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Home My WebLink About4778DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 91.26 -2 -6 BOX 36 04778 m ull No I 11 �1r IN . IN . , � IN - �. . .; , }. .- f 4'' - r'' �'t= 04778 ,q -�,:. ;;.i :" �.�.;. �.m::�R:.�= •o...._::r �:: e1: =-; a.. r;:..+~v ". �::;G�+•er7,,r :sic - �aiv:oe�' MARVIN O'DELL Bldg. Inspector JOHN MAHONEY TOWN OF PUTNAM VALLEY Deputy Zoning Inspector BUILDING, ZONING, AND SANITARY DEPARTMENT April.22, 1991 William Hedges Putnam County Health Dept. 110 Old Route 6 Center - Bldg.43 Carmel, N.Y. 10512 Dear Bill: 194 QV PUTNAM VALLEY, N.Y. (914) 526 2377 BETTE STOCKINGER Bldg. Dept. Cledc Re: Proposed Water Well. 21 Harper St. -. L.P. TM #106 -5 -5 In reviewing the application (copy attached) for a new well, it appears'prospective buyers propose the acquisition of adjacent lots to meet necessary distance separation requirements. Tris acqu; ► ._ s , , it-u _._.. ... a division of contiguous% :property by its present owner and, therefore, requires Planning Board approval for a Lot Line change:, Permits for above proposal, should not be granted prior to said approval. Yours truly, i MARVIN 0 DE Building & Zoning Inspector MO'D:es enc.. cc: Putnam Valley Planning Board DEPARTMENT OF HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 ....:.; a--^', �.:. a�PpL�F':! ?'' T��sa`: aTC.. �. ��i�% �a`�Ri�;'d'r:�►x��:�E�I`wF;�.r Q -�•.x •,� -:�• ;: • - ,,.:;».:= . -:e�� _..�,. . PCHD PERMIT WELL LOCATION Street Address To Villag City Tax .Grid Number .WELL OWNER Name 12AESIDENTIAL ® BUSINESS ® INDUSTRIAL Mailing Address IMPrivate g...ss9J�� b11� . /® 6'Z O Public O PUBLIC: SUPPLY (] AIR /COND /HEAT. PUMP ® ABANDONED O FARM ! O TEST /OBSERVATION O OTHER (specify O INSTITUTIONAL O STAND -BY ® ' USE OF . WELL 1 - primary 2 - secondary AMOUNT OF USE YIELD SOUGHT S gpm /O P1 REPLACE EXISTING SUPPLY 1 O NEW SUPPLY NEW DWELLING PEOPLE SERVED_ /EST. OF DAILY USAGE dal O TEST /OBSERVATION 12. ADDITIONAL SUPPLY ® D E EN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING kovSe_ _<C" . &41 �v�'Id9�" Gv • o • -- --- - -. - -- - I'G - __ _ __ ____ 'Sal WELL TYPE DRILLED ®DRIVEN ®DUG GRAVEL ® OTHER IS WELL SITE SUBJECT TO FLOODING? YES NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. A WATER WELL CONTRACTOR: Name e cka' Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE :. YES NO NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTANCE TO- ?ROPERrf TROM Ir ST WATER -MA-IN:- LOCATION SKETCH & SOURCES OF CONTAMINATION PROVIDED UON SEPARATE SHEET y� Qw, �1 6V � �0 (date) (signature PERMIT TO CONSTRUCT A WATER WELL This permit to construct one water well as set forth above is granted under the provis $ons- 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 Department attached to this permit. 3. Submit a Well Completion Report on a form requirements of the Putnam County Healtth 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: 19 Date of Expiration 19 Permit Issuing Official Permit is Non - Transferrable White copy: HD File Pink copy: Owneir 3/89 Yellow copy: Bldg. Insp. Orange copy: Wegl Driller' w»t :. MARVIN obELL Bldg. Inspector - 4 = -..- _cis: T�v. i�: t.m:..::- i.•!�':.;;t�'.'2::» s• e:.A.i. A:• �:.a.