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73.18 -138
BOX 28
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Coasted at
PUTNAM COUNTY DEPARTMENT OF HEALTH
Division of Environmental Health Services, Carmel, N.Y. 10512
Engineer Mast Provide P V— 3 — 8 5
P.C.H.D. Permit # -- -
F'uYt SriwAl: WS POg- AL'SYS
Peter Vigna Formerly
Owner /applicant Name
MallingAddress 65 Homecrest Ova Zip 10703
Vnnlcarc TT_Y-
i�'1�'Z:Sia.T:: y
Town or Village 9.5
Tax Map 7 2 Block 1 Lot
Subdivision Name Subdv. Lot #
Date Permit Issued 7 n R S
Separate Sewerage System built b Steve Kastuk Address Peekskill Hall RD , Putnam_
Consisting of Gallon Septic Tank and
6 mss -, W. -y seepage pits ��1�,�Y. NY
7ft. Diam.'k7.5 ft. deep`{
Water Supply: Public Supply From Address
ore XXXX Private Supply Drilled by Norman And -r somddeesa Raraer Stre?et PLt _
Building 1 F am . Res . Has Erosion Control Been Completed?
Type
Number of Bedrooms _ 4 Has Garbage Grinder Been Installed? No
Other Regnirements
I certify that the system(s) as listed serving the above premises were constructed essentially as shown on the
of which are attached), and in accordance with the standards, rules and regulations, in accordant Z the fi
Putnam County Department Of Health.
12 -5 -86 Certified by
Date
Address MUSCOot North Maho ac NY 10 4
of the co leted work ( copies
an, and th� permit issued by the
License
R.A..
Any person occupying premises served by the above systems) $hail promptly t shall become null a n void su,y as t n asrea the puDtrcesan�tary sower becomes ake Such action as may
conditions resulting from such usage. Approval of. the separate sewerage system
available and the approval of the private water supply shall become null and void when a public water suppl becomes available. such approvals are
subject to modification or change when, in the Judgment of the Commissloikereeof Healt , such revocation. modification or change Is necessary.
tir BYIC G "` Title
Date 99
.`
PUTNAM COUNTY DEPARTMENT OF HEALTH
Dildsior 'of E ^'vrr�n ,-iw►t 1 Kealth= .3'e!vrres,z �t�nrrsl; h`..Y. c"i5;2
CONSTRUCTION. PERMIT, FOR SEWAGE DISPOSAL SYSTEM Putnam Valley
flown or village
Located at Church Road Tax Map 72 Block 1 Lot rj
Subdivision Subd. Lot $ Renewal _0 Revision
Owner /AddressP_ Vigna,65 Homecrest Oval,.•-YonKers,NY Date Of Previous Approval
Building Type (1) Fam Res.
Lot A�rela� 1.096 AC 1.074F 1 Section only 0
Number of Bedrooms d Design Flow G/P /D_ AOn P.C.' H. D. Notification Required
Separate Sewerage System to consist of 1200 Gal. Septic Tank and 500' LF Of Fields
To be constructed by
Don Head y Address Canopus Hollow Rd. , Put.. Val . , NY
Water Supply:. Public Supply From 10579
XXX .Private Supply to be drilled by Norman Anderson
Address - Barger St. , Put. Val. ,NY 105.79
Other Requirements
q �,
I represent that I am wholly and, completely responsible for the design and location of the,
above described will be constructed as shown on the approved amendment there
¢yygt
t the separate sewage disposal system
to and in o with the j
County Department of Health, and that on completion thereof a "Certificate of Con nom " sa
ules an regu a ons o the Putnam
to the Commissioner of Health
be submitted to the Department, and a written guarantee will be furnished the own ` '
place in good operating condition any part of said sewage disposal
r air or
will
y the builder, that said builder will
system during a
ance of the approval of the Certificate of Construction Compliance of the original yst m
rs
"'
tely following the date of the Issu-
will be located as shown on the approved plan and that said well will be tnst in acc a
County
reto; ) at the drilled well described above
it e� sr{ rds r itla nd regu a i�f'ons i the Putnam
Department of Health.
