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Home My WebLink About4212DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 83.81 -1 -19 BOX 32 04212 r ,o, 'I T or 04212 �a PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES P'I'.iNMTO CONSTRUCT WATI<t WELL - -- please print or type ~ PCHD Permit Well Location: Street Address: Town/Village Tax Grid # � % / l Map" Block Lot(s) Well Owner: Name: Address: 1 Use of Well: Wsidential 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 5o a gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason for Drilling Well Type 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: Address• / Is Public Water Supply available to site? ................................. ............................... Yes No -7,1- 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 e �.. _C!..... Applicant�xgnature: 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 revo le for cause or may be amended or modified when considered necessary by the Public Health Director. y vision or alteration of the approved plan requires a new permit. Well to be constructed by a water . 1 ller ce ' led by Putnam County. Date of Issue Permit Is g Official: c� Date of Expiration Title: Permit is Non - Transfer le White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller i 4140` � 7, Form WP -97 083 � `5h Y. DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO ABANDON A WATER WELL please print or type PCHD PERMIT # Well Location: Street Address: TownNilla e3 &-t Tax Grid # Map Block Lot(s) Well Owner: N e: Address: Well Type: Dri ed Driven Dug Gravel Other Depth Data: Well Depth ft Static Water Level ft Date Measured Use of Well: kesidential Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation Other (specify) 2- secondary Industrial Institutional Standby Water Well Name: Address: Contractor: Reason For Abandonment: Description of Work To Be Performed: JAJ40-11 lj � ijb4wn , -I-, 4Y wi44 /7zJ C k Frt4 � r• b/ T n � �Jr.,� "`� ill. �f' (- �.-f-F �GC..i f � /.,.�ci% .�c�,7/�C,r �� Date: Applicant Signature: lj This permit, to abandon one water well as set forth above, is granted under provisions of Article 10 of the Putnam County Sanitary Code, Subpart 5 -2 of Part 5 of the New York State Sanitary Code and/or Part 75 of 10 NYCRR and provided that: Within 30 days of the completion of the abandonment of the water well, the applicant shall submit to the Department a certified statement that the in tion delineated on the application for this permit has been completed. A, Date o ssue Permit Issuing Official Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller. Form WA -97 ay n �c i W01 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health �...r�.Y�. .:.4.. �`,r. �a +. Y •.—vr� +I a ... .•:.iOF aR,. al N LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Norman Anderson, Inc. 152 Barger Street Putnam Valley, NY 10579 June 1, 2005 Dear Mr. Anderson: ROBERT J. BONDI Count YFxecWttve.�, _ Re: Proposed Well Cooke 214 Walnut Road (T) Putnam Valley A field inspection was conducted on the above referenced lot by Brian Stevens, Public Health Technician. The application to replace the existing well is approved with the following stipulations: 1. A minimum casing length of 75 feet is. I The existing well is to be abandoned .once the new well construction is complete. Please provide notice to this Department two days prior to abandoning the existing well so that this Department may witness it. A Well Completion Report (WC -97) shall.be submitted no later than 30 days after the well completion by the permitted. Please contact the writer at (845) 225 -5186 ext.2235 if you have any questions. cc: RM, file Sincerely, �i