Loading...
HomeMy WebLinkAbout4718DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.25 -1 -67 & 91.25 -1 -68 BOX 35 04718 ,.i. him . 'T . ' 1 ILL 1i -i I' a 04718 i JOHN 5. Roiv i o, P.C. ._ CONSULTING ;hLYGIL�'I?P12S.4¢y ?i� }� ?�U q r,-, rS I NORTURIDGE ROAD ' ..Y. GC 1'LI;ICS.KILL. NEW 1 URIC IUGG(i U 14-737-1056 • 0 November 16 \19L 85 Zoning Board � Town of Putnam Valley Oscawana Lake•Road Putnam Valley, NY 10579 Re; Proposed well installation for Robert & Stephanie Keesler Sec 106 B1 1 - Lot 25 Gentlemen: I have 'reviewed the proposed well installation for -the above property and I feel that a well can be installed as shown on the accompanying-sketch that should function satisfactorily and safele. The-property is located on the easterly side of Mathes Street Opposite the-extension of Becker Street. The well is proposed to,be installed near the front center of property, off of Mathes Street. The property.to the north has a septic system in front of house near Mathes with the direction of flow in a westerly direc- tion and approximately 70 feet from proposed well installation. The property to the south has a septic near rear of house, .apparently.,over._100 ft from proposed well installation. Property across Mathes St to the southwest is'over 100 ft distant from - septic location. Property across Mathes in NW direction also has septic over 100 ft distant. Property in rear has no well within 100 of replacement septic system proposed, The''.existing septic system has a metal tank and.some small amount of..fields, leading towards the rear property line. It is''propose that a new septic system be installed consisting of 1000'Ga1 Septic tank and 2 leach pits 6.0 dia x 5.0 ft deep. These should be able to service the existing small home. The provisions of the Town of Putnam Valley Ordinance dated ••• • • 11 May'1978 must be fully complied with i.•er... � to be double cased with cement grout between casings; la.b• ��cf &,;.'r�2sting to be made to `'' 0 feet into bedrock. insure potable water, casings to be.. � � Icnuo„, ���: , If, for some unforseenreason, • beet r ,a doOnt becomes ex- cessive, ,then additional measures mda be0emp10 e.d; such as the installation of a-chlorinator and /a� f•lCratio ilrhtem. sf�l 27s" ;e my yours, JSR: clr •• f�FNE'11 •• o nRomeo P.E & L.S. ....• Q f o �Ea m _ . ..c... ...e. F .�F.' ..L.� .o..c. -._... - _ , . -., n. .. ._... - >, :. y• - *�- _ �- +ate --.>.� ,..... .>-.�w ...=�_ ,. ... c, -.. .'�.`r. 7 Z� AA TjLl L.L roe, e W iii y -c DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 Mr. Henry Boyd Route 52 Carmel, New York 10512 December 9, 1991 Re: Proposed.well Mark E. Baldino 77 Mathes Street (T) PV #103 -3 -1 - 103 -3 -9 JOHN KARELL Jr., P.E., M.S. Pyblic Health Director Dear Mr. Boyd: I' have received and reviewed the application to construct a individual water supply on the above mentioned parcel. The residence is currently a seasonal residence, served by the Lake Peekskill Water Supply. Summer Only. Pursuant to Article X of the Putnam County Sanitary Code and Part 5 of NYS Sanitary Code.youur.appli.ration to construct an individual water supply . is.denied „ � Fsr -the- fol- lbWing- rmasc;ns,; : *' ..- _... _,_ �._.... • _. ,... ...._�,._ ..a.... �.. ,......r... 1. The proposed well is 75 feet from Baldino sewage disposal area and 60' from the sewage disposal system on the adjacent property. A minimum of 100' is required. 2. The proposed well is 75' from the sewage disposal system directly across Mathes Street. This sewage disposal system is considered in Direct Line of Drainage and therefore a minimum separation distance of 200' is required. If you have any questions please contact me at your convenience. WH /jp cc: M. O'dell,.(BI) (PV) Mark E. Baldwin Chateau*Drive Unit 205 Peekskill, NY Mark E. Baldino Very truly-yours, William Hedges Sr. Public Health Sanitarian i ....... ....... r. 3 1-3 "J 8 6.0 oe_ ^a bi OCA- A:: C Z5 -,-IC 14 -�.0 4^/ ON T4, �4 j -�s Q,,5',eE,,e 7, 7-0 W14 4 1,4Aof %0W1 rW SURVEYED & PREPARED GY BUNNEY ASSOCIATES Er4GIr4EeFfs a supw-Evaps 156 XATONAH AVE 47 9.r, KATONAA-f. NEW VORK A. FSLE E4A 6 6 L*C 0- 4040a suavEYED t" POSSESSION DEPARTMENT OF HEALTH Division of Environmental Health Services ff 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION T'0 ' CONSZTi6CY ~A WATER WELL PCHD PERMIT #! l JJ-1, WELL LOCATION Street Address � _ Town/Village/C#V pp1 Tax Grid Number s7+- '7 Cta�l , 03 -" 100-33-9 WELL OWNER Name C, l ailing Ad ress Vy�_ pp�� L k V e n _p_ks k I t 1 (SPrivate D Public USE OF WELL 1 - primary 2 - secondary Q RESIDENTIAL D BUSINESS D INDUSTRIAL OPUBLIC SUPPLY (]AIR /COND /HEAT .PI los O FARM O TEST /OBSERVATION t]INSTITUTIONAL O STAND -BY ABANDONED O OTHER (specify O AMOUNT OF USE YIELD SOUGHT 5— gpm /# PEOPLE SERVED ,S_ ' /EST. OF DAILY USAGE-5-0-0 al REASON FOR DRILLING O REPLACE EXISTING SUPPLY O TEST /OBSERVATION ' GI: ADDITIONAL SUPPLY (.NEW SUPPLY NEW DWELLING ® DEEPEN EXISTING WELL DETAILED REASON FOR DRILLING WELL TYPE ®DRILLED DRIVEN ®DUG OGRAVEL OOTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF "WELT: 'IS -LOCATED- IN'-A REALTY SUBDIVISION, NAME OF 'SUBDIVISION: Lot No. WATER WELL CONTRACTOR: NamecPoq &( IQ h pi1 LQ vi �.) WC.O L_Q4r, Address: fc T _S CCc.iL WO-0 IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _X_NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY 4 -• ' DISTACTOPE�FO. 