+.:. -w � a.r�c. .u. -._w` •�'•n PUTNAM VALLEY, N.Y. (914) 526 2377 JOHN MAHONEY TOWN OF PUTNAM VALLEY Deputy Zoning Inspector BUILDING, ZONING, AND SANITARY DEPARTMENT April 4, 1991 Putnam County Dept. of Health 110 Old Route Six Center Carmel, N.Y. 10512 Att: William Hedges Re: Proposed Well Harper St. - L.P. TM #106 -5 -5 Dear Bill: BETTE STOCKINGER Bldg. Dept. Clerk Pursuant to review of a.proposal to construct a water well to be located on property that records of our Town indicate is of ieparate ownership than _:.,,....:.:.,. _.:noted above. has not..be.en approved f.o.r .th.e_., -Y- f 01 ow 11 gT Tea -;T0- ri °.' The property proposed to be added to this parcel would-'create a subdivision of land requiring approval of the Planning Board of the Town of Putnam Valley. Very truly yours, MARVIN 0 DEL Building & Zoning Inspector• MO'D:es Ge 'Z( — DEPARTMENT OF HEALTH Division of Environmental Health Services '2Y'3 -'30�' . _ 4,•:' . APPLICATION TO CONSTRUCT A WATER WELL PCHD PERMIT #! /li •/� WELL LOCATION Street ,Address To Villag C# Tax Grid Number ZA P� ®6 -= WELL OWNER Name d Hlailing Address #j Private 0= ��`9••� Z�71✓� /O,6'L O Public USE OF WELL 1 - primary 2- secondary 19 RESIDENTIAL D BUSINESS 0 INDUSTRIAL 0PUBLIC SUPPLY OAIR /CON; /HEAT PUMP 0ABANDONED 0 FARM O TEST /OBSERVATION ❑ OTHER (specs: O INSTITUTIONAL O STAND -BY 0 AMOUNT OF USE YIELD SOUGHT. gpm /11 PEOPLE SERVED r 00f 01 REPLACE EXISTING SUPPLY O TEST /OBSERVATION G ADDITIONAL SUPPLY O NEW SUPPLY NEW DWELLING) ® DEEPEN EXISTING WELL c hov_< 5e,"!f SaIT7 r'�' l.d REASON FOR DRILLING DETAILED REASON FOR DRILLING -W cL- ri ._ L C_ WELL TYPE DRILLED DRIVEN ®DUG OGRAVEL O OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: Lot No. WATER WELL CONTRACTOR: Name Ko4- e C4t Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES NO' NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY _ __ ,_...,.. �._.;:._..._._ .•- a• DISTANCE TO PROPERTY FROM NEAREST WATER MAIN: �/A LOCATION SKETCH 6 SOURCES OF CONTAMINATION PROVIDED PON SEPARATE SHEET 6�d ' ` l�1 ' R.% / ` 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 I Subpart S -2 of Part S 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.:_4„ 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 Pink copy: Owner 3/89 Yellow copy: Bldg. Insp. Orange copy: Well Driller DEPARTMENT OF.HEALTH Division of Environmental Health Services 110 OLD ROUTE SIX CENTER, CARMEL, N.Y. 10512 (914) 225 -0310 APPLICATION TO CONSTRUCT A'-WiT R WELL .a �� _.� -�.�. , � �.> _ • ..� PCHD PERMIT #11J 'Ir�'! WELL LOCATION Street ,Address Zl To Villag City Tax ' Grid Number 06 -S--t WELL OWNER Name ., %� �` Mailing .. U i Address � yfn' AlPrivate `9 4w/z, s O Public USE OF WELL 1- primary 2 - secondary 10 RESIDENTIAL 0 BUSINESS 0 INDUSTRIAL 0PUBLIC SUPPLY ❑AIR /COND /HEAT PUMP OABANDONED O FARM O TEST /OBSERVATION O OTHER.(specify CJINSTITUTIONAL O STAND -BY O AMOUNT OF USE YIELD SOUGHT S gpm /# 10 REPLACE EXISTING SUPPLY O NEW SUPPLY NEW DWELLING) PEOPLE SERVED /EST. OF DAILY USAGE al O TEST /OBSERVATION 12. ADDITIONAL SUPPLY 13 DEEPEN EXISTING WELL REASON FOR DRILLING DETAILED REASON FOR DRILLING hovS2 z5e oumw - ri -56o WELL TYPE DRILLED 13DRIVEN aDUG []GRAVEL OTHER IS WELL SITE SUBJECT TO FLOODING? YES X NO IF WELL IS LOCATED IN A REALTY SUBDIVISION, NAME OF SUBDIVISION: /V /A ''ii Lot No. WATER WELL CONTRACTOR: Name t4&� Address: IS PUBLIC WATER SUPPLY AVAILABLE TO SITE: YES _ No NAME OF PUBLIC WATER SUPPLY: TOWN /VIL /CITY DISTA.'dCE TC-- PROPERTY- ..FROM NEASE-ST,--W ATER : D' URNO and DONAHIUE n Z.��i jj ,'U'glG iyFcNj.(tyIl.„II$�..�� -.- �.�`�u ti.i n. L•t f'Ai.�.1:.'Ai4 �'.9�#O '•4 •Qlr'YMi •'.6�....�..�Tf. ..(�. �+fNan .. �•lw .�44`Y�4' q.T '4�K'<•.S1G 6`�. r .a -..'.. John V. D'Aquino, P.E. 314 Oscawana Lake Road Putnam Valley, N.Y. 10579 914 -526 -2039 March 27, 1991 Bill Hedges Putnam County Health Department 110 Old Route 6 Center Building 3 Carmel, New York 10512 Res. Application to construct a water well for P. Rardin & La Kuhn 21 Harper Street Lake Peekskill Putnam Valley (T) Dear Mr. Hedgess. Daniel J. Donahue, P.E. 200 Breckenridge Road Mahopac, N.Y. 10541 914- 628 -7576 Enclosed are the following documents submitted relative to the above captioned: lm Application Form 2e Letter of Authorization 3. Location Map �- 4.v - a_.