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Home My WebLink About4752DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91926-1-38 BOX 36 I ., m '!%7-- �K �R. loot 7 , ��r. 04752 �. a�i Y:X''i`.�� i : "ff " '��r . �.�' _q�i''. =n�. • � :7.��..c. �. �•ia .'�Nu t . -. DEPARTMENT OF HEALTH Division Of Environmental Health Services 110 Old Route Six Center, Carmel, New York 10512 (914) 225 -0310 November 7, 1991 Merritt Brown 9 Melnick Place Lake Peekskill, NY 10537 Re: Proposed addition Brown, 7 Melnick Place (T) Putnam Valley Dear Mr. Brown: JOHN KARELL Jr., P.E., M.S. Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The plans indicate that a new stairway, closet and 13' x 9' study will be added to the existing residence. The addition will result in a net increase of less than 15% of additional living area.. Therefore, based on the information submitted, the above mentioned addition is APPROVED with the following conditions: lv,' _ hr.. total- number- of bedroo,as must- remain at. two - without -• prior approval by this 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be-replaced or updated with water saving devices, i.e., low flush toilets, restrictors for shower heads and faucets, etc. Approval is granted for sewage disposal only. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Putnam Valley. If you have any questions, please contact we at your.convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH/jP cc: BI (T) Putnam Valley .eoe �_ _•b.l:r ;:<+":.'4tei.=r =d _. ...y, .� �� .:' d. �..rr'eK.;".�s,.:�v^rtia.'":ui,_ '°x.�"•t'b;,..,'.�. _,:ai „:a..'jj//��JJ��ff�yy�q�.; `�j�. /Ftj- r�'!�*•+.`:�i•..:%�v+"i:':w`. :.`ii' - l 9 A --0 441, � / 41 rn 4,4-, ,x. r- - 'o ...r .. .� � � . r. a..— �....: �.. � .-�_c„ : �,�:..F . � >_._ .p ...:..., .. .... 1.�,�.�_....s, . 'jam �• c . � .s.c 141�ss - lb, S V a • v i Ion 7 c iq A in 8� � (��5z1 ytislr CIA lZ �� Y i, %v ;,� n . . L I ;� � II ck �r7-;- rl C-A ®R rl rL r N9 )YANSoN C. a. N89022,0o"t 80./9' �L z 25.66' Rz 15 d=,98001'00" File Afap shoovs Rz /3 31_7 wq//v Ut* BLOCK �{ 30 t4 Xz q) 1,00 q) U) CIS o .5,99 X22'00 "cv 113 14 15 wo// Hem /qc# Hodps 14 *GAUL no 0.8 5ujgvEy OF PROPERTY PAeEPARED. FOR RO s YNiVO bi LORI J. FIL iCHKO vlruArr /Af rHE rOWl' OF PUTNAM VALLEY PUMAM couNry NEW YORK ."'SCALE 1 1n. x /0 ft. JUL Y 20 1984 PUTNAM COUNTY DEPARTMENT GIF HEALTH IlDgVNS1IGN G1F ENWRONMENtAL HEALTH H S EIlBVffCIES A�'p.DN.TO.CONTS')l I �' 1 �8 BBL; -.• '= T /,:.: please print or type PCHD Permit # 1/V / yo2 — 0,--), Wellll Location: S et Address: TownNill ge - Tax Grid # t 9 ! Y. j Map , ock Lot(s) Wellll Owner: .8 e: _/ , Addr ss: Use of WeRI: V Residential Public Supply Air /Cond/Heat Pump Irrigation I -P rimalry Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield ought gpm # People Served Est. of Daily Usage gal. Reason for Replace Existing Supply Test/Observation Additional Supply I<DirnllU ng New Supply (new dwelling) Deepen Existing Well ➢Detanlled Reason OL 0 t0t&, G U cL for 11Du fining So / WeRl 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: %lot/+.) &A W-lYI Address: Is Public Water Supply available to site? ...................... t10 M. U! %................ Yes No Name of Public Water Supply: CPa Tow4/Villa e Lft Distance to property from nearest water main: Proposed well location & sources of contaminatio be d on separate sheet/plan. 13itC_ .. 6''�.- AppI cant- Signature: PERMIT IT 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 4dth fl-p _ requirements of the Putnam County Health Department. 3) Submit a Well Completion Report oQ form provided by the Putnam County Health Department. During all well drilling operations, the appRant;.-=d/or well driller shall take appropriate action to assure that any and all water and waste products fronAucl .7,` well drilling operations be contained on this property and in such a manner as not to degrade or otherwise VA, Aontam' 4 surface o grounc�w r. OAkS\ �ot we-0 P;�,o A PP�O )F ®R C 1�1STR IION: TM a roval ex ires�o ears from the date issued,3uilc�s –+ pP P Y �,. 