HomeMy WebLinkAbout0683DOCUMENT CONVERSION SERVICES PROVIDED BY
IMAGING & MICROFILM ACCESS, INC.
www.scanyourdocs.com
631- 589 -8100
23.11 -1 -42
I
I I I I
a
'�
' L� -.
.
r
e
, Ir
1+
''' ,
'
'
W'
r
-
ALLEN BEALS, M.D., J.D.
Commissioner of Health
ROBERT MORRIS, P.E.
Director of Environmental Health
Norman Anderson, Inc.
152 Barger Street
Putnam Valley, NY 10579
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Subject: Proposed' Well Shkrelli
150 Route 164
(T) Patterson
June 20, 2013
Dear Mr. Anderson:
MARYELLEN ODELL
County Executive
A field inspection was conducted on the above referenced lot by Vincent Perrin, Public Health Technician. The
application to drill a new well is approved with the following stipulations:
1. Well must be constructed with at least 50 feet of casing 24 inches of which must be above ground.
2. A Well Completion Report (WC -97) shall be submitted no later than 30 days after the well completion
by the permittee.
Please contact me at (845) 808 -1390 ext.43131 if you have any questions.
?in erely,
Vincent Perrin
Public Health Technician
cc: VP, file
o -7 W92Yi
D a Lj P AM COUNTY DEPARTMENT OF HEALTH
~� DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUCT A WATER WELL MA
please pri nt or type
Well Location
Street Addrr�ess:� Town/Village: Tax Map # _
To f, �p S0 R 1 off.
c,✓st i�P
Map Block Lots)
Well Owner:
Name:
Address:
Phone #:
111ic,Ai # 4A
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 y gpm # People Served Est. of Daily usage gal.
Replace Existing Supply Test/Observation Additional Supply
Reason for 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 I Lot No.
Water Well Contractor: Nov w- &I,% '(de o h Address: /S 0l o ra e r 9 T r1h, c,
Is Public Water Supply available on site? ....................................... ............................... Yes _ No
Name of Public Water Supply: TownNillage
Distance to property from nearest water main:
Proposed well location & sources of contamination to be provided on separate sheet/plan.
Date: Applicant Signature:I�lil �1.��.Gi �o�.r •�
PERMIT TO CONSTRUCT A WATER WELL
This permit to construct one water well asset 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 Departmei
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 Commissioner of Health. 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 45 Permit Issu'ng Official:
Date -of Expiration Title: `
Permit is Non - Transferable
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
/ Form WP -97
14t 1 C057- �` req .l e � Rev. 3/06
UTHERLY R.O.W. OF THE LANDS N/F OF H. ENGI.LHARD AND S. KOENIG 133.5 TO THE CENTER OF THE R.O.W. OF
NGLAND RAILROAD CO. THE NY AND NEW ENGLAND RAILROAD CO.
R=1585.62' S. 50' 04' E. Aftox. L4xl 404
- 125.55, -~--- ...T� 33�{ ®, "�u
I' PIPE
LANDS N/F OF T.A. HILLI`.i, JR.
�...
-f I STONE
LO: F RC 1 PARCELI"`2' ` �` `- a►
00 LO
REMAINS OF "•— "'SSE , tj 3.j l S RUC.Tt4R£ T LO r42 NOTE:
(TAXI MAP) DUE TO CONFLICTING EVEIDENCE AND
N LACK OF MONUMENTATION FOUND,
YO OPINIONS BETWEEN SURVEYORS MAY
BE EXPECTED. A MEAN AVERAGE OF
r - ^ POSSESSION FOUND WAS USED TO
ESTABLISH THE BOUNDS.
r 125 ± 50.04'
_ N. 50°
PORCH P'C'B' -OQ' W,
5. ,. _ & O ..�.pOLE
or- Moe
a�_ - .- - -- ��+ {uhl{� ° � � +� PARCEL 2 \ - • �. �, � �• _' _ ►
t
'• o
ROUTE. \. r 16 �„ ` " GUI E
I
tbst ct Corp. , LLC ; SCALE /1 " =30.' DATE: DEC. 19, 2011
pa1y SURVEY OF PROPERTY ST PH5t0l F � ;H2OPPE, L.S.
