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Home My WebLink About0269DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 12. -4 -1 BOX 4 Ll AN . LLP . mlm� :JN NN . ' IN-irmi NIL ikq IN! Alls f -� PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL r "" please print or type PCHD Permit # WUO-:°O Well Location: Street Address: Town/Village Tax Grid # 12 -4 -1 C) 2 Fireside Court, Patterson, NY Map Block Lot(s) Well Owner: Name: Address: Dominic DeSantis 2 Fireside Court, Patterson, NY 12563 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 _2n— 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 Insufficient supply in existing well. 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 Putnam Avenue, BrewsterAMM 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 Mpv' 'arate sheet/plan. Date: 13/01 Applicant Signature: I 'Beal 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. revision or alteration of the approved plan requires a new permit. Well to be constructed by a water vy 1 ller ceig4fied by Putnam County. Date of Issue v j Permit Iss ' is - Date of Expiration J Title: Permit is Non - Transfer able White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 P.F. BEAL & SONS, I.NC. 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER TANKS WATER SYSTEMS COMMERCIAL WATER SYSTEMS JET PUMPS r /a6Gr6edie9i - Over, 13,21i Veils Comvleled HYDROFRACTURING SUBMERSIBLE PUMPS WATER CONDITIONING EQUIPMENT TEL. (845) 279 -2460 - 2461 FAX (845) 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE July 25, 2001 Putnam County Health Dept. 1 Geneva Road Brewster, New York 10509 Re: Dominic DeSantis Tax grid #12 -4 -1 To Whom It May Concern: Enclosed please find further documentation for the well application and fee previously sent to your office for Dominic DeSantis. As noted on the map provided, the proposed well location is in excess of 100' from the DeSantis' SDS and there is no other source of contamination within 200' of the proposed well site. If you -have any further questions, please feel. free,to contact me at my office. Very truly yours, P. F. Beal & Sons, Inc. 4 Adam L. Beal ALB /mm enclosures DeSmytIv Y-UTNAM COUNTY DEPARTMENT OF HEALTH p IVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # Well Location: Street Address: TownNillage Tax Grid # 12 -4 -1 2 Fireside Court, Patterson, NY Map Block Lot(s) Well Owner: Name: Address: Dominic DeSantis 2 Fireside Court, Patterson, NY 12563 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 _M_ 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 Insufficient supply in existing well. 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 Putnam Avenue, Brewster=0509 Is Public Water Supply available to site? .................................. ............................... Yes No V Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be provided o ep a eet/ an. Date: 7/3/01 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 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 51 Al 05 AC. 157.65 / 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 Intervention (845) 278 - 6014 Fax (845) 278 - 6648 Preschool (845) 228 - 5912 Fax (845) 228 - 6113 P. F. Beal & Sons, Inc. 4 Putnam Avenue Brewster NY 10509 Re: Proposed Well: DeSantis 2 Fireside Court (T) Patterson, TM# 12 -4 -1 Dear Mr. Beal: July 11, 2001 Review of plans and other supporting documents submitted at this time relative to the above - regarded project has been completed. Comments are offered as follows: 1. All sources of contamination (septic systems, etc.), within 200 feet of the proposed well location must be shown on the site map (enclosed). Upon receipt of a submission, revised to reflect the above comments, this application will be considered further. Very truly yours, Robert Morris, P.E. Senior Public Health Engineer RM:tn enc. G; ,.ill? u .16 v j6 �{ SN' favr F�ood� roo cn V' ` V , _ \aJ P.F. 