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 alteraton of the approved plan requires a new permit. Well to be constructed by a w ter well driller certified by Putnam County. I , a a 2 Date of Issue 1 -6 "® 5 Permit Iss ' fficial: Date of Expiration J 262 -- 0 -5- Title: Permit is Non- T>ransffelr>rabRe White copy - HD file; Yellow copy - Building Inspector; Pink copy - Ownlr; Orange copy - Well driller Form WP -97 T .. PUTNAM COUNTY DEPARTMENT OF HEALTH • DIVISION OF ENVIRONMENTAL HEALTH SERVICES_ '; vc�.;= :o%'. ^+n'1:.:'deiF•',.QS• 'd` -:wi.+ n':wa�sS:rw'o°.LTao -44 -4 -.. .- «.•;;..Z•- ,�,.:_._7'.•_.: "Li.:.•_ i.;?3`:w�e.i�ra+Sn,�•"s' -. ....::��e• •.i, .;,y'.t�,. :�.::: ;, .. . =;iii: C.in..'•':► APPLICATION TO ABANDON A WATER WELL please print or type PCHD PERMIT # \Al - — CQ Well Location: Street Address: TownNillage Tax Grid # ,. °�I,Z1� V� GIIN� Va,��WMap Block l Lots) 38 Well Owner: Name: Address: L Well Type: Drilled Driven Dug Gravel Other Depth Data: Well Depth ft Static Water Level ft Date Measured Use of Well: V Residential Public Supply Air /Cond/Heat Pump Abandoned 1- primary Business Farm Test/Observation Other (specify) 2- secondary Industrial Institutional Standby Water Well tName: Address: 15 2 Contractor: N ®�'rna� ��"' `"+/� P Reason For n Abandonment: ' 1 W �e. (J��11 tQp'll s n\ too - t o� Description of Work To Be Performed: Date: �r Applicant Signature: PERMIT 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 t information delineated on the application for this permit has been completed. / --& —0 3 r�LA ex Date of Issue Permit Issuing ffic.i Title White copy: HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WA -97 BRUCE R. FOLEY Public Health Director DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278.6678 Fax (845) 278 - 6085 Early Hntervention/Preschool (845) 278 - 6014 Fax (845) 278 - 6648 Norman Anderson Well Drilling, Inc. 152 Barger Street Putnam Valley, NY 10579 Re: Proposed Well Brown 9 Melnick dace (T) Putnam Malley December 18, 2002 1%-Mr. Anderson: On December 10, 2002, a field inspection was conducted on the above referenced lot by Daniel Hadden, Public ]Health Technician. The application to replace an existing well is approved with the following stipulations:` 1. The proposed well location is within 15 feet of a property line. 'therefore, the well location must be staked by a licensed New York State Land Surveyor prior to any drilling. 2. A minimum of 76 fed of casing must be provided for well protection. As -built plan, Well Completion Report (WC -97), Well abandonment, if applicable, and water quality analysis shall be submitted no later than 30 days after the well completion by the permittee. Please contact the waiter at (845 )278 -6130 ext.2235 if you have any questions. Sincerely, X)mvJ (9(a 4_4VX Daniel Hadden Public Health Technician cc: MB, file ] eparff rent Division of Environmental Health Services Water Supply Section 1 Geneva Road, Brewster, NY 10509 (845) 278 -6130 (845) 279 -3578 (fag) Fax Cover Sheet To: e)WSCt �.r� Fax #: MS) From: PutAa Date: )cam- . bI a.av 3 Subject: k)LU. pzt-r',- Pages: 3 (including cover) Message: `i Please call a"'61-"O & extension if you have problems receiving this fax. o a v> Y. - -fir `w .. �V -d °�S a'!;C'�s.s:i..•yyl < •. ... '. BRUCE R. FOLEY Public Health Director LORETTA MOLINARI' R.N., M.S.N. Associate Public Health Director Director of Patient Services DEPARTNIENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmentai'Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 Memo z23�� To: All Well Permit Applicants, Well Drillers, Licensed Engineers and Registered Architects From: Bruce R. Foley, Public Health Director Date: February 20, 2002 Subject: Revised Well Permit Applications Please find attached revisions to the well permit application procedure as required by the Putnam. County Sanitary Code. Please note the changes outlined in the procedures and disregard all previously sent correspondence regarding this issue. AU well drilled or replaced prior to the issuance of a valid permit by this Department is in violation of the Putnam County Sanitary Code and subject to appropriate legal action as allowed by law. Please contact this office should you have any questions. BRF /ip ) 0 BRUCE R. FOLEY Public Health Director 1 Geneva Road Brewster, New York 10509 LORETTA MOLINARI R.N., M.S.N. Associate Public Health Director Director of Patient Services Environmental Health (845) 278 - 6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678 Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 PROCEDURE FOR WELL PERMIT APPLffCATIO�Y A complete well permit application submission to the Putnam County Health Department (PCHD) shall include the following: 1. Putnam -County Health Department application WP -97 "Application to Construct a Water Well." 2. Certified Check or Money Order in the amount of $100.00. 