved conditional upon the following: 1. That you install and maintain a grit /particle filter and ultra violet light disinfection system to treat the well water. 2. That you _collect a..s.ample . for bacteriological analysis on a quarterly, basis, ior� itaand -collect an- ibitieL-sample'. "nrte' analysis. 3. That the well be doubled cased. 4. That the connection to the public water supply be maintained for future use in the event of well contamination ..or:.ma_jor.improvements to the public..water...system occur. If you have any questions or comments concerning the above, please contact this writer at extension 316. Very truly yours, James A. Luke Asst.Public Health Engineer JAL /jz j DEPARTMENT OF HEALTH Division of Environmental Health Services TWO OUNTY CENTER CARMEL, N.Y. 10512 (914) 225-3641 10 PLICATION TO CONSTRUCT A WATER WELL PrT4T) PVRMTIP 40 ;,.,.%WELL LOCATI6k Mreet Address e4_ izl> Town/Village/City T i Z-W-4' &-- t;2r _L Grid Numb r U-3-V ELL OWNER 'Mailing e— Address ATrivate CName 4 ce-i V— toy *57 OPublic E OF WELL 91RESIDENTIAL ❑ EIPUBLIC SUPPLY (JAIR/COND/HEAT PUMP 0ABANDONED V§. primary 0 BUSINESS 0 FARM 0 TEST /OBSERVATION [I OTHER (specify : secondary 13 INDUSTRIAL OINSTITUTIONAL 0 STAND-BY 13 AMOUNT OF USE YIELD SOUGHT gpm/# PEOPLE SERVED /EST. OF DAILY USAGE 00 gal ...REASON FOR ONEW SUPPLY 0PROVIDE ADDITIONAL SUPPLY OTEST/OBSERVATION `,DRILLING 13 RE PLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL. AILED a 4z-(- /f VffL-C$6(-j ;REASON FOR DRILLING �";WELL TYPE DRILLED 13DR IVEN ODUG OGRAVEL OTHER' jS WELL SITE SUBJECT TO FLOODING? YES _x _NO f I (.,g Z,,:jF WELL IS LOCATED IN A REALTY SUBDIVISION NAME-OF SUBDIVISION: _ , .41 Lot No. WATER WELL CONTRACTOR: Name -7,oi 4".Lr P,6- In F/V/:: Address: PUBLIC s IS WATER SUPPLY AVAILABLE TO SITE: YES NO 1501-1. 154 y NAME OF PUBLIC WATER SUPPLY: 4,14 1k 6 /' TOWN/VIL/CITY FRWNEAREST WATER MAIN: ,­"DISTANCE TO PROPERTY SKETCH & SOURCES OF CONTAMINATION PROVIDED ,7 []ON REAR OF THIS APPLICATION ON SEPARATE SHEET (date) —(signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5-2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. .3. Submit a Well Completion Report on a form rovided b Putnam County Health j Department. Date of Issue: 19 7 ' k"M mit -Ir s ut ng 'Offidil Date of Expi ration: 19 Permit is Non-Transferrable Mi copy: H.D. File Y low copy: Building Inspector 2/87 Copy: Owner Orange co= WPI 1 nri 11 P-r X0. �71 Id X0. �71 ' I TOWN OF PUTNAM VALLEY ti I %ZONING BOARD OF APPEALS PUTNAM VALLEY. NEW YORK 10679 Name of .Applicant: CHARLES AND DIANE FOWLER File # Address: RD 1, tbrthway, Lake Peekskill, taw York 10537 TM # ( 93 -3 -4 Location of Property: Plesant Road (Town road) Zone: R -L Nature of Request: variance to drill well as per LL 1 -1978. Well plan by Joseph F. Sullivan dated February 25, 1986. Date of Advertisement: March 26, 1986 COMMUNITY CURRENT Date of Public Hearing: March-31, 1986 and April 9, 1986 Place of Hearing: Town Hall, Oscawana Lake Road, Putnam Valley, N. Y. MEMBERS PRESENT: HERBERT L,EyINSON Chairman SAM ERIE MN Member RDBERP Mi1ZZARIS2 Vice Chairman Member SOL,LIRT ,W Secretary The matter having duly come on to be heard before a duly convened meeting of the Board on the 9th day of April 1986, and the facts, matters and evidence