LICENS(,b P�(�Q*ICSS�
LAND SURVEYOR
#150 ROUTE 164
LOT 42, ! BLOCK 1 SECTION 23.11 zaPPa- ��pR,.. ,, o9s3
t . �L•I^C�/.�1'f�.•, •50539
PATTERSON PUTNAM COUNTY NY
! ! ' L.S.
1718 -11
r •�
s
4 / 0
�C:zs- je
,T
" - ANNULAN NINE Of CLEAN
- 6RAVEL OR CRUSNED SrONE
B "rwg AROUNO OUTSIDE
Of P/ r
BLOCK LAID AS $MOWN
6"C.
SEEPAGE P/.
.i
i 4EIYA6t SYSrtM SMALL BE CONSm
.00MO iUCr/ON MUMS NOr SAM
MfW OWN SrArf ANO -PP TM.AAAP
D. ANY S/ON/l!/CANr CMANBES. MADE N
ow /rrfN APPROVA/ OP OCS /¢N RA'
3 OiWO SMALL Of RESPOlYSMMf ro
Sfr SO AS r0 PNgwx $RAMIFY
SYSrfM OR P4WP CMAMBfR. /AE Ar
I ABSORPr/ON AREA Nf0U1RE0
S. ABSORPr/ON AREA PRDVIOfO
t SEO'ABf SYSTEM SMALL BE /NB:
ENOrN",v PR /OR r0 eAclrirl/Ar.
.. ...:. sa�.rz
N/T~ LAM* Or (L!E
Try
- .::� -
+fl�� ^tw�!�iYl�'i':r�4 'r "• - !i'1�4rfj' -
_ -_ _ __.__ -.�... ..
_.. ....._�.
SEEPAGE P/.
.i
i 4EIYA6t SYSrtM SMALL BE CONSm
.00MO iUCr/ON MUMS NOr SAM
MfW OWN SrArf ANO -PP TM.AAAP
D. ANY S/ON/l!/CANr CMANBES. MADE N
ow /rrfN APPROVA/ OP OCS /¢N RA'
3 OiWO SMALL Of RESPOlYSMMf ro
Sfr SO AS r0 PNgwx $RAMIFY
SYSrfM OR P4WP CMAMBfR. /AE Ar
I ABSORPr/ON AREA Nf0U1RE0
S. ABSORPr/ON AREA PRDVIOfO
t SEO'ABf SYSTEM SMALL BE /NB:
ENOrN",v PR /OR r0 eAclrirl/Ar.
'T � J.( ,e 11 i
/.-C000
W,
OWN
&;liar
UTHERLY R.O.W. OF TF IE LANDS N/F OF H. ENGI.LHARD AND S. KOENIG 133.5' TO THE CENTER OF THE R.O.W. OF
NGLAND RAILROAD CO. THE NY AND NEW ENGLAND RAILROAD CO.
R=1585.62' rr
S. 50*-040 E.
= 125.55' . .....
50-04'
.1
PIPE
LANDS N/F OF T.A. HILLI'
JR.
. . . ............
+1 �STONE
1 PAR
PARCEL LO
O�
SPAR
1
NS OF
1/2 STORY Lei-
1 00 In
REMAINS OF NS OF SE . -t 24,11
!>E -K- T 1
ajRL1rTUR1E 1/2 STORY 142 NOTE:
STRUCTURE (TAXI MAP) DUE TO CONFLICTING EVEIDENCE AND
fn LACK OF MONUMENTATION FOUND,
OPINIONS BETWEEN SURVEYORS MAY
BE EXPECTED. A MEAN AVERAGE OF
ir'O POSSESSION FOUND WAS USED TO
0
ibstict Corp. LLC
parry
11
It I ESTABLISH THE BOUNDS.