'EAtf kRE r G7AT &12 MAIN LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET 1 i 7k_?l (date) PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within thirt�� (30) days of the completion of water well construction, the applicant shall: 1. Pump the well until the water is clear. 2. Disinfect the well in accordance with the requirements of the Putnam County Health Department attached to this permit. 3. Submit a Well Completion Report on a form provided by the Putnam County Health Department. During all well drilling operations, the applicant shall take appropriate action to assure that any and all water or waste products from such well drilling operations be contained on this property and in such a manner as not to degrade or otherwise contaminate surface or groundwater. Date of Issue: Date of Expiration 19 19 , Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller Mr. Harry Boyd Route 52 Carmel, NY 10512 Dear Mr. Boyd DEPARTMENT OF HEALTH Division Of Environmental- Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 January 14, 1592 Rea Proposed well Mark E. Baldino 77 Mathes Street (T) PV 0103 -3 -1 - 103 -3 -9 JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the application to construct a.individual water supply on the above mentioned parcel At your request, the site was inspected and all surrounding sewage disposal systems located. Measurement taken at that time indicate that no site for the proposed well could be found that would allow for the construction of a well a minimum of 1009 from all sewage disposal systems. Pursuant to Article X of the Putnam County. Sanitary Code .and. Part- 5 of NYS arani.tary, Cede your - application to cc,nstl ue°t 'caw individual croaker` supply as denied R for the following reasons. 1. The proposed well is 75 feet from Baldiio sewage disposal area and 609 from the sewage disposal system on the adjacent property. A minimum of 1009 is required. 20 The proposed well is 759 from the sewage disposal system directly across Mathes Street. This sewage disposal system is considered in Direct Line of Drainage and therefore a minimum separation distance of 2009 is required. If you have any questions please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /jP cc-. M. 09dell (BI) (T) PV Mark E. Baldwin, Chateau Dr., Unit 205, Peekskill, NY Mark E. - Baldino DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New.York 10509 (914) 278 -6130 aPPLTCAT1- b9,°- TO•'CONSTRUCT A WAiE12 WELL PCHD PERMIT ## WELL LOCATION ,,,, Street Address Town Village C ty Tax Grid Number LLLt WELL OWNER ame Lou i s '-Wo'jK I- Mailing Address 6-pi (rte - `// � ave • li rd It - u ZPrivate O Public USE OF WELL 1 primary - secondary ,( RESIDENTIAL O BUSINESS 0 INDUSTRIAL 0 PUBLIC SUPPLY O FARM O INSTITUTIONAL u v ❑ AIR /COND /HEAT PUMP 0 TEST /OBSERVATION O STAND -BY O ABANDONED 0 OTHER (specify, O AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE al REPLACE EXISTING SUPPLY O TEST /OBSERVATION GI ADDITIONAL SUPPLY NEW SUPPLY NEW DWEL NG O DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING z4' WELL TYPE ®DRILLED DRIVEN ODUG GRAVEL 0 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�p (Z �i S h Address : y3( 1(, 14 u e. 6 9 M iy I f• lv IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO OQI- V S-Zlm m� I, NAME OF PUBLIC WATER SUPPLY: &A 19*1- rZ. ,,K %LL TOWN /VIL /CITY DISTANCE TO. y PROPERTY -FROM `NEAREST WATER -.MAIN . . • <., .:` T y. s7 "...... -�:. .�.r' � _ •.ra. ..v c: • -•K••• ...fir .. ,.p .. . ,. > . .,. w.e.. �n LOCATION SKETC & SOURCES OF CONTAMINATION PROVIDED 6A SEPARATE SHEET (d te) (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 third, (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 o er ise conta inate surface or groundwater. Date of Issue: ( `Ab 19 /4K40 Date of Expiration 3 �C 19 Vermit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller r DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 MEMO TO: John Karell, Jr., P. E. Public Health Director FROM: Robert Morris 1041i Public Health Engineer SUBJECT: Tartaglia Well Permit #W -37 -93 77 Mathes Street (T) Putnam Valley DATE: February 2, 1994 JOHN - KASgK. Jr., ,Pl. ;.M.S_ ' Public Health Director Mr. Tartaglia contacted you in the Spring of 1993 with respect to the construction of a water well. You directed me to contact Mr. Tartaglia, conduct a field inspection and determine if a'well could be constructed meeting current code standards. Three field inspections were conducted by the writer. All surrounding property owners assured me that their septic systems were greater than 100 feet from the proposed well location. Based on the preceding, the application to construct a water well was approved on June 30, 1993. I, -:was not aware-that-an ap ._ l pat i nn for eras - a --- A .v tax. :,su i.ttg -.or �e . property uncer the name of Baldino in 1991. This permit application was denied by William Hedges, Sr. Public Health Sanitarian. Mr. Hedges denial was based on a sketch submitted by Boyd Well Drillers showing a well to septic separation distance of 75 feet to the nearest well. Please be advised that in old lake communities where no documentation exists of septic system locations an approval or denial is based on the reputed location as shown by the property owner and practical experience. e7'71 t -61 1,41�7A -1A A&D WO IVOF Be A,!,--e c112 /d 'o, e- C-- -C-7-4-7 --------------- ool, ee� 77- -------- -- ----------- - y DEPARTMENT OF HEALTH / Division of Environmental Health Services I 4 Geneva Road, Brewster, New York 10509 ('914) 278 -6130 fell b - ~�,- - APFLICATS.ON T.0 -CONZ=U;CT: Z1::;WATE.R; .. /•. __ 3 PCHD PERMIT # WELL LOCATION