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2015-082 .411ait TOWN OF QUEENSBURY wojo742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF COMPLIANCE Permit Number: P20150082 Date Issued: Monday, April 20, 2015 This is to certify that work requested to be done as shown by Permit Number P20150082 has been completed. Tax Map Number: 523400-289-006-0001-010-000-0000 Location: 538 GLEN LAKE Rd Owner: MARK DURANT Applicant: MARK DURANT This structure may be occupied as a: Septic Alteration Residential By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Compliance DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150082 Application Number: A20150082 Tax Map No: 523400-289-006-0001-010-000-0000 Permission is hereby granted to: MARK DURANT For property located at: 538 GLEN LAKE Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: MARK DURANT Septic Alteration Residential KATHERINE BREAULT Total Value 538 GLEN LAKE Rd LAKE GEORGE,NY 12845 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2015-082 $40.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday,April 13, 2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To o eens o , • pril 13, 2015 i SIGNED BY I for the Town of Queensbury. Director of Building&Code Enforcement SEPTIC DISPOSAL PERMIT lJ T DATE 1-NNL- (0/ a--0(5�( ' ,�f� a Ma� ITax MAP ID U /• - /Q �,�� 1 mit • '1-0 1,5- $2. (/r T..,, OF QtJE N $ � Fee `�� - -17 �I LOCATION OF INSTALLATION 53 v ��� �'r'\L �'=ILDING & Cao':'''als: 1 APPLICANT A l'// !/LL i a N PHONE/E-MAIL ADDRESS e- clew 01/fP INSTALLER/BUILDER: St -N/.(7.9-2.r feii,eK ei v e-( PHONE/E-MAIL / 7r�- 7 J 7 ADDRESS: P(/ - (LX- Z 2Y TNS 7;4-/(c ✓A J OWNER 0714 fk L'fa i,-J- n PHONE/E-MAIL Address .�si c__) /e„, (' P kd� CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: �1 ec 6`-e--41 PHONE l _3`6O 9 RESIDENCE INFORMATION Year Built #of bedrooms X Gallons per bedroom =Total Daily Flow 1980 or older Garbage grinder installed _Y L N 1981-1991 Spa or Hot Tub installed _Y X N 1992 Present / //O 9 y,7 PARCEL INFORMATION 1 Topography ;C Flat rolling Steep slope %slope Soil Nature ). Sand Loam Clay Other Groundwater At what depth? it/ii Bedrock/Impervious Material At what depth? .VM Domestic Water Supply Municipal ' 1__. Well(if well, water supply from any septic system absorption is ft.) Percolation Test Rate: /— S— per minute per inch(test to be completed by licensed engineering/architect) PROPOSED SYSTEM FOR NEW CONSTRUCTION Tank Size 125-0 gallons(minimum size 1,000 gallons, add 250 gallons to size for each garbage grinder or spa or hot tub) System Type Absorption field with#2 stone Total length ft.; Each trench x Seepage Pit with#3 stone How many: ;size XAlternative System Be or other type? Holding Tank System Total required capacity? Tank size #of tanks Notes: 1)Alarm system&associated electrical work must be inspected by a Town approved electrical inspection agency;2)We will no longer allow systems to be covered until such time as an As-Built plan is received & approved. The installed system must match the septic system layout on file-no exceptions. DECLARATION: Any permit or approval granted which is based upon or is granted in reliance upon any material representation or failure to make a material fact or circumstance know by or on behalf of an applicant, shall be void. I have read the regulations and agree to abide by these and all r?quire ents of the Town of Queensbury Sanitary Sewage Disposal Ordinance. kJ Lf=/ G' '!t Print Name: q P ^e ��S Date: Signature: ..r--- z^ Date: V- /° r.i Town of Queensbury Building &Codes Septic Disposal Permit July 2014 To , v aeensbury