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Home My WebLink About4117DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.sc.anyourdocs.com 631- 589 -8100 83.73 -2 -21 & 83.73 -2 -22 BOX 31 04117 Ll ' 1. T r 04117 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ APPLICATION ... _ IC�TION TO CONSTRUCT A WAT I� �'E)C., L �. -.•-r }'�. oo r.. .. s.�.c_ -. .rr- •�-;'t ;':.-';.. "..a.. o.. _. ?•. ., _:. :6-:r , ....F N please'pnnt or type PCHD Permit # I/I% �n — 0 _ Well Location: Street Address: TownNillage Tax Grid # 83..73 -2 -21 and 22 268 Lake Drive Lake Peekskill Map Block Lot(s) Well Owner: Name: Address: .Timothy Sanders 44 Cayucra Ro Use of Well: X Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served Est. of Daily Usage _gal. Reason for x Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling). Deepen Existing Well Detailed Reason To re for Drilling Well Type x Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: P. F. Beal & Sons, Inc. Address: _4 BA= Ave., r' w irwm Is Public Water Supply available to site? ........................ ............................... ...... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date:� . 17/u3 _Applicant Signature: PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED. FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Z Permit Issuing Offici —� Date of Expirati Title: Permit is Non- ransferrable White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 08/12/03 M 09:93 FAX PY. BEAL & SONS9 INC. 4 PUTNAM AVENUE ARTE� Ati :"�FIS a... - ice. _• . . x i �.s"' �n'i: i+� �� "`l �1:1�JI�- e.. - W JSTRPulgps S SUBMERSIBLE PUMPS TEL. 279 -2460 • 2461 FAX 279 -6613 COMPLoriff INSTALLATION, REPLACEMENT ANO REPAIR SERIVICE FAX TRANSMITTAL SHEET DATE: / (� 3 TIME:—q,.. Y TO: Da vd COMPANY: ktn& �, 67- hle4 / FAX PHONE NO: d 7-!Z- 7-!Z- 3 5-- 7 P FROM: TELEPHONE NO: / X001 ;yam, .�. ,,. .. .. ....�•.» .. '•qn •ia-•. WATER TANKS = COMMERCIAL WATER SYSTEMS „YDROFRACTURINO WATER CONDMONING EOWPMENT JOB REFERENCE - MESSAGE :...� bre �f ski %• �. i)r. 4x,�e NUMBER OF PAGES INCLUDING TRANSMITTAL: /i 0�- wr . 08/12/03 TUE 09:94 FAX JUL-31-103 16:6 ID: -- - TEL NO:645526276i s; P01 X1002 .mow _. •1I JOHN ZAAcONE, JR. Chairman MICHAEL DOEBBLER $"rotary CHAZEN COMPANIES Town Plannor INSrrE FINGINEERING Town Enginccr June 2. 2003 TOWN OF PUTNAM VALLEY PLAMIN'G BOARD 255 Oscawana Lakt Road Putnam Vallcy, NY I0579 -2004 QNS)R6.3740;Fm (845)526-3307 ,mA�tatuti :ptl "=5311cr.cOm GPMENFIEL13- SANDERS /CUTRONE I. T 7 im., t; HANGr - l,P zop4L"t 268 & 274LAKr DIUVi I'M #83.73 -2- 21,22,2.3 AND 24 l71LE481 /403 /797 MEMBERS. STEVE KASTUS RICHARD 'I LILLY MICHAEL J. RAIMONDI JEFFM J. BAYMOR (Ad Hoc) LAURA L. LUSSISR Clerk WHEREAS, the applicants, I'inRothy and Karin Greenfield - Sanders and Mc. Ronne Currone Arc the ovme:rs of contiguous properties fronting on Lake Drive, and VVY-IEREAS, Mr_ Cutsone has ag=ed to sell a cedaia portion of his property, totalling 6751 SP to his neighbors, so that they can havo a wall drilled for their house, which is now dependent on the Lake Peekskill Water District and has also agreed to grant them an access easement of fifteen (15) feet, which they will be sharing, and WHEREAS, the props :sed change of boundary line between the two properties will not haYa nagneive irnpact9 on either- proparty,_ - - - - - ..... -fir -. r. w....... _...