Brian R. Stevens Public Health Technician Water Supply section (645) 225 -5186 Fax (845) 225-5418 Environmental Health (845) 278-6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early InterventionlPresclml (845) 278 -6014 Fax (845) 278 -6649 z m IN 9 e �o 41 �I-p i j i A PUTNAM VALLEY CENTRAL School: 372803 Putnam Valley Central DO NOT PAY - This is a receipt. V"IA71T TIJE- Ze 7 70,,Y—OU� -F0- RTMNN�m W 'ARE 8 G-MSRE T�IPTA NEW YORK STATE "PROPERTY TAXPAYER'S BILL OF RIGHTS" BILL NO. 000785 NYS TAX FN.CD. 518 STATE AID $5,647,591 TAX YEAR 2004 BANK COOKE ROSE MARY I PER ASSESSMENT ROLL 03/1/2004 214 WALNUT RD SCHOOL CODE 372803 LAKE PEEKSKILL NY 10537 TAX MAP NO.: 83.81-1-19 LOCATION: 214 WALNUT RD DIMENSIONS: Frontage = 101.31 Depth 12.5.78- PROPERTY CLASS: 210 - I Family Res ROLL SECTION: I WARRANT DATE: 9/1/2004 FISCAL YEAR July 1, 2004- June 30, 2005 PROPERTY TAXPAYER'S BILL OF RIGHTS Assessor estimates the FULL MARKET VALUE of property as of 03/1/2004: $174,400 The ASSESSED VALUE of this property as of 03/1/2004 was: $174,400 The UNIFORM PERCENT OF VALUE used to establish assessment was: 100.00% If you feel your assessment is too high, you have the right to seek a reduction in the future. For further information please ask your Assessor for the booklet "How to File a Complaint on Your Assessment." Please note that the period for filing complaints on the current assessment has passed. --"E-X-E-MPTIaN IN-FORiMA-T-ION,-, TYPE CODE 'PROPERTY TAXES - Taxing Purpose PUTNAMVALLEY CENTRAL EXEMPTIONS AMOUNT TYPE % Change From Total Tax Lew Prior Year $28,344,161 . 10.00 Second Half due by 03/15/2005 CODE AMOUNT Taxable Tax Rate Value Per $1000 Tax Amount $114,400 20.653220 $3,601.92 $1,891.01 PAID: 9/10/2004 $1,891.01 $1,991.01 TOTAL AMOUNT PAID TOWN OF PUTNAM VALLEY % Change From , TAX RECEIVER - CAROLE HUGHES- DiMARCO Sequence No. 000562 TOWN HALL 265 OSCAWANA LAKE ROAD Prior Year Bill No. 000928 PUTNAM VALLEY NY 10579 - Tax Amount Page No. 01 of 01 2005 TOWN AND COUNTY PROPERTY TAX BILL 1.4 174,400.00 * For Fiscal Year 01/01/2005 To 12/31/2005 * Warrant Date 12/31/2004 PROPERTY PROPERTY ADDRESS &LEGAL DESCRIPTION MAKE CHECKS PAYABLE TO: TO PAY IN PERSON 3.5 0.0 174,400.00 174,400.00 Tax Receiver Please present this bill S B/L 372800 S/B /L 8 3.81 -1 -19 Town of Putnam Valley with stubs attached when Address: 214 Wa Rd 265 OSCAWANA LAKE ROAD payment is made in person. Town of` PUTNAM VALLEY PUTNAM VALLEY, NY 10579 Phone: (845) 526 -3280 School: NYS Putnam Valley Cent 1 COOKE ROSE MARY 214 WALNUT RD LAKE PEEKSKILL NY 10537 -1102 Tax & Finance School District Code: 1 Family Res Roll Sect. 1 Property Description: 83.81-1-19 Parcel Dimensions Acres: 0 0 0 0 0.0 0 Account No. 051200 Mortgage No. Estimated State Aid: TOWN 33,000 PROPERTY VALUATION The assessor estimates the Full Market Value of this property as of June 1, 2004 was: $ 0 0 0,174,4 0 0 The Uniform percentage of Valuue used to estabtish'assessirmerit was: %100.00 If you feel your property is overvalued, please see the instructions in the booklet "How to File a Complaint on Your Assessment" To obtain a copy of this booklet contact your assessors office. Exemption Value Tax Purpose Exemption Value Tax Purpose PROPERTY TAXES % Change From Levy Description Total Tax Levy Prior Year Taxable Assessed Value Rates Per $1,000 Tax Amount County Tax Tgwn Tax 20,913,000 1.4 174,400.00 1.654000 288.46 Fire district TOTAL 4,062,831 683,240 3.5 0.0 174,400.00 174,400.00 2.593429 452.29 74.89 Lake peek.l.mp TOTAL 666,397 7.3 174,400.00 .429426 3.533598 616.26 SEE REVERSE FOR IMPORTANT PAYMENT INFORMATION. TOTAL TAXES DUE $ 0 01,4 31.9 0 Apply For Third Party Notification By. 11/15/05