„--
Date _3/11/85
Signed
A. 4.
P.E. R.A. XXX
Address MUSCOOt No. RFD$ X 488
0 t
11-1cense No, 11056
APPROVED FOR CONSTRUCTION: This approval expires one year fr m e date ssue We
revocable for cause or may be amended or modified
of th
building has been undertaken and is
when considered nec ry b t Commis
requires a new Permit. for disposal of tlomestie-sa J r sewage and/ r private to apt
ner of Health. Am
ter supply- -only.
change or alteration of construction
^Approved
Date BY
PUTNAM COUN'T'Y DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH.SERVICES
�+^ie.:=.::�an:. n.:«.:..:r: -: 7::; .sin.«.�eo -•=gin iir<..:,:,,i:�:��,yle': -c :.. i.. t, ri� .:.os�a..:�.� <C>5.�:+.im.::.u,, tai .:..�: ".:.:::�:.e:w9'«:.':r�:,. .:.'�:.:': -. w:..s:�..'•, �.'v'LS :iw. .:iX
MARY AND PETER VIGNA
Owner or Purchaser of Building
PETER VIGNA
Building Constructed by
CHURCH ROAD
Location - Street
PUTNAM VALLEY
Municipality '
SWISS CHALET
Building Type
72
1 9.5
Section Block Lot
Subdivision Name
Subdivision Lot #
GUARARM OF SUBSURFACE SEWAGE DISPOSAL SYSTEM
I represent that I am wholly and completely responsible for the location,
worlananship, material, construction and drainage of the sewage disposal system
serving the above described property, and that it has been constructed as shown on
the approved plan or approved amendment thereto, and in accordance with the
standards, rules and regulations of the Putnam County Department of Health, and
hereby guarantee to the owner, his successors, heirs or assigns, to place in good
operating condition any part of said system constructed by me which fails to
operate for a period of two years immediately following the date of approval of the
"Certificate of Construction Compliance" for the sewage disposal system, or any
•LCi�Q�l J4 ilIGlUC �� ll1e l'.1� r71i\.11' J�$;,..•s�� `�} ....p c— "r.:I...r:.: ` ~v- �a -a.: @- ���r�� �f`'- t.ra.L: � ' -:+f�.....� -
caused by the willful or negligent act of the occupant of the building utilizing
the system.
The undersigned further agrees to accept as conclusive the determination of
the Director of the Division of Environinental Health Services of the Putnam County
Department of Health as to whether or not the failure of the system to operate was
caused by the willful or negligent act of the occupant of the building utilizing
the system.
Dated this 5 day of. Aug. 1986
�.e V A., V�A—Aij---,-
General Con actor ( er) - ignat e
Signature.
Title
Corporation Name if Cgrp .
P.O. Box 93, Putnam.Valley, N.Y. 1.0579
Address
rev. 9/85
mk
2/12
4 -
rporation Name (if Corp.)
e. D. *- /
!Miess / 0
j tlifEtlL COflAPf69T00M REPORT. PUTNAM COUNTY .DEPARTMENT OF HEAL
�!Y•T Division of f rivironffoo tal Meelth Eervkft
�OUNTY OFFICE BUILDING - CARMEL. NEW VO
This report is to be completed by uvelf®•;Iler and submitted to County health Department together with laboratory report of
analysis of water sample indicating water is of satisfactory bacterial quality before certificate of construction compliance is issued.
._
.t- ra :1T :Q L.. "f�ii *rte __ __ _ __ham r�� - .. ..r'M ".a: -:: �^ .wo. :...o ...4vn.. -.•
.,, t.i. 'S�'I ►iati
OWNER
NAM
ADDRESS
J
LOF w1u,
OF WEL6
(No. a S. root) f ocn) �y G%(Lot NemOor)
0' /0 j /
PROPOSED
USE OF
WELL
BUSINESS I
DOMESTIC LJ ESTABLISHMENT D FARM BEST WELL
� PUBLIC Q � AIR OTHER
SUPPLY INDUSTRIAL CbNDITIONING D. (Specify)
DRILLING
PMENT
0. COMPRESSED El CABLE OTHER
ROTARY AIR PERCUSSION PERCUSSION �gIW)
CPaItdQ
0ERAI64
LENGTH (too1J
Q
DIAMETER (ncAes)
WEIGHT PER FOOT
THREADED' WELDED
YES
NO
ED3 --
trES "0 -
YIEID
TE4Y
BAILED El PUMPED COMPRESSED AIR HOURS O.P.M.