3. Site plan (or tax map) of property showing locations of proposed well, existing septic system and house (see attached example). The well shall be dimensioned from two fixed points. 4. The site plan is to also include locations of all existing septic systems within 200 feet of the proposed well, as well as, all sources of possible contamination within 200 feet (i.e., salt storage, oil tanks, landfills....) 5. A well abandonment permit (WA -97) is to be submitted when,a nqw. we,]Lis-replacxng . ng ,an... - - - - existi � V Upon submission of a complete application,(i.e. items #1 -5 above) the PCHD shall process the application and make the following determinations: 1. Feasibility of well location will be confirmed via site inspection by this Department with a representative of the well drilling company. Please note a well permit will not be issued until such time as the above referenced site inspection is completed. 2. In the event the proposed well is less than 100 feet from a potential source of contamination, this Department and the representative of the well drilling company shall. agree upon the length of extra casing which is to be installed for the new well to, obtain a 100 foot separation between the bottom of the casing and the potential source of contamination. Upon issuance of the well permit and abandonment permit, if applicable, and within 30 days of completion of work covered under the issued permits, the permittee shall submit to this Department the well completion report, well abandonment report, if applicable, and water quality analysis. e _ -� .�y+s.y:p.z,` r....:1F � .i- - .....�... �' - . v - . . a.r;cK:w � i , .. r 'pa;.ry.�' ,•+- r.1- .. -ifa .gin.. + .� ., - �R e ai +..w.:wai �,'i. ... `y.-., it w BRUCE R. FOLEY LORETTA MOLINARI RN., M.S.N. Public Health Director j� Y 04 Associate Public Health Director Director of Patient Services DEPARTMENT OF HEALTH 1 Geneva Road Brewster, New York 10509 Environmental Health (845)278-6130 Fax (845) 278 - 7921 Nursing Services (845) 278 - 6558 WIC (845) 278 - 6678• Fax (845) 278 - 6085 Early Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912. Faz (845) 228 - 6113 WELL PERMIT LOCATION MAP EXAMPLE SHOWING ALL SOURCES OF CONTAMINATION WITHIN 200 FEET OF PROPOSED WELL (Copies of the tax map page for your property can be obtained at your Town Building Department and the Putnam County Dept. of Health). ►io,00 1.40 AC CENTER ros.00 111.9; � %ee ,1os.ao 44 S )4 1629) •�p� DRIVE 14 13 • � N � 12 2ae.o5 1.10 AC. 2.00 AC. , N o , 1.05 AC. 221.4; ��ST �TS N SX0409 • ' 1.10 AC. CAL, g o ' S � a • Y11.59 6 EsT 333-30 — '- 5STS t • - 9 XlS��01 U 2.00 AC. °' 140 5p _ S N 1.01 AC. IO a t57� y yb 1.01 AC. auaao 1 LL 1.00 212,00 SHOP IS t 2OO DRIVE ' 220.00 199.00 199:99 ' a 6 s 4 `.6 d 2 1.01 AC. sc ' • 1.00 s AC. 1.00 AC. s 24s.00 5675 �, 1 2 0.67 C I 7 .ts (9500 100.40 o 0 5 38&40 s sr I 1.50 AC, a 1.00 AC. CAI. � 1.44 AC, � W1 80 1 78 � ' m 78 1 81 21.00 61 62 16 114 \113 1 63 64 65 66 1 - \ . .\ lie .00 67 / 80 \ ilea So., 1 69 70 71 0.63 6002 11 '17 38 00 /a F8 • 137 •436- �• 122 64 132 123 6 131 124 66 ` \Y 130 129 128 11``26 – t ss1127 1 126 �� 59.96 5r6' 39'11 14ATHE, ADA �j 69 87 so I 70 49 53 54 48 I I 71 104.34 56 57 58 ey, 58 72 60 61 62 63 64 65 66 I 67 4. '12-4 73 93 92 il —4a 40.01 smoo 40.00 90 loaol M.00 20.00 1 88 74 1 40 88 87 42 86 85 84 .83 82 81 80 79 75 gage 'go 20-00 43 44 76 45 77 ILI I I — 78 INSON 211001 9183 STREET v ...W-.. u 2 3 5 fo 26 -6-1 ffim�®� M 1 13I I15 23 6 r7 a 9 fo ' 12.1 14 12, 371 22. f3 5 21 98.51 14 17 zz 33 3 36 o Q C.1 2 Ig '-%.03 In 109 ffo I 69 \12 20 - — . If 1— 54 21 20 —44' �r_ _: 45 46 47 48 ' 6