produced by the applicant, the Zoning Inspector and interested parties having been duly heard, received and considered and due deliberation having been had, the following are the FINDINGS OF FACT: The applicants oanply fully with the requirements of Local Law 1 -1978. A short EAF has been subui.tted as per SEQR requirements and a negative declaration is in order since it appears that there will be no major impact on the envirowent. h I THEREFORE, based upon the above findings of fact, it is hereby ORDERED,'that the application or appeal be and the same is hereby (RANTED, subject to all conditions and stipulations of Local Law 1 -1978. The decision of the Building and Zoning Inspector is hereby reversed. Dated, Putnam Valley, N. Y. this 28th day of April 1986. P)011WA.) &�&J - ACh �Zo ning Clerk an STATE OF NEW YORK, COUNTY OF PUTNAM as: On the 28th day of April 1986, before me personally came Herbert Levenson, Chairman of the Zoning Board of Appeals of the Town of Putnam Valley, N. Y., to me known as the individual described in and who executed the foregoing instrument, and acknowledged that lie executed the same. ANNA N• BURNS NOTARY PUBLIC, STATE OF NEW YORK _ QUALIFIED IN PUTNAM COUNTY N tary No. 4607700 Commission expires March 30, 19 Filed, Office of the Town Clerk, Putnam Valley, N. Y. on 6th day of Mav 1986, Town Clerk .l� HAND DELIVERED to ea:ed Pu:=a= CC-z=tV E -2 S 1 -, 'a D.e :) a :- t -a e n DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road. Brewster, New York 10509 *91• 278-6130 JOM KARELL Jr- PL. its Public M"th Clireclo► I acknowle--E-ze rec=--:Dt c5 the ha=--' clel i-,ered Nati=e �QMKI) a : e W7-TNESS: Laa Sig- �_ —n o --T Ti tie Vate signatUA Title B.7:mbt 6188 N A, 92 .92 MACE 19 1,2 20 21 .01 57 .001 2 \23 ROAD 0 3 5 P. A v I ol I • 0 jT J. 1%2 PC W 'y Jo t 'Wau Eoo f 94 LEGEND --E 2.5,..cr L-111 P"CEL %WBER 17 q'ocx N"BER tr 70•, ..'E n i--:1 -If -L- OEV 0' 4:-Sr.- lEco C,E'S.ON irs SCAL0 :..e'90' s �ALCVlATED 4RE4 .92 MACE 19 1,2 20 21 .01 57 .001 2 \23 ROAD 0 3 5 P. A v I ol I • 0 jT J. 1%2 PC W 'y Jo t 'Wau Eoo f 94 s. -PRELIMINARY MAP _93 - TOWN OF PUTNAM VALLEY SCALE PHOTO NO, 21 PUTNAM COUNTY, N.Y. DATE, AERIAL PHOTOGRAPHY 4-29-63CATE,MAP 917-64 LEGEND --E 2.5,..cr L-111 P"CEL %WBER q'ocx N"BER tr 70•, ..'E n i--:1 -If -L- OEV 0' 4:-Sr.- lEco C,E'S.ON SCAL0 :..e'90' s �ALCVlATED 4RE4 CAL s. -PRELIMINARY MAP _93 - TOWN OF PUTNAM VALLEY SCALE PHOTO NO, 21 PUTNAM COUNTY, N.Y. DATE, AERIAL PHOTOGRAPHY 4-29-63CATE,MAP 917-64 _,P -PUTNAM Q3UNTYJ1Ei&LTH.DY DIVISION OF ENVIRONMENTAL HEALTH SERVICES John M. Simmons, M.D. Deputy Camissioner of Health FIELD ACTIVITY REPORT - Sheet - of INSPECTION NAME 6 UJ./- 8►?, Orig. Routine in ADDRESS V1, Street 6" IMOW597 MAILING ADDRESS P.O. Box Post Office Zip Code WN"Dizil. • PERSON IN CHARGE OR INTERVIEWED Name and Title DATE /1 / I � � � .1 TYPE FACILITY rig. %A.ALV.L Orig. Request Cmpliance Canplaint Ccmp Final Group Illness Construction Reinspection Field, Sampling Only Field Conference Other TIME ARRIVED / Z', 3 6 1 TIME LEFT I Z ", v 1:: Explain . FINDINGS: &P 03 &0 1176 WLELC, �1 - Z- 81,L) o'4 V e. .,P /L & LA J e5l, /Q W,1 A* A I* I r- INSPIDMR: n r C - Signature and Title PERSONIN CHARGE OR I ackrwU_xjg�ethis Field Activity Report. SIGNATURE: 6/86 TITLE: TELEPHONE: 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 December 8, 1987 Mr. Charles Fowler PO Box 407 Lake Peekskill, New York 10537 Re: Proposed well construction Fowler Pleasant Road Lake Peekskill (T) Putnam Valley Application W -80 -87 TM 93 -3 -4 Dear Mr. Fowler: 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: _.:.._�. ... ... _ -_ ....,....: .