Street Address Town/Village/City Tax Grid Number 1^ WELL OWNER Name i3O Mailing Address T9 */i!M ' oPrivate G , S Q_�-rA, f� %r - 411 v . �, - . O Public USE OF WELL ,P RESIDENTIAL ❑ PUBLIC SUPPLY -, Q AIR /COND /HEAT PUMP O ABANDONED ,1 primary 10 BUSINESS O FARM 0 TEST /OBSERVATION O OTHER (specifq - secondary 0 INDUSTRIAL b INSTITUTIONAL ❑ STAND -BY O AMOUNT OF USE YIELD SOUGHT gpm /# REPLACE EXISTING SUPPLY PEOPLE SERVED /EST. OF DAILY USAGE &z�al E3 TEST/ OBSERVATION GIADDITIONAL SUPPLY REASON FOR DRILLING O NEW SUPPLY NEW DWEL NG 13 DEEPEN EXISTING WELL DETAILED lt. REASON FOR DRILLING WELL TYPE ®DRILLED DRIVEN E]DUG 11 GRAVEL C1 OTHER IS WELL SITE SUBJECT TO FLOODING? YES �,NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. No. WATER WELL CONTRACTOR: Name Address: y,� u e. I•t R lu,;,v l (• mss IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: VI-YES NO 0k/L NAME OF PUBLIC WATER SUPPLY: LA41-f I� �(GS/I-L TOWN /VIL /CITY r� DIS2ANCE TO --PROPERTY =FROM NEAREST -WATER MAIN: LOCATION SKETC & SOURCES OF CONTAMINATION PROVIDED N SEPARATE SHEET 624) �� - (date) t (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. 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 o heF ise conta inmate surface or groundwater. Date of Issue: 613 b 19 -5 l Date of Expiration � 2� - 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File ' Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller MAILI14G 11MttA .; PROVO I-P tLG1 71d1C�ZSIdlON• �Ji %`- lyD"t:^ SUBDIVISION ��ti�, ��c-f� IDT 0 ZONING Sizo of mr (so.n.) /� `� IIEICjfr UL• a 1C1.71ON OF CANS 11iUCA'ION /t j� Q� OIJCIC NO. OF F!lMmm 11121 WILDIX ESU Ml M. C0L'T OF lux. I, . , do hereby. agree Lhat the Building Code will-be croatplied wiui wheUier lfie same is specified or not, as well as the Sanitary Goole, Plunbing Code and any other law, 'rule or regulation affecting said structure or building. Ze Inspector shall have Lae rbght Lo enter any praises during We daytime, at reasonable rs, in 'the 'Course of dut (Owner or dlge iL) i fine] plot• plan Lo eonfoi3a Lo Lhe Zoning Ordbmnces of Uie Twi of PuLiw Valley and hereby a j4uove same; subjecL Lo furUier appLoval a1x1 oanpliance with :. We bcyuiraimL•s of Uje Slate Wilding Code and Uie SadLaxy Code of this Tuwr , dDbtiltbing -� � gas :. I1 as. any oUier 1a4dp xvle :oi bc�uzatwiotas of. SkaLe, ... r. . Cowity, Ubm, or bureau or Deparb=L- hereof. DNIIE7. -20 - T i3t1I1d)ING AND 'Zo,%4= I1 PEC OR No Fee - Cha - Section 23°o -C %% /ury r pT PERMIT lu yuri l•l Glv ':I WV V M N HC C Ll vn 11.VLI ,,vtat t-. o v t S �- C1,• x4k- l t4�' �'Y�- /i1- T. MAILI14G 11MttA .; PROVO I-P tLG1 71d1C�ZSIdlON• �Ji %`- lyD"t:^ SUBDIVISION ��ti�, ��c-f� IDT 0 ZONING Sizo of mr (so.n.) /� `� IIEICjfr UL• a 1C1.71ON OF CANS 11iUCA'ION /t j� Q� OIJCIC NO. OF F!lMmm 11121 WILDIX ESU Ml M. C0L'T OF lux. I, . , do hereby. agree Lhat the Building Code will-be croatplied wiui wheUier lfie same is specified or not, as well as the Sanitary Goole, Plunbing Code and any other law, 'rule or regulation affecting said structure or building. Ze Inspector shall have Lae rbght Lo enter any praises during We daytime, at reasonable rs, in 'the 'Course of dut (Owner or dlge iL) i fine] plot• plan Lo eonfoi3a Lo Lhe Zoning Ordbmnces of Uie Twi of PuLiw Valley and hereby a j4uove same; subjecL Lo furUier appLoval a1x1 oanpliance with :. We bcyuiraimL•s of Uje Slate Wilding Code and Uie SadLaxy Code of this Tuwr , dDbtiltbing -� � gas :. I1 as. any oUier 1a4dp xvle :oi bc�uzatwiotas of. SkaLe, ... r. . Cowity, Ubm, or bureau or Deparb=L- hereof. DNIIE7. -20 - T i3t1I1d)ING AND 'Zo,%4= I1 PEC OR No Fee - Cha - Section 23°o -C %% /ury r pT 1 j 1 7 I qj I 4s +6 i u 14e 149 1 I V_ `';? "� ° °'d r'% c.•i�P I I 10� N I 1140.00 60.00 J/ I 60 29 9 60.09 2o'O _ � ... /I./r / -M i � • _.,. . •� L ..... .c,8_ i a � {�+a.. ';,s ..:l._ �.�.-;Cyl;•.:.,.. �...wR.. «;:ar�: :... ' ..�.,_.. , -..a �.x_�„' ...-:• ' /��.:. d:: ._.'..:�•7+ -'• :. �rK ae- :eo:_.:I.'•:, •�•. -e, 1701"3 I no I /se 136 1 1 60 ( 1 1 I I /s9 I I �.-- =1 /6f�.61 I I 58 1 i /6s 6 wl 1 1° I I I I .6l I /66 1 57 1 1&.l .• Al I I 1140.40 1 I 1 1• 80.30 1 1 I I 1 1 B037 8U. u5 140.19 i yu.31 t 1 I BA$ H61f, .. co c 1 I L/ I 1 I ao.►b 651 I �) C� I o �17 1 I 1 69 I 681 fI•. o l,•, I o a I I I 1 I ° I o I 7B I j9 1 40 14 W � / q� 1 4j 1 ,° 1 I r9 jO ^ is js`_ 1 I 1 1 t 80.04 I I 80.07 60.03 60.03 `C ` " SGQ Inc 1 6006 I . ' I I /Oj 1 ' 6006 100.10 I 1 /06 /03 /04 I i I //0 /09 /oa 1 /07 I I a0 e4 Z U 1 1 I //e 1 //� ji /6 I �• I 1 � co 1 80 //9 1 1 ire I /.�� /r0 I 1 791 I I 1 I 7811 1 0 1 a• 1 I I I I i 1 1 1 I I 1 I 1 1 I I 60.001 160.00 1 I ' 100.001 I 124005 i — SYI 60.00 249.37 Cb I I I 1 I 1 1 1 I I a I I 1 1 1 1 I i4 I I o i AC III) / ✓/J I I I I i t I 1 1�, 1 I j4 1 .ts I j6 I jl I jA 1 j.9 140 141 4F 1 of 1 1 I. I ti 147,oe ` 173.89 r9 ,• Boyd Mes*Dan wefl, C►., Inc. Carme�, N.Y. 10512 (914) 225-3196 ILITY VffcANT 4900)lt v I-- - =2— Dkio& In v4c 14 SATTi 411r,lz D06)AI n Jim Gordon CHAIRMAN Regina C. MOrinl DEPUTY CHAIR Jean 'C. LePere CLERK Anthony G. Maccarini COUNSEL THE PUTNAM COUNTY LEGISLATURE 40 Gleneida Avenue Carmel, New York_ .,1052 914 - 225 -3641 Fax: 914 - 225 -0715 November 12, 1993 John.Karell Director of Public Health Terravest International Park Geneva Road Brewster, New York 10509 Dear John: Jerome Goldberg DIST. 1 Jim `Gordon '-- z Gregory T. Quinn DIST. 3 Michael K. Semo, Jr. DIST. 4 Arne H. Nordstrom DIST. s Tony Hay DIST.6 .Lillian R. Jones DIST.7 William R. Bell DIST. e Regina C. Morini DIST.9 I received a call from people who had been interested in this property several years ago but were told it could not be developed because of well- siting problems. I asked Marvin O'Dell to pull the papers, which are .enclosed. If I'm reading this correctly, the well site is the same, so the distances to the adjacent septic fields., which were ,.. _... ;, .deemed inadequate twice ..in .previous. years,_ have now. been ... r. "' n ML ._.