/O
YIELD (O.P.af.) 0 .
/
WATER
LEVEL
MEASURE PROM LAND SURFACE— STATICOPeclly IoelJ
DURING YIELD TEST (loot)
Depth of Completed Wall a� / •,
In foo below Lord owrfeaes v
4CR6fE0.1
DETAILS
MARIE LENGTH OPEN TO AOUIFED (too,
� ,
SLOT SIZE
DIAMETER (nchoo)'
IF GRAVEL
FACI(EDs
Diameter of well incivdinp.
gravel pock (Inchsa):
(0008)
DEPTH PROs LAND SURFACE
FORMATION DESCRIPTION
RaotcA exact location of WWI wim a1lafanaaa. b of best
two Permanent lan0farb.
PEST to FEET
r
I
If yield we# foaled of dMorent dopths daring drilling, list below
FEET
0A4ONS PER MINUTE
DATE : ELL COMP
04TE O¢ �11ET
f
WELL ILLd:R (S a ure)
f I '
Yorktown Medical laboratory, Ina
LAB r 23339
321 Kear Street
Yorktown Heights, N. Y..10598 Collection Station Used:
(9I4)24S -3203 Carmel — Peekskill _
Mt. Kisco _ Nev City
_
-' i Y, ak .. t_-a;3'. _�`vxra .:�'Va J:.- .,.2. -... rro,•. ..> x-aq iaiJ.sa � .-. -_ . -. e.. .'t.. �. �.�a rS ..Ka- -. .�Ji.�,. ;.-.-i ..`'..:rr '... ..' a`i.:. .. ieo u:ai.'. .,. , a .. .:... ... .�.F
Date ~Taken: 5/l/86 (2:25)
Date Received: 5/2/86 (1 P.M.
PETER VIGNA Date Reported:5 /5/86
CHURCH ROAD Collected By: P. VIGNA
PUTNAM VALLEY, NY. 10579 Referred By: CROSSROADS PHARMACY
L 528 -5220 J Sample Source:KITCHEN TAP:
LABORATORY REPORT ON BACTERIOLOGICAL QUALITY OF WATER
GENERAL BACTERIA
✓. Standard Plate Count per 100 ml
(Agar plate @ 35 °C)
MEMBRANE FILTRATION TECHNIQUE (MFT)
ZTotal Coliform. -per 100 ml
Fecal Coliform ner 100 ml
Fecal Streptococcus per 100 ml
MOST PROBABLE NUMBER TECHNIQUF (MPN)
/'_1? el
C)
Total Coliform: MPN Index ner 100 ml
;a- �- .� ^-•�Fec+al Coliform. � N Index per '100�m1�y�^ " �"-•-__.... ..�._.,.__._:._.__•...�m..:..�. _.__.._..._,
OTHEP ANALYSES
TH E S1 RESULTS INDICATE THAT THE WATER SAMPLE (WAS) (WAS NOT) (NOT APPLICABLE)
OF A SATISFACTORY SANITARY QUALITY ACCORDING NEW YORK STATE DRINKING
WA T E3 STANDA.RDS, FOR THE PARAMETERS TESTED, AT THE .TIME OF COLLECTION.
A 11ert H. Padovani. M.T. (ASCP), Director
LEGEND
RDS = Recommend Disinfect-
ing Water Source
< less than
TNTC = Too Numerous Too
Count
PUTNAM COUNTY DEPARTMENT OF HEALTH
DIVISION OF ENVIRONMENTAL HEALTH SERVICES
A.�Dat.e— �.,.:.�,..:.3/11/85
Re: Property of Peter Vigna
Located at Church Road
(T) 72 Section = - - -- Block
Subdivision of
1
Lot 9e5
Subdve Lot # Filed Map # Date
Gentlemen:
This letter is to authorize Joel Le Greenberg
a duly licensed professional engineer or registered architect XXX
(Indicate
to apply for a Construction Permit for a separate sewage system, 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 construction of said
,"I -r
147, Education Law, thublic Health Law, and the Putnam County Sani-
tary Code.