+
ROUTE
50-04'
P.O.B. . 50o-040 W.
&
PARCEL EL
GUI E N
1 6 R
SCALE /1 "=,30.' DATE: DEC. 19, 2011
SURVEY CAF PROPERTY. STtpFi.�Kbl F /,�H'QPPE.- L.S.
LICENS WCSSg�
--L.AND SURVEYOR
#150 ROUTE 164
05
.'t> 4,AP WR,..:10983
11 .1 ".14,9. ... 50, 39
LOT 42, BLOCI T
SECTION 23.11
PATTERSON,. PUTNAM COUNTY, NY
L.S.
171 Q- I I
A ,
L° PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
APPLICATION TO CONSTRUCT A WATER WELL _
uhf. -'m i` �."TS"'T� + �1F'+..:.y+ -Q. � w
please print or type x-0.0 I Ott
t
Well Location
Street Address: Town/Village: Tax Map #
Map Block Lot(s) .
Well Owner:
Name:
Address:
Phone #:
*L'4 o/�S -9'1j Are_/,
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 ..sue gpm # People Served Est. of Daily usage gal.
Replace Existing Supply Test/Observation Additional Supply
Reason for Drilling
New Supply (new dwelling) Deepen Existing Well
Detailed Reason
., P
for Drilling
Well Type
Drilled Driven Gravel Other
Is well site subject to flooding? ....................................................... ............................... Yes No'
Is well located in a realty subdivision? ........................................... .I.............................. Yes '7 No
Name of subdivision Lot No.
Water Well Contractor: () 4 dQY,50 C'- Address.
Is Public Water Supply available on site? ....................................... ............................... Yes _ No J
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.
Dater )3 Applicant Signature:�l�1 ,,t/lvjf.�sr
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.
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 Commissioner of Health. 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 ' i3 Permit Issuing
Date -of Expiration t Title: `
Permit is Non - Transferable
White copy - HD file; Yellow copy - Building Inspector; Pink copy - Owner; Orange copy - Well driller
Form WP -97
�
144 Rev. 3106
I e�� �~o' o� C if ^�� i:� �'���_�,�Bc
SUBJECT TO EASEMENTS AND RESTRICTIONS OF RECORD.
POLE----0
�''
Certified to: Nicholas Shkreli
Map Reference: Tax Map.
OFFSET DIMENSIONS ARE NOT TO BE USED FOR CONSTRUCTION.
LANDS N/F OF H. ENGELHARD AND S. KOENIG
RCO R= 1585.62' S. 50' -04 E
L =125.55'
50.04'
PIPE
STONE
;,NA}L LANDS N/F,OF T.A. HIWS. JR.
_
3
49.4' SEC. -23.11 0
rn BLK. -1 rn M
LOT -42 v) I
(TAX MAP)
I
2 STORY
ST)
(UNDER CON
81.6' N
#150
4'± ,•!-6 t 50.04'
125' ± N. 50' -04' W. O POLE
ROUTE 164
'R SCALE: 1 " =30' DATE: SEP. 14, 2012
AS-BUILT SURVEY FOR
STEPHEN - F. HOPPE, L.S.
#150 ROUTE 164 LICENSED PROFESSIONAL LAND SURVEYOR
1 7 E '-^_5,93
TAPF4N YORK. 10983
LOT 42, BLOCK 1 , SECTION 23.11 N0..50$39
PATTERSON , PUTNAM COUNTY, NY
ADDITION APPLICATION RESIDENTIAL ONLY
STREET TOWN
t� TOWNi;t ='r'/ TAX MAP # o(3_
PHONE 1�'�f'�UT 9 PCHDt!