�, ..._., ...:......�.,.., . code or technology has changed so I can explain this to the disappointed neighbors. Sincerely, Ji Gordon Legislative Chairman JG /nl Encl. DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 ' L s APPLICATION T0. CONSTRUCT �9W�AT.ER- E. LL � =� � z 3 Q- °�''.°� y' 10 .. -�n1 J4~• ,Z,- .4 -+ :J. - _..Z.i4}4'i �. —.—,p — —— — w��••. .../ .�.. a� PCHD PERMIT_ %,L. LOCATION Street Address Town Village C ty Tax Grid Number •� J� '��, WELL Name Availing Address OPrivate ,OWNER rF p.4r to • iyl AlIA1110 60t, • R6si W ! 0Public SE OF WELL X RESIDENTIAL ® PUBLIC SUPPLY � VY O AIR /COND /HEAT PUMP 0 ABANDONED 1 primary ® BUSINESS O FARM O TEST /OBSERVATION []OTHER (specify - secondary ® INDUSTRIAL O INSTITUTIONAL O STAND -BY AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE al A REPLACE EXISTING SUPPLY O TEST/ OBSERVATION 12. ADDITIONAL SUPPLY REASON FOR DRILLING 0 NEW SUPPLY NEW DWELLING) ® DEEPEN E ISTIN WELL DETAILED 71 tnGt, r, lit, 1 - REASON FOR DRILLING WELL TYPE DRILLED DRIVEN ®DUG ®GRAVEL 0OTHER.. IS WELL SITE SUBJECT TO FLOODING? YES NO IF'UELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: 7Name lo a, -'s �� -j -.'3 Address: l` u r. gkgwl (- A) IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO CAIL Y , ernrXI" NAME OF PUBLIC WATER SUPPLY: /LS04( L TOWN /VIL- /CITY DI,FTANCE TO PROPERTY.FROM NEAREST WATER MAIN: L. LOCATION SKETC & SOURCES OF CONTAMINATION PROVIDED r r .ON SEPARATE SHEET 'tom. it: v (date) ^'r (signature) PERMIT TO CONSTRUCT A WATER WELL Phis permit to construct one water well as set forth .above is granted under the provisions )f Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within :hirt, (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. wring all well drilling operations, the applicant ny and all water or waste products from such well roperty and in such manner as not to degrade o ate of Issue: (� 19 7 ate of Expiration % 19 armit is Non - Transferrable /89 shall take appropriate action to assure that- drilling operations be contained on. this'' r ottie ise conta irate surface or groundwater:' Permit Issuing Official White copy: HD File Pink copy: Owner Yellow copy: Bldg. Insp. Orange copy: Well Driller E T I dg 14 cl I Ar 1 47 1 Qq 149 I so I S/ 40 �41 4P I J I e4 4S I I • 140.00 I I I .w J9 I I 60.001 I I o I J3 I Ja I J7 I 60 28 09 60.09 ,FS /S co I �7 �r 1 /s6 ~ryss I 1 I 601 I I 58 I o I 1 1 /65 g 1 157 �A�N�� I I I I I / I I I I I I I I 1140.40 1 80.30 � I I I I I 80 37 140.19 ►8083 �\ � 80.05 I •I I 60- 28 � �' �c 164 . 40,ib I I �i'�1' I I 65 1 ou I r r <7 0 / i 66 I I ° ° I X17 I I I t 68 I ° 1 I t 69 Jae I J9 1 40 14/ 4? I V cn 10 I i le , 1 I 1 I I i 1q I JO J/ I Jc , I 1 80.04 1 40.0,' I 1 RO:07.� — 60.03 60.03 I q l 1S c F 1 c 5GP �� I 6006 I I I 60 U6 X00 10 I /09 /0B I 107 I /06 /05 i /C4 1 /OJ 40 04 �z0 I //9 I //e co 180 I o 1 IN �' I I 791 co I � ° I 1.781 1 I I I ! I I I I I I 60.001 160.00 I. I I. ioo.00l 1 1240 os I STf I I. 60.00 ?49.37 1 1 I I I I I'1 I I I I o I 1 J0 I I 1 o I I 1 140 141 4? 14J I I I ?,3I I I I I I L., I 147.08 /y 173.89 ?9 �e A. .I• - . �. Yi. �,)�, �. .�+. �.�+• •.Mt. �. 0. .. ' � y :{ {rte r �v .. `ti .c.c E OVE. h .♦ _•ya.. .. .. �:�v`1 !•1 .�1~iY v�'•f.. �����• YK..G. ^1f'.Yi.. Y. .�'� DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 January '14, 1992 Mr. Harry Boyd Route 52 Carmel, NY 10512 P.E.. M.S. Public Health Director Re: Proposed well Mark E. Baldino 77 Mathes Street (T) PV 0103 -3 -1 - 103 -3 -9 Dear Mr. Boyd: C��, . �-• �'- I have received and.reviewed the application to construct a individual water supply on the above mentioned parcel At your request, the site was inspected and all surrounding sewage disposal systems located. Measurement taken at that time indicate that no site for the proposed well could be found that would allow for the construction of a well a minimum of 100' from all sewage disposal systems. Pursuant to Article X of the Putnam County Sanitary Code and Part „5 of. NYS... _ 5, i' }ar; ..Cgdd-.your_ applxz at on t0 const:•ijet arr ndr- vid�aaa” tern` "supply Y. i "s � " ?. for'the following reasons. 1. The proposed well is 75 feet from Baldino sewage disposal area and 609 from the sewage disposal system on the adjacent property.- A minimum of -10Q is required. 2. The proposed well 1� 759 from the sewage disposal-system directly across Mathes Street. This sewage disposal system is considered it Direct Line of Drainage and-therefore a minimum separation distance of 2009 is required. If you have any questions please contact me at your convenience. Very truly yours, �4 : William Hedges Sr. Public Health Sanitarian WH /jp cc: M. 09dell (BI) (T) PV Mark E.- Baldwin, Chateau Dr., Unit 205, Peekskill, PAY Mark E. Baldino .r -, ECEWE DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 December 9, 1991 Mr. Henry _Boyd Route 52 Carmel, New York 10512 Re: Proposed well (� Mark E. Baldino 77 Mathes Street (T) PV #103 -3 -1 - 103 -3 -9 Dear Mr. Boyd: JOHN KARELL Jr.. P.E. M.S. Public Health Director I have received and reviewed the application to construct a individual water supply on the above mentioned parcel. The residence is currently a seasonal residence, served by the Lake Peekskill Water Supply. Summer Only. —` Pursuant to ArtiCl.