•q P .. _ y. -. .. ... NOW, THEREFORE, BE IT RESOLVED THAT, A NEGATIVE SEQRA DECLARATION is in order, and FURTI -M RESOL'V'ED THAT LOT TYNE CHANGE BE AND IS HEREBY GRANTED subject to the filing of the 15' cross easement providing nuinteriancc and repair. and filing of deeds reflecting the eonvoyance: 1. from Cutrone to Grcen,fieldSandcrs 2. Cutrone to Cutrone revising his holdings after the above transfer 3. Grac ,eld- .Sanders to Greenfield- Sanders reflecting the combined property :axcoae, J 08/12/03 TUB 09:34 FAX IM003 JUL. -:3 1 W' 03 16'0'7 ID: TEL N0 0345526276i 3455262761 #;958 P02 PO'II4Aw G1TY CY.SRA' o- %affm ZCn OFFXCIAL RSCSIPT 49 Ql =WWA AVX. � CAR MM DDS 10512 RECEIPT NUMBER- 0014362 ENTERED BY. NY110BARL DATE- 07/31/2003 ...+.. .o... .. . = u . s - i .- .. - ..�. -. � v .. .. ., .. ..ice•.^ . .. , 'o- .. - . . . - . ... T . y U5BR, NYPUWAL I®eued to; KARIN GRESHFIELD- SANDERS 44 CAYUGA RD PuTxhm VALLEY NY 10579 Docu 7RST NUM NUM MRTOAGE AMT / ' Y - - - - - NUMBER DESCRIPTION ITEMS ADD CONSIDERATION AMOUM 0015820 DEED 4 717.00 mwx 1630 PAGE 96 GRANTEE CUTRONE. RONALD CAPITAL GAINS CmTmAL MUCATION RECORD MAN. GENED1T TRANSFER TAX E & A ENDORSEMENT PAGE TOTAL FOR DOCUMENT oo1S829 EASEMENT 6 Dolm 1630 PAM :l0 0 G74ANTOIZ CUTRONE, RONALD CULTURAL EDUCATION RECORD MANAGEMENT ENDORSEMENT PAGE CAPITAL GAINS TP"StrER TAX 5.00 15.00 5.00 6,000.00 24.00 50.00 2.00 118.00 23.00 6,000.OD _..., . E .... ... _.... .:, � ..... - - •TCTis.'. i?'Cn L•'a�JIiEY�T'1`:.. -_ .. _..... _ . �...... 0015830 DEED 5 BOOK 1630 PAGE 106 CxRAI�iTBE OREENFIELD- SMERS, KARIN &TIMOTHY CAPITAL GAxas CULTURAL MUCATION RECORD MANAGSMEMT TRANSFER TAX E & A CONTINUED ON NM PAaE 15.00 5.00 2.00 5.00 24.00 - 94:00 20.00 5.00 15.00 5.00 .00 50. D0 08/12/03 TUE 09:34 FAX 004 JU X1 L7!31 -'03 16:W? ID: -- TEL N0:$455262461 #958 P03 PuTmm COUNTr C ERKIS D"XCE PAGE 2 OppICIAL RECEIPT 40 GLMMIDA AVR -, [UM 3317E 100.2 ItBCBIPT NUMBER- 0014362 BNTERED BY: NYPUSARL DAT4- 07/3112003 _ . ;'DRA1Eil� e..., 01 c'.. _ _ £.:, - c ; °- ... . ca•:c.'x + c....n w. a.. = .. q. r�'.� -. 7 . T TIME 12,t 3 6 t,a 7 USER, NYPUBARL Xasued to: AARIN GMSE"IELD- SANDEX5 44 C,AY UCA RD FU=AM VALLEY NY 10579 DOCUMENT ------------------------- NUM NOM MORTGAGE AMT / DIUMBER DESCRIPTION XTBMS ADD CONSIDERATION AMOUNT ---- - - - - -- - - - - - -- ENMRSEMENT PAGE 2.00 ------------------ TOTAL FOR DMUM ET 97.00 0015931 DEM 5 20.00 200K 1630 PACE III c,mA TS33 CUTRONE, ROX"D CAPITAL GAINS 5.OD CULTM;AL EDUCATION 15.00 RECORD MANAGEMS'NT 5,00 TRANSFER TAX .00 E 6 A 50.00 ENDORSEMENT PAGE 8.00 TOTAL FOR DOLT 97,00 7745939 PROCESSING FEE 1.00 TOTAL FOR DOCUM ST 1.00 caaaaas�aoreaaaaaa TOTAY. FOR ALL D6C"ENTS 387.00 CHTEG7C: 13 9 387.00 CTl =GnsLrCT]�D- a .. ..::4.� �.` . _,,_--.. ._..._.:...;.......,.;n.w..+�,. 387,00 THANK YOU - Xuam5 J. SAM Cou fPY4 Clu= /M C A. Sheet of PUcgTrN�7A, M COUNTY DEPARTMENT OF�c HEALTH �'°.��S�iky?Abit'�L�.l�.� 'S� ��3��- A'''S�'��.513+��#X�r►�'�w� i-- 77�daCa�'.r'�. r Y7��iS.LS FIELD ACTIVITY REPORT Tph Street Town State Zip PERSON IN CHARGE Name and itle TYPE OF FACILITY : . P.F. BEAL .& SONS, INC. �4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER TANKS WATER SYSTEMS COMMERCIAL WATER SYSTEMS . _ . .__ � r ..�� ,. - if �edmn e /P�{ •: - :.;t;.:-.r .l�;rl•;'.�tF£e .:,: •'..r -�:',� �..._.a:.:•.;.