'BEAL & SONS, INC. 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER SYSTEMS JET PUMPS - Over 12,700 Neffs Gomplled SUBMERSIBLE PUMPS TEL. 279 -2460 - 2461 FAX 279 -6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE July 3, 2001 Putnam County Department of Health 1 Geneva Road Brewster, New York 10509 To,Whom It May Concern: . WATER TANKS COMMERCIAL WATER SYSTEMS HYDROFRACTURING WATER CONDITIONING EQUIPMENT Please be advised that the proposed well for Dominic DeSantis, on 2 Fireside Court, Patterson, New York, is not within 200' of neighboring property owners. Should you have any questions regarding this, please feel free to contact me at my office, at the above number. Very truly yours, er WBeal ph:PLB Q t -• j L.. i t 1 1 r -.t +.., ;�s ' a� ak +7�, �' iy max' ' ;•\ ,i � � `'619.6" N' 976000 �'�' <</•' sea 1,10, VAN 52 r l M .85 AC.$� car •,' '1 l � uo ' � 76:;� � vtil3'1i n, � c: o N � Iw -;;;'. MONNEY T`:! r r �1 i 0 ( APPENDIKE Dear l"i It qr5. -&rnwd, Date 7' If-01 25 RE: Department of Heah)t.Review of proposed Sewage Treatment System for Property Name: D o vrte.wi e- + Zob; n T) e- $tA,,Y 5 Address: 2 Ftresid a C-.;C- Town: PaAt•erso -i , A) V. Tax Map #: Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/or well proposed forth captioned property has been made to the P'itnam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call the Health Deoartment at (914) 277 -5! 3n Very truly yours, y �e�vueK�c f �tlLjrN b2.SL�KYis By: Title: Received By: s Address: 3G F(res tr) Q Cr -trersv h Tax Map 9: /-�.— I -54 uettst. 1999 AppndxE ■ pomplete ltems.1, 2, and 3. Also complete A,, Receivedgby (Please Print Clearly) .I B Date of De]Iry item 4 if Restricted Delivery is desired. t ti , N Print your name and address on the reverse C Signature so that we can return the card to you Ill Attach this card -to the backpf the madpiece j( Addresses - or, on the front if space permits: .. ". .' . `� "• D.'ladeliv re. - different from kem 1? 'O Yes Article Addressed toi eriter delivery,eddress below O No • ;.�1 Mr +Mvgo5f 32�K ;. 36 " , tlres�e :3.. ... -; ype died Mail ❑ Express Mad 0 Registered .- O Ret6m,Receipt for Merctiandise'• - ❑- Insured Mail ❑ c.o.d. ° - ... •. ". -• .. `+ 4. Restricted Delivery? {Extra Fee)' ' • =1.Yes . . ' 2. Article Number -.. o d adz 9 g Zo (Transfer tiom service label) 7� v �Q 'L _g 11 25 APPENDIX•E o:M; 1 16zUej W i 3 ON W [WRl Dm ?'t at. id ( RE: Department of Health, pew of Proposed Sewage Treatment System for Property Name: D o vKe4 -v e- •F Zo& n✓ 2 ,S -&—Y! S Address: z F t re aid Q Cam" Town: A) y . Tax Map Dear W, ✓�� Please be advised that an application for a Constmedw Permit relative to the consauction of a sewage system and/or well proposed for the captioned property has been made to the P stnam County Department of Health. Attached please find a copy of the latest site plan. If you have any questions, concerns or information which may bear on the Health Deoartment's -evtew of :his application, you r; av call the Health Denarrner -- =1 =1 =7 -45 '.3 Very truly yours, By: -Dowcr vtrr- f 201,(.k Title: Received Bv: - ti ` '- Address: Z ( Ha44Vr (� 1'. P, f1e�SJh Tax Maio : I z . - y - L - 1eltst- 1994 .ADpndxE ■ Complete items 1, 2, and 3. Also complete, ' elved se P,rnt Clearly) ,e. Date o Delve ry, t ,: "item 4 if•Restricted DeWe ry Is desired , 1 I .,�. � ■ Pnnt your name and address on the reverse. Ca I ature -. so that we can return the card to you ■ Attach this card to the back of the mailplece, ❑ agent X O Addiessee',i or on the front if space permits. '1 ' D: {s delivery. ntfrom item 1� ❑ Yes, ` 1., Article Addressed to- ,enter. delivery address below ❑ No I Kr+'&trs. P A l 2 S (0 3 2 D SU sere -✓t drti�ied Mail. ❑;Express Mail' istered % ❑ Return Receipt for Merchandise j .. .