-, X of the Putnam County Sanitary Code and Part 5 of WS Sannital y.Clodlet,.your application to construct an indivi_duaL.water_.supply., is.d n ec._._,..- :q q'- �.'.�'. .0 -ef. ,. +a - 'f• >Ii���1 1G��Vj�1 V.•�V il`�;•.. r..� .. ..r.v ...y .q.- ._..•. Y,. �+n....i w....a w. � � r• .. ..Y w.M.. .�,....ra. .1 .... • n .i cAr.9CI IJ�. 1. the proposed well is 75 feet from Baldino sewage disposal area and 60' from the sewage disposal system on the adjacent property. A minimum of 100' is required. 2. The proposed well is 75' from the sewage disposal system directly. across Mathes Street. This sewage disposal system is considered in Direct'Line of Drainage and therefore a minimum separation distance of 200' is required.` If you have any questions please contact me at your convenience. Very truly<.yours, - William Hedge's Sr. Public Health Sanitarian WH/jp cc: M. O'dell, (BI) (PV) Mark'E. Baldwin Chateau'Drive Unit 205 Peekskill, NY Mark E. Baldino MMzNG A1MU / - ,� . /�s��� 1?IGQNS fl,? 7 i X j 1'ltol =Alt'1'Y u v� �' C Ni'du A' X lCd3bS1�CA'101V QUa/ -G�1 amt a o summsim ZONING SILL o1 1[10►1 (So.Ff.) HEIGUr UtZaII111ION OF OON511jUC1'ION �j /awl DW_K . NO. 01' FAlMC M 101 13UILDING ,l IA,"TIwrl;. COST or- do, o do hereby.agree that the Wilding Code Will Le cca.lplied wiUi whelJeer We same is specirled or agot- as well as the Sanitary Code, PILa blieg Coco and any other law,, gybe or �e IaLlon affecting said structure or Wilding. the gnspecLor shall have the #qht to enter any pre aLses during the daytlm, at reasonable so in the course of dut o (Oaaaer or Agen L• ) m X fine] ploL• plain to oonfomu to the Zoning Olydbmces of We Tvvn of PuU m Valley and hemby approve sane, subject. to fu User appll�oval alxl ompliance with tae roguire mr..n.t:s of U Slate- Building - Code -..zo. U. Sat�i..fl)axy Code of this , iil7w lhr Code, - asp welt as ' � Ob 1`aw; itic' vs-bG�lAgc�W (Seal' Vti �.e12 'sJira_t�Ep x 5 County, 'liown, or [Bureau or IlcparWm. L hereof. 01►'1'li a,; r �q3 - DUMM AND ZQ41W I1 PEMOR No Fee - Cha - Section 23.o-C PERMIT TO COMMENCE WORK APPLICATION ,..vVNldl ©v l S co-..W T o Ho 0 MMzNG A1MU / - ,� . /�s��� 1?IGQNS fl,? 7 i X j 1'ltol =Alt'1'Y u v� �' C Ni'du A' X lCd3bS1�CA'101V QUa/ -G�1 amt a o summsim ZONING SILL o1 1[10►1 (So.Ff.) HEIGUr UtZaII111ION OF OON511jUC1'ION �j /awl DW_K . NO. 01' FAlMC M 101 13UILDING ,l IA,"TIwrl;. COST or- do, o do hereby.agree that the Wilding Code Will Le cca.lplied wiUi whelJeer We same is specirled or agot- as well as the Sanitary Code, PILa blieg Coco and any other law,, gybe or �e IaLlon affecting said structure or Wilding. the gnspecLor shall have the #qht to enter any pre aLses during the daytlm, at reasonable so in the course of dut o (Oaaaer or Agen L• ) m X fine] ploL• plain to oonfomu to the Zoning Olydbmces of We Tvvn of PuU m Valley and hemby approve sane, subject. to fu User appll�oval alxl ompliance with tae roguire mr..n.t:s of U Slate- Building - Code -..zo. U. Sat�i..fl)axy Code of this , iil7w lhr Code, - asp welt as ' � Ob 1`aw; itic' vs-bG�lAgc�W (Seal' Vti �.e12 'sJira_t�Ep x 5 County, 'liown, or [Bureau or IlcparWm. L hereof. 01►'1'li a,; r �q3 - DUMM AND ZQ41W I1 PEMOR No Fee - Cha - Section 23.o-C 93 s . r Crate June 30 19 93 TOWN OF PUTNAM VALLEY 4one District R`L !! ER M eT R E.�.� L ► _ , . .r, . _ .�.., :�.: Application is hereby made for COMMENCE WORK Permit Work to start Description Well Location of Premises — Street or Road Mathes Street - TM #91.25 -1 -67 _ SEC., BLOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Lake Peekskill TEL. 273 -9457 OWNER Louis & Wanda Tartaglia ADDRESS 41 Maple Ave. - Armonk, N.Y. Dimension of Building USE CONST. ROOFING LANG 1 Family W006 Wood Shingle Paved Width Depth Stories Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank Lineal Ft. Drainage Size of Dry Wells _ Plumbing Description WeH �. cription.. ...,.. q. _.. .. .� ._,....... Additional Information _ This application must'be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ N/C Building Estimated Total Livable Area Cost $ $ Sanitary Date Zoning Board Approval _. $ Plumbing / $ Well . 2 Family Stee! Asb. Shingle Dirt Log Cabin Brick Tile Oiled Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts Gas Station Brick Attic Open ... • Garage Piers Attic Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement Floor Log X Encl. Electric Finished Shingle MISC. Phone Garage B. In _ Comp. Plot Plan t _— Furnace .. ._. _.. -. a.r ,. _�.......�o Field Sct)ne - ' Driveway'= " - Type Foundation Size & Use Each Room with Window Area Sewerage Type — Size of Septic Tank Lineal Ft. Drainage Size of Dry Wells _ Plumbing Description WeH �. cription.. ...,.. q. _.. .. .� ._,....... Additional Information _ This application must'be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ N/C Building Estimated Total Livable Area Cost $ $ Sanitary Date Zoning Board Approval _. $ Plumbing / $ Well a THE PUTNAM COUNTY LEGISLATURE 40 Gleneida Avenue Carmel, New York, ..10512.... " �~ ­V14-22'5-36417 F0 914-225-67i5 Jim Gordon CHAIRMAN Regina C. Morini DEPUTY CHAIR Jean C. Le Pere CLERK Anthony G. Maccarini COUNSEL November 12, 1993 John.Karell Director of Public Health Terravest International Park Geneva Road Brewster, New York 10509 Dear John: �-� �-�'�� ,gyp � •� Jerome Goldberg Gregory T. Quinn Michael K. Semo, Jr. Arne H. Nordstrom Tony Hay .Lillian R. Jones William R. Bell Regina C. Morini I received a call from people who had been interested in this property several years ago but were told it could not be developed because of well- siting problems. I asked Marvin O'Dell to pull the papers, which are enclosed. DIST. I 01h­ 2 DIST. 3 DIST. 4 DIST. 5 DIST. 6 DIST. 7 DIST. 8 DIST. 9 If I'm reading this correctly, the well site is the same, so the distances to the adjacent septic fields, which were deemed in .previous_ _years.,:..havp.: ;now.. been.