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Home My WebLink About0644DOCUMENT CONVERSION SERVICES PROVIDED BY IMAGING & MICROFILM ACCESS, INC. www.scanyourdocs.com 631- 589 -8100 23.06 -1 -11 2 all f 16 low, ALI C) od dl 3 a- PUTNAM COUNTY DEPARTMENT OF HEALTH ® IVISION OF ENVIRONMENTAL HEALTH SERVICES APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # U) Li 0 — O i0 Well Location: Street Address: Town/Village Tax Grid # 23.6 -1 -11 8 Cann Lane Patterson, NY Map Block Lot(s) Well Owner: Name: Address: Jfrr-Christophe Santalis 300 Shear Hi11 Rd. Mahopac, NY 10541 Use of Well: x_ Residential Public Supply Air /Cond/Heat Pump Irrigation 1- primary X Business Farm Test/Monitoring Other (specify) 2- secondary Industrial Institutional Standby Amount of Use Yield Sought 5 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 MUN FARMHOM WELL SUPPLY SHUT' OFF MEN PROPE(rTY WAS SUBDIVIDED. for Drilling Well Type X Drilled Driven Gravel Other Is well site subject to flooding? ................................................. ............................... Yes No X Is well located in a realty subdivision? ...................................... ............................... Yes No X Name of subdivision Lot No. Water Well Contractor; mLu a 11inu, Inc. Address: - 75 Putnam Ave.. Brewster, NY Is Public Water Supply available to site? .................................. ............................... Yes No X Name of Public Water Supply: Town/Village Distance to property from nearest water main: Proposed well location & sources of contamination to be i on separate sheet/plan. Date: 9/12/06 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 Aunty Sanitary Code and Subpart 5 -2 of Part 5 of the New York State Sanitary Code and provided thifwithj ,thirty (30) days of the completion of water well construction, the applicant or their designated �'- iepresent�tive shall: 1) Pump the well until the water is clear. 2) Disinfect the well in accordance with the requiremrits of the Putnam County Health Department. 3) Submit a Well Completion Report on a form rovided b the Putnam County Health Department. Dunn all well drilling operations, the applicant and/or .P, .; y tY P g g P PP ;well driller--shall take appropriate action to assure that any and all water and waste products from such 4611, drillift 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 �ater well driller certified by Putnam County. n A Date of Issue Date of Expiration Permit is Non - Transferrable Permi Title: White copy - HD file; Yellow copy - Building Inspector; copy - Well driller Form WP -97 1;l ! Putnam County GIS ENT 9.34 AC. ' ij� � 1as.rs j J Zeros rs� 4 . i s ry f// —� _ % / r j E. 10 ' I PI a ° „ 8 W ry 4 t eaQa Subdivision Lags ROW Annotaation Owner An. to lion General Annotation Lot Dimensions Frontage. Road Names Acreage Lot Number Right of Ways Old Parcel lines D Parcels 0. Sections Wetlands Streams Ponds i5 La kes Munic ipal Boundaries 8� NtN 0C CV 1$ 6, yB Ike 12 333 � 14 Putnam County, New York Intranet Mapppin Application Information Technolo yy/GIS" (i345�225 -044q x1143 Freeance 4:1.0: PDFMap Pnnfting ystem DISCLAIMER: Putnam County does not guarantee the accuracy of the data presented. Information should be use for. reference purposes only. ,:2z3. C-O'. ft- ART CONTRACTORS 7 tnam Ave., Brewster, NY 10509 (845) 210-5041 1-800-371-WELL (9355) Fax: (845) 279-5075 www.mifldrilling.com NO §DS within 200 ft. + of the proposed well. gar APr1e- JemrChristophe Santalis 300 Shear HM Road Mahopac, NY' TAX GUD# 23.6-1-11 CO CD