MAILING 4;i) ' r f� 0/L 15 �V 1 kc-
ADDRESS /j/ lo 'W
DESCRIPTION OF
ADDITION �h %�' �X) Zlwf
'NUMBER OF EXISTLNG BEDROOMS Z NUMBER OF PROPOSED NEW 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 Nrotessional tnglneer ut RCgialcicJ &-J%4ict in aaeordanco with applicable coctions of the Putnam f'rnmty
Sanitary Code.
Pleasc submit this form and the following to Putnam County Health Dept., l Geneva Rd,
Brewster, NY 10509, .Phone: (845) 808 -1390.
Certified check or money order for $100.00.
Sketches of cxisting floor plan (drawn to scale, all living area including basemot, to be
shown and dimensioned and usd -of each room specified). (See Section 3.c of Bulletin - HA-1)
Two seta of proposed floor plans (drawn to scale - with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
ItA -1)
Cupy of survey showing all well and septic locations on the subject property to the hest
of your knowledge Include date of installation known, Contact this office with any
questions.
Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
N
0 ..
. .
ADDITION APPLICATION RESIDENTIAL ONLY
STREET TOWN
t� TOWNi;t ='r'/ TAX MAP # o(3_
PHONE 1�'�f'�UT 9 PCHDt!
MAILING 4;i) ' r f� 0/L 15 �V 1 kc-
ADDRESS /j/ lo 'W
DESCRIPTION OF
ADDITION �h %�' �X) Zlwf
'NUMBER OF EXISTLNG BEDROOMS Z NUMBER OF PROPOSED NEW 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 Nrotessional tnglneer ut RCgialcicJ &-J%4ict in aaeordanco with applicable coctions of the Putnam f'rnmty
Sanitary Code.
Pleasc submit this form and the following to Putnam County Health Dept., l Geneva Rd,
Brewster, NY 10509, .Phone: (845) 808 -1390.
Certified check or money order for $100.00.
Sketches of cxisting floor plan (drawn to scale, all living area including basemot, to be
shown and dimensioned and usd -of each room specified). (See Section 3.c of Bulletin - HA-1)
Two seta of proposed floor plans (drawn to scale - with name, street and tax map #)
* Non - professional sketches are acceptable and preferred. (See Section 3.d of Bulletin
ItA -1)
Cupy of survey showing all well and septic locations on the subject property to the hest
of your knowledge Include date of installation known, Contact this office with any
questions.
Copy of Certificate of Occupancy from the Town or Certification from the Building
Department with legal bedroom count of dwelling.
OFFICE USE
COMMENTS
s
Town Legal Bedroom Count & Proposed Addition Status
`W'r7 (Owner's Name)
Tax Map #��` �' 7
Address. 1,j C) &(.
Town:
Year Built: / q 1,0
According to records maintained by the Town, the above noted dwelling,
is V in compliance with Town Code.
b not in compliance with Town Code.
The Legal Bedroom Count is:
This information has been obtained from:
Certificate of Occupancy:
Other: '06-4
The plans For the proposed addition are considered:
Addition to existing house only
Teardown and/or re -build allowed under Town Regulations
3
Building pecto Date
,7
S.
REBECCA , RN, B3N
PabUeHedth D*Wff
ROBERT MORPA PE
Director of Dwiromnedd Heddi
Nicholas Shkreli
150 Route 164
Patterson, NY 12563
DEPARTMENT OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
r4ARYELUN ODELL
CoSmty&ftW1W
April 17, 2012
Re: Addition — Shkreli
No Increase in Number of Bedrooms
150 Route 164
(T) Patterson, T.M. 13.11 -1 -42
Dear Mr. Shkreli:
This Department has 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 this Department dated April 17, 2012. The addition is approved with the
following conditions:
1. The total number of bedrooms must remain at two without prior approval by this
Department.
2. The area of the existing sewage disposal system and its expansion area must be
maintained.
