The URL can be used to link to this page

Home My WebLink About0273DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 13. -1 -3.1 BOX 4 L W y. ., .ti ; 4 r �,' 'i . Le m6 . ' L ' ni , �� J 111: � DEPARTMENT OF HEALTH Division Of Environmental Health Services 4 Geneva Road, Brewster,. New York 10509 (914) 278 -6130 Sept. 9, 1997 Jack Karell Jr., PE Cushman Rd. Patterson, N.Y. 12563 Re: Addition Karell No increase in number of bedrooms - Cushman Rd. Town- Patterson Dear Jack: BRUCE R. FOLEY, R.S. Acting 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 Sept. 9, 1997 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 4 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. 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 Patterson. If you have any questions, please contact me at your convenience. WH /kg cc:BI ( ) addition Very trul rs, William Hedges Sr. Public Health Sanitarian SEP -04 -1997 23:25 TOWN OF CARMEL P.01i01 S vN(b6„.. __..._ ... 24vO ?Utnam County Depa.rtxfent ov Health iivision of Envirot�)mo - ntal- �e" alt-h Sa*rvicL, :'Droved as noteri for cnlorm^nce ;,its ?piicable rfule of thE �Atnam County.Health Department. TOTAL P.01 SEP- 8-97 MON 2:08 PM PDNAM CTY ENV HEALA FAX N0. 19142 787921 P. 5 trl J Aet6V FoUg N&a11h o,ro::t.. Li y DEPARTMENT OF HEALTH Division Qf Fnvironmental Health Services 4 Geneva Road, Brewster, New York 103D9 (9131 278 -5130 Pf m E0 ICATION _ LRESIDE IAL Q&yj W� am 7 950/ sT3cE 7c rvw 9 ProOntE' %� -7�I PCHD PEMIT S (G f bascription of-Addition �t/N Mbar of existing bedrooms 3_ Proposed number of bedrooms from Certificate of occupatey or Certification from Building Inspector Any addition which is considered a bedrM requires formal appravai 6f plans (COnstruetion Permit) prepared by a Professi& al Engineer or Registered Architect in accordance with applicable sect i png of the Autm a County Sanitary Code. Please submit this foam and the following to PUililly OOUNTY WEALTH DEPARTMWr, 4 GMq ROAM, BRcWSTIR, Mt 10509, Phone 278-6130 With the following 'information. 1. CArtified Check for 5100.00. 2. Sketch of existing floor plan Call living area including basement, if any) goat- professional drawing is accaptable. ✓ 3. Sketch of proposed floor plan. Non professional drawing is acceptable. 4. Copy of survey showing well and septic location, to the bast of your "�ma�yy lumledge. Include date of installation if lama. /� ;L,*f Include all wells and septic systems within 2W feet of property line. Any mod' ► � questions Please contact this office. S x�y S. �y of Certificate of occupancy from Tom or Lertlficatien from SulI i �,mOj Npartaent of legal bedroom► cant of dwelling. USE 0ments and /or conditions I - application August 1995 July 1995 (Revised) SEP -06- 1997 02 =59 92% P.05 _ _ -- _ •i�l.l]7F1'1 Jf1 alma i n-� _ nn . � �' � .^••• .�•• P. 01 TRANSACTION REPORT SEP- 8 -97 MON 2 :09 PM FOR: PUNAM CTY ENV HEALTH 19142787921 DATE START RECEIVER TX TIME PAGES TYPE NOTE SEP- 8 2 :05 PM 6287434 3'36" 6 SEND OK 4 SEP-08-1997 03:29 TOWN OF CARMEL or - — Iw- 1010 1 P.03/03 v I f :pf., '� c 4j' f 9 • � a TOTAL P.03 PUTNAM COUNTY DEPARTMENT OF HEALTH DIVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # J Well Location: Street Address: Town/Village Tax Grid # , /: 1.��%ii.✓� %�- �SQ,I� Map/ Block ( Lot(s) 3, Well Owner: Name Address: I R Y V C 4--t- A/I/ h1 1J_ Use of Well: 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 gpm # People Served Est. of Daily Usage __gal. Reason for Replace Existing Supply Test/Observation Additional Supply Drilling New Supply (new dwelling) Deepen Existing Well Detailed Reason ° r L:kk 41pr �� iloi It for Drilling Well Type_ Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes ' No Is well located in a realty subdivision? ...................................... ............................... YesX No Name of subdivision - �i (��°� G Z-v Lot No. /. Water Well Contractor: Address. Is Public Water Supply available to site? Yes No Name of Public Water Supply: Town/Village Distance to property from nearest water main: C- mg -- Proposed well location & sources of contamination to be ovided on separ to sheet/plan. Date: Y Applicant Signature: � A AA 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 �] b 9 ; Permit IssatmOfficial: 6 4"_ �i60 Date of Expiration'q / ?> / q Z5 Title: Permit is Non- Transferra White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 FROM : THE MONTGOMERY'S PHONE NO. 904 668 8398 i Robert Montgomery 4775 ttlghgrove Road Tallahassee, FL 32308 904t668 -8399 Sep. 21 1997 02:07PM P01 To: Department of Health Sept. 22, 1997 Division of Environmental Health Services 4 Geneva Road, Brewster, New York 10509 FROM: Amanda Cushman Coley, individually and as Trustee of the L.A. Cushman Trust Re: Proposed well for John Karell Jr., Cushman Road Patterson, New York 12563 Tax Map 13 -I -3.1 FAX 904/668.8398 Amanda Cushman Cooey, individually owns, and as Trustee of the L.A. Cushman Trust, does represent certain, tax parcels, commonly referred to as the Cushman Estate, which boarder Mr. John Karell Ir.'s property and on which he proposes to drill a well. Neither 1 nor the Trust has any objection to the drilling of such a well. 1, presently am in Europe and have ask Robert Montgomery under my Power of Attorney granted to him to sign this communication. Very truly yours, 4o�bert Montgomery, POA Amanda Cushman Coley (V*w Hso� as ........... . . . . . . . . . . . . joi oj4 101 IV -99. se tie I 9w- *40 wolo All Nth 0% .06 1. 7 J fj rl Rji, g m li ill lj 336 TRW-REDI 1-800-345-7334 II G 02.98 AC. CAI If 11 I If ff I 11 I 11 I 11 I 11 I 11 I 11 11.95 t 23 27.52 k