en PUTNAM COUNTY DEPARTMENT OF HEALTH IVISION OF ENVIRONMENTAL HEALTH SERVICES ® APPLICATION TO CONSTRUCT A WATER WELL please print or type PCHD Permit # W Well Location: Street Address: Town/Village Tax Grid # 8 Butternut Lane Patterson NY Map 23.6 Block -1 Lot(s) -11 Well Owner: Name: Address: John Santalis 300 Shear Hill Road, Mahopac, NY 10541 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 ___5__ 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 for Drilling Well 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: p. F. Beal & Sons, Tnc_ Address: 4 ntm Me BmN3j= NY 1050- - 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 to be provided on separate sheet/plan. Date: 716IQ4 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 w ller certified by, Putnam County.�,A. Date of Issue Date of Expiratiofi Permit is Non -Trans r ab e Permit Title: White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller Form WP -97 MILL DRILLING, INC. Putnam County Dept. of Health 9/12/2006 Permits Jean- Christophe.,Santalis Well Drilling Permit 8 Cann Lane 23.6 -1 -11 Business Checking Jean - Christophe Santalis -Well Drilling Per 29392 200.00 200.00 Page 1 of 1 Free @nce PRINTOUT TITLE Disclaimer: http:// imsserver .putnamcountyny.com /Freeancel Client ILandRecordslprintFrame.html 7/13/2004 Town Lines ❑ Parcels ��. �✓ Old Parcel Lines f``{ IV Streams Lakes and Ponds Wetlands Carmel Road Names Kent Road Names Patterson Road Names Philipstown Road /� Names Putnam Valley Road Names 1 f, Southeast Road Names ;I Urtpy 4?,/ . t Disclaimer: http:// imsserver .putnamcountyny.com /Freeancel Client ILandRecordslprintFrame.html 7/13/2004 P. R. . BEAL & SONS, INC • 4 PUTNAM AVENUE ARTESIAN WELLS BREWSTER, NEW YORK 10509 WATER SYSTEMS JET PUMPS his /a�f riiea� /d9! - Ouee• !3, 2!S &eif Com'01 -- ed SUBMERSIBLE PUMPS TEL. (845) 279 -2460 - 2461 FAX (845) 279-6613 COMPLETE INSTALLATION, REPLACEMENT AND REPAIR SERIVICE John Santalis 8 Butternut Lane Patterson, NY Tax ID# 23.6 -1 -11 rtsuv � l� WATER TANKS COMMERCIAL WATER SYSTEMS HYDROFRACTURING WATER CONDITIONING EOUIPMENT F -le 0 Gy "t: SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Jean Christophe Santalis 8 Cann Lane Patterson, NY 12563 June 8, 2005 Dear Mr. Santalis: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Proposed Addition - Santalis 8 Cann Lane (T) Patterson, T.M. #23.6 -1 -11 ROBERT J. BONDI' County Executive Review of plans and other supporting documents submitted at this time relative to the -above - mentioned project has been completed. The revised plans submitted May 31, 2005 appear approvable. However, the minimum of 2 sets of plans must be submitted. Upon receipt of a submission, revised to reflect the above comments, this application will be considered. further. Fert nce ly Morris P.E. Senior Public Health Engineer Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -6014 Fax (845) 278 -6648 NF PAP1151' CHUPCN & 50CETY OF' It %OWN OF PA11F-1250N" 5 60'36'07" E 19756' 0 M m CENTEI m 5?ONE WA A, IRON PIN 5ET 2.0' 1WM COMM �+ p P O � � AT--A s 1.842 ACM5t WON PIN 5C I" OPEN PLYWOOV %tLTEK I Pzo a(k p Garent mll is (Imb o__ - 122.10, W1 resi4Y4Ce @Tow/Jed ' . (qN9 - — 100.45' F 1 \2 SfoRy 5?ONE•� F SQPCiC . w V1 GK BUJ PIN 5Er ' �y ON ANCU . 6ZON PIN %f lS WON MN SEr 57 p �%W EN=AQt5 yy 3996 'O � � :WEST .. 3 � � �{ � :. • POLE'. CdJYYJ'�E. 6. 09, ! 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B �� s� y ♦^ _y+' - �}i i .L � • _F�I '�"°3 F .� � � %. d i.R'; ; �'�"A��%•r +M- {7 i � fW� � J ff` ?'.Y'S•` .. 4* ?