0?t%
CounterstAnd -d:
PeEe, R¢A
11056
NE�60
Muscoot No.,RFD #2,Box 488
Address
Mahopac,NY 10541
914 - 628 - 6613
Telephone
Very truly yours,
Signed
Owner of Prop rty
65 Homecrest Oval
Address
Yonkers,NY 10703
Town
914— 476 - 8178
Telephone
b
PUTT;AM COUNTY DEPARTD' TT OF HEALTH -
. ' • rn�l�T hr ..T..ti � 'n^ n y,r =� �- I .�' 1f1 , - - -_ �: �;.:�,�,::;;:.��s,�
' . �,<,
;COUNTY OFFICE BUILDING, CARMEL, N. Y. 10512
DESIGN DATA SHEET- SEPARATE SMIAGE DISPOSAL SYSTEM FILE,NO.
Owner 'Peter, Vigna Address 65 Homecrest Oval,Yonkers,NY 10703
Located at {Street Church Road Sec � - - - - -- - dock 1 Lot 9 .'5
� Indicate nearer t cross s ree
D4unicip3lity Town o .Pu nam valley Watershed Hudson River..
....SOIL PERCOLATION TEST DATA REQUIRED TO BE SUBMITTED WITH ' A PPLICATIONS
Hole
Plumber .CLOCK TI14E PERCOLATION PERCOLATION
Run Elapse Deptri to Water Water Level
.No....:. Time From Ground Surface in Inches Soil Rate
Start -Stop blin. Start Stop Drop in Min. /in drop
Inches Inches Inches .
PTHa#1 .1..9 :45' 10:15 30 15 17.75 2.75 30/2.75 =11
2_10 -.19 10:49. 30 15 17.75 2.75 30/2.75 =11
3 10:53 11:23 30 1'5 17 75 2. 7'5 30/2.75 =11
11 _
5
2 10:21: 1ne51 ;n 1r. 19
11:22 30 16 18.75 2.75 30/2.75 =11
5
2
5 ..
Mote?: 1) Tests to be repeated at sane depth until aopproxirrat•ely equal soil
rates are obtained at each percolation test hole. All data to Le submittecl
for review.
2) Depth measurements-to be trade from top of hole.
N
/.096 Rc R- JE 5
Q�
N
Or
14
,Trap
FeA.V,,
'rA%jK
Q
ON
r)
I0•
!Zzi_
0 ZO*'c
40
6c", OC PLO
26 6I To 2 (,5' 4(o'-4'
3 4,4' S6.'
SEWAGE DISF054L SYSTEM LAYOUT (,Vr 11IRT) 4 53 61
ds�
SCALE -1 z
NOTtL', NO CAvc• CE- CTINDER 9M.5
7 69
kuwaia CUULiL✓ —paj-j;LU7-T Vi f c
1104-1 I
givision cf EnvirOnwwltal Healti-,
bprov,,, 7oted for conformance Gith
es and Regulations of th6
Putnam County li6alth Detartment.., .
'S IS'TO CERTIFY THAT THE SEWAGE DISPOSAL
;TEM WAS CONSTRUCTED AS INDICATED ON THIS
�N AND THAT THE SYSTEM WAS INSPECTED BY ME
'ORE IT WAS COVERED OVER. THE SYSTEM WAS
ISTRUCTED IN ACCORDANCE WITH ALL STANDARD
,ES AND REGULATIONS OF THE PUTNAM COUNTY
'ARTMENT OF HEALTH AND THE NEW YORK STATE
'ARTMENT OF HEALTH.
(�S (MULTI JOEL LAWRENCE GREENBERG (0-`/Z:5zB4
ARCHITECT -TOWN PLANNER
SCO07 NOATH . RFD ♦2, BOX .43\J
"MP-&MRS, MTEZ Vlq :."ROPAC New :YORK . 10341
CPURCW r-r->. V,4U,CY N.Y. Col.; 028 Gall
I V;7� � .0