__­...... _..if- anyti:lY'i code or technology has changed so I can explain this to the disappointed neighbors. Sincerely,* < r)� Ji Gordon Le islative Chairman JG /nl Encl. DEPARTMENT OF HEALTH , • Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 t (914) 278 -6130 ,,•`�' APPLICATION. TO CONST-RUCT-A..,FIAT 8 • WELLF.;' a �_ „,'� , t t. T. Y. - -� .. .3....... "'�- - -PCHD PERMIT,? WELL LOCATION Street Address ... Town Village C ty Tax Grid Number �, �� /. � s - / _ 6 : • • ` a' WELL OWNER Name Mailing Address. s. 1 J1V.�t'.r rF P c (/• `Y / M OPrivate V Q !( iJ / D Public SE OF WELL Cl primary - secondary ,RESIDENTIAL OPUBLIC SUPPLY 0 BUSINESS 0 FARM 0 INDUSTRIAL d INSTITUTIONAL J YY QAIR /COND /HEAT PUMP ❑ABANDONED O TEST /OBSERVATION' p OTHER (specify, O STAND -BY 0 AMOUNT OF USE YIELD SOUGHT gpm /# PEOPLE SERVED /EST. OF DAILY USAGE �ai A REPLACE EXISTING SUPPLY ❑ TEST/ OBSERVATION Gl ADDITIONAL SUPPLY O NEW SUPPLY NEW DWEL N 13 DEEPEN EXISTING WELL �`- ,.REASON FOR DRILLING DETAILED REASON FOR DRILLING - WELL TYPE DRILLED []DRIVEN . C]DUG C] GRAVEL 0 OTHER. IS WELL SITE SUBJECT TO FLOODING? YES _2�_NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME'OF SUBDIVISION: 7DEZ e C Lot No. WATER WELL CONTRACTOR: Name 104, Address:Y3 Mrtnjcjjur: P9h42W1r• V L/ IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: i�s YES NO (,3l/L ��',SvAno'f NAME OF PUBLIC WATER SUPPLY: l Akl f 1� �'/�S /< <- TOWN /VIL /CITY r Y DISTANCE TO PROPERTY FROM NEAREST WATER. MAIN:.. .. . _.;;�,. ._ -- - - .,.:�; q.•• -�.•., ` GOCATYON SKETCH & SOURCES OF CONTAMINATION PROVIDED ! �� .ON SEPARATE SHEET 'i, -T (date) "'- {signature) PERMIT TO CONSTRUCT A WATER WELL :is permit 'to construct one water well as set forth above is•granted under the provisions' Subpart 5 -2 of Part -5. of the New York State Sanitary Code, and provided that within irt,• (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. :ing all well drilling operations, the applicant shall take appropriate action to'assure''that•! " i and all water or waste'products'from such well drilling operations be contained on this'. ; )perty.and-in such manner as not to degrade or oth'e ise conta inate.surface or groundwater.'.- • / •> ',�• ', :e of Issue: (e J 19 e of Expiration j 19 Permit Issuing Official mit is Non-Transferrable White copy: HD File Pink copy: Owner: 9 Yellow copy: Bldg. Insp. Orange copy: Well Driller I o • I I CIO 141 04 as �6 I e� I qe I as I so I si f9 1 40 i 41 4? 1 60.00 I I 1140.00 W s 14 f3 _► Je I s� I 1 6028 6O.JD9 y 1 i i /s ► ?o Bo /s6 /.gs /s ' I /39 7F4 60I 1 % y I 1 /6U 1 IIiO B3 /o, I 0 I a rl /6J i I 58 I I I 1 I I 1 /66 I / 6 6s �1 ,_ I I o 1 I I I 1 I �G�! i✓i!1 I I �6i I i 57 �: ,� I I I �_ I I I I. I i � o ✓�E" IA��//e '11 1140.•40 e0.30 I 1 I I I 80 37 180 B3 \ 80.05 140.19 � 31 I I �I ,6o.2B 40. ►B I r \A I C �6s 4 5 r 6 66 1 fic .i i 1 69 1 681 I 1 y 43 I 1 I s� ► �, 5F � I I 1 - jO 1 I zQ I 1 I 80.04 40. of R0��'" 60.03 60.03 01 1 I ; 6U 06 100.10 / 1 /09 /Of I /06 /OS au ' I 1 I I I /� I /zc I 1 1 ' I / //9 //6 A, i I I M 180 i I to � I 79I /? 1 I I I I CID 1 1 o I o 781 [E�' I I I I I I I 1 1 I 1 I 60.001 160.00 1.100.001, 1240 05 i STI 60.00 ?49.31 I I i00 96 I •t I 1 i 'r', 1 I s4 I .0 1 I I I s9 I 40 1 4/ 4i 1' 4l 147.08 . 173.89 29 �.: J.. :tea.. .. ..:�. ^.�.� om._.oe ..n: •�.:'G •...i..'.yt.. %,�: >,� DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 JOHN KARELL Jr., P.E. M.S. Public Health Director December 9, 1991 Mr. Henry Boyd Route 52 Carmel, New York 10512 ---- Re: Proposed well �• Mark E. Baldino 77 Mathes.Street (T) PV #103 -3 -1 - 103 -3-9 7 Dear Mr. Boyd: �� '� �•- �' f' 8' T' �� _ I have received and reviewed the application to construct a individual water supply on the above mentioned parcel. _ 'The residence is currently a seasonal residence, served by the Lake Peekskill Water Supply. Summer Only. ` Pursuant to ArtiC1e X of the Putnam County Sanitary Code and Part 5 of WS Sanitary Code your app icAt ion- to . construct- .,a a.ri-ndivi ja — wati lcc`'�. �z foir -Mae fcrilowrng=e�rsetis. .�,....� 1. The proposed well is 75 feet from Baldino sewage disposal area and 60' from the sewage disposal system on the adjacent property. A minimum of 100' is required. 2. The proposed well is 75' from the sewage disposal system directly across Mathes Street. This sewage disposal system is considered in Direct Line of Drainage and therefore a minimum separation distance of 200' is required. If you have any questions please contact me at your convenience. Very - truly - /ours, S • William Hedges Sr: Public.Health.Sanitarian. . WH /jp cc: M. O'dell, (BI) (PV) Mark E. Baldwin Chateau'Drive Unit 205 ' Peekskill, NY Mark E. Baldino , ll// 93 `ice az Date June 30 99 93 TOWN OF PUTNAM. VALLEY p arse--i;g$riat: - :R =L. _ - °.� ��`• -'�'r ..