`�" r' ¢ a n. - ey T.fi c :'� :'Pt, k_ N4 R �,$ �Y.ic' f. �a�� ey 4 p1' +�+#!'rr� -v t� d' .N?x., 3' s. �•�sai �vY'Yf'( f� L •.'a. s�� .7 ii4 y; ..t� h E 1' � 'S ^c ,vy� �i�ii y',+ld `v�.�'P�+ft'. £.8 K. � `�S. ''Rj 7 `tc Fk..r.t� ( '*�. ! c`�s, ''i'� .k�^Y'.�a��`yk �'�F�1, i rvq � l•Y bd � � � t f k `^ �a'� �- ac V� t� z �c> �'.>�' � �' �-s'. Y ✓� Y s+ G. ,�' l.Ta{L - 1 i' S4 k YJ . , .� .., c ,.. Yd ^`�.f., ;'S f <t '$ ,. ''ice S 1 s 1 . ttd�� 1 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health Jean Christophe Santalis 8 Cann Lane Patterson, NY 12563 May 23, 2005 Dear Mr. Santalis: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 Re: Addition — Santalis 8 Cann Lane (T) Patterson, T.M. #23.6 -1 -11 ROBERT J. BONDI County Executive I have received and reviewed the plans for the proposed addition at the above mentioned residence. Based on the information submitted, the above mentioned addition cannot be approved for the following reasons: 1. The proposal of the kitchen access constitutes an accessory apartment. 2. The legal bedroom count for the dwelling is four. The potential bedroom count of your proposed addition is six. 3. The addition of a potential bedroom requires this Department's approval of a revised septic system plan from a professional engineer or registered architect. Please revise the proposed floor plan to reflect no more than four potential bedrooms, or have a professional engineer or registered architect design a sub - surface sewage treatment system meeting present code requirements. If you have any questions, please contact me at your convenience. RM:cw S' c rely,` h� Robert Morris Senior Public Health Engineer Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 SAM -1A t, IS 3 A NN L4 A) 6- #F32-74o0' 230(0- I- f o LT-) L&Jov - o F -D I (poi ler, iitreov� Ock)lj RWtA SfA��S i S/aN( Ll5 S CANN LANE UP STA Q -S 17 SENDING CONFIRMATION DATE MAY -25 -2005 WED 15:25 NAME PUTNAM COUNTY DEPARTMENT OF HEALTH TEL 845 - 278 -7921 PHONE 96284169 PAGES 1/1 START TIME : MAY -25 15:24 ELAPSED TIME : 00'41" MODE : G3 RESULTS .: OK FIRST PAGE OF RECENT DOCUMENT TRANSMITTED... SITRPIATA AMLRR, MB, M FAAP ROBERTI RONDr CommlJ:fancr dfHdo7lh « Cmmly Fxscvsur WRE'17TA MOLINARI, RN. MBN dsnciote fnmmtvinner dfXenl7b _ DEPARTMENT OF HEALTH I Ocncva Road, Bmwac^ ', *, w 'i ork 1 0509 .lean Christophe Santalis g Cann Lane ' Patterson, T'Y 12563 May 23: 2005 Re: Addim, Santalis 8 Cant L-mc- (3,1P:t.lL:r 1! 'I.\t.�k23.(+ -x•11 Dear Mr. Santalis: I have received and reviewed the plans lot tbk -. piol pll -.I w1diti nr at the above mentioned residence. Based on the information submitted; Ou. ¢, <'c mentioned addition cannot be approved for the following reasons: 1. The proposal of the kitchen a(:ccss wtlstiur(c, X, n nrrsnry nparmrent 2. The legal bedroom count for the dwelling, i•: ''nor I he potential bedroom count of your proposed addition is six. 3. The addition ofd potential bedroom require; thie Department's approval of" revised septic system plan from a professional en)pnre.* :,r - ;:oistcrcd architect Please revise the proposed floor plan to t'eflect no mare thin four potential bedrooms, or have a professional engineer or registered architect da.4itm n :u', - urface sewae;c treatment sygtem meeting present code requirements. Iryou have any questions, please contact me It yna: rn coin KC. Roberr Airntk Senini PnLlic Heald) Engineer RM:cw wr., 9W*SKde0 (845);73.5186 tax (645)27Y4414 6ovl-tal RaNa (805) 2784139 F6x(945) 278.7921 Nar61n8 sarrlrs4 (843)1186558 WIC(84511704678 F•ax(845)278-6085 Ba+tY loter.6da•6Rrnnh6nl(41T�1'afiUl� Y..