- .... -.a �..... _._ - __ .... .,..,....: 1. The lot is presently supplied by the Lake Peekskill Water Works with summer water. 2. The proposed well is located approximately 80 feet from the existing sewage disposal system on yotnrlot. 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. tAUTYTY yousns, hn Karell, Yr. , PL E. rector, vironmental Health Services JK:pt cc:JK File DIVISION OF ENV I R_ONMENTAL HEALTH .�/SERVICES _ r- tl' aa- f1- �• Vf" ��V�iYAi�l 'w- • <:ij�AYE ^�ii�''.'NC"7W'�'T a�`ei �9\. •:'a.'�i ._ID _, ....� �. ae:, .la:.. ,. . . -'wv: -.r ..._��r i.• IN THE MATTER OF THE COMPLAINT AGAINST, Charles Fowler Respondent(s), Arising out of the .Al :leged Vio.l.ations of the Public Health Law of the State of New York, the Sanitary Code of the State of New York, the Sanitary Code of the County of Putnam, and Administrative Rules, Regulations and Standards Promulgated Pursuant Thereto. ._ NOTICE. OF HEARING CASE NO: 84 -95 -20 TO: Charles Fowler PREMISES: Fowler Residence 7 Pleasant Road 7 Pleasant Rd, Lake Peekskill Lake Peekskill, New York 10537 (T) Putnam Valley TM #83.72 -1 -35 PLEASE TAKE NOTICE THAT CHARGES have been preferred against you to the effect that you have violated the health laws as more fully set forth on the reverse side of this notice: YOU ARE HEREBY SUMMONED TO APPEAR at a hearing to be held under the provisions of the Putnam County Sanitary Code and Public Health Law of the State of New York before Earle Warren Zaidins, Esq., an Administrative Hearing Officer of the DEPARTMENT OF HEALTH of,the County of Putnam on the 5th day of April 1995 at 10:15 AM., in the Hearing Room, located at Route 312, 4 Geneva Road, Terravest Corporate Park, Brewster, New York, at which time the charges will be informally discussed, and such adjourned dates as may be designated. -•A-T "kLiL -: T I-MES •YO-U -- 'tI LL- HAVE i TrE: - R i GHT to -be - repi -escn ..ed by counsel- and = the -r g t tb- deny the charges, in whole or in part, following which the matter will be rescheduled to a date certain and a Formal Hearing will be conducted thereon, and a record of all the proceedings wi:ll.be made, witnesses will be sworn and examined and cross examined, and documentary evidence may be offered and received, and you may produce witnesses and evidence in your behalf; IN THE EVENT YOU WISH TO ADMIT TO THE CHARGES, the Hearing may be terminated by written stipulation of discontinuance provided the violations have been corrected; UPON YOUR FAILURE TO APPEAR, a warrant compelling your appearance may be issued or an Inquest Hearing conducted and a determination made, CIVIL PENALTIES up to $500 for a single violation, per day, may be assessed against you, and such further orders may be made herein as the circumstances may warrant; THE BOARD OF HEALTH may issue a warrant to any Peace Officer of the County, pursuant to Section 309 of the Public Health Law, to bring to its aid the power of the County whenever it shall be necessary to do so, with the same force and effect as if such warrant had been issued out of a court of record. WAU OARD OF HEALTH DATED: March 2, 1995 BY: Brewster, NY 10509 , R,.S. Acting Public Health Director PETER C. ALEXANDERSON County Executive Charles Fowler P.O. Box 407 ( Pleasant Road Lake Peekskill, DEPARTMENT OF HEALTH Division Of Environmental . Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 September 14, 1988 Dear Mr. Fowler: New York 10537 MNID�L: GARRUTH, -M.PA' Public Health Director JOHN SIMMONS, M.D. Deputy Commissioner JOHN KARELL Jr., P.E. Director Re: Proposed.Well Construction Pleasant Road (T) Putnam Valley TM #93 -3 -4 Review of an application to construct a well for potable water supply purposes to serve the above property has been completed: Review indicates as follows: p r -e=s-e n t1 s u p p l'i'e d- -U t•h e=�- L-:a-k --& P ew l: s?: z X --we t.e:tz works with summer water. 2) The lot area is approximately 12,000 square feet or 3/10 acre. 3) The proposed well is located approximately 80 feet from the existing sewage disposal system on your lot and 80 feet away from an adjacent sewage disposal system. Recognizing the above and that a minimum restrictive distance of 100 feet is required between a sewage disposal system and well, your application for a permit to construct a well on this property is hereby DENIED. Very truly yours, C Lawrence C. Werper Assistant Public Health Engineer LCW /jz cc: PV. BI. co DEPARTMENT OF HEALTH Division of Environmental Health Services t TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 . m .� :fa� i- 1 .M, -1 M.:.f ,. �: ','„'.° ':;, '. _,..`:.0 c., -t: Via. :.. 'e. ea ';. .. «:. ,n. n. r. ;r.:,,, •r ..r .. ;,i%- ..q,' k ,. ... n ..� r.; APPLICATION TO ^ CONSTRUCT 4A WATER WELL PCHD PERMIT #/ WELL LOCATION Street Address Lr /7.s 41Y11 if Town/Village/City Tax 64 C- Grid Number 3 WELL OWNER Name Mailing Address C P4.44r I CjQ- PO e, &Y Y67 L eA 6A[= fkZLG Wrivate O Public USE OF WELL 1 - primary 2 - secondary ,RESIDENTIAL (3 BUSINESS ® INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP O FARM ❑ TEST /OBSERVATION O INSTITUTIONAL ❑ STAND -BY [3 ABANDONED ❑ OTHER (specify AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED :1, /EST. OF DAILY USAGE gal REASON FOR DRILLING 91NEW SUPPLY O PROVIDE ADDITIONAL SUPPLY ❑ REPLACE EXISTING SUPPLY 0 DEEPEN EXISTING WELL 0 TEST /OBSERVATION DETAILED. REASON FOR DRILLING NO 15110A4 90040 W 4 74C IZ so 1PYL WELL TYPE DRILLED ® DRIVEN ODUG ® GRAVEL ® OTHER V 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 Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES %( NO lfor /;z.,- ve+g, NAME OF PUBLIC WATER SUPPLY: P071trwfA TOWN /VIL /CITY DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON REAR OF THIS APPLICATION 8 ErOLzzimq�� Z 618,0 (date)' (signature) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. Date of Issue: 19 Date of Expiration: 19 Permit is Non - Transferrable 2/87 Permit Issuing Official White copy: H. D. File Yellow copy: Building Inspector Pink Copy: Owner Oranap mnva Wall nri11cr 7 a 561 1 t PETER C. ALEXANOERSON County Executive DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (91 k) 225 -0310 Mr. Charles Fowler Pleasant Road P.O. Box 407 