-= r�.9 -�= _� ��.. :..:,� •.:a �.. �:� —�-_.. Application ig hereby made for COMMENCE WORK Permit Work to start Description Well Location of Premises — Street or Road Mathes Street a TM #91025 -1 °67 SEC: B LOCK LOT FRONTAGE Depth Rear ACRES (other description) or number of square feet SUBDIVISION NAME Lake Peekskill TEL. 273 -9457 OWNER_ Louis & Wanda Tartaglia ADDRESS 41 Maple Ave. - Armonk, N.Y. Dimension of Building Width Depth Stories Type Foundation Size & Use .Each Room with Window Area Sewerage Type Size of Septic Tank Lineal Ft Drainage Size of Dry Wells Plumbing Description Description Additional Information This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ NIC Building Estimated Total Livable Area Cost $ $ Sanitary $ Plumbing $ Well Date Zoning Board Approval . USE CONST. ROOFING LAND 1 Family Wood Wood Shingle Paved 2 Family Steel Asb. Shingle Dirt Log Cabin Brick Tile Oiled Bungalow Concrete Metal Swamp Apartment Stone Brook Store FNDTNS. INTERIOR Lake F. Store & Apt. Stone Rooms Dams Store & Office Concrete Apt. Rooms Sw. Pools Office Blocks Apt. Ten. Courts " Gas Station Brick Attic Open Garage Piers Attic..Finished OTHER BLDGS. EXT. WALLS PORCHES Barns BASEMENT Wood X Front Shacks Part Brick X Side Cottages Full Brick Van. X Rear Bungalows Cement Floor Log X Encl. Electric Finished Shingle misc. Phone - Gore : B- #n.n� - CoRtp r x, °Ieti PJ .. Futn�e Field Stone' Driveway Dimension of Building Width Depth Stories Type Foundation Size & Use .Each Room with Window Area Sewerage Type Size of Septic Tank Lineal Ft Drainage Size of Dry Wells Plumbing Description Description Additional Information This application must be accompanied by a copy of surveyor's map and complete plans, specifications and all information required by the Zoning Ordinance and Sanitary Code of the Town of Putnam Valley when requested by inspector. Fee $ NIC Building Estimated Total Livable Area Cost $ $ Sanitary $ Plumbing $ Well Date Zoning Board Approval . r PERMIT TO COMMENCE WORK APPLICATION ,..'Mint h 0 v is d- i. � / Tom..1 vas— ..� MAILING nDDfU .i .cc /t - �'1 ,� • .�US °`� P110NC 1.2 71 Ii0CJ1'1ZON 0 PROM MY � ' �� � kr / /��� NC11lI= 7N1'Cl2 WrION SUBDIVISION Z ONING 5TLL OL' LU►1' (SQ.i'r.) I� / `� HEIGIff DWC1tI VION OF CONSTUL 1'ION ' (/(// � ` DEM NO. OF FIIMILIIS PUZ BUILDING % ,.,'''TIMnn; COS"x Ol. ium do hereby. agree that, the NdIding Code will be cu»vlied with whether the saner is specified or not:; as well as the Sanitary Code, Plurnbi ng Coco •and any other Law, rule or regulation affecting said structure or building. xhe inspecbor shall have the right. to enter any premises during the daytime, at reasonable s, in the course of 69 dut . �3 (Owner or Agee L) 4 X find plot: plan to conform Lo the Zoning Ordinances of We 7bwn of Pulliam Valley and hereby appLove same; subject: to fudher approval aml wipliance with . ... w =.. _ w -; 4r fi6- Gtatd. Ddl iding -Cold X . ic6r LaM:.. f--W s Tai j , .r.,. �, r:.,. Plw�bing Code,,. as well as ally other law, rule or regulaL•ions of the State, Cowry, '1bwn, or Bureau or Department: hereors BUILDING AND ZONING 11 P@ IOR No Fee - Cha - Section 23.o -C (f .C�3`f DEPARTMENT OF HEALTH f Division of Environmental Health Services 1110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 RC`'- s � E�L"C _.APPLICATION TO CONSTU9 PCHD PERMIT WELL LOCATION Street Address �F S�-- Town Village C t Tax Grid Number 'k L4 1 a — eu- 3- WELL OWNER Name C , ( ailing t Ad Tress (1n*t I kVe °� _G_f^SS CIPrivate O Public USE OF WELL 1 - primary 2 - secondary RESIDENTIAL ® BUSINESS ® INDUSTRIAL O PUBLIC SUPPLY Q AIR /COND /HEAT PUMP'OS O FARM O TEST /OBSERVATION 0 INSTITUTIONAL O STAND -BY ABANDONED O OTHER (specify AMOUNT OF USE YIELD SOUGHT S gpm /# El REPLACE EXISTING SUPPLY 9SEW SUPPLY NEW DWELLING ) PEOPLE SERVED S /EST. OF DAILY USAGE SC_ 1 gal O TEST /OBSERVATION 12. ADDITIONAL SUPPLY ® DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING WELL TYPE ®DRILLED ODRIVEN ®DUG ®GRAVEL D OTHER IS WELL SITE SUBJECT TO FLOODING? YES ,k/_NO -IF WELL IS LOCATED IN A REALTY SUBDIVISION., NAME_OF SUBDIVISION: ` nn Lot No. MATER WELL CONTRACTOR:. Name,-,q ci &,P- 1 [a V1 W Q -t,�C� L�r. Address :l�`}-S"� CCcA kAo-.l IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ _NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY `DISSIA TCE -TO�-PkbPERTY' FRO) NEA EST- -WATER -"' -• - -��• .-;.�. ..� LOCATION SKETCH SKETCH & SOURCES OF CONTAMINATION PROVIDED ®ON SEPARATE SHEET (date) (sig ature). PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provisions of Subpart 5 -2 of Part 5 of the New York State Sanitary Code, and provided that within 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 Boyd Artesian Well, Co., Inc. R D z- ,:i-�-Nb is Carmel, N.Y. 10512 (914) 225-3196 V14 C 7- l'a A Aclfw PIWAA1 P(OrMIN or 04 M4 41� A HAI Mr. Harry Boyd Route 52 Carmel, NY 10512 Dear Mr. Boyd.- DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225-0310 January 14, 1992 Res Proposed well Mark E. Baldino 77 Mathes Street (T) PV 14103 -3 -1 - 103 -3 -9 JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the application to construct a individual water supply on the above mentioned parcel At your request, the site was inspected and all surrounding sewage disposal systems located. Measurement taken at that time indicate that no site for the proposed well could be found that would allow for the construction of a well a minimum of 100' from all sewage disposal systems. Pursuant to Article X of the Putnam County Sanitary Code and Part 5 of NYS. riii:: i^:j�,Cvde.�yo:� r_app. icafiQr�;:to4 a_t<i^d :.'a;� ar�dav dua3 =•alater*�'- sa�pply is aeni -ed- for the following reasons. 