($45)278.6648 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health June 14, 2005 Jean Christophe Santalis 8 Cann Lane Patterson, NY 12563 Dear Mr. Santalis: DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York. 10509 ROBERT J. BONDI County Executive Re: Addition — Approval - Santalis No Increase in Number of Bedrooms 8 Cann Lane (T) Patterson, T.M. #23.6 -1 -11 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 approval stamp from the Department dated June 13, 2005. The addition is approved with the following conditions: 1. The total number of bedrooms must remain at four 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.). 4. The approval is for the proposed changes only. This approval does not validate any construction shown as existing that has not obtained proper approvals. 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. Ve y yours, Robert Morris, PE Senior Public Health Engineer RM:cw cc: Building Inspector, (T) Patterson Water Supply Section (845) 225 -5186 Fax (845) 225 -5418 Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool (845) 278 -60114 Fax (845) 278 -6648 f SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health ROBERT J. BONDI County Executive DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 t ADDITION APPLICATION RESIDENTIAL ONLY � 3 u¢rl STREET O W N AC Bt (Jne TOWN �SN TAXMAP# 23. (o �1 I NAME N-Cd,�,S��he SANfAG $ PHONEali) 36 -3y ?5 PCHD# 13'' G MAILING ADDRESS DESCRIPTION OF ADDITION RQNOVAITOAJ OF ExIST/ USE NUMBER OF EXISTING BEDROOMS PROPOSED # OF BEDROOMS_ (FROM CERT. OF OCCUPANCY OR CERTIFICATION FROM BUILDING INSPECTOR) "Any addition which is considered a bedroom requires formal approval of plans (Construction permit) prepared by a Professional Engineer or Registered Architect in accordance with applicable sections of the Putnam County Sanitary Code. Please submit this form and the following to Putnam County Health Dept., 1 Geneva Rd, Brewster, NY 10509, Phone: (845) 278 -6130. 1. Certified check or money order for $100.00. 2. Sketches of existing floor plan (drawn to scale, all living area including basement) 3. Two sets of proposed floor plan (drawn to scale — with name, street and tax map #) *Non - professional sketches are acceptable 4. Copy of survey showing well and septic locations to the best of your knowledge. Include date of installation if known. Label all wells and septic systems within 200 feet of the property line. Contact this office with any questions. 5. Copy of Certificate of Occupancy from Town or Certification from Building Dept. with legal bedroom count of dwelling. OFFICE USE COMMENTS Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention /Preschool (845) 278 -6014 Fax (845) 278 -6648 1 SHERLITA AMLER, MD, MS, FAAP Commissioner of Health LORETTA MOLINARI, RN, MSN Associate Commissioner of Health DEPARTMENT OF HEALTH 1 Geneva Road, Brewster, New York 10509 PUTNAM COUNTY DEPT. OF HEALTH 1 GENEVA ROAD BREWSTER, N.Y. 10509 To Whom It May Concern: ROBERT J. BONDI County Executive RE: s�aw'l �L r 5 Residence TAX MAP# TOWN , f�.% /2 � o ��J According to records maintained by the Town, the above noted dwelling: IS b<— IS NOT IN COMP LANCE WITH town code and the total number of bedrooms is This information has been obtained from: CERTIFICATE OF OCCUPANCY ASSESSOR'S RECORD.. OTHER _ CEO B DING INSPEC OR Environmental Health (845) 278 -6130 Fax (845) 278 -7921 Nursing Services (845) 278 -6558 WIC (845) 278 -6678 Fax (845) 278 -6085 Early Intervention/Preschool(845)278 -6014 Fax(845)278 -6648