-_....;• -.a �(f�;^,oli e ..!•99/- �.(��e 12,:x- ��...�P....•:......_ � :•e '�::,:;:;:. -:.:• .� -•..: ..�:.";:•`AY�f:�Ff�pCTURti:�4D,. �:• ...:" �•.. i ._• SUBMERSIBLE PUMPS TEL. 279-2460 - 2461 WATER CONDITIONING EQUIPMENT FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE � 80� � .$) c -�, K P. wel► 16C4.1�nl Ll��qs I Sk'/p-c 0(-. V 3 0 V JAN-27-103 21:52 ID:--- TEL N0:2124736073 #901 POI To whom it may concern, 1, Ronnie Cutrone grant Timothy and Karin Greenfield- ' Sanders permlssion to drill a well on the access driveway on my property at 274 Lake Drive with the proper permits to do so. Ronnie Cutrone, 274 Lake Drive, Lake Peekskill, NY 10537 XM��M.iolh• Timothy Sanders PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WA TERW�n E WELL � m `*- .�. -`:r` :•i.er' .'iN�Y�7J11I (?i YV(3Y.�- .e.;.•••p•�a:::15« ..- <. :M.:•. -.i',- •� m.. ram 1f - l.• �Pi:YY'iT^I ^�"ii�i' Lt'1� -ir'•' r, • nwi'•.n,:w r: �•OO� ii r a �'.'1 Well Location: Street Address: Town/Village Tax Grid # 83.73-2-21 and 22 268 Lake Drive Lake Peekskill Map Block, Lot(s) Well Owner: Name: Address: Titnoth Sanders 44 Ca a Road, a Use of Well: x Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 gpm # People Served Est. of Daily Usage gal. Reason for X Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason To reiplace for Drilling Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No Is well located in a realty subdivision? ...................................... ............................... Yes No Name of subdivision Lot No. Water Well Contractor: P. F. Beal & Sons, Inc. Address: _4 gArm A-te., Prpw*,.r, Nv 1C M Is Public Water Supply available to site? .................................. ............................... Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided on separate sheet/plan. Date: 1/17/03 Applicant Signature. �.... _ 'o. _�_ .. � _ ... - ...- ........... y'ro- .. _ -... ... lS'iY7 Qf �� Y•F`bol•• _..-.. _.�. � _.- -. - .-.... ...... .,, -s._ .. PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided that within thirty (30) days of the completion of water well construction, the applicant or their designated representative shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requirements of the Putnam County Health Department. 3) Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant and/or well driller shall take appropriate action to assure that any and all water and waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. APPROVED FOR CONSTRUCTION: This approval expires two years from the date issued unless construction of the well has been completed and inspected by the PCHD and is revocable for cause or may be amended or modified when considered necessary by the Public Health Director. Any revision or alteration of the approved plan requires a new permit. Well to be constructed by a water well driller certified by Putnam County. Date of Issue Date of Expiration Permit is Non- Transferrable Permit Issuing Official: Title: White copy - HD file; Yellow copy -Building Inspector; Pink copy - Owner; Orange copy -Well driller Form WP -97 o.,_ Signature mid 'I" i e I.acknowledge receipt of this report: SIGNATURE: 021,96 Tide, Rev. CC) 31 lk -74 % I , - I At 1 16 leg �tk an 4-A- /rj I% lk If ti ti lk I fit If V at I a I, I I If I Z It I If tat /it at I If tk If ti A I kk it I "14 It k