1. The proposed well is 75 feet from Baldino sewage disposal area and 609 from the sewage disposal system on the adjacent property. A minimum of 1009 is required. 2. The proposed well is 759 from the sewage disposal system directly across Mathes Street. This sewage disposal system is considered in Direct Line of Drainage and therefore a minimum separation distance of 2009 is required. If you have any questions please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH /j P cc: M. 09dell (BI) (T) PV Mark E. Baldwin, Chateau Dr., Unit 205, Peekskill, NY Mark E. Baldino PUTNAM COUNTY DEPARTMENT OF HEALTH a" DIVISION OF ENVIRONMENTAL HEALTH SERVICES _ . _ WELL.COMPLETION REPORT_. 0 3? _ tJ Well Location Street Address.: � N- 1t5 C-37— Town .. `illage. : LAIt0. iLl L,l Tax Grid # Map Block Lots) Well Owner: Name: Address: Use of Well: -prima 2- secondary X Residential Public Supply Air cond /heat pump Irrigation Business Farm Test/monitoring Other(specify) Industrial Institutional Standby Drilling Equipment Rotary Cable percussion Compressed air percussion Other (specify) Well Type Screened Open end casing Open hole in bedrock Other Casing Details . Total length Ll&ft. Length below grade ice- 9 _ft. Diameter _in. Weight per foot __I—_Ib /ft. Materials: Steel _ Plastic _ Other Joints: _ Welded Threaded _ Other Seal: X Cement grout _ Bentonite Other Drive shoe: Yes No Liner: Yes No Screen Details Diameter (in) Slot Size Length(ft) Depth to Screen (ft) Developed? First Yes—No Hours Second Well Yield Test _ -Bailed _ Pumped Compressed Air Hours Yield /�.gpm Depth Data Measure from land surface- static (specify ft) / During yield test(ft) /00 Depth of completed well in feet 1A511' Well Log If more detailed information . descriptions or sieve-analgses are available, please attach. Depth From Surface Water. Bearing Well Diameter(in) Formation Description ft. ft. Land Surface -4/ 6yz, NtJ 3 / ti1t✓ X;. Ili: ,g�• -�. ,.. ;;� --� :b If yield was tested at different depths during drilling, list: Feet Gallons Per Minute Pump /Storage Tank Information Pump Type �)� +A Capacity Depth 100 Model Voltage-_0J HP Tank Typek�§�* r*LVolume 4 Date Well Completed Putnam County Certification No. Date of Report Well riller signature) NOTE: Exact location of well with distances to at least two permanent iandmarxs to De proviaea on a separate sneevpian. Well Driller's Na S 4 L ®t%_ Address: Aw.k ✓ /u• Signature: Date: Q White copy: HD File; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WC -97 ' ® k„ DEPARTMENT OF HEALTH Division of. Environmental. Health Services_ I'tty Geneva Road, 'Brewster, New York 10509' (914).,:'218 - 613011 g, ply (n]yT+�}��9:. %%p{ 'A:T �1 �,t .�.p 7gry� }�pf}� yy �,xr"t" Plr d"L+�t.6S1 ®dV l� =�C11tl51 `.L 7.1J E•R. WELL k-�'" E7+� ` d rat"F,t"k }r tii "+h. wl., h t: C' LS67 1 3 1 Foil V '�Street�`Address Town Village ;Cite Tax Grfd „j'Nuabes "s <.. n'st'FS..v �..,..,:"ti” et ssk s f rr x a 1 t e, aF ..,�+,`.1+1ame,� x 3r 'C'b,.1.1$2G�.�_. Address' s w`,�� �.. v"F'w kagele OVER t r r� v. ��� F� .',.;._ i(�� �:� y"ri i1''1 L.' --t •. ., ._.,. :.1 ... ,,' '.. 1 f?t rl .J v$Y .. +YVtI +Y y: kid' Y �`i ti `ti'x 1.y aSE OF°' WE !,M SIDENTIAL ®„PUBLIC SUPPLY 3AIR /C6ND /HEAT: 3 ' g�r$mary ®BUS$NESS ®,,FARM O TEST / QBSERVATION ti,iOT�iER (spac$ff� . 7 secosadary � AINDUSTRIAL. e7 INSTITUTIONAL O STAND =BY ''a _ x MW AM ®F uIJSE YIELD SOUGHT , gpm/ PEOPLE SERVED /EST o rSOF $DAILY USAGES ��. REASON FF'OR ' y49VLACE EXISTING SUPPLY' O'TEST /OBSERVATION r ADDITIONAL SUPPLY``x� # # �i3��Rf1TIIpI,yyI��pIV��G NEW SUPPLY' ►ppN�sEW DWELLI/N�G - ®DEE /PEN EXISTING WELLr .3 �Dbd91 L&uL Jr`t�ix , k,+,:'wt' DRILLED DRIVEN ®DUG GRAVEI 017€ER .xzFr s!,„ R!Y, a £s 3 'i e t,7z 2 "`.•a Y t �lS�Lht SITE °CTTOF"LOODING� .YES NO ; IF �{dELL�tYSx I:OCATED IN A�REALTY SUBDIVISION ''NAME `OF SUBDIVISION e�1 7 r zl v4k" "'j,Y}' yxv:,,, .: 5� •"..."'-- ...... -... "8i�'` No o x * %v*w.«,"...a..::;:..,..,,k ..k kf 'j i5, r 1'r S'," , .t art t WATER WE%.L CONTRACTOR> Name^ ! �s _t 1 �: Address IF a k . `.7':a fr `7 t' ,F`ry''Y"ff..vr} tu` +b , +L.,, # •J R. : I 1 _ _ 1 IS }PUBL %C WATER�SUPPLYAVAILABLE TO SITE; ' YES I1AME OF°f 1'UB%AWATEtk° "SUPPLY , .�� r :LSD /� L- TOWN /VIL /CITY ; DISTANCE -TO PP�6I�EICt'Y Ftt�.ri`iXZWQrE.T:WA1'E� N.' �LOCATIOWUET & SOURCES OF CONTAMINATION PROVIDED �w, ONE SEPARATE SHEET 4 _ n t (S'ignature) �y� r�1 PERMIT TO CONSTRUCT A WATER WELL t Wel- rhis.permitlto -0const'ruct' one water well as set forth above is granted under the provisions �f'ASubpart 5 2� of�Part 5 of the New York State Sanitary Code, and provided that within hirt�� "(30),�d ys of . {thecourpletion of water well construction, the applicant shall c' 1 ; X Pumpthewell� until the water , is clear. 20` DisinfectNtithewell�in accordance with the requirements of :the:, Putnam County Health r De artment at.tached'to this ermine. 3.Submit ar We] 1 Completion .Report on a form provided by the Putnam County Healeh Departure s, yx : losing allf ureh dktll;ing .operations., the applicant shall take appropriate 'action to' assure ttha ny rah&` ll��water, o'r wasnter�products...f,rom such .well drilling operations s be contained: on this ropertyand�inhsucMA manner as note to degrade or o hex :ise coma pate urface or groundwatr a x '4 a"x , 19 ,x I ,ate of flssuer; Y` 1 Tt �l,3N tia ex �• 3 r h ate Hof, Expirat 19 Permit Issuing Official iFs i,.i rMl �c w a ermit is Non }Transferrable ' White copy,: HD File „ Pink "copy Owner 16 g `�' ��' #a, Yellow copy: Bldg. Insp!'a Orange icopy ;Well ;Dril