❑ insured Mail' ', ❑COD. ' 4. Restricted Delivery? Xx ra Fee).. '' ' . ❑ Yes i 2. Article Number Ld �9a transfer from seice laeq 70 PS Form 3811, March 2001 Domestic Return Receipt 10MS-01 -M -1424) 25 APPENDIX•E MINA\ *11 IN pt Date 7• 18'-6l RE: Department of Health Review of proposed Sewage TreatmeM System for property Name: D o w«•< < 4 fZob: -t De- SzK -Cr5 Address: Z F t re s i d e C r Town: Pam e rsort aJ y, Tax• Map #: ! ? • ' `f — ! Dear �`• � Please be advised that an application for a Construction Permit relative to the construction of a sewage system and/orwell proposed forthe captioned property has been made to the Pitnam County Department of Health. Attached please find a copy of the latest site plan If you have any questions, concerns or information which may bear on the Health Department's review of this application, you may call the Health Department at ( 914) Very truly yours, v. B Y �c�wfe virc i �UvJrN �e S 7�S Title: Received By: -« A-; - r- S na -��su y Address: 22- Ftre-stjo Tax Mao #: � � - 2- August, 1999 AppndxE ,•,n t,ompla?a items �;.z, ana o raso winp nia r i , - rtem411 4'Res6lctedAehveryls,deslred le Pnnt your name and, address on the reverse � so that we can return the card to you • • 'Q Si Itu�re'� f " / ❑ Agent AHach,this card to the back of„the mallpiece X ��f �i .. or on the front rf space permits: - ' ❑Addressee •'.D Is delivery address dAfereM from Item 17 ❑Yes Artcle }Addressed to If YES enter delrveryaddress below ❑ No . 4 i 2Z 'tvestc�¢ Pa-(ea son'r (ZS 63 3 servi e n,. , `ified Mail Express'Mail Registered ❑ Return Receipt for Merchandise ' ❑� Ihsu•red Mail �' ❑COD s , - ,,4. Restricted Delwery7(Extra Feef•• _; O; Yes -2 Artcle Number m servica�label) :�� o;o Z2 (Iransfer'fro ac :,.r RRi 1 Marrh 9001 Domestic Return.Receipt o25 &sot -M -taz IV L' l �� N1F GILSTAD '� _ O c 2 .54 Ac-.* fco Ar�eA 2 3 A zN �3 . s1o�32 o9�"I� 510.9 } <p� SI°. 2i �.gF• V Z o Q a N 3 5 5 O � V •V ] 2c 7 a so / °e 04 Ph 12 °MICG 3 3N d� �� Oio °r.i�. y ,3o m N 601.23 2. T m 501 39 r 9� �N �soo2q �jm33 w� I o�. Kuu S STO 4447.41 1 3 3 / G G Z � q Z-77 61 0�1- LIZ 1L � 9 �- e g ollA E ®ASE uses F=47.o" AO-JOINING veEV LONE KOOSIS'(O Q S 0 I Z' 34 w 33.8a 118 7S' \j� �1 ItO� /G• DEPARTMENT OF 'HEALTH ' Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE R. FOLEY, R.S. Acting Public, Health Director V ' ADDITION APPLICATION - (RESIDENTIAL ONLY STREET: o P A-) �- i1 / TOWN A 71� AAC51J TX MAP # " U NAME: �s �y /1- PHONE e ��,5 ,� / PCHD PERMIT MAILING ADDRESS �-1 �l I U r1 jv '°- Li ��' ! lLd A Description of Addition '" U r's�y r X'_ xi lei � Number of existing bedrooms_ 'Proposed number of bedrooms Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architec- in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BRE14STER, NY 10509, Phone 273 -6130 with the following information. 1. Certified Check for $100.00. %'2,.= -Sketch of existing floor plan (all living area including basement, if any) Non- professional drawing is acceptable. 3..Sketch of proposed floor plan. Non professional drawing is acceptable. 4'. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. OFFICE USE Comments and /or conditions application August 1995 R " x DEPARTMENT OF 'HEALTH ' Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 BRUCE R. FOLEY, R.S. Acting Public, Health Director V ' ADDITION APPLICATION - (RESIDENTIAL ONLY STREET: o P A-) �- i1 / TOWN A 71� AAC51J TX MAP # " U NAME: �s �y /1- PHONE e ��,5 ,� / PCHD PERMIT MAILING ADDRESS �-1 �l I U r1 jv '°- Li ��' ! lLd A Description of Addition '" U r's�y r X'_ xi lei � Number of existing bedrooms_ 'Proposed number of bedrooms Any addition which is considered a bedroom requires formal approval of plans (Construction Permit) prepared by a Professional Engineer or Registered Architec- in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to PUTNAM COUNTY HEALTH DEPARTMENT, 4 GENEVA ROAD, BRE14STER, NY 10509, Phone 273 -6130 with the following information. 1. Certified Check for $100.00. %'2,.= -Sketch of existing floor plan (all living area including basement, if any) Non- professional drawing is acceptable. 3..Sketch of proposed floor plan. Non professional drawing is acceptable. 4'. Copy of survey showing well and septic location, to the best of your knowledge. Include date of installation if known. Include all wells and septic systems within 200 feet of property line. Any questions please contact this office. OFFICE USE Comments and /or conditions application August 1995 R DEPARTMENT OF HEALTH Division of Environmental Health Services 4 Geneva Road Brewster, New York 10509 Tel. (914) 278-6130. Fax (914) 278-7921 July 21, 1998 Kessler 349 Mooney Hill Rd. Patterson, NY 12563 Re: . Addition - Kessler, Mooney Hill Rd. No Increase in Number of Bedrooms (T) Patterson, TM# 12 -4 -1 Dear Ms. Kessler, BRUCE R. FOLEY Public Health Director I have received and reviewed the plans for the proposed addition to the above mentioned residence. The proposal for the addition has been approved as per plans bearing the latest revision date of July 21, 1998 and this Department's approval stamp. Based on the information submitted, the above mentioned addition is approved with the following conditions: 1. The total number of bedrooms must remain at 2" without prior approval by this Department. 2. The area of the existing sewage disposal system, and its expansion area, must be maintained. 3. All plumbing fixtures must be updated with water saving devices, i.e., new low flush toilets, restrictors for shower heads and faucets, etc. Any other permits or variances required are the responsibility of the applicant and the jurisdiction of the Town of Patterson. If you have any questions, please contact me at your convenience. Very truly yours, William Hedges Sr. Public Health Sanitarian WH: dk 0 DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 (914) 278 -6130 Putnam County Dept. of Health 4 Geneva Road Brewster, NY 10509 Gentlemen. Re: Residence BRUCE R. FOLEY, R.S. Acting Public Health Director Tax Map I— To"M o According to records maintained by the Town, the above noted dtivelling IS IS NOT in compliance with Town code and the total number of bedrooms on record is This information has been obtained from: CERTIFICATE OF OCCUPANCY: Z/—o ASSESSORS RECORD: OTHER Rrtilriinor TncnPr•tnr f / r 1 DF WORK / r � r r - r r }tJ 1A li rl O" lJ - R � . , f1 � 7e r,,.l� . 'e e ,��,34.'�'• � y5 .y ... l y �.. � +. ,�yr L �y�.•�,,'SyA s��l"td^�`7 °yr. ,� ex �, �`r�a��,i�� n ? � Fml 2�' � ;u- ,Yf+�� 3'd.J =d {•t �� 5 t� r /1� �i�.�'��.�k� ;�r � i f� i i �' �. \ :{ y F !�� ! : !-i.�! Kf �. i J. f M• Vary j. � . E S a i � s� ''�` 't}�. r? � t' r ��X�.[ ,L'�,t`?'3wr ��i• •ru of !s� ti a t 1 ✓' 1` V 1 r . •h� , '"�e.p, `S iv. gypp! xq H m xc. t 2 WT 1 .. .: r_ �' _� p I tR Y • °R` +}. "`t^�7 },, `� : S L 7�- Lo`�`�yl�yaq'�•,r V 'R � TR {gel t-''. {� RC . ' rat k.°, 9 •\ ' <^4 4' M��" 1. R roLtR�S'J a i at a ra — — — - — - — — . m - \ \ \ \\ q- q Z-•L .9-6 ?9 -Id79 9HMd�. L Q M Q I- Q PUTNAM COUNTY O NT OF HEAIX g4 �" ' HOUSE PLANS APPROVED FOR "�'"� �'j�iM _ BEDROOM COUNT ONLY; �1 -BEDROOMS Signature & Title Da i .Qe-4 - - - - -- -r 7 ' 1 PW