3. The dwelling must be provided with an adequate water supply.. If a functioning well is
not found on the property, then an application for a new well must be submitted to the
Department for review and approval.
4. No certificate of occupancy from the Building Department is to be granted until
Condition #3 is satisfied.
5. All plumbing fixtures must be updated with water saving devices, i.e., new low flush
toilets, restrictors for shower heads and faucets, etc ...
6. The approval is for the modifications only and does not'validate any construction shown
as existing that has not obtained proper approvals from other agencies having
jurisdiction.
7. This approval is valid for two (2) years and expires on April 17, 2014.
Any permits or variances required under the jurisdiction of the Town of Patterson are the
responsibility of the applicant.
If you have any questions, please contact me at (845) 808 -1390 ext.
espectfully,
Joseph S. Paravati Jr., P.E.
Assistant Public Health Engineer
JSP:cw
cc: BI (T) Patterson
REBECCA WITTENBERG, RN, BSN
Public Health Director
ROBERT MORRIS, PE
Director of Environmental Health
April 5, 2012
Nicholas Shkreli
150 Route 164
Patterson, NY 12563
Dear Mr. Shkreli:
DEPARTMENT. OF HEALTH
1 Geneva Road, Brewster, New York 10509
Phone # (845) 808 -1390
Fax # (845) 278 -7921
Re: Addition — Shkreli
15 0 Route } I b `'/
(T) Patterson, TM 13.11 -1 -42
MARYELLEN ODELL
County Executive
I have received and reviewed the latest set of 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 proposed family room in the basement is a potential bedroom.
2. The legal.bedroom count for the dwelling-is two. The potential bedroom count of your
proposed addition is three.
3. The addition of a potential bedroom requires this Department's approval of a revised
septic system plan from a professional engineer.
Please revise the proposed floor plan to reflect no more than two 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
Sincerely,
/Joseph S. Paravati, Jr., P.E.
Assistant Public Health Engineer
JSP:cw
cc: BI (T) Patterson
Lill
s
d
S
LITHERLY R.O.W. OF THE LANDS N/F OF H. ENO(. L.HARD AND S. KOENIG 133.5' TO THE CENTER OF THE R.O.W. OF
NGLAND RAILROAD CO. Lzx/vm zt,"I
THE NY AND NEW ENGLAND RAILROAD CO.
R =1 585.62' S. 50*-04' E.
125,55' 50.04'
PIPE
LANDS N/F OF T.A. HILL)'-,, JR.
+1 STONK
WAtt.
Lr� PARC 1 PARCEL
(o
00
P p
F
- aj
M-gfNS OF SE .-t23,11
-REMAINS OF
_R
LIC-TURE REM STORY ------ 9LI - T
1 1/2 STORY LOT-i42 NOTE:
STRUCTURE (TAXI MAP) DUE TO CONFLICTING EVEIDENCE AND
0 :.;k YQ LACK OF MONUMENTATION FOUND,
OPINIONS BETWEEN SURVEYORS MAY
BE EXPECTED. A MEAN AVERAGE OF
# 50
#1
POSSESSION FOUND WAS USED TO
ESTABLISH THE BOUNDS
125' 0.04'
5
......................... 314 z
6' S.
0 0 POLE
PARCEL 2
.� ' ,�� ' GUI E _, �,y�
ROUTE v 16 R L
�bstct Corp.
pa ll),
SURVEY OF PROPERTY
#150 ROUTE 164
LOT 42, BLOCK 1, SECTION 23.11
PATTERSON, PUTNAM COUNTY, NY
SCALE /1 "=30' DATE: DEC. 19, 2011
ST&H�N' F,- , HOPPE, L.S.
LICENsrb\ PRQFtSStb"L7
--7 t,N , �LAND SURVEYOR
'!
10983
�-�Q.. 56539
L. S.
1718-11
1� - aoj?yt
U?(( �Y6-
amp— env---
i
oroo
4--- -�
71
- �Jq
d.
9