Building &Code Enforcement \}klAie Office No. '518) 76f-825T g t - 3 Septic Inspection Report A rim) Inspection request received: 4� 1`i I l Name: ttk(WA" Inspected on: 411 ka.1 • ir Location: 55t) ak 1--Ok-t__> Arrive: ', _' Aso* ME.No.: ] GJ ��� Inspector's Initials: to ents and/or dia•ram Soil Tylr "earn/Clay W Type of Water: Munic Well Waterr4-e1,,—r-uT 'j1Q,0 Waterline separation distance ft. Well separation distance 1\ ft. Other wells: ft. Well Casing Length 50'+/- Y N N/A [150'to well required if NO] Absorption Field: Total length 115 ft.+ Length of each trench r`I Q25 ft. F Leo Depth of trenches ft. Size of Stone Z. Size: 2.is' x 3D' L-t.PLA 8E. Stone Size: Piping Size Type Building to tank y"" 6cvk -© Tank to Distribution Box 1..k1 t '43 07,--3,c- Distribution Box to Field/Pit yy" 6 09-3 6- lb us" 335 Opening Sealed: Y N End Cap N \iE_T vl c--NR4LL>At., F'\. --- Inlet/Outlet Pipes&Baffles N Manholes 12"or less below grade [provide extension collar if Yes] Y N Location/Separations r t Foundation to tank \ii. 19 ft. Foundation to absorption Li$Tft. • Separation of Pits ft. Conforms as per Plot Plan �/t' N Engineer Report and As-Built Y N ETU Maintenance Contract provided Y N Location of System on Property: Fro 'ear Left Sideig t Side Middle Front Middle Rear I S stem Use St. s: Approved Partial Approved and needs to be re-inspected, please call the Building&Codes Office Disapproved Septic Inspection Report c0 CENTER PROJECT SERVICES 73 Sheridan Street, Glens Falls,NY 12801 Phone-518-796-2515 April 9, 2015 Project#208 George Drellos Sanitary Sewer Services Luzeme Road Queensbury,NY 12804 I L Ii v9-1) Re: Proposed Replacement Septic 111 APR 1 0 2015 Mark Durant-538 Glen Lake Road, Queensbury,NY TOWN OF QUEENSBURY Dear George: E1! LD1N� CODES At your request we have reviewed your proposed replacement septic system design of the existing 3 bedroom house at 538 Glen Lake Road in Queensbury. As per our conversation the residence has an existing failed septic system and may add an additional bedroom to the residence. We have reviewed the proposed replacement septic system design and we agree that a standard absorption bed is acceptable. Based upon a design flow rate of 440 GPD and a percolation rate of 1 to 5 minutes, you will need a minimum of 489 sf of absorption area. We recommend using 20 ft wide by 30 ft long absorption bed with 4 - 25 ft long laterals. The absorption system can be constructed with a new 1,250 gallon septic tank, new distribution box, and 4 inch diameter perforated pipe and stone. Please feel free to contact me at 796-2515 if you have any questions and that you for your assistance with this request. Sincerely. `'-'47X' (- __--:--- -- _ Thomas R. Center Jr, P.C. 6411)Irri e 04 6/4— 1 /‘, AS BUILT .., ( ,, „ ri 1 I � plA SEDC pL • I HAVE SEEN OR OBSERVED ALL OBJECTS $ V �, WELLS,TREES,FENCES, ETC 47,��� AS SHo ON HSS DGCUMENT.I HAVE HIS DIAGRAM. LY N SET FOR d` �� ��'$SC� MEAS HE DI .� y J_ • ro� �� DATE SIGNATU PQ ZZ S S S 11yi h moi i•' a' -. i <1;):"(1A ff. . ��� E /?( `• ' — L.L.-.1''' littirlif E ii r' 7 L) ieA' cAit`( R APR 10 2015 2!) U k TOWN OF QUEENSBURY BUILDING&CODES I TOWN OF QU S%14K / BUILDING & t ODiAS► 'cif' ./ ; Reviewed By: /.�/�i 4 l Date: A,117� / 'V r hrk DC(eAn '�` w ! % SEPTIC PL T PL-AN. ' I HAVE SEEN ;S: SEFE:LS AFENCES,ETCv SUCHASHOUSES, ,�" � SHOWNONTHISENTHIS D A6RAM•LY IN d MEA NE DtT FOR y_lo_it ft t a D SIGNFTU I 74 try 1 AL. Q A z s 5 5-i-kv / l'tir 538' 01€4," (Ake' AO -b ECEIIVik ---%-` APR 1 0 2015 r, TOWN OF QUEENSBURY v BUILDING&CODES TOWN OF QU S:1,K ,/ BUILDING & r OD . ,i ei Reviewed By: lite ��i-,/ t Date: �MVO