-Photoenlarged Tax sMa.:..: �5.� Sketch based on Tax Map Please note that this application includes the acquisition of adjoining lots to provide a 100 foot restrictive distance between the proposed well location and the nearest sewage disposal system. The orientation of the house and septic system at #25 appears to 'be similar to the layout shown for #21 and would scale over 200 feet from the proposed well. The information presented herein is based upon a tax .map supplemented by.field observations made on March 26, 1991 and a field conference with Mrs. Moore, owner of house #170 The existing sewage disposal system serving house #21 is reportedly satisfactory and area is available for expansion without encroaching on the 100 foot setback from the proposed well site. Site 0 Sanitary 0 Environmental ;. :_. ... r `r ... .,a v.- .'�ae+n _�e,. � ;:. .'4° ..car �.,•- .> • _ --. r..,7z.. ..i _ ... � � i..�}�+..:: +.. s� - z�..ec� .�Y .�y. .. .I - 2 - Since the purchase of this property is predicated on obtaining a well permit, it is respectfully requested that this application be processed as soon as possible. Thank you for your attention in this matter. Sincerely, )ohn V. D'A Ino, P.E. JVD /ld cc: P. Rardin /L. Kuhn Marvin O'DellBuilding Inspector .. ..�� _. .... .•. � -a. �tl. •. .y. ... _ .z .. ... ,s •. � +. c v.. .v ....4,•y . .. - K .. .... � •. r �.. �-�.. y ........ �� y^.. �► _.�. ....d . w . « .... .... � ..+� .. r. :v — PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION'OF Re: Property of Located at 0/ Date ho -5¢ (T ) 131u1M !A1 Section 14!96 6 Block Lot Subdivision of Subdv, Lot # Gentlemen: Filed Map # Date This letter is to authorizev`� a duly licensed professional engineer $� or registered architect (In, icate —�" -v - - i well to apply for a Construction Permit for a•_ , to serve the above noted property in accordance with the standards, rules or regulations as promulagated by the Commissioner of the Putnam County Department of Health, and to sign all necessary papers on my behalf in connection with this matter and�to supervise the coristruction of" sai d system or systems in conformity with the provisions of Article 145 or' 147, Education Law, the Public Health Law, and the Putnam County Sani- tary Code. Very truly ours, Signed f d � Countersigned: Owner o Property P.E., R. A. # �� Address Address Town Telephone Telephone I t ..F;`z "�'?'a!!�►. .HF'44� 'I'_H - DEPAR` VIUI?r DIVISION OF ENVIRONMENTAL HEALTH SERVICES .; ... -.: •a -'fin: = _, . 4 .. John M. Simmons, M.D. Deputy Camnissioner of Health - FIELD ACTIVITY REPORT - Sheet of INSPECTION NAME ep /;' - ��/115� 1 _ Orig. Routine �- Orig. Complain ADDRESS 2 /':57 -- 5- s Orig. Request No. Street Town IM No. _ Compliance . Complaint Camp MAILING ADDRESS Final P.O. Box Post Office Zip Code Group Illness Construction TELEPHONE . Im . Name and Title �U DATE c'// /2 - y� TIME VED �, ` C TIME LEFT Reinspection Field, Sampling Only Field Conference Other Explain FINDINGS: • [/ �' mac-" % /��/ G/5 B -�'. � � � a �'7 �G7 �C� •- °'".�'Ln� 1-z-- i .a /cam G� / �• T "-- / ,4,- c c I' / --- �! INSPECTOR: IJ ��yy� -� signature ana PERSON IN CHARGE OR INTERVIEWID: / I acknowledge this Field Activity Report. SIGNATURE: 6/86 TITLE: ZZ f p5 o� S >o5 y oK, a(too fobs -S r TA f 0 a � .... `. ?.�.. _. ti _...,.�, .. . �+ � . -.« _� P�. w -. -.. .y,. ...r -- -•u-�. ' �a .. -� � - .,.�, .. ....... Py. w_ _ -. -� ..v., .,,. --- _ •e.. -.n ...... ..- - o ...mow. e ��x ( // 7pQ1Q! POSCb A n/l Lt£t� E`L� rp loll U S KC —rc1 -I For PROPOSER WeLLL Fog z 1 HARPER S T. LaK� (?E� KSKI LL APPRox. 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