Lake Peekskill, New York Dear Mr. Fowler, 10598 RE: Proposed Well July 8, 1987 JOHN SIMMONS. MO. Deoucy Commissioner JOHN RARELL. Jr, PE. Director Please find enclosed your application to construct a water well. This. application must be submitted to Putnam Valley's __...g-u.ildi zg _ I.: ,pectc , - = Piar vin CdEll; = ,r or to thef revie w b�y thi-:3" Department. Only after Mr. Odell's written comments are received by this office can the approval process continue. Upon receipt of a submission revised to reflect the above comments, this application will be considered further. Ver my yours, Robert Morris Environmental Health Technician RM:pt Enc. cc:RM File t/ JK lti •^--'-'° DEPARTMENT OF HEALTH Division of Environmental Health Services TWO COUNTY CENTER - CARMEL, N.Y. 10512 (914) 225 -3641 ,... ate. AYP1,1CATION TCT* "CONS' R—OCCT *.P;,.p- vgA!rl 1R' WEI;f:..' PCHD PERMIT WELL LOCATION Street Address Town/Village/City Tax t li s 4iv r c.�4� Grid Numb r WELL OWNER Name / Mailing Address ZTrivate •�� / 0c-)L- -v- CSC y `Y67 �,4iL�_ / °E,�:,YS,[�£CC OPublic SE OF WELL I - primary 2- secondary FJ RESIDENTIAL O PUBLIC SUPPLY O AIR /COND /HEAT PUMP 0 BUSINESS O FARM O TEST /OBSERVATION 0 INDUSTRIAL U INSTITUTIONAL O STAND -BY O ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT gpm /# PFOPLE SERVED ? /EST. OF DAILY USAGE 90 gal REASON FOR DRILLING ONEW SUPPLY O PROVIDE ADDITIONAL SUPPLY O REPLACE EXISTING SUPPLY O DEEPEN EXISTING WELL O TEST /OBSERVATION DETAILED REASON FOR DRILLING Ne to 6z-L bALIr$ C. WELL TYPE DRILLED O DRIVEN DDUG CI GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES _ X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: 1_ -4/CC7 Lot No. WATER WELL CONTRACTOR: Name to 4.,t5 P, E' ; " c 14 1- /V /= Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO NAME OF PUBLIC WATER SUPPLY: Li�k6 TOWN /VIL /CITY DISTANCE TO"PROPERTY FROM NEAREST "WATER MAIN: LOCATION SKETCH & SOURCES OF CONTAMINATION _ ❑ ON REAR OF THIS APPLICATION (date) PROVIDED ®ON SEPARATE SHEET `. (signature) PERMIT. TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirty (30) days of the completion of water well construction, the applicant s.hall: 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 Date of Expiration: 19. Permit is Non - Transferrable 2/87 Permit Issuing Official White copy: H.D. File Yellow copy: Building Inspector Pink Copy: Owner Orange copy: Well Driller _ 1 z TOWN. HALL YMARVIN90'DELLC~ - T ✓ r, a x. i" .<= u�plitNAiVi'�VALLEY,'N-Y. Q . Inspector o (914) 526 2377 TOWN OF PUTNAM VALLEY BUILDING, ZONING, AND SANITARY DEPARTMENT Mr. Robert Morris Department of Health 110 Old Route 6 Carmel, N.Y. 10512 Re: Fowler - Northway, Lake Peekskill TM #93 -3 -4 Dear Mr..Morris: The proposed well shown on submitted drawings does not c6nform to the necessary separation requirements. It should be considered, however, that a Variance under Local Law #1, 1978 had been granted with conditions by the . Zoning Board of Appeals. y - a. ..s •.... µsR -.p.. .a... . ...a . - ..C...a .... n. . .v-.. � .n•- ...... ......n..rR -..G .�F.. ..r.._.y• ..s . .... .. .... .... �.. .� ....ww � a . ...w ;s. r.. .r n- - .. .► hr .. ter. - s Very truly yours, MARVIN O'DELL Building Inspector MO'D:es enc. Copy of Decision and Order J t t ` -� l ,.. J 1 4 i